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All Journal LINK Ensiklopedia of Journal J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Jurnal Salingka Abdimas Journal of Indonesian Health Policy and Administration
Yulia, Yulfa
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Arts Humanities Computer Science & IT Decision Sciences, Operations Research & Management Health Professions Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Public Health Social Sciences

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Design of Computerized Patient Registration Application System at Tanjung Pati Health Center Oktamianiza, Oktamianiza; Ilahi, Vitratul; Putri, Kalasta Ayunda; Yulia, Yulfa; Rahmadhani, Rahmadhani
Journal of Indonesian Health Policy and Administration Vol. 9, No. 1
Publisher : UI Scholars Hub

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

Abstract

One of the shortcomings of manual patient registration systems is the procedures that affect the efficiency of service care to patients. Therefore, researchers are interested in designing a computerized patient registration application using Microsoft Access software. The type of research used is Research and Development (R&D). This research was conducted at Tanjung Pati Community Health Center, with in-depth interviews with two registration officers. The research results show that the data elements needed to design the patient registration application system, sourced from the Patient Registration Book, will be developed by creating an application system using UML modeling. The application system undergoes Black Box Testing with the result that all components run well. The application system is efficient, with an average comparison of manual patient registration time to system patient registration of 420:180 seconds for new patients and 360:33 seconds for existing patients. The application system is efficient according to the results of interviews with informants. Therefore, the design of the computerized patient registration application system using Microsoft Access meets the needs of the community health center and is efficient in terms of patient registration time. It is recommended that the patient registration application be used continuously in the medical records unit at Tanjung Pati Community Health Center.
Penyebab Pending Klaim Berdasarkan Aspek Diagnosis dan Ketepatan Kode Diagnosis Oktamianiza, Oktamianiza; Rahmadhani, Rahmadhani; Yulia, Yulfa; Ilahi, Vitratul; Putri, Kalasta Ayunda; Juwita, Fenty Salma
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 5 No 4 (2024): September
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v5i4.4884

Abstract

The pending BPJS claim occurred due to the rejection of the file by the BPJS health verifier. Problems with pending claims are caused by errors in determining the main diagnosis, incomplete diagnosis writing and code accuracy. This research aims to describe the causes of pending claims, including from the diagnostic aspect, namely the accuracy of the main diagnosis and the completeness of writing diagnosis as well as aspects of the accuracy of the diagnosis code. The research is descriptive in nature and the population is 35 medical records pending inpatient claims for 2023, the sample was determined by total sampling. The research data was analyzed univariately to determine the frequency distribution of causes of pending claims. The results of research on 35 pending claims showed that the accuracy of determining the main diagnosis was 19(54.3%), the accuracy of writing an incomplete diagnosis was 31(88.6%), and the accuracy of the incorrect diagnosis code was 29(82.9%). It is hoped that the doctor who is responsible for determining and writing the diagnosis can pay attention to the correctness of the diagnosis in the medical record and the coder can determine the correct diagnosis code based on ICD-10 and ICD-9 CM.
TINJAUAN KELENGKAPAN PENGISIAN FORMULIR CPPT RAWAT INAP DENGAN KETEPATAN DIAGNOSIS PENYKIT BERDASARKAN ICD-10 DI RSJ. HB. SAANIN PADANG TAHUN 2022 Indra, Indra; Yulia, Yulfa; Wirman, Wirman
Ensiklopedia of Journal Vol 4, No 2 (2022): Vol 4 No. 2 Edisi 1 Januari 2022
Publisher : Lembaga Penelitian dan Penerbitan Hasil Penelitian Ensiklopedia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33559/eoj.v4i2.2992

