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Perancangan Sistem Informasi Skrining Kesehatan Terintegrasi Menggunakan Microsoft Visual Studio 2019 di Puskesmas Panghegar Alfarisi, Achmad Alwan; Setiatin, Sali
Cerdika: Jurnal Ilmiah Indonesia Vol. 2 No. 6 (2022): Cerdika: Jurnal Ilmiah Indonesia
Publisher : Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/cerdika.v2i6.447

Abstract

This research aims to produce an integrated health screening information system design by using Microsoft Visual Studio 2019 at puskesmas Panghegar. The research method used is qualitative with a descriptive approach. Data collection techniques used are interviews, observations, and literature studies. The research and development method used is the waterfall model. The tools used in the design process are Flowchart, Data Flow Diagram (DFD), Entity Relationship Diagram (ERD). Based on the results of the study there are problems found, namely: (1) health screening forms have not been computerized systems (2) integrated health screening forms are often lost or damaged. Health Screening Information System to make it easier for officers in the screening process without any errors and to know the previous patient’s history when the patient comes back for treatment.
Analisis Penyebab Penundaan Klaim BPJS Kesehatan Pasien Rawat Inap di Rumah Sakit X Setiawan, Akbar Pratama; Setiatin, Sali; Nuraeni, Yayang Ayu
Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda (JIPIKI) Vol. 10 No. 2 (2025): 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.v10i2.1939

Abstract

Although digitalization through the Hospital Management Information System (SIMRS) has been implemented, integration with BPJS’s e-claim system remains suboptimal, leaving certain processes manual and prone to errors. Previous studies have identified common causes of pending claims, including incomplete medical documentation and coding errors. However, there is still limited research examining how internal factors—such as staff competency, inter-unit coordination, and the effectiveness of SOPs—interact with external factors like BPJS regulatory changes and system integration challenges. In particular, few studies have focused on RSUP Dr. Hasan Sadikin to explore why pending claims persist despite ongoing digitalization efforts. Therefore, this study aims to conduct an in-depth analysis of the factors causing delays in BPJS Health claims for inpatients at RSUP Dr. Hasan Sadikin Bandung and to propose strategic recommendations to minimize such delays in the future. Using a qualitative approach with a case study method, data were collected through in-depth interviews and document reviews involving administrative staff, claim verifiers, and hospital management. The findings show that delays are mainly caused by mismatches between medical and administrative documents, late data entry by officers, and technical issues in the claim submission system. In addition, insufficient understanding of BPJS procedures and poor coordination between departments also contribute to the problem. To overcome these challenges, the hospital must improve its internal workflow, provide regular staff training, and upgrade its information systems. The results of this study are expected to serve as a reference for hospitals in managing BPJS claims more effectively and ensuring timely service reimbursement.
Tinjauan Kelengkapan Pengisian Lembar Ringkasan Pulang Resume Pasien Rawat Inap Di Rs Permata Cibubur Kusnadi, Fery; Setiatin, Sali
Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda (JIPIKI) Vol. 10 No. 2 (2025): 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.v10i2.1957

Abstract

Quality medical documentation is the foundation of the healthcare system with a direct impact on continuity of care and clinical accountability. The medical resume as an integral component of the medical record serves as a holistic synthesis of therapeutic modalities during hospitalization. This investigation analyzes the completeness of the completion of medical resume documentation through a four-dimensional evaluation: identification modules, clinical reportage segments, authentication elements, and documentation aspects according to standards. This methodology applies a descriptive quantitative paradigm with a cross-sectional survey design on 60 samples of inpatient medical resume documents at Permata Cibubur Hospital during June 2025 using Simple Random Sampling. The research instrument consists of a structured checklist for systematic evaluation through direct observation of the medical resume form. The results of the analysis showed variations in the level of completeness: identification components 95% (5% deficiencies), critical report segments 88.87% (11.13% incomplete), authentication 92.22% (7.78% incompleteness), and proper documentation 93.4% (6.6% incompleteness). The findings show that although the majority of components meet good documentation standards, significant gaps still exist that require systematic optimization. Strategic implications for institutional management include the implementation of a continuous monitoring system and a structured training program for medical personnel to achieve 100% standards in accordance with the Regulation of the Minister of Health Number 24 of 2022.
Analisis Kesiapan Sumber Daya Manusia dalam Mendukung Digitalisasi dan Penerapan Rekam Medis Elektronik Setiatin, Sali; Zahran Ramdhani, Muhammad
Dinasti Health and Pharmacy Science Vol. 3 No. 1 (2025): Dinasti Health and Pharmacy Science (July - September 2025)
Publisher : Dinasti Research & Yayasan Dharma Indonesia Tercinta (DINASTI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.38035/dhps.v3i1.2703

