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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.
Effectiveness Of The JKN Mobile Application In Optimizing Waiting Time For BPJS Outpatient Patients Pratama, Sergil Bhakti; Setiatin, Sali
Jurnal Kesmas Prima Indonesia Vol. 10 No. 1 (2026): January Edition
Publisher : Program Studi Sarjana Kesehatan Masyarakat Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jkpi.v10i1.7776

Abstract

The JKN mobile application offers features such as online registration and real-time notifications to address barriers such as manual registration, but long queue times can reduce service satisfaction and accessibility. This study employed a descriptive qualitative method, aiming to determine how long BPJS Kesehatan patients wait for outpatient services, the factors that cause delays, and whether the JKN mobile application can be optimized. This study used 15 patients as an incidental sample, with percentage analysis divided into categories of <60 minutes and >60 minutes. The results showed that 73.33% (11 patients) met the waiting time standard of less than 60 minutes, while 26.67% (4 patients) exceeded 60 minutes. This was primarily due to the new patient status and lack of space in the surgical polyclinic for 100% of cases. The neurology and orthopedics polyclinics achieved 100% compliance with the standard. This study suggests that the JKN mobile application can accelerate the registration process and reduce queues, supporting the BPJS system and national health policy, and increasing universal accessibility to services. Furthermore, the JKN mobile application, which includes online registration and instant notifications, is being encouraged to expedite the new patient process and optimize resource allocation, particularly in surgical polyclinics. The app aims to improve accessibility and patient satisfaction.
Analysis of Psychological and Organizational Factors in the Implementation of Electronic Medical Records by Medical Records Staff at Welas Asih Regional Hospital Alfarizi, Fikri Ainta; Setiatin, Sali
Jurnal Kesmas Prima Indonesia Vol. 10 No. 1 (2026): January Edition
Publisher : Program Studi Sarjana Kesehatan Masyarakat Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jkpi.v10i1.7785

Abstract

This study aims to analyze the psychological and organizational factors that influence the implementation of Electronic Medical Records (EMR) by medical records staff at Welas Asih Regional Hospital. This research method uses a descriptive qualitative method in the Medical Records installation of Welas Asih Regional Hospital. A sample of 33 people was taken using a purposive sampling technique, namely officers who actively use the EMR system. Data were collected using questionnaires, observation, and documentation. Although the implementation of EMR aims to improve efficiency and quality of service, challenges that arise are changes in work culture and psychological factors such as initial anxiety. From the organizational side, the main challenges are the need for additional training and constraints on infrastructure/system smoothness. Quantitative results show that psychological factors in the form of internal motivation are at a very strong level (average score of 4.87), in line with the high awareness of officers regarding the benefits of EMR (average score of 4.67). However, aspects of initial anxiety were still identified (average score of 2.90). Organizationally, there was a strong indication of the need for additional training (average 4.41) and the persistence of technical operational barriers (average 3.31), indicating the need to optimize facility support. Optimizing RME adoption requires a holistic strategy, including the provision of psychological support programs to mitigate anxiety, as well as targeted organizational investments in improving the quality of practical training and maintaining a smoother and more stable system infrastructure.
Optimization Of Data Interoperability Between Simrs And The JKN Mobile Application As An Effort To Digital Transform Health Services At Welas Asih Regional Hospital Ma’rifatulloh, Rizqi; Setiatin, Sali
Jurnal Kesmas Prima Indonesia Vol. 10 No. 1 (2026): January Edition
Publisher : Program Studi Sarjana Kesehatan Masyarakat Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jkpi.v10i1.7786

