Claim Missing Document
Check
Articles

Found 26 Documents
Search

Readiness to change associated with job performance among health information management professionals during the covid-19 pandemic Nauri Anggita Temesvari; Mieke Nurmalasari; Deasy Rosmala Dewi; Suprobowati Suprobowati
Jurnal KESANS : Kesehatan dan Sains Vol 1 No 9 (2022): KESANS : International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v1i9.84

Abstract

Health information management professionals (HIM professionals) are one of the essential health workers during the Covid-19 pandemic in managing patient data in hospitals. Changes in both policies and work systems were felt by HIM professionals during the Covid-19 pandemic. The impact of these changes influences the job performance of HIM professionals. This study aimed to assess the association between readiness to change and job performance among HIM professionals during the Covid-19 pandemic in RSAB Harapan Kita, Indonesia. The indicators of job performance are quality, timeliness, need for supervision, responsibility, cost-effectiveness, quantity, interpersonal impact, and empathy. The readiness to change in this study seen from self-efficacy, appropriateness, management support, and personal benefits. This study applied a mixed-methods design to assess the association between readiness to change and job performance in which respondents fill out a questionnaire independently via Google Form. Furthermore, a focus group discussion was conducted to probe deeper into what changes occurred during the Covid-19 pandemic and how these changes related to the job performance of HIM professionals. The questionnaire used in previous research has been validated. The samples used were all 27 HIM professionals and 11 of them agreed to continue the focus group discussion. Statistical analysis used the chi-square test on SPSS version 26 to assess the association between variables. The results show that readiness to change indicated significant association with job performance (p=0.001). Informants stated that changes that occurred during the Covid-19 pandemic included the use of personal protective equipment, spraying disinfectants on medical forms and workspaces, and adding Covid-19 reporting both internally and externally.
Hubungan Karakteristik Karyawan dengan Kinerja di Unit Rekam Medis Rachmad Hidayat; Nauri Anggita Temesvari
Indonesian Journal of Health Information Management Vol. 2 No. 2 (2022)
Publisher : Sekolah Tinggi Ilmu Kesehatan Mitra Husada Karanganyar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54877/ijhim.v2i2.67

Abstract

Kinerja suatu organisasi bergantung pada kinerja dari sumber daya manusianya. Karakteristik tiap karyawan mempengaruhi kinerja yang dihasilkan, termasuk dalam pelayanan di unit rekam medis. Oleh karena itu, tujuan penelitian ini untuk menganalisis hubungan karakteristik karyawan dengan kinerja di Unit Rekam Medis di RSUD Tengku Rafi’an Kabupaten Siak. Jenis penelitian ini menggunakan pendekatan kuantitatif analitik dengan desain penelitian potong lintang. Penelitian ini dilakukkan di Rumah Sakit Umum Daerah Tengku Rafi’an Kabupaten Siak Riau. Populasi pada penelitian ini adalah seluruh karyawan di unit rekam medis. Pengambilan sampel dilakukan dengan mengambil seluruh populasi sehingga didapatkan jumlah sampel sebanyak 49 orang. Pengumpulan data dilakukan menggunakan kuesioner. Uji statistik yang digunakan adalah uji chi square. Hasil penelitian ini menunjukkan mayoritas karyawan memiliki kinerja kurang. Analisis bivariat menunjukkan tidak terdapat hubungan antara usia dengan kinerja karyawan di Unit Rekam Medis di RSUD Tengku Rafi’an Kabupaten Siak (p value=0,414). Terdapat hubungan antara status pegawai (p-value=0,026), tingkat pendidikan (p-value=0,007), dan pengalaman kerja (p-value=0,012) dengan kinerja sumber karyawan di Unit Rekam Medis di RSUD Tengku Rafi’an Kabupaten Siak.
Tinjauan Kelancaran Klaim Pasien Covid-19 Peter Herey; Nauri Anggita Temesvari
Jurnal Rekam Medis dan Informasi Kesehatan Vol 5, No 2 (2022): Oktober 2022
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jrmik.v5i2.8057