Abstract

Perkembangan teknologi informasi telah mengubah pengelolaan rekam medis dari format kertas ke digital, sesuai PMK Nomor 24 Tahun 2022 yang mulai berlaku pada 2023 di RS Kebonjati. Penelitian ini menggunakan pendekatan kualitatif dengan teknik purposive sampling untuk mengumpulkan data melalui observasi, wawancara, dan media pesan. Objek penelitian adalah pengguna Rekam Medis Elektronik (RME), termasuk petugas bagian koder, pelaporan rawat jalan, pelayanan, dan APM. Fokus analisis adalah kesiapan penerapan RME dari segi sumber daya manusia dan infrastruktur di RS Kebonjati. Penelitian bertujuan mengevaluasi kesiapan tersebut dengan tinjauan pustaka. Hasil penelitian menunjukkan bahwa RS Kebonjati cukup siap menerapkan RME, dengan sumber daya manusia yang memadai meskipun memerlukan pelatihan tambahan. Infrastruktur dan aspek finansial sudah ada, tetapi perlu penambahan fasilitas untuk kelancaran digitalisasi Rekam Medis Elektronik (RME), Analisis kebutuhan yang mendalam diperlukan untuk memastikan kesiapan infrastruktur dan kompetensi SDM, agar RS Kebonjati dapat menjadi contoh dalam penerapan RME dan meningkatkan efisiensi layanan kesehatan di masa mendatang.
Analisis Keterlambatan Pasien dengan Beban Kerja Petugas dalam Proses Penjadwalan Ulang di Poli Rawat Jalan Rumah Sakit Kebon Jati Faris Bastami, Muhamad; Setiatin, Sali
Dinasti Health and Pharmacy Science Vol. 3 No. 1 (2025): Dinasti Health and Pharmacy Science (July - September 2025)
Publisher : Dinasti Research & Yayasan Dharma Indonesia Tercinta (DINASTI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.38035/dhps.v3i1.2704

Abstract

Rumah sakit berperan penting dalam memberikan pelayanan kesehatan yang efektif dan efisien. Salah satu indikator mutu pelayanan adalah ketepatan waktu pasien dalam memperoleh layanan, termasuk pada proses penjadwalan ulang (reschedule). Ketidaktepatan waktu kedatangan pasien dapat memengaruhi kelancaran pelayanan dan menambah beban kerja petugas administrasi. Penelitian ini bertujuan untuk menganalisis keterlambatan pasien dan beban kerja petugas dalam proses penjadwalan ulang di Poli Rawat Jalan Rumah Sakit Kebon Jati. Penelitian ini menggunakan pendekatan kualitatif deskriptif dengan teknik wawancara, observasi, dan dokumentasi. Data dianalisis secara deskriptif untuk menggambarkan hubungan antara keterlambatan pasien dan beban kerja petugas, serta didukung dengan format Analisis Beban Kerja (WISN) sebagai data pendukung observasi. Hasil penelitian menunjukkan bahwa beban kerja petugas cukup tinggi karena melaksanakan berbagai tugas administratif, seperti pendaftaran pasien, penjadwalan ulang, dan input data ke sistem. Keterlambatan pasien umumnya disebabkan oleh faktor pribadi dan situasional. Beban kerja yang tinggi dan keterlambatan pasien berpengaruh terhadap efektivitas pelayanan. Diperlukan pengaturan beban kerja yang seimbang dan peningkatan kedisiplinan pasien agar pelayanan menjadi lebih optimal.
Descriptive Study of The Implementation of Electronic Medical Records on Insurance Claims at PKU Muhammadiyah Gombong Hospital Ahmad Fatoni Dwi Julian; Sali Setiatin
Dinasti Information and Technology Vol. 3 No. 1 (2025): Dinasti Information and Technology (Juli 2025)
Publisher : Dinasti Research & Yayasan Dharma Indonesia Tercinta (DINASTI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.38035/dit.v3i1.2742

