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Analysis of Filling in the Inpatient Medical Record Files at Arjasa Health Center Jember Wijayanti, Rossalina Adi; Surur, Hikmatus; Nuraini, Novita; Muflihatin, Indah
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 6, No 2: June 2021
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1347.033 KB) | DOI: 10.30604/jika.v6i2.484

Abstract

The Medical record form is an important means of communication because it records detailed data about all actions taken by medical officers. The activities of filling in medical records in Arjasa Health Center are applied less sufficiently. This can be seen from some incomplete filling of the medical record. It impacts the process of classification, and diseases coding, reporting, and claims submission. This study aims to analyze the filling of medical records files in the Arjasa Health Center, Jember Regency. This type of research is qualitative research. The data collections are interviews, observations, documentation, and questionnaires. There 5 subjects of the study which consist of medical record officer, nurse, midwife, nutrition officer, and doctor. The results show several factors that cause incomplete filling of the medical records are the absence of medical record training for officers, SOP, qualified officer, punishment and reward for officers’ performance. The efforts to solve these problems obtained by brainstorming include conducting medical record training, recruiting officers based on the qualifications, creating and socializing SOP, providing punishment or reward to officers with good performance in filling in the files completely and appropriately.  Abstrak: Formulir rekam medis merupakan sarana komunikasi yang penting karena didalamnya tercatat data rinci mengenai semua tindakan yang dilakukan tenaga medis. Kegiatan pengisian berkas rekam medis di Puskesmas Arjasa masih belum optimal. Hal ini dapat dilihat dari beberapa berkas rekam medis yang masih belum terisi secara lengkap. Dampak dari pengisian berkas rekam medis yang tidak lengkap yaitu dapat menghambat proses pengklasifikasian dan kodefikasi penyakit, terhambatnya kegiatan pelaporan dan pengajuan klaim. Penelitian ini bertujuan untuk menganalisis pengisian berkas rekam medis di Puskesmas Arjasa Kabupaten Jember. Jenis penelitian adalah penelitian kualitatif. Pengumpulan data menggunakan wawancara, observasi, dokumentasi dan kuesioner. Subyek penelitian berjumlah 5 orang yang terdiri dari petugas rekam medis, perawat, bidan, petugas gizi serta Dokter. Hasil penelitian menunjukkan bahwa beberapa faktor yang dapat dapat menyebabkan ketidaklengkapan pengisian berkas rekam medis diantaranya belum pernah diadakannya suatu pelatihan terkait dengan pentingnya pengisian rekam medis secara lengkap, pendidikan petugas masih ada yang belum sesuai kualifikasi pendidikan RM, tidak ada SOP tentang pengisian berk;as rekam medis, tidak ada punishment dan reward bagi petugas sebagai bentuk motivasi dalam mengisi berkas rekam medis. Upaya penyelesaian masalah yang didapatkan dengan menggunakan brainstorming antara lain mengadakan pelatihan rekam medis, merekrut petugas sesuai kualifikasi Rekam Medis, membuat serta melakukan sosialisasi SOP tentang pengisian berkas rekam medis, memberikan punishment atau reward kepada petugas yang mengisikan berkas rekam medis secara lengkap dan tepat.
Sosialisasi Penggunaan Aplikasi Pemantauan Kasus Stunting di Desa Kemuning Lor Kabupaten Jember Mudiono, Demiawan Rachmatta Putro; Muflihatin, Indah; Wicaksono, Andri Permana
Journal of Community Development Vol. 3 No. 3 (2023): April
Publisher : Indonesian Journal Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47134/comdev.v3i3.118