Abstract

The increase of Covid-19 cases that occurred in Indonesia affected the financial system in healthcare facilities. One of the policies resulting from the increase of Covid-19 cases is that the Ministry of Health issued technical instructions for reimbursement of health service claims for hospitals that provide Covid-19 services. In the implementation of these rules, there are obstacles so that the claims submitted are delayed or not approved. The purpose of this study is to analyze Covid-19 claims approval in terms of input, process, and output components. The research method is cross-sectional with a quantitative descriptive approach. The research was conducted at Siloam Sentosa Hospital Bekasi by reviewing Covid-19 claims with data collection method was done using the document review. The instrument used is a document review sheet to identify policies and describe the approval of claims. The population in this study were all Covid-19 claims in January-February 2021. The sample was taken using a saturated sample with a total of 108 claims. The applications used for the claim process are INA-CBG and E-claims. In the implementation of claim submission, the hospital adopted the technical instruction for claim reimbursement issued by the Ministry of Health and has implemented it. The results of the study show that 63% of approved claims. The cause of the claim not being approved occurred in the process component where the difference of understanding from the coder so that it was not correct in coding, completeness of claim documents, and inconsistency in filling out medical records
Determinants of Approval Claims at Hospital Among COVID-19 Patients Peter Herey; Nauri Anggita Temesvari
Media Kesehatan Masyarakat Indonesia Vol. 18 No. 2: JUNE 2022
Publisher : Faculty of Public Health, Hasanuddin University, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30597/mkmi.v18i2.19536

Abstract

The COVID-19 pandemic is an issue that is being faced by Indonesia and even most countries in the world. The impact due to the COVID-19 pandemic is disruption of hospital with cash flow. It was caused by the delay in hospital payment of claims which are not approved by Badan Penyelenggara Jaminan Sosial (BPJS Kesehatan). Siloam Sentosa Hospital Bekasi provides services for COVID-19 patients. However, out 81 claims of COVID-19 patients in August-October 2020, there were 65 claims (80.25%) not approved by BPJS Kesehatan. The purpose of this study was to analyze the factors that affect the approval claims among patients with COVID-19 at Siloam Sentosa Hospital Bekasi. This type of research was descriptive analysis with a quantitative approach. The research population was 108 claims and the sample used the total population. A Logistic regression test was used to analyze the data. The results of the study explained the completeness of claims, the quality of the medical resume, the completeness of filling out the epidemiological investigation form, and the quality of clinical coding that affected the approval claims. The study showed 21.5% of other factors that are not examined can affect the approval claims. Socialization of policies related to payment of claims to hospitals as well as monitor and evaluate from both hospitals and BPJS Kesehatan need to be improved to prevent claims that are not approved.
BIMBINGAN TEKNIS PERAMALAN JUMLAH KUNJUNGAN PASIEN DENGAN TABLEAU Mieke Nurmalasari; Witri Zuama Qomarania; Nauri Anggita Temesvari; Tria Saras Pertiwi
Indonesian Journal of Health Information Management Services Vol. 1 No. 1 (2021): Indonesian Journal of Health Information Management Services (IJHIMS)
Publisher : APTIRMIKI

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (618.851 KB) | DOI: 10.33560/ijhims.v1i1.4

