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All Journal Jurnal Manajemen Informasi dan Administrasi Kesehatan Jurnal Bidang Ilmu Kesehatan Jurnal Ilmiah JKA (Jurnal Kesehatan Aeromedika) Akrab Juara : Jurnal Ilmu-ilmu Sosial Jurnal Ilmiah Wahana Pendidikan Arkus Jurnal Ilmiah Kesehatan Masyarakat Jurnal Sains dan Teknologi Sehat Rakyat: Jurnal Kesehatan Masyarakat Journal of Educational Innovation and Public Health Jurnal An-Najat: Jurnal Ilmu Farmasi dan Kesehatan Jurnal Infokes (Informasi Kesehatan) Medic Nutricia : Jurnal Ilmu Kesehatan Vitamedica: Jurnal Rumpun Kesehatan Umum JURNAL HUKUM STAATRECHTS JURNAL RUMPUN MANAJEMEN DAN EKONOMI Vitalitas Medis : Jurnal Kesehatan Dan Kedokteran Inovasi Kesehatan Global Quantum Wellness : Jurnal Ilmu Kesehatan Vitamin: Jurnal Ilmu Kesehatan Umum
Dina Sonia
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Evaluasi Implementasi Aplikasi Zi.Care dalam Pelaksanaan Rekam Medis Elektronik di Rumah Sakit Islam Jakarta Sukapura Erwinto , Fransiskus; Siswati; Dina Sonia; Nanda Aula Rumana
Jurnal Ilmiah JKA (Jurnal Kesehatan Aeromedika) Vol. 10 No. 2 (2024): Jurnal Ilmiah JKA (Jurnal Kesehatan Aeromedika)
Publisher : Politeknik Kesehatan TNI AU Ciumbuleuit Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58550/jka.v10i2.286

Abstract

Evaluasi adalah proses pengumpulan data terkait performa suatu entitas, seperti metode, manusia, atau peralatan, untuk mendukung pengambilan keputusan. Evaluasi sistem di rumah sakit dapat membantu mengukur, menilai, dan memperbaiki kinerja layanan, serta mengidentifikasi masalah yang dihadapi oleh pengguna dan organisasi. Penelitian ini bertujuan mengevaluasi implementasi aplikasi Zi.Care di Rumah Sakit Islam Jakarta Sukapura menggunakan model HOT-Fit. Metode penelitian ini bersifat deskriptif kuantitatif, dengan pengumpulan data primer melalui survei dan penyebaran kuesioner yang berfokus pada aspek-aspek HOT-Fit. Terdapat 75 responden dalam penelitian ini, sebagian besar berjenis kelamin perempuan, berpendidikan sarjana, dan memiliki masa kerja 1-5 tahun. Hasil penelitian menunjukkan bahwa pada variabel Human, 57% responden menyatakan baik, sementara 43% menyatakan tidak baik. Pada variabel Organization, 55% responden menyatakan baik dan 45% menyatakan tidak baik. Pada variabel Technology, 43% responden menilai baik dan 57% menyatakan tidak baik. Sedangkan pada variabel Net Benefit, 68% responden menyatakan baik, sementara 32% menilai tidak baik. Hasil evaluasi ini diharapkan menjadi panduan untuk perbaikan sistem dan peningkatan kinerja layanan rumah sakit.
Tinjauan Ketepatan Kode Diagnosis Bronchitis di Unit Rawat Jalan Rumah Sakit Islam Sukapura Muhamad Sadikin; Muhammad Rezal; Dina Sonia; Muhammad Iqbal
SEHATMAS: Jurnal Ilmiah Kesehatan Masyarakat Vol. 3 No. 4 (2024): Oktober 2024
Publisher : Yayasan Literasi Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55123/sehatmas.v3i4.4115

