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All Journal Jurnal Surya Medika Jurnal Manajemen Informasi dan Administrasi Kesehatan JURNAL PENDIDIKAN TAMBUSAI Hearty : Jurnal Kesehatan Masyarakat Jurnal Manajemen Informasi Kesehatan Indonesia (JMIKI) Indonesian of Health Information Management Journal (INOHIM) Health Sciences and Pharmacy Journal EDUTEC : Journal of Education And Technology Jurnal Ilmiah Manusia dan Kesehatan BERNAS: Jurnal Pengabdian Kepada Masyarakat JOURNAL OF COMMUNITY MEDICINE AND PUBLIC HEALTH RESEARCH Akrab Juara : Jurnal Ilmu-ilmu Sosial Jurnal Kesehatan Tambusai J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Jurnal Ilmiah Wahana Pendidikan Interdisciplinary Social Studies Jurnal Ilmiah Kesehatan Masyarakat Sehat Rakyat: Jurnal Kesehatan Masyarakat Journal of Comprehensive Science Jurnal Rekam Medik & Manajemen Informasi Kesehatan (RAMMIK) Cerdika: Jurnal Ilmiah Indonesia SEHAT : JURNAL KESEHATAN TERPADU KOLONI Mutiara: Multidiciplinary Scientifict Journal Jurnal Ilmiah Ekonomi dan Manajemen Vitamedica: Jurnal Rumpun Kesehatan Umum JURNAL HUKUM STAATRECHTS JURNAL RUMPUN MANAJEMEN DAN EKONOMI Vitalitas Medis : Jurnal Kesehatan Dan Kedokteran Inovasi Kesehatan Global Obat: Jurnal Riset Ilmu Farmasi dan Kesehatan Jurnal Ilmu Kedokteran dan Kesehatan Indonesia International Journal of Health Science
Dina Sonia
Universitas Esa Unggul
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Analisis Ketepatan Kode Diagnosis Penyakit Tuberkulosis Paru Pasien Rawat Inap Di RSIJ Cempaka Putih Gita, Elsa Chandra; Widjaja, Lily; Putra, Daniel Happy; Sonia, Dina
Jurnal Ilmiah Wahana Pendidikan Vol 10 No 7 (2024): Jurnal Ilmiah Wahana Pendidikan
Publisher : Peneliti.net

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/zenodo.11070313

Abstract

Dampak dari ketidakakuratan kode diagnosis adalah menurunnya kualitas pelayanan rumah sakit, pembayaran klaim tarif INA-CBG’s yang akan menghambat pembayaran, ketidakakuratan angka kesakitan, kematian, dan laporan statistik rumah sakit. Penelitian dilakukan di RSIJ Cempaka Putih. Tujuan dari penelitian ini adalah untuk mengidentifikasi SPO penyakit dan kode tindakan, menganalisis keakuratan kode diagnosis penyakit tuberkulosis paru pada pasien rawat inap, dan mengidentifikasi penyebab ketidakakuratan kode diagnosis penyakit tuberkulosis paru pada pasien rawat inap. Metode penelitian yang digunakan adalah metode deskriptif dengan pendekatan kuantitatif. Populasi berjumlah 658 rekam medis dengan sampel sebanyak 96 rekam medis. Sampel ditentukan dengan menggunakan rumus slovin. SPO untuk diagnosis dan pengkodean tindakan secara umum telah berjalan. Hasil penelitian menunjukkan terdapat 46 rekam medis (48%) dengan kode diagnosa benar, 25 rekam medis (26%) salah digit ke 3, 20 rekam medis (21%) salah digit ke 4, 5 rekam medis (5%) dengan digit ke-3 dan ke-4 yang salah. Faktor penyebab tidak akuratnya kode diagnosis terdapat pada faktor manusia, dalam hal ini pembuat kode tidak memperhatikan keakuratan catatan yang merinci keakuratan pengkodean pada ICD-10. Faktor materi, belum tersedianya alat coding seperti kamus kedokteran dan buku ICD-10. Faktor metode, SPO belum menjelaskan secara spesifik langkah-langkah cara coding.
Tinjauan Pelaksanaan Rekam Medis Elektronik Rawat Jalan di Rumah Sakit Soeharto Heerdjan Azzahra, Annisa; Yulia, Noor; Sonia, Dina; Fannya, Puteri
Jurnal Manajemen Informasi dan Administrasi Kesehatan Vol. 8 No. 2 (2025): JMIAK
Publisher : Program Studi D3 Rekam Medis dan Informasi Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32585/jmiak.v8i2.7091