Abstract

Digital transformation in Indonesia's healthcare sector is increasingly developing through the implementation of information system integration that supports accelerated service delivery, particularly in healthcare facilities with high visitor loads. This study analyzes the dynamics of interoperability between the Hospital Management Information System (SIMRS) and the JKN Mobile application in the patient registration process at Welas Asih Regional Hospital, a hospital with approximately 2,000 daily visits, of which approximately 1,500 use JKN Mobile. This study used a qualitative approach with a case study design, through in-depth interviews and direct observation of the registration process. The results indicate that the SIMRS–JKN Mobile integration is effective when the system is functioning normally, characterized by a fast barcode check-in process, automatic queue number synchronization without re-input, and consistent receipt number locking across all service stages up to claims. However, several obstacles still arise, particularly BPJS server disruptions, internet network instability, GPS reading issues, and limited patient digital literacy. Staff overcome these obstacles through adaptive strategies such as GPS calibration, switching to the hospital's Wi-Fi network, arrival time validation, and the use of the SIMRS approval feature. This study demonstrates that successful interoperability is determined not only by technological readiness but also by organizational readiness, staff operational competence, and patient capability in using digital applications. These findings provide a novel scientific contribution by providing comprehensive field evidence on the implementation of interoperability in high-volume healthcare facilities and providing recommendations for technical improvements and service governance for hospitals and policymakers.
Evaluation of the Hospital Information Management System (SIMRS) in the Medical Records Unit Using the Hot-Fit Method at RSUD Welas Asih Majdi, Faiq Muhammad; Setiatin, Sali; Soelistijaningroem, Matoeari
Jurnal Kesmas Prima Indonesia Vol. 10 No. 1 (2026): January Edition
Publisher : Program Studi Sarjana Kesehatan Masyarakat Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jkpi.v10i1.7789

Abstract

This study aims to evaluate the effectiveness of the implementation of the Hospital Management Information System (SIMRS) in the Medical Records Unit of Welas Asih Regional Hospital using the HOT-Fit model, which includes the Human, Organization, Technology, and Net Benefit aspects. The research method is a descriptive quantitative survey with a total sampling technique, involving all 41 medical record officers as active SIMRS users. The data collection instrument was a Likert scale questionnaire that has been tested for validity and reliability. Analysis was carried out descriptively by calculating the average value of each component. The results show that the implementation of SIMRS is in the very good category with an overall average value of 4.68. The highest value is found in the Net Benefit aspect, namely 4.73, which confirms that SIMRS provides direct benefits in accelerating service flow and improving data accuracy. The Organization aspect obtained a value of 4.70, Human 4.68, and Technology 4.62, which overall indicate user readiness, organizational support, and system reliability. However, respondents still noted the need to improve network stability and feature development to optimize SIMRS utilization in supporting the medical records service process.
Analisis RME Yang Mempengaruhi Waktu Tunggu Pasien IGD Menggunakan Swot Di RSUD Bandung Kiwari Aneu Rahma Tunisa; Sali Setiatin
Journal of Innovative and Creativity Vol. 5 No. 3 (2025)
Publisher : Fakultas Ilmu Pendidikan Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/joecy.v5i3.3952

Abstract

Tujuan dari penelitian ini adalah untuk mengetahui peran penggunaan rekam medis elektronik terhadap waktu tunggu dan dampak terhadap kepuasan pasien. Di era digital saat ini, teknologi informasi telah memegang peranan yang sangat penting dalam berbagai sektor, termasuk sektor kesehatan. Salah satu inovasi yang telah banyak diadopsi adalah penggunaan Rekam Medis Elektronik (RME). Metode penelitian yang digunakan dalam jurnal ini adalah metode penelitian kualitatif dengan pendekatan studi kasus. Pelayanan kesehatan yang bermutu sangat penting dalam meningkatkan kepuasan pasien. Mutu pelayanan tidak hanya ditentukan oleh hasil medis, tetapi juga oleh pengalaman pasien secara keseluruhan selama proses pelayanan, termasuk waktu tunggu dan interaksi dengan tenaga medis. Penerapan rekam medis elektronik (RME) memiliki potensi yang signifikan dalam mengurangi waktu tunggu dan meningkatkan efisiensi pelayanan, yang pada akhirnya berdampak positif terhadap kepuasan pasien. Oleh karena itu, rumah sakit perlu terus berinovasi dan meningkatkan sistem pelayanannya agar dapat memenuhi harapan pasien dan mencapai standar mutu yang telah ditetapkan.
Perancangan Sistem Informasi Resume Medis Pasien Rawatinap di Siloam Hospitals Purwakarta Risa Juli Saputra; Sali Setiatin; Yuda Syahidin
Jurnal Indonesia Sosial Teknologi Vol. 2 No. 11 (2021): Jurnal Indonesia Sosial Teknologi
Publisher : Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (5418.604 KB) | DOI: 10.59141/jist.v2i11.269