Abstract

The implementation of Electronic Medical Records at PKU Muhammadiyah Gombong Hospital is one of the steps in improving service quality in line with the times in the digitalization era, particularly in insurance claims. The purpose of this study is to understand how the implementation of electronic medical records is carried out in insurance claims at PKU Muhammadiyah Gombong Hospital. The method used in this study is a descriptive study using data collection techniques through observation, interviews, and documentation. The study results show that the implementation of electronic medical records can speed up patient data input, minimize administrative errors, and facilitate the insurance claim process. The staff have adequate competence in operating the system, although there are still issues with internet connectivity and system speed. This study concludes that EMR plays an important role in patient services and makes the insurance claim process more efficient, while emphasizing the importance of system stability. Periodic training for staff and communication with the insurance company to ensure a smooth insurance claim process
Analisis Deskriptif Kelengkapan Dokumen Rawat Inap BPJS Terhadap Pengklaiman Di RSUD Kota Bandung Periode Agustus 2025 Latifah, Fania Nazla Nur; Setiatin, Sali; Anusuci, Elia
JUKEJ : Jurnal Kesehatan Jompa Vol 4 No 4 (2025): JUKEJ: Jurnal Kesehatan Jompa
Publisher : Yayasan Jompa Research and Development

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57218/jkj.Vol4.Iss4.2032

Abstract

Penelitian ini bertujuan untuk menganalisis hubungan antara kelengkapan dokumen klaim rawat inap dengan efektivitas pengklaiman di RSUD Kota Bandung. Metode penelitian ini menggunakan desain kuantitatif deskriptif dengan populasi dan sampel meliputi seluruh dokumen klaim rawat inap pasien BPJS selama bulan Agustus yang berjumlah 856 dokumen, diambil menggunakan teknik total sampling. Data dikumpulkan melalui studi dokumentasi terhadap dokumen rekam medis serta dokumen klaim, kemudian dianalisis secara deskriptif untuk melihat persentase kelengkapan. Hasil penelitian menunjukkan bahwa dari 856 dokumen yang dianalisis, sebanyak 583 (68,1%) dokumen lengkap dan disetujui seluruhnya, sedangkan 273 (31,9%) dokumen tidak lengkap dan tertunda. Analisis terhadap ketidaklengkapan dokumen menunjukkan komponen yang paling sering bermasalah adalah Laboratorium PK (40,7%), Laboratorium PA (18,0%), dan Radiologi (12,2%). Kesimpulan penelitian ini adalah kelengkapan dokumen rekam medis merupakan faktor utama yang menentukan kelancaran proses klaim BPJS, sehingga diperlukan perbaikan dalam proses verifikasi administrasi, koordinasi antar unit, optimalisasi SIMRS, dan pelatihan staf untuk meminimalkan klaim tertunda serta mempercepat pencairan dana.
ANALISIS EFEKTIVITAS PENGGUNAAAN REKAM MEDIS ELEKTRONIK MENINGKATKAN EFISIENSI DAN AKURASI DATA PASIEN RAWAT JALAN DI RSUD WELAS ASIH Purnama, Sandi Rian; Setiatin, Sali
Jurnal Kesehatan Tambusai Vol. 6 No. 4 (2025): DESEMBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v6i4.52016