Abstract

The rapid development of information technology has penetrated various sectors of life, including the healthcare sector, and has significantly influenced the advancement of computer-based medical record systems. The utilization of information technology in medical record systems is a strategic step to improve the quality of healthcare services in hospitals. However, in practice, the implementation of Electronic Medical Records (EMR) still faces several challenges, such as the gap between regulation and actual implementation, limited human resources, and suboptimal infrastructure. This study aims to review the implementation of Standard Operating Procedures (SOP), the use of EMR systems, and the inhibiting factors based on the 5M approach (Man, Material, Machine, Method, Money) at Soeharto Heerdjan Hospital. The research method used is descriptive qualitative, conducted through in-depth interviews and observations involving 12 informants, including medical personnel, administrative staff, and IT teams. The results of the study indicate that although SOPs are available and the system is integrated, the implementation is still hindered by work habit factors, limitations of the application system, and inadequate infrastructure support. Therefore, improvements in training, system strengthening, and workflow enhancement are necessary.
Efektivitas Penggunaan RME Terhadap Pelayanan Poli Kesehatan Ibu Hamil Puskesmas Pancoran Jakarta Ahmad Rizky; Dina Sonia; Puteri Fannya; Daniel Happy Putra
Jurnal Manajemen Informasi dan Administrasi Kesehatan Vol. 8 No. 2 (2025): JMIAK
Publisher : Program Studi D3 Rekam Medis dan Informasi Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32585/jmiak.v8i2.7234

Abstract

Perkembangan teknologi dan sistem informasi saat ini berkembang pesat, salah satunya di bidang kesehatan dengan penerapan Reakma Medis Elektronik (RME) untuk mendukung transformasi layanan kesehatan menjadi lebih efektif dan efisien. Penelitian ini bertujuan mengetahui efektivitas penggunaan RME terhadap pelayanan Poli KI Hamil di Puskesmas Pancoran. Penelitian ini menggunakan pendekatan kualitatif deskriptif dengan teknik pengumpulan data melalui wawancara mendalam dan observasi langsung terhadap tenaga kesehatan. Analisis data dilakukan berdasarkan lima konstruk utama dalam teori UTAUT, yaitu ekspektansi kinerja, ekspektansi usaha, pengaruh sosial, kondisi fasilitas, dan nilai keperilakuan. Hasil penelitian menunjukkan bahwa penggunaan sistem RME seperti EPus dan Wehopes terbukti meningkatkan efisiensi pelayanan melalui percepatan proses pencatatan dan pencarian data medis. Dari sisi ekspektansi usaha, tenaga kesehatan menganggap sistem ini mudah digunakan, tidak memerlukan keahlian teknis khusus, dan didukung oleh pelatihan serta pendampingan teknis. Pengaruh sosial, seperti dukungan pimpinan, rekan kerja, serta kebijakan pemerintah dalam digitalisasi pelayanan kesehatan, turut memperkuat penerimaan dan penggunaan RME. Kondisi fasilitas yang cukup memadai, meskipun masih terdapat beberapa kendala teknis ringan, telah menciptakan lingkungan kerja yang kondusif bagi penerapan sistem ini. Terakhir, tenaga kesehatan menunjukkan intensi dan komitmen yang tinggi untuk terus menggunakan RME, serta menolak kembali ke sistem manual yang dinilai kurang efisien.
Web-Based Information System of BPJS Patient Referral Letter in UPT Puskesmas Gumuruh Shabita Safhira; Wilda Indriyani; Dina Sonia
EDUTEC : Journal of Education And Technology Vol. 5 No. 2 (2022): March 2022
Publisher : STAI Miftahul Ula Nganjuk

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29062/edu.v5i3.243

Abstract

In fact there are still some of factors that for the referral late, as the occurence of, obstructed labor the difficulty of the decision-making process related to the economic aspect and transportation costs, and the aspect of geographic and availability of infrastructure hospital. This study attempts to analyze the supporters and the barrier covering input and process in the referral system patients BPJS at UPT Puskesmas Gumuruh. A method of made in this study is the method field, a method of literature and method of development systems which is waterfall. The result showed that the lack of facilities and services at UPT Puskesmas Gumuruh still experienced limited supplies and unsatisfactory.The referral online at health facilities first degree is expected to ease patients to obtain, referral letter there is one problem in registration and making. Therefore, the authors designed a web-based BPJS patient referral letter information system to make it easier for patients to obtain hospital services tailored to competence, distance, and capacity according to patient needs. The puskesmas, health offices and BPJS Health need to work together to disseminate information regarding the referral system and pay attention to the provision of drugs and health facilities to maximize the implementation of the referral system.
Analysis Of Electronic Medical Records Implementation Using The Pieces Method At Balaraja Regional Hospital Melani Aulia Mufida; Puteri Fannya; Dina Sonia; Daniel Happy Putra
Interdisciplinary Social Studies Vol. 4 No. 4 (2025): Interdisciplinary Social Studies
Publisher : International Journal Labs