Abstract

Bronchitis is an inflammation of the bronchioles, bronchus and trachea due to various causes. The purpose of this study was to identify the accuracy of the bronchitis diagnosis code in the outpatient unit of the Sukapura Islamic Hospital. The research method used is descriptive research, namely identifying and explaining the results obtained in full regarding the accuracy of the bronchitis diagnosis code in the outpatient unit of the Sukapura Islamic Hospital. The collection technique used an observation instrument. The results of the study obtained 60 medical records of outpatient bronchitis disease diagnoses in 2023 at the Sukapura Islamic Hospital, obtained an accuracy of 36 (60%) and inaccuracy of 24 (40%) in coding, the location of the inaccuracy is divided into three classifications, namely Bronchitis Unspecified Inappropriate age of 7 (29%), errors in the category of 12 (50%) and errors in the subcategory of 5 (21%). The Standard Operating Procedure (SOP) in coding has been socialized and has been running but has not been carried out optimally because inaccuracies are still found in the coding of bronchitis disease. The SOP is still very simple and has not been revised again so it cannot be a good reference in coding disease diagnoses. It is better for coding officers to read all supporting information on the form sheet in the medical resume, in order to produce the right and specific code. And to minimize inaccuracy in coding bronchitis diagnoses, it is recommended for coding officers to re-check using ICD-volume 1.
Analisis Kuantitatif Rekam Medis Elektronik Pasien Rawat Jalan di Puskesmas Tambora Tarisa Maharani; Dina Sonia; Muhammad Fuad Iqbal; Daniel Happy Putra
Jurnal Manajemen Informasi dan Administrasi Kesehatan Vol. 7 No. 2 (2024): JMIAK
Publisher : Program Studi D3 Rekam Medis dan Informasi Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32585/jmiak.v7i2.5789

Abstract

Puskesmas harus menjaga mutu pelayanan dengan menyediakan rekam medis elektronik lengkap yang kualitasnya dijaga melalui analisis kuantitatif. Penelitian ini bertujuan untuk mengetahui kelengkapan pengisian rekam medis elektronik di Puskesmas Tambora dengan metode kuantitatif deskriptif yang menggunakan sampel 99 rekam medis dari total 14.823 kunjungan rawat jalan bulan April 2024. Dari hasil penelitian yang dilakukan oleh peneliti didapatkan informasi bahwa Puskesmas Tambora sudah memiliki SOP tentang kelengkapan rekam medis elektronik yang berjudul “SOP Penilaian Capaian Indikator Mutu Kelengkapan dan Ketepatan Isi Rekam Medis”. Hasil analisis kuantitatif rekam medis elektronik pasien rawat jalan di Puskesmas Tambora pada bulan April 2024 menunjukkan bahwa persentase kelengkapan mencapai 97,83%. Persentase kelengkapan tertinggi terdapat pada komponen kelengkapan e-form yang penting sebesar 99,83%, sedangkan persentase kelengkapan terendah terdapat pada komponen pendokumentasian yang baik sebesar 95%. Saran untuk penelitian ini yaitu petugas pendaftaran diharapkan lebih teliti dengan menceklis kolom verifikasi untuk memastikan kelengkapan data. Selain itu, sosialisasi kembali kepada PPA (Profesional Pemberi Asuhan) terkait pentingnya kelengkapan rekam medis elektronik dan follow up secara rutin.
Analisis Ketepatan Kode Diagnosis Ibu Bersalin Pasien Umum di Rumah Sakit Emhaka Tahun 2023-2024 Maria Catherina Palar; Siswati, Siswati; Dina Sonia; Nanda Aula Rumana
SEHATMAS: Jurnal Ilmiah Kesehatan Masyarakat Vol. 4 No. 1 (2025): Januari 2025
Publisher : Yayasan Literasi Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55123/sehatmas.v4i1.4769

Abstract

Coding in medical data and information processing is a process that transforms diagnosis into alphanumerical code based on The International Statistical Classification of Diseases and Related Health Problems (ICD). Validity is one of the coding quality elements that must be maintained. ICD codes for childbirth cases consist of maternal condition (O10-O75, O98-O99), methods of delivery (O80-O84), and outcome of delivery (Z37.-). This study aims to obtain an overview of the accuracy of maternal diagnosis codes for general patients at Emhaka Hospital Bekasi City in 2023 - 2024. The research method used is mixed methods with data collection techniques in the form of observation and interviews. From the 41 childbirth medical records that were analyzed, it was found that the percentage of inaccuracy of the mother's condition code was 75,61%, the delivery method code inaccuracy was 78,05%, and the outcome of delivery code inaccuracy was 65,85%. After analyzing the 5M management factors, the causes of code inaccuracy are the man, money, materials, and methods factors. It is necessary to update regulations used as a basis for making hospital policies, review, develop, evaluate and monitor existing SOPs, develop medical records officers through training, and review the distribution of officer workload.
Gambaran Kegiatan Kerja PMIK pada Pelaksanaan Pelepasan Informasi Medis kepada Pihak Asurasi di RSUD Tarakan Jakarta Rani Yulistianingsih; Muhammad Fuad Iqbal; Dina Sonia; Noor Yulia
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 2 No. 2 (2025): Vitalitas Medis : Jurnal Kesehatan dan Kedokteran
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/vimed.v2i2.1434