Abstract

Perkembangan transformasi digital di sektor kesehatan menjadi strategi penting untuk memperbaiki mutu layanan, efisiensi proses, serta ketepatan data pasien. Penelitian ini bertujuan untuk menilai tingkat efektivitas penerapan Rekam Medis Elektronik (RME) dalam upaya meningkatkan efisiensi dan keakuratan data pasien rawat jalan di RSUD Welas Asih. Pendekatan penelitian yang digunakan bersifat deskriptif kuantitatif, dengan teknik pengumpulan data melalui kuesioner berbasis skala Likert (1–5) yang diberikan kepada petugas rekam medis dan tenaga kesehatan pengguna sistem RME. Analisis data dilakukan dengan menghitung rata-rata dari setiap indikator kemudian dikonversi menjadi persentase efektivitas. Hasil penelitian memperlihatkan bahwa penerapan RME berada pada kategori sangat efektif, dengan rata-rata efektivitas melebihi 90%. Nilai rata-rata variabel efisiensi sebesar 4,79 (95,82%), akurasi data sebesar 4,83 (96,55%), dan kemudahan penggunaan sebesar 4,63 (92,55%). Temuan tersebut menegaskan bahwa sistem RME mampu mempercepat proses pengelolaan data, meminimalkan kesalahan pencatatan, serta mempermudah petugas dalam mengakses dan memperbarui informasi pasien. Dengan demikian, dapat disimpulkan bahwa implementasi RME di RSUD Welas Asih berhasil meningkatkan efisiensi pelayanan dan akurasi data pasien rawat jalan. Penelitian ini merekomendasikan peningkatan kualitas infrastruktur jaringan, penyelenggaraan pelatihan rutin bagi pengguna, serta pengembangan fitur integrasi sistem untuk mengoptimalkan kinerja RME di masa mendatang.
Pengembangan Aplikasi Laporan Klaim Berdasarkan Poli pada Sistem INA-CBG’S Menggunakan Metode RAD di RS X Makaminan, Desviani; Sali Setiatin; Falaah Abdussalaam
Jurnal Teknologi Informasi dan Ilmu Komputer Vol 12 No 6: Desember 2025
Publisher : Fakultas Ilmu Komputer, Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25126/jtiik.2025126

Abstract

Bidang rekam medis sudah memulai pemerataan rekam medis elektronik yang merupakan sebuah bagian dari perubahan era digital yang lebih luas, dan bertujuan untuk meningkatkan efisiensi, keamanan, dan kualitas pelayanan kesehatan. Saat ini beredar isu defisit BPJS Kesehatan dengan klaim yang melebihi daripada pemasukan iuran, dan diperkirakan berpotensi menyebabkan gagal bayar klaim pada beberapa tahun yang akan datang. Oleh karena itu pelaporan klaim berdasarkan poli ini dapat diharapkan membantu rumah sakit untuk meninjau data atau laporan klaim secara lebih terperinci sehingga dapat mendeteksi jika ada ketidaksesuaian atau potensi fraud lebih awal. Aplikasi laporan klaim ini dibangun berbasis WEB dengan Visual Studio Code dan XAMPP menggunakan metode pengembangan Rapid Application Development (RAD) guna mempercepat pengembangan aplikasi laporan yang efisien. Hasil dari penelitian ini merupakan suatu Aplikasi Laporan Klaim Berdasarkan Poli yang dirancang untuk mempermudah sistem yang digunakan oleh rumah sakit dalam meninjau data klaim agar dapat dilakukan secara lebih spesifik dan mudah diakses.     Abstract The medical records sector has begun the standardization of electronic medical records, which is part of a broader digital transformation aimed at improving the efficiency, security, and quality of healthcare services. Currently, there are concerns about a deficit in the BPJS Kesehatan (Health Care and Social Security Agency) with claims exceeding premium income, which is expected to potentially cause claim defaults in the coming years. Therefore, claim reporting based on this polyclinic can be expected to help hospitals review claim data or reports in more detail so that they can detect any discrepancies or potential fraud earlier This claim report application was developed based on WEB with Visual Studio Code and XAMPP using the Rapid Application Development (RAD) method to accelerate the development of an efficient report application. The result of this research is a Polyclinic Based Claim Report Application designed to simplify the system used by hospitals in reviewing claim data so that it can be done more specifically and easily accessible.
DESIGN OF AN ANDROID-BASED ONLINE REGISTRATION APPLICATION FOR OUTPATIENT SERVICE AT THE NUR ILAHI MENTAL HEALTH CLINIC: ANDROID-BASED ONLINE REGISTRATION APPLICATION Rachmawati, Ghaida Fauziyyah; Abdussalaam, Falaah; Setiatin, Sali
INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT (IJHSRD) Vol. 7 No. 2 (2025): INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT
Publisher : STIKes Mandala Waluya Kendari

