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Dina Sonia
Universitas Esa Unggul
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Analisis Pending Klaim BPJS Kesehatan Pasien Rawat Inap Di Rumah Sakit Islam Jakarta Pondok Kopi Tahun 2023 Sri Mulya; Dina Sonia; Daniel Happy Putra; Noor Yulia
Sehat Rakyat: Jurnal Kesehatan Masyarakat Vol. 3 No. 3 (2024): Agustus 2024
Publisher : Yayasan Pendidikan Penelitian Pengabdian Algero

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54259/sehatrakyat.v3i3.3021

Abstract

Pending BPJS Health claims at RSIJ Pondok Kopi are divided into 3 (three) aspects including administration, coding and medical. This research aims to determine the factors of causes pending claims, resolution, and pending trends using a descriptive quantitative approach, which provides an overview of the factors causing pending claims and pending trends in 2023. Results with 1,143 samples of pending claim reports due to administration 523 (46%) with the most pending categories due to inappropriate treatment class 120 (23%), causative factors due to coding 570 (50%) with the most pending categories due to inaccurate diagnosis 525 (92.1%), and factors medical causes 50 (4%) with the most pending category due to inappropriate medical indications 36 (72%). So the pending settlement is carried out after receiving the verification results report by the casemix officer by completing the claim requirements according to the pending claim category and confirming with the DPJP if necessary. The pending trend in 2023 for 1st semester period January to June  showed decreasing results with a significant decrease in March of 12%. To minimize pending figures, hospitals should recruit employees according to their field of competence, empower existing human resources by clinical coding training, implement RME so that RM documentation is more complete, and internal verification officers are more thorough in carrying out their work.
Perbedaan Efektivitas Kuliah Metode Daring dan Metode Luring Pada Mata Kuliah Klasifikasi dan Kodefikasi Penyakit Shafa Aulia Ananda Hermanto; Puteri Fannya; Dina Sonia; Noor Yulia
INSOLOGI: Jurnal Sains dan Teknologi Vol. 2 No. 5 (2023): Oktober 2023
Publisher : Yayasan Literasi Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55123/insologi.v2i5.2741

Abstract

Online/distance learning is learning that is carried out without face-to-face meetings, or using assistive platforms. Offline or face-to-face learning is a learning system that does not use an internet connection or use a learning assistant platform, in other words students and lecturers meet face to face. This study aims to find out the differences and effectiveness of learning online and offline methods in disease classification and coding courses conducted by Medical Record Students at Esa Unggul University. This study uses a quantitative approach to the research method, namely inferential analysis using the t dependent test instrument. The effectiveness of online learning methods is 33 or 44.0%, and the effectiveness of offline learning methods is 40 or 53.3%. based on the results of the dependent t-test, a significant score of 0.000 was obtained between the effectiveness of online learning and the effectiveness of offline learning. So it can be concluded that there are differences between online learning methods and offline learning methods. So it is advisable to combine learning methods or use hybrid learning methods.
Perbedaan Kepuasan Pasien berdasarkan Sistem Pendaftaran Online dan Langsung di Rumah Sakit YPK Mandiri Jakarta Pusat Tazkia Ghalliya Salsabilla; Nanda Aula Rumana; Dina Sonia; Muniroh, Muniroh
INSOLOGI: Jurnal Sains dan Teknologi Vol. 2 No. 5 (2023): Oktober 2023
Publisher : Yayasan Literasi Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55123/insologi.v2i5.2755