Abstract

In 2016, around 22.9% or 154.8 million children worldwide suffered from stunting at the age of under 5 years. Stunting is defined as the length or height below the standard. Stunting is measured by a z-score of height and age of more than 2 standard deviations which is below the World Health Organization (WHO) Child Growth Standards. Based on the results of observations on November 25, 2022 in Kemuning Lor Village, the community service team found that cadres and mothers could be said to be of productive age with an average of already having smartphones which were underutilized in monitoring the nutritional status of toddlers. In community service activities, an application was developed that is useful in reducing and monitoring the number of stunting cases in Kemuning Lor Village, Jember Regency. The implementation methods carried out in this community service activity are literature (literary study), location surveys, application design and outreach. As for the results of this community service activity, 90% of posyandu cadres feel helped by the baby nutrition monitoring application. In the future this application will be integrated from each region so that stunting cases in Jember Regency can be monitored through one application.
Pemberdayaan Teaching Factory Nutrition Care Center Dalam Meningkatkan Pelayanan Gizi Kepada Masyarakat mudiono , demiawan; mudiono , Demiawan rachmatta putro; Muflihatin, Indah; Wicaksono, Andri Permana; Wahyono, Nanang Dwi; Ayyubi, Waridad Umais Al
Jurnal Pengabdian dan Pemberdayaan Banyuwangi (Jurnal Abdiwangi) Vol 2 No 1 (2024): Jurnal Abdiwangi
Publisher : Pusat Penelitian dan Pengabdian Kepada Masyarakat, Politeknik Negeri Banyuwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57203/abdiwangi.v2i1.2024.36-43

Abstract

Health is one of the sectors that has rapidly advanced through the application of information and communication technology (ICT) under the concept of e-Health. Nutrition services at the Teaching Factory Nutrition Care Center (TeFa NCC) are still conducted manually, requiring technological innovations to enhance efficiency and accessibility. This community service aims to digitalize nutrition services to facilitate public access to information and support staff operations more effectively. The method involves a participatory approach with three main steps: application development, socialization, and monitoring and evaluation to improve the quality of nutrition services and user satisfaction. The development of the Android-based E-Stagi application has proven successful in increasing service efficiency, with 34% of users finding the application very easy to operate. Monitoring results also indicate that the application simplifies data management for staff and provides easier access to nutrition information for the public compared to traditional methods. Despite technical challenges and user unfamiliarity, further training and application updates are necessary to optimize its utilization.
The Implementation of Smart Application System for Early Detection of Stunting as a Solution to Nutritional Problems Based on Anthropometry Standards Muflihatin, Indah; Wicaksono, Andri Permana; Mudiono, Demiawan Rachmatta Putro; Arum, Puspito; Nurmawati, Ida; Muna, Niyalatul
International Journal of Health and Information System Vol. 1 No. 3 (2024): January
Publisher : Indonesian Journal Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47134/ijhis.v1i3.3

Abstract

Stunting is a nutritional status determined by the PB/U or TB/U index. These measurements fall within the threshold (Z-Score) <-2 SD to -3 SD (short/stunted) and <-3 SD (highly short). Per the 2024 target established by the president, the frequency of stunting can be reduced to 14%. It has been demonstrated that there are still dietary disorders, particularly in the vulnerable age group, namely toddlers in Kemuning Lor Village. In 2018, there were still 33 toddlers with nutritional status disorders, including 24 toddlers (19.7%) with overnutrition, 5 toddlers (4.1%) with undernutrition, and 4 toddlers (3.2%) with malnutrition. Smart Systems is a subfield of Computer Science that focuses on developing competent methods inspired by natural events to address various complicated problems in the real world, including the health realm; early detection of stunting. This study aimed to develop an early detection method for nutritional status and stunting based on anthropometric standards in toddlers in Kemuning Lor Village, which is anticipated to aid cadres or the community in overcoming nutritional status and stunting in toddlers.
Comparison of Mother’s and Toddler’s Characteristics Based On The Nutritional Status of The Toddler Arum, Puspito; Nurmawati, Ida; Muna, Niyalatul; Muflihatin, Indah; Mudiono, Demiawan Rahmatta Putro; Wicaksono, Andri Permana
International Journal of Health and Information System Vol. 1 No. 2 (2023): September
Publisher : Indonesian Journal Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47134/ijhis.v1i2.4