Abstract

ABSTRAK. Peramalan jumlah kunjungan pasien berguna untuk membantu manajemen dalam membuat kebijakan dan perencanaan yang efektif dan efisien. Pesatnya perkembangan teknologi menjadikan data kesehatan digital sebagai salah satu sumber big data. Perlu dilakukan peningkatan pengetahuan pada mahasiswa dan tenaga Perekan Medis dan Manajemen Informasi Kesehatan dalam menganalisis data kunjungan pasien. Metode yang digunakan dalam kegiatan ini adalah pelatihan atau bimbingan teknis yang bersifat teoritis dan praktis. Hasil dari pelatihan ini adalah peningkatan pengetahuan peserta dalam menganalisis data peramalan kunjungan pasien menggunakan software statistik A Tableau. Kata kunci: kunjungan pasien; peramalan; analisis data; public tableau ABSTRACT. Forecasting number of visits is useful to help management to make effective and efficient policies and plans. The rapid development of technology makes digital health data as a one of big data sources. It is necessary to increase the knowledge of student and Professional Health Information Management in analyzing the patient visit data. The method used in this activity is a training or technical guidance which is namely theoretical and practical. The result of this training is an increase in participants' knowledge in analyzing the forecasting of patient visit data using a statistical software Tableau. Keywords: patient visit; forecasting; data analytics; public tableau
Spatial patterns of maternal mortality causes in West Kalimantan, Indonesia Pertiwi, Tria Saras; Temesvari, Nauri Anggita; Nurmalasari, Mieke
Public Health of Indonesia Vol. 7 No. 3 (2021): July - September
Publisher : YCAB Publisher & IAKMI SULTRA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v7i3.441

Abstract

Background: Maternal Mortality Rate (MMR) is one of the health indicators to see maternal survival in general and is a component in the health development index. Maternal Mortality Rate is also an important indicator of the quality of health services and the performance of the Health system.Objective: This study aimed to analyze the spatial patterns of maternal mortality based on the mortality causes in Sambas District, West Kalimantan, Indonesia.Methods: This study used a descriptive and exploratory approach to be able to see the distribution of maternal mortality and the coverage of the distribution of health care facilities. A spatial pattern was carried out to analyze the distribution pattern of maternal mortality cases using the Average Nearest Neighbor.Results: The results showed that most maternal mortality causes include bleeding, pregnancy hypertension, circulation system disorders (heart, stroke), metabolic disorders (diabetes mellitus), and other causes, such as pulmonary embolism. The analysis using a buffer of 3 kilometers and 5 kilometers show that not all the areas are covered by health service facilities in the Sambas district. Analysis of the mean of the nearest neighbors showed that the Nearest Neighbor ratio was 1.039398 with a z-score of 1.022396, which means that the pattern of distribution of maternal death according to the cause of death has a random pattern.Conclusion: The spatial pattern of cases of maternal death according to the cause of death in the Sambas district, West Kalimantan, Indonesia, has a random pattern. This finding can be used as a basis for decreasing the maternal mortality rate.
FAKTOR - FAKTOR YANG BERHUBUNGAN DENGAN PEMANFAATAN FASILITAS KESEHATAN DI DESA SILULUK Oktavianti, Putri; Muchlis, Husni Abdul; Hosizah, Hosizah; Temesvari, Nauri Anggita
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 8 No. 3 (2024): DESEMBER 2024
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v8i3.33840

Abstract

Pemanfaatan pelayanan kesehatan di Indonesia secara umum dapat dikatakan baik, kendalanya yaitu Aksesibilitas, pendapatan yang masih rendah, penilaian individu mengenai penyakit, dan kepemilikan jaminan kesehatan. Rendahnya pemanfaatan fasilitas kesehatan baik milik pemerintah maupun swasta antara lain karena inefisiensi dan buruknya kualitas dalam sektor kesehatan, buruknya kualitas infrastruktur dan banyaknya pusat kesehatan yang tidak memiliki perlengkapan yang memadai, jumlah dokter yang tidak memadai di daerah pedesaan, tidak memiliki asuransi kesehatan, serta kurangnya pendidikan tenaga kerja kesehatan. Tujuan penelitian untuk mengetahui faktor-faktor yang berhubungan dengan pemanfaatan fasilitas kesehatan di Desa Siluluk. Jenis penelitian yaitu kuantitatif dengan pendekatan analitik. Besar populasi sebanyak 272 atau 75 kartu keluarga, sampel diambil dalam satu kartu keluarga 1 orang perwakilalan maka sampel sebanyak 75 orang masyarakat dengan teknik mengambilan sampel menggunakan sampel jenuh. Teknik Analisa data univariat, dan multivariat dengan regresi logistik berganda. Berdasarkan hasil penelitian didapatkan 57 orang memiliki jaminan kesehatan, yang mengatakan akses sulit sebanyak 63 orang, penilaian individu tentang penyakit yang mengatakan tidak baik 65 orang, dan responden yang tidak memanfaatkan sebanyak 58 orang. Analisis multivariat menjelaskan bahwa terdapat hubungan yang signifikan antara Aksesibilitas p-value 0,036 < 0,05 dengan pemanfaatan fasilitas kesehatan, sedangkan tidak ada hubungan yang signifikan terdapat pada variabel kepemilikan jaminan kesehatan p-value 1,000 > 0,05 dan variabel penilaian individu mengenai penyakit p-value 0,179 > 0,05.
KETEPATAN PENGODEAN DIAGNOSIS TURBERKULOSIS DI RSUD KOTA TANGERANG Darmawan, Lusiana; Temesvari, Nauri Anggita; Hosizah, Hosizah
JOURNAL OF SCIENCE AND SOCIAL RESEARCH Vol 7, No 4 (2024): November 2024
Publisher : Smart Education