Abstract

Patient satisfaction is a level of feeling of a patient that arises as a result of the health service performance results obtained by the patient after comparing with what is felt. Online registration is a registration process that has the function of being able to serve patients online using a particular website or application. Direct registration is an initial process of service that is carried out at the place of registration at a hospital or health facility and meets in person by officers. Satisfaction can occur because of differences in registration systems. The research method used is inferential analysis with a quantitative approach and the chi square test using the SPSS application. The results of the characteristics of the respondents in this study were young respondents, female, S1/D4 education, private employees, and an average income of > Rp.4,901,798. Online registrants amounted to 91 or 74.4%, and on-line registrants amounted to 101 or 52.6%. In the online registration system, 80 or 87.90% of patients were satisfied and 11 or 12.10% dissatisfied. At direct registration, 73 or 72.30% of patients were satisfied and 28 or 27.70% dissatisfied. The number of patient satisfaction based on the online and direct registration system, namely satisfied as many as 153 or 79.7% of patients were dissatisfied 39 or 20.3%. From the results of the chi square test, the result was p = 0.007, which means that there are differences in patient satisfaction based on the online and direct registration systems. In addition, the results obtained were 0R = 2.79, which means that online registration patients are 2.79 times more satisfied than direct registration patients.
Hubungan Ketepatan Kode Diagnosis Terhadap Status Klaim JKN Rawat Inap di Rumah Sakit Pelabuhan Jakarta Amanda, Rizkia; Sonia, Dina
Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda (JIPIKI) Vol. 8 No. 2 (2023): Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda Edisi Agustus
Publisher : Akademi Perekam dan Informasi Kesehatan Imelda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jipiki.v8i2.1436

Abstract

The accuracy of determining the diagnosis code is necessary for the benefit of patient health information in carrying out health services. The accuracy of the diagnosis code is also required for the benefit of claiming National Health Insurance (JKN). The research aims to determine the correlation between the accuracy of the diagnosis code and the status of inpatient National Health Insurance (JKN) claims. The research method was an inferential analysis with a cross-sectional research design using the chi-square statistical test. The samples of the research were 125 medical records. Samples were taken by way of proportional stratified random sampling. Based on the research results, the accuracy of determining the diagnosis code was 114 (91,2%) while the inaccuracy of determining the diagnosis code was 11 (8,8%). JKN claims received were 104 (83,2%) while JKN claims that were postponed were 21 (16,8%). The results of the chi-square statistical test obtained odd ratio value of 20,7, meaning that the correct diagnosis codes has 20,7 times chance of JKN claims approval than the incorrect diagnosis codes. The significance value obtained of 0.000. The p-value shows <0.05, so Ho is rejected and Ha is accepted or there is a correlation between the accuracy of the diagnosis code and the status of inpatient JKN claims at the Pelabuhan Jakarta Hospital. This research concludes that there is a correlation between the accuracy of the diagnosis code and the status of inpatient JKN claims.
GAMBARAN KEPUASAN PASIEN TERHADAP MUTU PELAYANAN DI BAGIAN PENDAFTARAN PUSKESMAS KECAMATAN PENJARINGAN JAKARTA UTARA DESCRIPTION OF PATIENT SATISFACTION WITH QUALITY IN THE REGISTRATION SECTION OF THE PENJARINGAN DISTRICT HEALTH CENTER Maeimunah, Siti; Noor Yulia; Dina Sonia; Puteri Fannya
Medic Nutricia : Jurnal Ilmu Kesehatan Vol. 5 No. 4 (2024): Medic Nutricia : Jurnal Ilmu Kesehatan
Publisher : Cahaya Ilmu Bangsa Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5455/nutricia.v5i4.5075