Abstract

Nutritional status in toddlers is one of the indicators used to describe the quality of toddler health. Toddlers’ nutritional status is interpreted based on some indices, namely weight for age, length/height for age, and weight for length/height Z-score. The nutritional status of toddlers is affected by various factors, both maternal and child factors. Anaemia and chronic energy deficiency during pregnancy affect a toddler’s nutrition status. Birth weight, exclusive breastfeeding, and complementary food may result in a toddler’s nutrition status as well. This study aims to compare the mother’s and toddler’s characteristics based on the nutritional status of the toddler. This was an observational analytical cross-sectional study. All data for the analysis of this paper were obtained from observations of the toddlers, interviews with mothers, and recorded data from KIA book. Toddlers’ weight and length/height were measured when the subject came to Posyandu. Questions about exclusive breastfeeding and complementary food were asked of mothers. Information about anaemia and chronic energy deficiency status was obtained from KIA book. This study used chi-square test to finds evidence that, on 88 subjects, there is no difference in anaemia and chronic energy deficiency during pregnancy, birth weight, exclusive breastfeeding, and complementary food among all nutritional status indices.
Digital Marketing Prototype of Electronic Growth Chart (e-KMS) Sutantio, R. Alamsyah; Nurmawati, Ida; Muna, Niyalatul; Mudiono, Demiawan Rachmatta Putro; Wicaksono, Andri Permana; Muflihatin, Indah
International Journal of Health and Information System Vol. 1 No. 3 (2024): January
Publisher : Indonesian Journal Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47134/ijhis.v1i3.29

Abstract

Currently, Indonesia is facing serious Multiple Nutritional Problems (MGG) with 30.8% stunting and 35.4% obesity rates. The Healthy Growth Card (KMS) serves as an instrument for growth monitoring, particularly related to nutritional status. Growth disturbances, such as malnutrition due to both nutritional deficiencies and excesses, can be detected early by plotting weight on the KMS. Websites are a form of internet marketing and an effective part of digital marketing for disseminating information and promoting products. This research aims to create a prototype for digital marketing electronic Growth Chart (e-KMS). The research employs the software system development method using the Prototype model. The prototype is designed using UML (Unified Modeling Language) and case tools. The digital marketing prototype is a website-based platform with capabilities for promoting and registering online at the Polytechnic Institute of Jember (Polije) Daycare, as well as serving as a Communication Information and Education (CIE) medium for assessing and monitoring the nutritional status of children in the form of e-KMS. Program coding is needed to make the prototype usable as a digital marketing tool for e-KMS, enabling the monitoring of children's growth to be implemented in childcare institutions.
Evaluasi Keakuratan Informasi dan Kemudahan Pengguna Sistem Pakar berdasarkan Kepuasan Pengguna Wicaksono, Andri Permana; Mudiono, Demiawan Rachmatta Putro; Muflihatin, Indah
Jurnal Kesehatan Vol 12 No 3 (2024): Desember
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

This study, the application of an expert system for hepatitis disease which was made last year has been developed so that it is now being developed based on user satisfaction. The purpose of this study is to evaluate the value of user convenience and the accuracy of the existing information system in the hepatitis expert system application. This type of research is descriptive quantitative with a cross sectional approach. While this research is described in multiple linear regression analysis and descriptive analysis. The results of user convenience with an average of 3.4 and descriptive of the accuracy of information get an average value of 3.0. The results of the ease of use show that there is a significant effect on user satisfaction and the multiple linear regression analysis shows the accuracy of the information and does not have a significant effect on user satisfaction.
The Future of Health Technology: Analyzing User-Based Design in the Electronic Growth Chart Interface Muna, Niyalatul; Mudiono, Demiawan Rachmatta Putro; Nurmawati, Ida; Wicaksono, Andri Permana; Muflihatin, Indah; Navalani, Faradita
International Journal of Healthcare and Information Technology Vol. 3 No. 1 (2025): July
Publisher : P3M Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/ijhitech.v3i1.5553