Abstract

Rumah sakit merupakan fasilitas pelayanan kesehatan yang memberikan pelayanan secara lengkap. Salah satu parameter untuk menentukan mutu pelayanan kesehatan di rumah sakit adalah data atau informasi dari rekam medis, khususnya pada resume medis dan untuk mengetahui kelengkapan pengisian resume medis perlu dilakukan analisis. Namun penginputan analisis secara manual dan belum adanya sistem khusus dapat mengurangi efesien dan efektifitas waktu, untuk itu penelitian ini dibuat bertujuan merancang sistem informasi khusus analisis resume medis pasien rawat inap agar mempermudahkan petugas didalam mengalisis. Penelitian ini menggunakan metode kualitatif dengan metode pengembangan perangkat lunak air terjun / Waterfall dan lokasi penelitian ini adalah di Siloam Hospitals Purwakarta dengan menggunakan teknik pengumpulan data observasi dan wawancara. Masalah yang terjadi dalam menganalisis kelengkapan resume masih dikerjakan dengan input manual pada exel, seperti menginput nomor rekam medis, nama pasien, nama dokter dan bahkan jumlah hari perawatan masih dihitung manual sehingga tidak menutup kemungkinan akan terjadinya kekeliruan dalam penginputan. Adapun hasil observasi persentase dari 200 sampel berkas resume medis rawat inap di Siloam Hospitals Purwakarta adalah 65% untuk berkas yang lengkap dan 35% untuk yang tidak lengkap. Saran yang dapat diberikan oleh penulis agar rumah sakit dapat meningkatkan sistem informasi yang lebih modern untuk penginputan dan pengolahan data.
Pembuatan dan Diseminasi Konten Edukasi Digital tentang Pemeriksaan Kimia Klinik untuk Deteksi Dini Penyakit Tidak Menular di Klinik Prima Husada Bandung Edi Suharto; Andini Kusdiantini; Sali Setiatin; Rosita Rosita; Fadila Amanda; Siti Insani; Zulpa Lutfiyyah; Novita Krisnawati
PADMA Vol 5 No 1 (2025): JURNAL PENGABDIAN KEPADA MASYARAKAT (PADMA)
Publisher : LPPM Politeknik Piksi Ganesha

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56689/padma.v5i1.2647

Abstract

Penyakit Tidak Menular (PTM) seperti diabetes melitus, dislipidemia, dan gangguan fungsi ginjal merupakan penyebab utama morbiditas dan mortalitas di Indonesia. Deteksi dini melalui pemeriksaan kimia klinik menjadi langkah strategis dalam pencegahan komplikasi. Namun, literasi masyarakat terkait pentingnya pemeriksaan laboratorium masih rendah. Kegiatan Pengabdian kepada Masyarakat (PkM) ini bertujuan untuk membuat dan mendiseminasikan konten edukasi digital mengenai pemeriksaan kimia klinik untuk deteksi dini PTM di Klinik Prima Husada Bandung. Metode yang digunakan meliputi tahap perencanaan, pembuatan konten (video edukasi, infografis, dan e-book digital), diseminasi melalui media sosial dan penyuluhan langsung, serta evaluasi melalui pre-test dan post-test. Peserta berjumlah 30 orang (usia 25–60 tahun). Hasil menunjukkan peningkatan rata-rata skor pengetahuan dari 56,3 (pre-test) menjadi 82,7 (post-test), dengan peningkatan sebesar 46,9%. Sebanyak 78% peserta menyatakan lebih memahami pentingnya pemeriksaan glukosa darah, profil lipid, dan fungsi ginjal secara berkala. Kegiatan ini efektif meningkatkan literasi kesehatan masyarakat melalui pendekatan digital.
Design of a Medical Record Management Information System Based on Long-Term Storage for Hospital Efficiency Using V-Model Yuda Syahidin; Rena Novia Dewi Rena; Sali Setiatin
Indonesian Journal of Computer Science and Engineering Vol. 2 No. 02 (2025): IJCSE Volume 02 Number 02, November 2025
Publisher : CV. Cendekiawan Muda Sriwijaya