Abstract

ABSTRAK Latar Belakang : Kepuasan pasien merupakan tingkat perasaan pasien yang timbul sebagai akibat dari kinerja layanan kesehatan yang diperoleh dibandingkan dengan apa yang diharapkannya. Tujuan penelitian : mengetahui gambaran kepuasan pasien terhadap mutu pelayanan di bagian pendaftaran Puskesmas Kecamatan Penjaringan. Metode penelitian deskriptif dengan pendekatan analisis kuantitatif. Sampel dalam penelitian ini adalah pasien yang melakukan pendaftaran di TPP rawat jalan sebanyak 106 responden. Hasil penelitian : Petugas pendaftaran sudah menjalankan tugasnya sesuai dengan SPO yang berlaku. Karakteristik responden terbanyak Wanita (60%), Usia terbanyak antara 20 – 30 tahun (72%), Pendidikan terbanyak D4/S1 (34%). Hasil kepuasan pada pada dimensi Tangible didapatkan persentase terendah sebesar 15%, sedangkan persentase tertinggi sebesar 49%. Dimensi responsive didapatkan persentase terendah sebesar 12%, sedangkan persentase tertinggi sebesar 54%. Dimensi reliability didapatkan persentase terendah sebesar 12%, sedangkan persentase tertinggi sebesar 47%. Dimensi empathy didapatkan persentase terendah sebesar 7%, sedangkan persentase tertinggi sebesar 44%. Dimensi Assurance didapatkan persentase terendah sebesar 10%, sedangkan persentase tertinggi sebesar 42%. Maka persentase kepuasan pasien didapatkan pada kategori Sangat Memuaskan 32%, Memuaskan 50%, Cukup Memuaskan 15%, Kurang Memuaskan 2%, Tidak Memuaskan 0%. Kesimpulan : Maka didapatkan persentase pada kategori tertinggi yaitu yang menyatakan memuaskan sebesar 50%, sedangkan persentase terendah yaitu yang menyatakan kurang memuaskan sebesar 2%. Saran : Petugas pendaftaran lebih meningkatkan dan memahami dalam melayani dan menyampaikan informasi yang lebih tepat dan jelas. Kata Kunci : Kepuasan Pasien, Mutu Pelayanan, TPP. ABSTRACK Background Patient satisfaction is the level of patient feelings that arise as a result of the performance of health services obtained compared to what they expected. Descriptive research method with a quantitative analysis approach. The sample : in this study was 106 patients who registered at the outpatient TPP. Reserach results: resgistration officers have carried out their duties in accodance with the applicable SPO. Characteristics of most respondents: female (60%). Most aged between 20 – 30 years (72%), most education is D4/S1 (34%). The satisfaction results for the Tangible dimension obtained the lowest percentage of 15%, while the highest percentage was 49%. The lowest percentage obtained for the responsive dimension was 12%, while the highest percentage was 54%. The lowest percentage obtained for the reliability dimension was 12%, while the highest percentage was 47%. The lowest percentage obtained for the empathy dimension was 7%, while the highest percentage was 44%. The Assurance dimension obtained the lowest percentage of 10%, while the highest percentage was 42%. So the percentage of patient satisfaction was obtained in the category Very Satisfactory 32%, Satisfactory 50%, Quite Satisfactory 15%, Unsatisfactory 2%, Unsatisfactory 0%. Conclusion: So the percentage obtained in the highest category is 50% which states it is satisfactory, while the lowest percentage is 2% which states it is unsatisfactory. Suggestion: Registration officers improve and understand more in serving and conveying more precise and clear information. Keyword: patient satisfaction, service quality, TPP.
Hubungan Kondisi Institusional dengan Niat Petugas untuk Menggunakan Rekam Medis Elektronik di Rumah Sakit X Adinda Mentari Nursya’bani; Daniel Happy Putra; Dina Sonia; Muhammad Fuad Iqbal
An-Najat Vol. 2 No. 3 (2024): AGUSTUS - An-Najat: Jurnal Ilmu Farmasi dan Kesehatan
Publisher : STIKes Ibnu Sina Ajibarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59841/an-najat.v2i3.1625

Abstract

The implementation of electronic medical record (EMR) in institutions that are ready will have a positive impact on its execution. Institutional readiness should be comprehensively assessed across various aspects, including human resources. Users are a key factor in determining the success of an information system. User feedback can serve as a consideration to maximize EMR implementation. However, this can sometimes be unpredictable due to numerous influencing factors, including institutional conditions. To explore the relationship between institutional conditions and the intention of healthcare providers to use EMR, a quantitative inferential study with a cross-sectional design was conducted at Hospital X. The study population consisted of 129 healthcare providers, with 91 data points processed as samples. Data were analysed using univariate and bivariate analyses with the Chi-Square test. Among the 91 analysed data points, institutional conditions were categorized as good (56%), intention to use EMR was high (56%), and use behaviour was high (82,4%). There was a significant relationship between institutional conditions and healthcare providers’ intention to use EMR, with a p-value of 0,001 < 0,05 and an Odds Ratio of 4,908.
Analisis Kualitatif Konsistensi Pencatatan Rekam Medis Rawat Inap Kasus Penyakit Dalam di Rumah Sakit Pelabuhan Jakarta Putri Nurindahsari; Dina Sonia; Lily Widjaja; Daniel Happy Putra
SEHATMAS: Jurnal Ilmiah Kesehatan Masyarakat Vol. 2 No. 4 (2023): Oktober 2023
Publisher : Yayasan Literasi Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55123/sehatmas.v2i4.2352