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54314/jssr.v7i4.2313

Abstract

Abstract: Disease coding is one of the important things in providing health information. Coding is used to code diseases according to WHO regulations regarding diagnosis codes consisting of letters and numbers, thereby facilitating the disease reporting process. Coding relies heavily on the clarity of the diagnosis written by the doctor to provide quality information. Inaccuracy of the codes given during the coding process will affect the hospital's reporting activities and decision making. The aim of this research is to determine the relationship between the clarity of writing a diagnosis and the accuracy of coding a diagnosis of tuberculosis at the Tangerang City Regional Hospital. This type of research is quantitative research using a cross sectional research design. The sample consisted of 72 inpatient medical records of tuberculosis patients using a purposive sampling technique. Data analysis was carried out using univariate analysis and bivariate analysis with the Chi-Square test. The results of the study showed that the clarity of writing a clear diagnosis was 49 (68.1%) and the writing of a tuberculosis diagnosis was unclear in 23 (31.9%) of the inpatient medical records of tuberculosis patients. Meanwhile, the accuracy of coding a diagnosis of tuberculosis was 38 (52.8%), and the accuracy of coding an incorrect diagnosis was 34 (47.2%) from 72 medical records. The p-Value = 0.000 (0.000<0.05) so that there is a significant relationship between the clarity of writing a diagnosis and the accuracy of coding a diagnosis of tuberculosis. Keywords: Clarity, Coding Accuracy, Tuberculosis Abstrak: Pengodean penyakit merupakan satu diantara hal penting dalam penyediaan informasi kesehatan. Pengodean digunakan untuk memberi kode penyakit sesuai aturan WHO tentang kode diagnosis yang terdiri dari huruf angka sehingga memudahkan proses pelaporan penyakit. Pengodean sangat bergantung pada kejelasan penulisan diagnosis yang ditulis dokter guna menyediakan informasi yang berkualiktas. Ketidaktepatan kode yang diberikan pada proses pengodean akan berpengaruh terhadap legiatan pembuatan pelaporan dan pengambilan keputusan rumah sakit. Tujuan penelitian ini adalah untuk mengetahui hubungan kejelasan penulisan diagnosis dengan ketepatan pengodean diagnosis penyakit tuberkulosis di RSUD Kota Tangerang. Jenis penelitian ini adalah penelitian kuantitatif dengan menggunakan desain penelitian Cross Sectional. Sampel terdiri dari 72 rekam medis rawat inap pasien tuberkulosis dengan teknik pengambilan secara purposive sampling. Analisis data dilakukan dengan analisis univariat dan analisis bivariat dengan uji Chi-Square. Hasil penelitian menunjukkan bahwa kejelasan penulisan diagnosis yang jelas sebanyak 49 (68,1%) dan penulisan diagnosis tuberkulosis yang tidak jelas sebanyak 23 (31,9%) rekam medis rawat inap pasien tuberkulosis. Sedangkan ketepatan pengodean diagnosis penyakit tuberkulosis sebanyak 38 (52,8%), dan ketepatan pengodean diagnosis yang tidak tepat sebanyak 34 (47,2%) dari 72 rekam medis. Nilai p-Value = 0,000 (0,000<0,05) sehingga ada hubungan bermaksa antara kejelasan penulisan diagnosis dengan ketepatan pengodean diagnosis penyakit tuberkulosis. Kata kunci: Kejelasan, Ketepatan Pengodean, Tuberkulosis 
HUBUNGAN KELENGKAPAN RESUME MEDIS DENGAN KETEPATAN KODE DIAGNOSIS FRACTURE DAN INJURY DI RSUD KOTA TANGERANG Rahayu, Ade Rizqa; Temesvari, Nauri Anggita
JOURNAL OF SCIENCE AND SOCIAL RESEARCH Vol 7, No 4 (2024): November 2024
Publisher : Smart Education