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55324/iss.v4i4.914

Abstract

The advancement of information technology in the healthcare sector encourages hospitals to adopt Electronic Medical Records (EMR) systems to improve efficiency, accuracy, and service quality. This study aims to analyze the implementation of EMR at Balaraja Regional Public Hospital (RSUD Balaraja) using the PIECES framework (Performance, Information, Economy, Control, Efficiency, and Service). A descriptive qualitative method was employed, with data collected through observations and indepth interviews involving seven informants from the medical records unit. The results show that in terms of performance, the EMR system is responsive and supports staff tasks, although integration between systems remains a challenge. From the information aspect, the system is considered accurate and accessible, yet lacks automated data validation. Economically, the EMR system has improved resource efficiency and reduced long-term operational costs. In terms of control, data security is well managed through personal user accounts and system backups. The efficiency aspect reflects faster workflows and reduced manual processes. From the service perspective, the system enhances user satisfaction and convenience, though occasional technical issues still occur. This study recommends improving system integration and conducting continuous training to optimize EMR implementation at RSUD Balaraja.
Tinjauan kepuasan pasien BPJS pada pelayanan rawat jalan RS Bhakti Mulia Pangesti, Wulan Aprilia; Sonia, Dina; Putra, Daniel Happy; Yulia, Noor
Health Sciences and Pharmacy Journal Vol. 9 No. 3 (2025)
Publisher : STIKes Surya Global Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32504/hspj.v9i3.1306

Abstract

Kepuasan pasien merupakan indikator penting dalam menilai mutu pelayanan kesehatan dan memiliki peran besar dalam membentuk kepercayaan masyarakat terhadap rumah sakit. Pasien BPJS di Indonesia merupakan kelompok terbesar pada layanan rawat jalan, sehingga beban pelayanan di loket pendaftaran menjadi sangat tinggi. Kondisi ini sering menimbulkan berbagai kendala seperti waktu tunggu yang panjang, keterbatasan fasilitas fisik, serta ketidakkonsistenan pelayanan, yang pada akhirnya dapat menurunkan tingkat kepuasan pasien. Masalah ini menjadi serius karena layanan pendaftaran merupakan titik kontak pertama pasien dengan rumah sakit dan sangat menentukan pengalaman serta persepsi mereka terhadap kualitas pelayanan secara keseluruhan. Penelitian ini bertujuan untuk mengevaluasi tingkat kepuasan pasien BPJS terhadap pelayanan pendaftaran rawat jalan di Rumah Sakit Bhakti Mulia. Penelitian ini menggunakan metode deskriptif kuantitatif dengan sampel sebanyak 82 pasien BPJS rawat jalan yang dipilih secara acak. Pengukuran kepuasan dilakukan melalui lima dimensi mutu pelayanan, yaitu tangible, reliability, responsiveness, assurance, dan empathy. Hasil penelitian menunjukkan tingkat kepuasan yang bervariasi: tangible (28%), reliability (70,7%), responsiveness (68,3%), assurance (53,7%), dan empathy (52,4%). Secara keseluruhan, hanya 53,7% pasien yang merasa puas, sedangkan 46,3% menyatakan tidak puas. Tingkat kepuasan ini masih jauh di bawah standar pelayanan minimal rumah sakit (?90%) yang ditetapkan oleh Kementerian Kesehatan, sehingga menunjukkan adanya kesenjangan kualitas pelayanan yang perlu segera diperbaiki. Berdasarkan temuan tersebut, Rumah Sakit Bhakti Mulia disarankan untuk meningkatkan mutu pelayanan, terutama pada aspek fasilitas fisik di area pendaftaran seperti kebersihan, ketersediaan kursi tunggu, dan kondisi ruang tunggu agar kenyamanan dan kepuasan pasien dapat meningkat.
PENGARUH KETEPATAN WAKTU DAN KEMUDAHAN PENGGUNAAN APLIKASI ACCESS BY KAI TERHADAP KEPUASAN PENUMPANG KAI DI STASIUN RANCAEKEK Dina Sonia; Dea Restika
JURNAL ILMIAH EKONOMI DAN MANAJEMEN Vol. 4 No. 1 (2026): Januari
Publisher : CV. KAMPUS AKADEMIK PUBLISING