Abstract

Qualitative analysis is an activity that examines the filling of medical records for inconsistent and incomplete contents, which indicates that the medical records are inaccurate and incomplete. The purpose of this study was to find out a qualitative analysis of the reliability of recording medical records of inpatient cases of internal medicine for the year 2022. This type of research uses a descriptive method with a quantitative approach and data collection by observation and interviews. Of the 99 medical records, the results obtained were 96% consistent and 4% inconsistent. And the results of the 4 subcomponents include: At the time of admission, namely the consistency of the initial assessment of nurses and inpatient doctors, the results were 98% consistent. On the subcomponent during hospitalization, namely the consistency of progress notes between doctors and nurses, obtaining results of 99% consistency, Consistency of Doctor's Instructions with delivery notes the drug gets 93% consistent results, when going home, namely the consistency of the doctor's return summary and the nurse gets 94% consistency results. Of the 4 sub-components that have the highest consistency, the consistency between the doctor's and nurse's developmental records obtains 99% consistent results. While the lowest was the consistency of the Doctor's Instructions with a record of drug administration obtaining 93% consistent results. The conclusion is that the qualitative analysis of medical record recording is not 100% consistent. It is recommended that the Jakarta Harbor Hospital make standard operating procedures and implement related qualitative analysis of medical records.
Tinjauan Kelengkapan Rekam Medis Rawat Inap di Rumah Sakit Umum Daerah Kembangan Nabilah Khairunisa; Dina Sonia; Puteri Fannya; Noor Yulia
SEHATMAS: Jurnal Ilmiah Kesehatan Masyarakat Vol. 2 No. 4 (2023): Oktober 2023
Publisher : Yayasan Literasi Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55123/sehatmas.v2i4.2403

Abstract

The completeness of filling in the medical record can be checked using a documentation audit, one of which is quantitative analysis by reviewing certain parts of the contents of the medical record with the intention of finding deficiencies, especially those related to medical record documentation. The purpose of this study was to get an overview of the completeness of filling out inpatient medical records at the Kembangan Regional General Hospital. This research method uses a descriptive method with a quantitative approach. The population in this study were inpatient medical records at the Kembangan Regional General Hospital with a sample of 89 medical records. Based on the results of calculations using quantitative analysis obtained an average completeness of 82%, the highest completeness is the patient identification component of 87% and the lowest completeness is the important reporting component of 76%. Based on the research that has been done, it can be concluded that filling in the medical record at the Kembangan Regional General Hospital is not complete, this is due to the lack of awareness of health workers to complete filling in the medical record so that it has an impact on incomplete filling in medical record files
Tinjauan Penyebab Pengembalian Berkas Klaim Biaya Pelayanan Pasien Rawat Inap BPJS Kesehatan di Rumah Sakit Pelabuhan Jakarta Tahun 2022 Siti Rahmawati Handayani; Lily Widjaja; Daniel Happy Putra; Dina Sonia
SEHATMAS: Jurnal Ilmiah Kesehatan Masyarakat Vol. 2 No. 4 (2023): Oktober 2023
Publisher : Yayasan Literasi Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55123/sehatmas.v2i4.2617