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54314/jssr.v7i4.2345

Abstract

Abstract: Fracture cases in 2020 in Indonesia, which is the largest country in Southeast Asia, occurred at 1.3 million each year with a prevalence of 5.5% of the population of around 238 million. In the coding of fracture cases, inaccuracies were still found, the cause of these inaccuracies occurred because they did not add a 5-character code. So the aim of this research is to determine the relationship between the completeness of a medical resume and the accuracy of fracture and injury diagnosis codes at Tangerang City Regional Hospital. This type of research is quantitative using a cross sectional design. The sampling technique in this study used a saturated sampling technique, where the entire population in this study was sampled. The sample in this study was 68 medical resumes of fracture and injury patients. Data analysis was carried out using univariate analysis and bivariate analysis with the Chi-Square analysis test (X2). The results showed that there were 29 (42.6%) incomplete medical resumes and 39 (57.4%) complete resumes. Meanwhile, the accuracy of incorrect fracture and injury diagnosis codes was 53 (77.9%) and the accuracy of correct fracture and injury diagnosis codes was 15 (22.1%). The p-value = 0.000 (0.000 < 0.05) so there is a relationship between the completeness of the medical resume and the accuracy of the fracture and injury diagnosis code at the Tangerang City Regional Hospital. Keywords: Medical Resume, Accuracy Of Diagnosis Codes, Fractures And Injuries Abstrak: Kasus fracture tahun 2020 di Indonesia yang merupakan negara terbesar di Asia Tenggara kejadiannya sebesar 1,3 juta setiap tahunnya dengan prevalensi sebesar 5,5% dari jumlah penduduk yang berkisar 238 juta. Pada pengodean kasus fracture masih ditemukan ketidaktepatan, penyebab ketidaktepatan tersebut terjadi karena tidak menambahkan kode karakter-5. Sehingga tujuan penelitian ini adalah untuk mengetahui hubungan kelengkapan resume medis dengan ketepatan kode diagnosis fracture dan injury di RSUD Kota Tangerang. Jenis penelitian ini adalah kuantitatif dengan menggunakan desain cross sectional. Teknik pengambilan sampel dalam penelitian ini menggunakan teknik sampling jenuh, dimana semua populasi dalam penelitian ini dijadikan sampel, sampel dalam penelitian ini sebanyak 68 resume medis pasien fracture dan injury. Analisis data dilakukan dengan analisis univariat dan analisis bivariat dengan uji analisis Chi-Square (X2). Hasil penelitian menunjukkan bahwa resume medis yang tidak lengkap sebanyak 29 (42.6%) dan resume yang lengkap sebanyak 39 (57.4%). Sedangkan ketepatan kode diagnosis fracture dan injury yang tidak tepat sebanyak 53 (77.9%) dan ketepatan kode diagnosis fracture dan injury yang tepat sebanyak 15 (22.1%). Nilai p-value = 0,000 (0,000 < 0,05) sehingga ada hubungan kelengkapan resume medis dengan ketepatan kode diagnosis fracture dan injury di RSUD Kota Tangerang. Kata kunci: Resume Medis, Ketepatan Kode Diagnosis, Fracture Dan Injury
PENGARUH AKURASI KODING TERHADAP HASIL PENGAJUAN KLAIM RAWAT INAP BPJS KESEHATAN DI RS SENTRA MEDIKA CIBINONG Lestari, Jayanti; Muchlis, Husni Abdul; Hosizah, Hosizah; Temesvari, Nauri Anggita
JOURNAL OF SCIENCE AND SOCIAL RESEARCH Vol 8, No 1 (2025): February 2025
Publisher : Smart Education