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61722/jiem.v4i1.8503

Abstract

This study aims to examine the effect of punctuality and ease of use of the Access by KAI application on passenger satisfaction of KAI Commuterline Bandung Raya Daop 2 at Rancaekek Station. Issues related to train delays and technical problems in using the Access by KAI application are suspected to affect passenger satisfaction. This research employs a quantitative approach using a survey method by distributing questionnaires to passengers who use the Access by KAI application. The independent variables in this study are punctuality and ease of use of the application, while the dependent variable is passenger satisfaction. Data analysis was conducted using validity tests, reliability tests, multiple linear regression analysis, and hypothesis testing. The results indicate that punctuality and ease of use of the Access by KAI application have a significant effect on passenger satisfaction, both simultaneously and partially.
Satisfaction of MERSI EMR Users in the Emergency Department of Cengkareng Regional Hospital Through the End User Computing Satisfaction (EUCS) Approach Ahmad Bukhori; Dina Sonia; Bangga Agung Satrya; Muhammad Fuad Iqbal
International Journal Of Health Science Vol. 5 No. 2 (2025): International Journal of Health
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/ijhs.v5i2.5396

Abstract

The implementation of an Electronic Medical Record (EMR) system in the Emergency Department (ED) is a crucial aspect in supporting rapid response to patient care. In emergency situations, the speed and accuracy of information are vital, necessitating research to measure user satisfaction with the MERSI EMR system. This evaluation aims not only to assess user satisfaction but also to identify system weaknesses to improve efficiency, responsiveness, and effectiveness in supporting services in the ED. This study aims to determine user satisfaction with the MERSI system at the ED of RSUD Cengkareng using the End User Computing Satisfaction (EUCS) approach. A quantitative descriptive method was used with a quota sampling technique. The population consisted of 51 medical personnel operating the MERSI system in the ED. The results showed that for the Content variable, 88.2% of respondents were satisfied and 11.8% were not. For Accuracy, 80.4% were satisfied and 19.6% were not. For Format, 88.2% were satisfied and 11.8% were not. For Timeliness, 82.4% were satisfied and 17.6% were not. Meanwhile, for Ease of Use, 64.7% were satisfied and 35.3% were not. These findings indicate that the overall operation of MERSI has met user expectations, particularly in terms of information relevance, data accuracy, and interface design. The study recommends integrating MERSI with the hospital information system (SIMRS) as a backup effort to enhance the efficiency and reliability of healthcare services in the ED. Additionally, integration with a bridging system similar to BPJS PCare is expected to enable online access to patient medical records. Training for medical personnel should also be improved to optimize the use of the EMR system.
Tinjauan Desai Layout Unit Rekam Medis di RSAU dr. Esnawan Antariksa Permatasari, Devi; Sonia, Dina
Jurnal Kesehatan Tambusai Vol. 7 No. 1 (2026): MARET 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v7i1.51155

Abstract

Desain layout di unit rekam medis RSAU dr. Esnawan Antariksa belum sesuai dengan standar dilihat dari kondisi layout ruangan, ergonomi, dan sarana dan prasarana. Hal tersebut berdampak pada efisiensi dan kualitas pelayanan pada petugas. Tujuan dari penelitian ini adalah mengetahui dan mendesain desain layout di unit rekam medis RSAU dr. Esnawan Antariksa. Metode yang digunakan dalam penelitian ini adalah deskriptif kualitatif dengan teknik Mark Karlen dimana pengumpulan data dilukukan dengan observasi, wawancara, dan pengukuran. Hasil penelitian menunjukkan bahwa kondisi desain layout yang tidak sesuai dengan standar dapat menyebabkan ketidaknyamanan pada petugas dan berpengaruh pada kualitas pelayanan. Oleh karena itu, masalah ini dapat diatasi dengan melakukan desain layout di unit rekam medis RSAU dr. Esnawan Antariksa yang sesuai dengan standar.
Tinjauan Sistem Keamanan Rekam Medis Elektronik di Rumah Sakit Al Dr. Mintohardjo Jakarta Aldo Rizky Mahendra; Siswati Siswati; Dina Sonia; Muhammad Fuad Iqbal
Jurnal Ilmu Kedokteran dan Kesehatan Indonesia Vol. 6 No. 2 (2026): Juli: Jurnal Ilmu Kedokteran dan Kesehatan Indonesia
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jikki.v6i2.11037