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36566/ijhsrd/Vol7.Iss2/338

Abstract

Background: Nur Ilahi Mental Health Clinic is a health care facility that has implemented service digitization. Currently, patient who are registered as health insurance (JKN) participants can register online through the Mobile JKN application provided by BPJS Health. This condition creates inequality in the queuing service experience of general patients an BPJS patients, especially in terms certainty of queue numbers and estimated service time received. Based on these problems, this study aims to design an android-based outpatient registration application that is easy to use by general patients (Non-BPJS). Methods: The research method used in this research in the prototyping method which is a software method in the form of a physical model directly involving the creation of an initial model of the software to feedback before final development begins. Results: The results showed a percentage of 100% on ease of use as well as satisfaction and availability of using the application. With the design of this android-based general patient registration application, it is hoped that it will be able to provide solutions to patients who do not have BPJS insurance to register for queues online. Conclusion: So that there is no gap between BPJS patient and Non-BPJS patients in registering at the Nur Ilahi Mental Clinic.
Co-Authors Abdul Wahab Abdussalaam, Falaah Achmad Alwan Alfarisi Adhita Arif Setyawan Adilla Salsabila Ahmad Fatoni Dwi Julian Ahmad Fatoni Dwi Julian Ai Susi Susanti Aldi Miftahul Rizal Alfarisi, Achmad Alwan Alfarizi, Fikri Ainta Ali Amirudhin Amalia, Melda Amirudhin, Ali Andini Kusdiantini Andira Putra, Sabila Andzara Aulia Aneu Rahma Tunisa Anggi Bela Larita Anisa Nuraulia Annisa Khoifah M Anusuci, Elia Arif Setyawan, Adhita Aris Susanto Aris Susanto Aris Susanto Aris Susanto Aris Susanto Susanto Asep Ma'mun Sanusi Aufa Luthfiyati Aqilah Aulia Nurfadillah Aulia Zeta Andhani Aulia, Andzara Ayu Septiyana Dewi Azizah, Vanny Hendriyan Bhakti Ramadhan Mileniawan Bhakti Ramadhan Mileniawan Bram Burmanajaya Candra Mecca Sufyana Chaedir Pratama Christinawati, Santy Cici Lara Widiya Desy Widyaningrum Dewi, Ayu Septiyana Dewi, Sofia Dian Mardiana Diansyah Dinda Nurul Lita Saptarini Dindin Solehudin Dita Alfiani Widi Saputri Edi Suharto Eka Rusmana, Wempi Elvira, Shinta Erlan Apriyanto Ervien Agus Jakaria Fadhilah, Saeful Fadila Amanda Faris Bastami, Muhamad Fauzi, Muhamad Rizal Fauzia, Rizky Miftah Fuji Sri Hartini Gema Giatsyal Akbar Sya Ghazi Septiandi Gunawan, Sandi Pebrian Hadi Priatmoko Hadiyanti, Rahma Suci Hafizan, Muhammad Ihsan Hakim, Nindia