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

Abstract

This study aims to design an information system for the long-term storage of outpatient medical records in hospitals, focusing on improving data management efficiency, especially in retrieving inactive records. The research method used is descriptive with a qualitative approach. Data collection techniques include interviews, observations, and literature reviews. The software development process adopts the V-Model method, which emphasizes verification and validation at each development stage. The main problem identified in the long-term storage process is the manual classification of active and inactive records, which is done by checking the patient's last visit date one by one. This manual process is considered inefficient, time-consuming, and potentially disruptive to effective medical record management. To address this issue, the study proposes the design of an application that systematically manages inactive medical records in a computerized manner. This system is expected to help hospitals optimize time and resources, as well as support digital-based data storage policies. By implementing this information system, medical record management can become more structured, efficient, and accurate, ultimately enhancing the quality of health information services in hospitals.
Co-Authors Abdul Wahab Abdussalaam, Falaah Achmad Alwan Alfarisi Adhita Arif Setyawan 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 Candra Mecca Sufyana Chaedir Pratama Christinawati, Santy Cici Lara Widiya Cinta, Putik 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 Fadhilah, Saeful Fadila Amanda Faris Bastami, Muhamad Fauzi, Muhamad Rizal Fauzia, Rizky Miftah Fuji Sri Hartini Ghazi Septiandi Giatsyal Akbar Sya, Gema Gunawan, Sandi Pebrian Hadi Priatmoko Hadiyanti, Rahma Suci Hafizan, Muhammad Ihsan Hakim, Nindia Shalsabillah Hanadia Maheswari Hendro Hendro Hera Siti Rohmah Herfiyanti, Leni Heri Rukmana Herlina Nur Yuniawati Ihsan Marga Wiyaksa Indar Farwanti Wahyuni 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 Mayang Sari Ma’rifatulloh, Rizqi Melda Amalia Muhamad Rizal Fauzi Muhammad Ihsan Hafizan Nadia Rizki Pratami Nadya Muthiara Putri Napitupulu, Sagita Noviana Narjati Soejoto, Nina Nina Agustina Ningrum, Intan Septiana Norberta Ohoiwutun Novita Krisnawati Nugraha, R. Iqbal Taufik Nur, Ropina Hardian Nuraulia, Anisa Nurfadillah, Aulia Nurul Salsasabilla Majiid Ohoiwutun, Norberta Pradesna, Syakira Ratu Prakarsa Al Qadr Saleh, Muhammad Pratama, Sergil Bhakti Purnama, Sandi Rian Putri Aprilia Kartika Putri, Ismiati Malika Putri, Rizka Auliana Rachmawati, Ghaida Fauziyyah Rahma Suci Hadiyanti Rani Muharomah Ratna H, Yunyun Rd. Sekar Putri Defiyanti Rd. Sekar Putri Defiyanti Rena Novia Dewi Rena Resa Yusnia revi rosalinda Risa Juli Saputra Rita Zulbetti Rizka Auliana Putri Rizky Miftah Fauzia Ropina Hardian Nur rosalinda, revi Rosita Rosita Sabila Andira Putra Saeful Fadhilah 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 Sinta Rizki Agustin Siti Insani Siti Lailatul Lutfiah Siti Solihah Soelistijaningroem, Matoeari Solihah, Siti Sri Nurcahyati SRI RAHAYU Surahman Surya Cahyadi Susanto, Aris Susanto 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 Wahyu Trimastuti Wahyu Trimasuti WIDDI SUKMA RAMADHANI Widia Nurrul Irsani Widya Nadiroh Widyaningrum, Desy Winda Putri Indah Lestari Wirahadi, Umar Yayah Fauziyah Yayang Ayu Nuraeni Yayang Ayu Nuraeni Yola Nikmatillahi Yola Vandani Imran Yuda Syahidin Yunengsih, Yuyun Yuwanita Kartikaningrum Zahran Ramdhani, Muhammad Zulpa Lutfiyyah