Abstract

In the process of submitting a BPJS Health Claim, some requirements must be completed by the Health Facility. Of these requirements, the BPJS Health party will know that the claim submission can be paid or returned/delayed. This research was conducted to find out the reasons for returning the claim file for BPJS Kesehatan inpatient care at the Jakarta Harbor Hospital in 2022. The method in this study used descriptive research with a quantitative approach. The results of the study were 118 samples (6.7%) of 1,762 files, the highest returned cause was an inaccuracy in the coding of diagnoses/actions of 49 (42%), and the second highest was not fulfilling inpatient administration 18 (15%), other causes - others as much as 51 (43%). 3 factors from 5M are the cause of returning claim files, namely the human factor: casemix officers who are not diligent, lack of coder understanding/knowledge, and lack of accuracy in the filing department so that files are missed/left behind, machine: there is an upgrade to the latest version of the INA-application CBGs and V-Claim are also the Ministry of Health's newest program which requires TB patients to be inputted into the SITB application, Material: incomplete claim requirements files. While the money and method factors are not an obstacle or a cause for returning claim files. It is recommended to evaluate and re-socialize the reasons for returning BPJS Health claims so that the process of submitting BPJS Health claims is carried out properly and is 100% accepted.
Tinjauan Ketepatan Kode Diganosis Tuberkulosis Paru Pasien Rawat Jalan di Rumah Sakit SHL Pandeglang Rahelia Putri; Lily Widjaja; Dina Sonia; Daniel Happy Putra
SEHATMAS: Jurnal Ilmiah Kesehatan Masyarakat Vol. 3 No. 2 (2024): April 2024
Publisher : Yayasan Literasi Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55123/sehatmas.v3i2.3423