Shalsabillah Hanadia Maheswari Hanadia Maheswari Hendro Hendro Hera Siti Rohmah Herfiyanti, Leni Heri Rukmana Heri Rukmana Herlina Nur Yuniawati Hesti Puspita Sari Ihsan Marga Wiyaksa Indar Farwanti Wahyuni Isna Bidari Israwati Israwati Ivanna Rahmadita Johni S. Pasaribu Kusnadi, Fery Kusuma, Salma Aurellia Latifah, Fania Nazla Nur Latipah, Tania Lita Saptarini, Dinda Nurul Mahendra, Sandy Majdi, Faiq Muhammad Majiid, Nurul Salsasabilla Makaminan, Desviani Marwiyah, Hani Marya Asriadisa Nurobul Tabar Matoeari Soelistijaningroem Mayang Sari Ma’rifatulloh, Rizqi Melda Amalia Moh Arya Putra Ramadhan Muhamad Faris Bastami Muhamad Rizal Fauzi Muhammad Fauzi Rachmatullah Muhammad Ihsan Hafizan Muhammad Zahran Ramdhani Mutiara Cinta Sari Nadia Rizki Pratami Nadia Rizki Pratami Nadila Nur Umitri Nadya Muthiara Putri Naila Salsabila Jamilah Napitupulu, Sagita Noviana Narjati Soejoto, Nina Nina Agustina Ningrum, Intan Septiana Nissa Nurfadilah Norberta Ohoiwutun Novita Krisnawati Nugraha, R. Iqbal Taufik Nur, Ropina Hardian Nuraulia, Anisa Nurfadillah, Aulia Nurul Salsasabilla Majiid Ohoiwutun, Norberta Okky Nur Zahara Pinasti Intan Syafitri Pradesna, Syakira Ratu Prakarsa Al Qadr Saleh, Muhammad Pratama, Sergil Bhakti Purnama, Sandi Rian Putik Cinta Putri Aprilia Kartika Putri, Ismiati Malika Putri, Rizka Auliana Rachmawati, Ghaida Fauziyyah Rahma Aulia Rahma Suci Hadiyanti Rani Muharomah Ratna H, Yunyun Rd. Sekar Putri Defiyanti Rd. Sekar Putri Defiyanti Rena Novia Dewi Rena Resa Yusnia revi rosalinda Rini Suwartika Kusumadiarti Risa Juli Saputra Rita Zulbetti Rizka Auliana Putri Rizky Miftah Fauzia Ropina Hardian Nur rosalinda, revi Rosita Apriyanti Rosita Apriyanti Sabila Andira Putra Saeful Fadhilah Salma Salsabila Qurrotaaini Salwa Rizkiani Syah Sandi Pebrian Gunawan Sandra Laksamana Sandy Mahendra Santy Christinawati Santy Christinawati Sari, Hesti Puspita Sari, Mutiara Cinta Septiani Tri Utami Setiawan, Akbar Pratama Shinta Elvira Sinta Rizki Agustin Siti Insani Siti Lailatul Lutfiah Siti Solihah Soelistijaningroem, Matoeari Solihah, Siti Sri Nurcahyati SRI RAHAYU Surahman Surya Cahyadi Susanto, Aris Susanto Syakira Ratu Pradesna Syifa Qolbiyah Tania Latipah Tania Nurjanah Tasya Farida H Tausiah, Ai Lia Tiara Kusumawardani Trimasuti, Wahyu Tuti Herawati Utami, Septiani Tri Vanny Hendriyan Azizah Vina Anggilia Puspita Vira Farihah Aliansyah Wahyu Trimastuti Wahyu Trimasuti WIDDI SUKMA RAMADHANI Widia Nurrul Irsani Widya Nadiroh Winda Putri Indah Lestari Wirahadi, Umar Yayah Fauziyah Yayang Ayu Nuraeni Yola Nikmatillahi Yola Vandani Imran Yuda Syahidin Yuwanita Kartikaningrum Yuyun Yunengsih Zahran Ramdhani, Muhammad Zulpa Lutfiyyah