Abstract

The incompleteness of filling out the inpatient Integrated Patient Progress Record (CPPT) form can affect the accuracy of disease diagnosis coding. Based on the results of the initial survey on 10 inpatient medical records, 7(70%) CPPT incompleteness and 4(40%) inaccuracy in coding disease diagnosis. The purpose of this study was to determine the relationship between the completeness of filling out the inpatient CPPT form with the accuracy of coding a disease diagnosis based on ICD-10 at Prof. Mental Hospital. HB. Saanin Padang. This research is descriptive correlational with quantitative. The research was carried out at the Prof. Mental Hospital. HB. Saanin Padang on June 13-17, 2022. The population in this study was medical records of inpatients in April 2022 as many as 223 medical records with a sample of 69 medical records and sampling using simple random sampling. Data was collected by observation and data processing techniques of editing, coding, tabulating, and cleaning. The analysis used is univariate analysis and bivariate analysis. The results of the study showed that 67(97.1%) incomplete inpatient CPPT forms were filled in, 5(7.2%). filling in the CPPT with the accuracy of coding the diagnosis of disease with value=1,000(P>0.05). The conclusion of the study that there is no significant relationship between the completeness of filling the CPPT with the accuracy of coding the diagnosis of disease, but the incompleteness of filling in the CPPT inpatients is still in the high category, it is recommended to Professional Care Providers (PPA) to fill out the CPPT completely.Keywords: CPPT, ICD-10, completeness, coding accuracy
TINJAUAN PENGETAHAUAN PASIEN DENGAN MASA BERLAKU SURAT RUJUKAN BALIK PUSKESMAS AMBACANG PADANG TAHUN 2021 Rahman, Khalilul; Yulia, Yulfa; Wisandra, Ade
Ensiklopedia of Journal Vol 4, No 2 (2022): Vol 4 No. 2 Edisi 1 Januari 2022
Publisher : Lembaga Penelitian dan Penerbitan Hasil Penelitian Ensiklopedia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33559/eoj.v4i2.2993

Abstract

The implementation of the referral system is held with the aim of providing quality health services, so that the objectives of the service are achieved without having to incur expensive costs. The purpose of this study was to determine the relationship between patient knowledge and the validity period of a referral letter at the Ambacang Padang Health Center in 2022. This type of research was quantitative with a cross sectional research design. This research was carried out at the Ambacang Health Center in July 2022. The population in this study was 400 patients per month. While the sampling using the slovin formula amounted to 80 respondents. Data were analyzed by univariate and biavariate by using Chi-square test. The results showed that more than half (51.3%) of respondents had a low level of knowledge, more than half (67.5%) of respondents had an invalid reference letter. There is a relationship between knowledge and the validity period of the referral letter with a p-value of 0.000 (p<0.05). Based on the results of the study, it can be concluded that there is a relationship between knowledge and the validity period of the referral letter. Suggestion, Through the head of the Puskesmas in order to further increase the patient in taking medication with the community about the importance of paying attention to the referral letter that is still valid so that the community is no longer mistaken with the referral letter used and so that the community is more aware of the importance of a valid referral letter.Keywords: Knowledge, Validity Period, Reference Letter 
SKRINING GULA DARAH DAN TEKANAN DARAH SEBAGAI UPAYA PENCEGAHAN PENYAKIT TIDAK MENULAR DI GOR AGUS SALIM PADANG sharoh, mai; Sari, Dian; Yulia, Yulfa; Sari, Yanti
Jurnal Salingka Abdimas Vol 5, No 1 (2025)
Publisher : Universitas Muhammadiyah Sumatera Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31869/jsam.v5i1.6788

Abstract

Penyakit tidak menular (PTM) seperti diabetes melitus dan hipertensi merupakan penyebab utama morbiditas dan mortalitas di Indonesia. Deteksi dini melalui skrining gula darah dan tekanan darah menjadi langkah strategis dalam upaya promotif dan preventif untuk menekan angka kejadian PTM. Kegiatan ini bertujuan sebagai upaya pencegahan PTM pada masyarakat. Meode dengan kegiatan pengabmas dilaksanakan selama satu hari dan melibatkan dosen dan mahasiswa. Berdasarkan hasil penyuluhan dan pemeriksaan kesehatan, ditemukan bahwa 10 orang berada dalam kategori prehipertensi, 31 orang normal dan 4 orang teridentifikasi hipertensi (baik yang sudah mengetahui kondisinya maupun yang belum). Sementara itu, hasil pemeriksaan gula darah acak menunjukkan 10 orang dengan kadar 200 mg/dl. Temuan ini menunjukkan bahwa masih banyak individu yang berisiko mengalami PTM tanpa disadari. Oleh karena itu, skrining sederhana sangat efektif dalam mendeteksi dini faktor risiko PTM. Ke depan, diharapkan seluruh masyarakat dapat lebih menjaga kesehatannya guna meningkatkan usia harapan hidup.
PENERAPAN KETEPATAN WAKTU PENGEMBALIAN REKAM MEDIS RAWAT INAP Yulia, Yulfa; Putri, Kalasta Ayunda; Oktamianiza, Oktamianiza; Putra, Deni Maisa; Rahmadhani, Rahmadhani; Hakki, Nur Habibah
Jurnal LINK Vol 18 No 2 (2022): NOVEMBER 2022
Publisher : Pusat Penelitian dan Pengabdian kepada Masyarakat, Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/link.v18i2.9094