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54314/jssr.v8i1.2798

Abstract

Abstract: Claim files that are returned / pending can result in a decrease in hospital income due to a mismatch in service costs with the number of claims billed. The results of submitting inpatient claims at Sentra Medika Cibinong Hospital in September-November 2023 were 327 (10%) pending files out of 3,250 files billed. The purpose of the study was to determine the effect of coding accuracy on the results of submitting BPJS Health inpatient claims. With a quantitative approach and cross sectional design. The population was all inpatient claim files, a sample of 300 claim files with the Accidental Sampling technique. Data analysis using chi square test and observation data collection. The results showed inaccurate coding files 116 (38.7%) and accurate coding 184 (61.3%) and pending files 49 (16.3%) and not pending 251 (83.7%). While the results of the chi square test obtained a P-value of 0.002 <0.05 OR value of 2.733 It was concluded that there was an influence between coding accuracy on the results of submitting BPJS Health inpatient claims at Sentra Medika Cibinong Hospital. Furthermore, inaccurate coding accuracy files are 2.7 times more likely to be pending than accurate files. Accurate coding files were pending 20 (10.9%) and not pending 164 (89.1%), inaccurate coding files were pending 29 (25%) and not pending 87 (75%). Suggestions for conducting regular evaluations of cases that have the potential to experience pending claims. Keyword: Coding Accuracy, Submission Results, Pending Claims Abstrak: Berkas klaim yang dikembalikan/pending dapat mengakibatkan penurunan pendapatan rumah sakit akibat ketidaksesuaian biaya layanan dengan jumlah klaim yang ditagihkan. Hasil pengajuan klaim rawat inap di RS Sentra Medika Cibinong pada bulan September–November 2023 Sebanyak 327 (10%) berkas pending dari 3.250 berkas yang ditagihkan. Tujuan penelitian untuk mengetahui pengaruh akurasi koding terhadap hasil pengajuan klaim rawat inap BPJS Kesehatan. Dengan pendekatan kuantitatif dan desain cross sectional. Populasi seluruh berkas klaim rawat inap pada bulan Maret 2024, sampel 300 berkas klaim dengan teknik Accidental Sampling. Analisa data menggunakan uji chi square dan pengumpulan data observasi. Hasil penelitian menunjukan berkas koding tidak akurat 116 (38,7%) dan koding akurat 184 (61,3%) serta berkas terpending 49 (16,3%) dan tidak terpending 251 (83,7%). Sedangkan hasil uji chi square diperoleh nilai P-value 0,002 < 0,05 nilai OR 2,733 Maka disimpulkan ada pengaruh antara akurasi koding terhadap hasil pengajuan klaim rawat inap BPJS Kesehatan di RS Sentra Medika Cibinong. Selanjutnya berkas akurasi koding tidak akurat berpeluang 2,7 kali akan terpending dibandingkan berkas yang akurat. Berkas koding akurat yang terpending 20 (10,9%) dan tidak terpending 164 (89,1%), berkas koding tidak akurat yang terpending 29 (25%) dan tidak terpending 87(75%). Saran melakukan evaluasi secara berkala terhadap kasus yang berpotensi mengalami pending klaim. Kata kunci: Akurasi Koding; Hasil Pengajuan; Pending Klaim