Abstract

This study examines the security concerns surrounding electronic medical records (EMR) at AL Dr. Mintohardjo Hospital, which currently uses a hybrid system combining both manual and electronic methods. Despite the benefits of EMR in improving efficiency and accuracy, challenges persist in transitioning to a fully digital system. The research identifies key issues such as data entry errors and insufficient cybersecurity training for medical record staff. Data was collected through interviews and participant observation with administrative, medical, and IT department members. Although the hospital has established Standard Operating Procedures (SOP) for EMR security, the study finds that these procedures are not effectively implemented. Security measures such as access control and user authentication have been put in place to protect patient data, but vulnerabilities remain, such as excessive access by administrators and infrequent password updates by users. Additionally, data entry mistakes can negatively impact patient care, and concerns about unstable internet connections and reliance on a single resource persist. Despite the hospital's security efforts, including audit trails and firewalls, the study emphasizes the need for better staff training and enhanced procedures to further safeguard the confidentiality, integrity, and availability of EMR data.
Co-Authors Agustin, Rosalia Ahmad Bukhori Ahmad Rizky Ai Ainun Nur’aeni Aini Nuroctaviani Aldo Rizky Mahendra Aldo Rizky Mahendra Alfiah Nurripdah Anisa Nurjulaeni Annisa Azzahra, Annisa Bangga Agung Satrya Brigitha Dea Yuliseva Budiantono Budiantono Budiantono, Budiantono Chika Putri Nur Adila Danang Nugroho Dang Kusnandi Daniel Happy Putra Daniel Happy Putra Dea Restika Derry Jamaludin Devi Permatasari Devina Lulu Nursilmi Dewi, Puja Sintia Dina Nur Haliza Dyah Melisa Setianingrum Eka Rahmasari Elis Putri Mulyani Elta Miliana Emy Wardatunisa Endah Wardani Eresha, Widya Ervina Permata Satia Fanny Nuraininabilah Fannya, Puteri Fannya, Putery Farid, Zaki Much Fatimatuzzahra, Joevancha Livancha Febriyani, Madinah Fernando, Nauvaldy Rayhan Firly Oktavia Lestari Firmansyah, Muhamad Ruslan Fitria, Lailatul Fitrianingsih, Wulandari Fitriyanti , Nuriyah Gita Sugiarti Gita, Elsa Chandra Halimah, Sitti Haliza, Dina Nur Hasni Nurul Tazkiyah I made Dharma Farellio Indawati, Laela Intan Nurhadiyati Nugraha Intan Suciani Iqbal, Muhammad Fuad Ira Rizka Safia Ismi Suci Oktavia Az Ivonia Kenahin Bahi Januar Agung Saputera Karolina, Caren Kusnandi, Dang Kusuma, Muhammad Akmal Lailia, Siti Afkarina Lestari, Firly Oktavia Lilis Nurindah Sari Magdalena, Selvy Manullang, Febe Cristiani Maria Catherina Palar Maufirah, Fitria Nur Maulana, Panji Maulanasari, Devi Maulinabila, Ayulia Melani Aulia Mufida Mia Assariyanti Miliana, Elta Mochamad Ladi Maulana Muhamad Ruslan Firmansyah Muhammad Rifki Aulia Ramadan Nauvaldy Rayhan Fernando Noerfitri, Noerfitri Nugraha, Intan Nurhadiyati Nuraininabilah, Fanny Nur’aeni, Ai Ainun Nur’aini, Nur’aini Nurfadila, Riski Aisah Nurhadi, Muhammad Nurhayatun , Susi Nurindah Sari, Lilis Nurmalasari, Mieke Nurmeryalvika Nurmeryalvika Nuroctaviani, Aini Nurripdah, Alfiah Nursilmi, Devina Lulu Nuryani, Sinta Nur’aeni, Ai Ainun Nur’aini Nur’aini Nur’aini, Nur’aini Palar, Maria Catherina Pangesti, Wulan Aprilia Panji Maulana Permata Satia, Ervina Prasetyo, Muhammad Jefri Puja Sintia Dewi PUTRI WAHYUNI Putri, Antonia Venta Nathaniela Rani Wulandari Rani Wulandari Rani Yulistianingsih Ressa Yesika Rezal, Muhammad Rifki Aulia Ramadan, Muhammad Rizal Fauzi Rizal Fauzi Rosita, Annida Ulfiar Sabina, Diva Salomo, Titus Satriyo Satriyo Satriyo Satriyo Sela abdiyana Septiani, Sundari Shabita Safhira Sinta Nuryani Siswati Siswati Siswati Siswati Siswati Siswati Suciani, Intan Sundari Septiani Susanti, Dhina Ayu Syach, Choirul Anam Tarisa Maharani Viatiningsih, Wiwik Widjaja, Lily Wilda Indriyani Yulia, Noor Yuniar, Ananda Eka Alya Zaki Much Farid