Abstract

In coding activities, medical recorders and health information are needed who master how to give disease codes according to ICD-10 and actions according to ICD-9 CM so that the resulting code has accuracy according to the diagnosis or action given. One of the most frequently used coding accuracy is accuracy in coding for Pulmonary Tuberculosis. One of the important things is how to describe the accuracy of the Outpatient Pulmonary Tuberculosis diagnosis code at SHL Pandeglang Hospital. This study was shown to determine the accuracy of the diagnosis code for Outpatient Pulmonary Tuberculosis at SHL Pandeglang Hospital. This research method uses a descriptive method with a quantitative approach. The sample of this study was taken by saturated sampling technique. Data were taken using interviews and observations. The results of the study of 122 medical records obtained accuracy of 93 (76.2%) files and inaccuracy of 29 (23.8%) files. Based on the identification of factors causing the inaccuracy of the diagnosis code, there are 4 factors, namely the man factor: occurs due to the lack of accuracy of the coder in coding, the workload of the coder, and the lack of training for coders with non-RMIK backgrounds. Material factors: the unavailability of the Medical Dictionary (Dictionary of Medical Terminology) and the absence of an abbreviated list of diagnoses (standard). Machine factors: damage to the computer, software hangs, and computers that are too old. Method factor: incomplete SPO diagnosis coding.
Co-Authors Abdussalaam, Falaah Adinda Mentari Nursya’bani Agung Martin Agustin, Cahyadi Agustin, Rosalia Ahmad Rizky Ai Ainun Nur’aeni Aini Nuroctaviani Aldi Rizki Irawan Aldo Rizky Mahendra Alfiah Nurripdah Alif Kurnia Putri Amalia Dwi Astari Amanda, Rizkia Anggraini Agustin Anisa Nurjulaeni Annisa Azzahra, Annisa Armila Astiyana Triadi Ayulia Maulinabila Brigita Natalia Br Surbakti Budiantono Budiantono Budiantono, Budiantono Cahyadi Agustin Chika Putri Nur Adila Danang Nugroho Dang Kusnandi Daniel Happy Putra Daniel Happy Putra Derry Jamaludin Devina Lulu Nursilmi Dewi, Puja Sintia Dewi, Sisilia Kartika Dina Nur Haliza Diva Sabina Dyah Melisa Setianingrum Eka Rahmasari Elis Putri Mulyani Elta Miliana Emy Wardatunisa Endah Wardani Eresha, Widya Ervina Permata Satia Erwinto , Fransiskus Fajar Ramdhani Gumilar Fanny Nuraininabilah Fannya, Puteri Fannya, Putery Farid, Zaki Much Fatimatuzzahra, Joevancha Livancha Febriyani, Madinah Fernando, Nauvaldy Rayhan Fiqih Nurhidayah Firly Oktavia Lestari Firmansyah, Muhamad Ruslan Fitria, Lailatul Fitriana Nur Hasanah Fitrianingsih, Wulandari Fitriyanti , Nuriyah Galuh Patricia Arda Tama Gin-gin gina yuliany Gita Sugiarti Gita, Elsa Chandra Halimah, Sitti Haliza, Dina Nur Happy Putra , Daniel Hasni Nurul Tazkiyah Hikmah Ramadhanti I made Dharma Farellio Indawati, Laela Indriyani, Wilda Intan Nurhadiyati Nugraha Intan Suciani Iqbal, Muhammad Fuad Ismi Suci Oktavia Az Ivonia Kenahin Bahi Januar Agung Saputera Karolina, Caren Kusnandi, Dang Kusuma, Muhammad Akmal Laela Indawati Laela Indawati Lailia, Siti Afkarina Lestari, Firly Oktavia Lilis Nurindah Sari Lily Widjaja Maeimunah, Siti Magdalena, Selvy Manullang, Febe Cristiani Maria Catherina Palar Maufirah, Fitria Nur Maulana, Panji Maulanasari, Devi Maulinabila, Ayulia Mega Fibrinsari Priyaningrum Mia Assariyanti Miliana, Elta Mochamad Ladi Maulana Mufida, Melani Aulia Muhamad Ruslan Firmansyah Muhamad Sadikin Muhammad Fuad Iqbal Muhammad Iqbal Muhammad Rezal Muhammad Rifki Aulia Ramadan Muniroh, Muniroh Muvira, Muhammad Yusuf N Aal Siti Alawiah Nabilah Khairunisa Nanda Aula Rumana Nauvaldy Rayhan Fernando Nicki Nugrahaningtyas Noor Yulia Noor Yulia Novia Nurhikmah Sari Nugraha, Intan Nurhadiyati Nuraininabilah, Fanny Nur’aeni, Ai Ainun Nur’aini, Nur’aini Nurfadila, Riski Aisah Nurhadi, Muhammad Nurhayatun , Susi Nurindah Sari, Lilis Nurmeryalvika Nurmeryalvika Nuroctaviani, Aini Nurripdah, Alfiah Nursilmi, Devina Lulu Nuryani, Sinta Nur’aeni, Ai Ainun Nur’aini Nur’aini Nur’aini, Nur’aini Nusamina Pulungan Palar, Maria Catherina Panji Maulana Permata Satia, Ervina Pipih Mulyadi Prasetyo, Muhammad Jefri Puja Sintia Dewi Puteri Fannya Puteri Fannya Puteri Fannya Puteri Fannya Puteri Fannya Putri Nurindahsari Putri Okiyanti PUTRI WAHYUNI Putri, Antonia Venta Nathaniela Rahelia Putri Rani Wulandari Rani Wulandari Rani Yulistianingsih Resti Andani Rifki Aulia Ramadan, Muhammad Rindiani Junianti Rini Suwartika Kusumadiarti Rizal Fauzi Rizal Fauzi Rosita, Annida Ulfiar Sabina, Diva Safhira, Shabita Salma Riyadhul Jannah Salomo, Titus Santy Christinawati Satriyo Satriyo Satriyo Satriyo Satrya, Bangga Agung Septiani, Sundari Sevilla, Flavia Shabita Safhira Shafa Aulia Ananda Hermanto Sinta Nuryani Siswati Siswati Siswati Siswati Siswati Siswati Siswati Siti Rahmawati Handayani Sofi Romando Putri Sri Mulya Suciani, Intan Suciyanti Suciyanti Sundari Septiani Surya Dhama, Ananda Meilana Susanti, Dhina Ayu Syach, Choirul Anam Syahrul Dwi Ramadhani Syarif, Hilwa Syarifah, Winda Nabila Tania Nirmala Tarisa Maharani Tazkia Ghalliya Salsabilla Tia Ivany Viatiningsih, Wiwik Widjaja, Lily Wilda Indriyani Yuda Syahidin Yulia, Noor Yuniar, Ananda Eka Alya Zaki Much Farid