Abstract

Electronic Growth Chart (e-KMS) is an innovative platform for monitoring children's health by tracking weight and height. The user interface (UI) is designed for intuitive interaction, allowing users to operate the system efficiently. This research aims to analyses the e-KMS UI based on established UI standards using a descriptive quantitative method with a User-Centered Design (UCD) approach. The study involved 15 respondents. Results showed that the system was very easy to use and essential for monitoring children's health. Consistency was evaluated across different devices, revealing that the system functioned uniformly. Feedback was analyses by examining the system's visual cues during key actions such as logging in and inputting a child’s data, ensuring users could confirm successful operations. Finally, Visibility was assessed by observing how well users understood the input results, with the system effectively displaying a child’s growth chart. The findings highlight the importance of these four UI principles in creating a user-friendly, aesthetically pleasing, and intuitive interface. By adhering to these principles, the e-KMS UI enhances user engagement, satisfaction, and overall user experience, contributing to more effective health monitoring for children. To enhance usability, future improvements should focus on accessibility, streamlined navigation, and user feedback integration.
Analysis of Factors Causing Noncompliance with Medical Record File Destruction Scheduling at Kalabahi Regional Hospital Olidela, Imanuel Nikson; Wijayanti, Rossalina Adi; Nuraini, Novita; Muflihatin, Indah
International Journal of Healthcare and Information Technology Vol. 2 No. 2 (2025): January
Publisher : P3M Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/ijhitech.v2i2.6163

Abstract

Destruction of medical records has not been carried out at Kalabahi Regional Hospital, resulting in the accumulation of medical record files that are not properly placed on storage shelves. This study aims to analyze the factors contributing to the mismatch in the scheduling of record destruction at Kalabahi Regional Hospital, based on the MOA (Motivation, Opportunity, Ability) performance theory. This research employed a qualitative approach, with problem-solving recommendations developed through brainstorming. The subjects in this study included the Head of the Medical Records Installation, the Head of the Medical Records Committee, and three filing officers. Data were collected through in-depth interviews, observation, documentation, and brainstorming sessions. Data validity was ensured using technique triangulation and source triangulation. The results of the study, based on the MOA performance theory, showed: Motivation factors included the absence of praise or reprimands from the head of the medical records installation to staff related to destruction activities. Opportunity factors included the lack of a designated room for destruction activities, insufficient filing shelves, the absence of an SOP for destruction, the absence of a dedicated destruction team, the lack of job descriptions for the destruction team, no budget planning for destruction activities, no preservation list, and no destruction tools. Ability factors included the officers' lack of practical skills and knowledge about destruction activities. Based on these findings, it is recommended to plan and implement training programs, provide praise and reprimands to filing staff regarding destruction activities, provide a designated room for destruction, increase the number of filing shelves, develop an SOP for destruction, establish a dedicated destruction team along with clear job descriptions, and allocate a budget for destruction activities.
Sistem Deteksi Dini Stunting Pada Balita Menggunakan Teknik Klasifikasi Dengan Algoritma C4.5 Sebagai Upaya Penekan Angka Kasus Stunting Di Puskesmas Sumberjambe Kabupaten Jember Umam, Ahmad Busyronul; Pratama, Mudafiq Riyan; Prakoso, Bakhtiyar Hadi; Muflihatin, Indah
BIOS : Jurnal Teknologi Informasi dan Rekayasa Komputer Vol 6 No 2 (2025): September
Publisher : Puslitbang Sinergis Asa Professional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37148/bios.v6i2.164

Abstract

Stunting is a condition of impaired growth in toddlers caused by chronic malnutrition, characterized by a height that is not appropriate for their age. According to SSGI 2022 data, Jember Regency has the highest stunting rate in East Java at 34.9%, exceeding the WHO standard (<20%). This study aims to design and develop an early detection system for stunting in toddlers at Sumberjambe Public Health Center using the C4.5 algorithm method. The type of research used is quantitative research with a data mining approach using the C4.5 algorithm and the prototyping method. The object of this study is secondary data obtained from maternal cohort books and Excel-based nutrition data from Sumberjambe Health Center, which includes data on children categorized as stunted and normal. The initial dataset consisted of 1,798 entries, and after going through a pre-processing stage, 130 clean data entries were obtained and used for analysis. The data mining process resulted in a Confusion Matrix accuracy of 83.33% and produced 34 rules that were used as knowledge for the early stunting detection system. The system was developed using the prototyping method, which includes several stages from initial planning and design to testing and user evaluation. In the construction of prototype stage, the system was built using PHP programming language with the Laravel 10 framework and tested using the black-box testing method. In the deployment, delivery & feedback stage, the system was directly tested by the nutrition team at Sumberjambe Health Center and received very positive responses. Users were satisfied with the appearance and performance of the system, with no revision requests, and fully approved the proposed prototype.