Abstract

The release of medical information is the process of disclosing or sharing information about a patient's health condition, medical history, or medical examination results with other parties. Due to the sensitive nature of the information contained in medical records, healthcare providers are obligated to ensure that all information is appropriately accountable. This study aims to explore the work activities of medical record officers and health information management in the process of releasing medical information to insurance parties at Tarakan Regional General Hospital (RSUD Tarakan). This research uses a descriptive method with a qualitative approach by explaining the results of interviews regarding the work activities of medical record officers and health information management in the process of releasing medical information to insurance parties. RSUD Tarakan already has standard operating procedures related to the release of medical information, both to insurance parties that cooperate and to those that do not cooperate. In the work activities of the officers, the stages of data collection for insurance types, the request flow stage, data collection stage, data processing stage, and data presentation stage involve the insurance services and fundraising departments in the release process for cooperating insurance parties. Meanwhile, the medical records department and the information department are only involved in the release of medical information to non-cooperating insurance parties. The challenges in releasing medical information to non-cooperating insurance parties include the lack of requirements provided by patients, as they are often unaware of the necessary documents and the process for requesting the release of medical information, which can cause delays in the process.
ANALISIS DAMPAK COVID-19 TERHADAP EFISIENSI PENGGUNAAN TEMPAT TIDUR BERDASARKAN GRAFIK BARBER JOHNSON DI RUMAH SAKIT X KOTA BANDUNG TAHUN 2020 Hasni Nurul Tazkiyah; Mia Assariyanti; Dina Sonia
Akrab Juara : Jurnal Ilmu-ilmu Sosial Vol. 6 No. 4 (2021): November
Publisher : Yayasan Azam Kemajuan Rantau Anak Bengkalis

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58487/akrabjuara.v6i4.1568

Abstract

Salah satu pelayanan yang diberikan rumah sakit adalah pelayanan rawat inap. Layanan penerimaan yang tidak efektif pada tahun 2020 menjadi latar belakang untuk analisis efisiensi penggunaan tempat tidur dengan cara menghitung indikator BOR, LOS, TOI dan BTO dan menyajikannya pada grafik Barber Johnson sebagai bahan untuk penilaian dan perencanaan. Penelitian ini bertujuan untuk menganalisis efisiensi penggunaan tempat tidur berdasarkan indikator Barber Johnson di Rumah Sakit X pada Tahun 2020. This type of research is descriptive with a quantitative approach.Hasil penelitian menunjukan bahwa dampak COVID-19 setidaknya mempengaruhi nilai ideal indikator rumah sakitt, seperti misalnya pada bulan April dan Mei mengalami penurunan dan kenaikan sebagai berikut BOR= 49%, LOS= 4, TOI= 4, dan BTO= 4/bulan, untuk bulan April, sedangkan untuk bulan Mei BOR= 47%, LOS= 5, TOI= 5, dan BTO= 3/bulan. Tetapi untuk semua bulan masih belum ada yang masuk ke dalam garis efisiensi. Oleh sebab itu, perlu dilakukan realokasi tempat tidur berdasarkan jumlah pasien yang datang.
Identifikasi E-Form (Elektronik Formulir) Identitas Pasien Rawat Jalan pada Aplikasi Eti Care di Rumah Sakit Budi Kemuliaan Jakarta Dyah Melisa Setianingrum; Dina Sonia; Muhammad Fuad Iqbal; Daniel Happy Putra
Inovasi Kesehatan Global Vol. 2 No. 2 (2025): Mei : Inovasi Kesehatan Global
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/ikg.v2i2.1640