Abstract

Keterlambatan pengembalian rekam medis dapat menghambat kegiatan pengelolaan dan beresiko hilangnya rekam medis. Salah satu faktor penyebab keterlambatan pengembalian berkas rekam medis diantaranya terlambat karena berkas yang belum lengkap. Sehingga diperlukan motivasi perawat dengan ketepatan waktu pengembalian rekam medis rawat inap di rumah sakit. Penelitian ini menggunakan pendekatan deskriptif analitik korelasi dengan desain penelitian cross sectional. Populasi pada penelitian ini berjumlah 46 perawat dengan sampel 32 perawat menggunakan proportional sampling dengan analisis univariat dan analisis bivariate. Berdasarkan hasil bahwa perawat yang kurang baik tanggung jawabnya terbukti 86% tidak tepat waktu, perawat dengan pengembangan dirinya terbukti 71% tidak tepat waktu, sedangkan perawat yang kurang mandiri dalam bertindak terbukti 79% tidak tepat waktu. Tanggung jawab dan pengembangan diri perawat memiliki hubungan dengan ketepatan waktu pengembalian rekam medis rawat inap di Rumah Sakit Islam Ibnu Sina Padang, sebaiknya perawat terus melakukan pengembangan diri guna meningkatkan keterampilan dan memperbaiki efektifiktas kerja untuk mencapai hasil kerja yang diharapkan seperti selalu mengikuti sosialisasi, mengikuti pelatihan dan bebas mengeluarkan pendapat saat berdiskusi.
SOSIALISASI KETEPATAN KODE DIAGNOSIS PENYAKIT PADA BANGSAL KEBIDANAN DI RUMAH SAKIT ISLAM IBNU SINA PADANG Yulia, Yulfa; sharoh, mai; sari, dian; ilahi, Vitratul; Sari, Mila; Yudhanto, Satrio Bhagas; Widura, Bella
Jurnal Salingka Abdimas Vol 5, No 2 (2025)
Publisher : Universitas Muhammadiyah Sumatera Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31869/jsam.v5i2.7431

Abstract

Pemberian kode diagnosis adalah proses penetapan kode menggunakan huruf, angka, atau kombinasinya yang mewakili komponen data medis. Ketepatan pengodean menjadi hal penting dalam menunjang mutu data rekam medis, kelancaran klaim, dan laporan rumah sakit. Salah satu permasalahan yang ditemukan di Bangsal Kebidanan Rumah Sakit Islam Ibnu Sina Padang adalah ketidaktepatan kode diagnosis penyakit pada 5 (50%) rekam medis, yang berpotensi menimbulkan pending klaim. Lokasi pengabmas adalah RSI Ibnu Sina Padang pada  pada 12 s/d 14 Juni 2025, ditemukan bahwa 26 (47,3%) kode diagnosis tepat dan 29 (52,7%) tidak tepat, 28 (50,9%) penulisan diagnosis lengkap dan 27 (49,1%) tidak lengkap, 43 (78,2%) diagnosis jelas dan 12 (21,8%) tidak jelas. ketidaktepatan pengodean disebabkan ketidaklengkapan dan ketidakjelasan diagnosis yang tidak sesuai ICD-10. Oleh sebab itu sosialisasi ini dilakukan untuk meningkatkan ketelitian dan keterampilan dalam proses koding.
Co-Authors Dian Sari Hakki, Nur Habibah Ilahi, Vitratul Indra Indra Juwita, Fenty Salma Oktamianiza Oktamianiza Oktamianiza Putra, Deni Maisa Putri, Helmi Mazra Putri, Kalasta Ayunda Rahmadhani Rahmadhani, Rahmadhani Rahman, Khalilul Sari, Mila Sari, Yanti sharoh, mai Widura, Bella Wirman, Wirman Wisandra, Ade Yudhanto, Satrio Bhagas