Abstract

Building an effective and efficient health system is an important effort to improve the quality of health services in Indonesia, the implementation of RME is an integral component in the modern health service system. The government issued the One Healthy policy in efforts to implement Health Data governance. In order to achieve this, data variables and data formats/values ​​determined by the Ministry of Health must be used as a reference in the implementation of RME based on Minister of Health Regulation No. 24 of 2022. The aim of this research is to analyze data variables in the ETI Care application for outpatient registration at Budi Kemuliaan Hospital Jakarta according to the applicable guidelines, that is Minister of Health Decree Number HK.01.07/MENKES/1423/2022. This research uses descriptive qualitative methods. Data variables were obtained and their conformity with the existing meta data in the ETI Care application with government meta data, that is in the general identity there were 13 missing data variables and 2 variables that did not exist in the identity of the newborn baby, and 7 data variables that did not match the general identity and 1 data variable whose format/value did not match the identity of the newborn baby. It is necessary to develop the system by involving users in adjusting technical and organizational policies. There are still data variables that do not exist in the ETI Care application in the outpatient registration section, and there is also a discrepancy between the format/value of outpatient registration in the ETI Care application and the format/value of Minister of Health Decree Number HK.01.07/MENKES/1423/2022. This requires further communication with the vendor regarding system development in accordance with applicable guidelines.
Tinjauan Sistem Keamanan Rekam Medis Elektronik di Rumah Sakit Al Dr. Mintohardjo Jakarta Aldo Rizky Mahendra; Siswati Siswati; Dina Sonia; Muhammad Fuad Iqbal
VitaMedica : Jurnal Rumpun Kesehatan Umum Vol. 3 No. 3 (2025): Juli : VitaMedica : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/vitamedica.v3i3.392

Abstract

Medical records are important documents that capture the entire medical history of patients, including identification, diagnosis, treatment, and recovery. With advancements in information technology, electronic medical records (EMR) have emerged as a solution to enhance the efficiency and accuracy of patient data management. However, despite the many benefits of EMR, its implementation at AL dr. Mintohardjo Hospital remains hybrid, combining manual and electronic methods. This indicates challenges in transitioning to a fully digital system. This study aims to identify and analyze issues related to the security of EMR at AL dr. Mintohardjo Hospital. Several issues identified include a lack of training for medical record staff regarding cybersecurity practices and data input errors. The research employs a qualitative approach, with data obtained from observations and interviews with hospital stakeholders. The informants in this study include IT staff, medical staff, and administrative staff. The findings regarding the security of electronic medical records (EMR) at AL dr. Mintohardjo Hospital indicate that, although there are established Standard Operating Procedures (SOP) for EMR security, their implementation is still not fully compliant. In terms of confidentiality, integrity, and availability of data, the study found that AL dr. Mintohardjo Hospital has implemented several security measures, such as user authentication and access management. However, weaknesses remain, such as a lack of user awareness regarding regular password changes and excessive access by administrative staff. Additionally, frequent data input errors can lead to serious consequences for patients, and threats to data confidentiality, integrity, and availability. Although the hospital has implemented measures such as firewalls and audit trail systems to protect data, challenges such as unstable internet connections and reliance on a single resource remain concerns. Overall, while the existing security measures are fairly adequate, this study emphasizes the need for improved staff training and strengthened procedures to minimize risks to the security of electronic medical record data.
Co-Authors Adinda Mentari Nursya’bani Aldo Rizky Mahendra Anisa Nurjulaeni Armila Astiyana Triadi Chika Putri Nur Adila Danang Nugroho Daniel Happy Putra Daniel Happy Putra Dewi, Sisilia Kartika Dyah Melisa Setianingrum Elsa Chandra Gita Erwinto , Fransiskus Fiqih Nurhidayah Gin-gin gina yuliany Hasni Nurul Tazkiyah I made Dharma Farellio Januar Agung Saputera Laela Indawati Maeimunah, Siti Maria Catherina Palar Mega Fibrinsari Priyaningrum Mia Assariyanti Mochamad Ladi Maulana Muhamad Sadikin Muhammad Fuad Iqbal Muhammad Iqbal Muhammad Rezal Muniroh, Muniroh Nabilah Khairunisa Nanda Aula Rumana Noor Yulia Pipih Mulyadi Puteri Fannya Putri Nurindahsari Rahelia Putri Rani Yulistianingsih Resti Andani Shafa Aulia Ananda Hermanto Siswati Siswati Siswati Siswati Siswati Siti Rahmawati Handayani Sri Mulya Syahrul Dwi Ramadhani Tarisa Maharani Tazkia Ghalliya Salsabilla Widjaja, Lily