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Analisis Penyebab Pending Berkas RJ RSUD Ibu Fatmawati Soekarno Kota Surakarta Lestari, Sri; Wahyu Wijaya Widiyanto; Aries Widiyoko
Journal Health Information Management Indonesian (JHIMI) Vol. 3 No. 1 (2024): April (Journal Health Information Management Indonesian)
Publisher : Sekretariat Program Studi Sarjana Terapan Manajemen Informasi Kesehatan Politeknik Indonusa Surakarta.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46808/jhimi.v3i1.160

Abstract

 Abstrak — Latar belakang: RSUD Ibu Fatmawati Soekarno Kota Surakarta adalah rumah sakit bertipe C yangsudah bekerjasama dengan BPJS Kesehatan. Ada beberapa berkas yang menyebakan pending dalam proses klaim.Penelitian ini menggunkan sampel sebanyak 94 berkas pasien rawat jalan. Terdapat 7 masalah yang ada di RSUDyang menyebabkan berkas penjadi pending yaitu 15 berkas terkait kunjungan berulang, 24 berkas masih dalamsatu rangkaian rawat inap, 14 berkas karena konfirmasi kode prosedur, 20 berkas karna salah entri cara pulang, 7berkas karena hasil pemeriksaan penunjang, 12 berkas indikasi rujukan antar poli, dan 2 berkas kehamilan tanpapenyulit. Tujuan : Mengetahui penyebab pending klaim dan upaya UP2Jkdalam mengatasi penyebabpendingberkas klaim. Metode yang digunakan dalam penlitian ini adalah kualitatif dengan pendekatan deskriptif.Pengumpulan data dengan cara wawancara dan observasi. Analisis dilakukun dengan cara reduksi data,penyajiandata dan penarikan kesimpulan. Hasil : Dari penelitian yang telah dilakukan yang menyebabkan pending dapatdilihat dari 2 aspek verifikasi klaim yaitu aspek verifikasi administrasi kepesertaan dan aspek verifikasi pelayanan.Aspek verifikasi administrasi kepesertaan bahwa sudah sesuai dengan petunjuk tehnik verifikasi klaim BPJSKesehatan tahun 2014 bahwa data sudah 100% sesuai anatara SEP dengan INA VBG’s sedangkan dari aspekverifikasi administrasi pelayanan masih ada 7 masalah yng menyebabkan berkas klaim mengalami pending.
SIMRS Analysis In The Patient Registration Section Using The PIECES Method At Panti Waluyo Hospital Hasna Khoirunnisa Putri; Wahyu Wijaya Widiyanto; Ahmad Sunandar
Journal Health Information Management Indonesian (JHIMI) Vol. 3 No. 2 (2024): Agustus (Journal Health Information Management Indonesian)
Publisher : Sekretariat Program Studi Sarjana Terapan Manajemen Informasi Kesehatan Politeknik Indonusa Surakarta.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46808/jhimi.v3i2.177

Abstract

The rapid development of today's technology has a big influence on people's lives and in the health sector. The application of this technology plays an important role in today's health sector. Almost all health institutions utilize information systems in their services. A hospital is a health service that requires fast, accurate and reliable service when serving patients. SIMRS is an information system that is applied digitally in the process of providing health services to patients, to obtain accurate data. To make the analysis easier, one of the methods used for analysis is the PIECES framework, where this framework outlines 6 analysis factors consisting of performance, information, economy, control, efficiency and service. Based on the results of SIMRS analysis research in the Outpatient Registration section using the PIECES Method at Panti Waluyo Hospital, it can be concluded that: 1. SIMRS in terms of Information, Economy, Control (Security), Efficiency, The service supports the service and is in accordance with the patient's needs. 2. In terms of performance, it is very supportive of service, but obstacles are still found when SIMRS experiences a server down error, service takes 20 minutes when it should only take less than 5 minutes.
Detection of Attacks in Computer Networks Using C4.5 Decision Tree Algorithm: An Approach to Network Security Wahyu Wijaya Widiyanto; Rizka Licia
International Journal of Information Engineering and Science Vol. 1 No. 4 (2024): November : International Journal of Information Engineering and Science
Publisher : Asosiasi Riset Teknik Elektro dan Infomatika Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/ijies.v1i4.48

Abstract

The detection of computer network attacks is becoming increasingly important as the complexity of cyber-attacks threatening information systems and infrastructure continues to rise. To address these threats, artificial intelligence techniques have become a primary focus in the development of more effective attack detection systems. One algorithm that has proven reliable in this context is the C4.5 decision tree. This study aims to apply the C4.5 algorithm in network attack detection using a dataset that includes various types of attacks and network activities. The process includes data preprocessing, decision tree model building, and model performance evaluation. The results show that the C4.5 decision tree algorithm is effective in classifying network activities into attacks and normal activities with a satisfactory level of accuracy. The model successfully recognizes attack-related patterns, and further analysis identifies key factors influencing attack detection. This research provides a significant contribution to the development of reliable and efficient attack detection systems in computer networks. By applying the C4.5 decision tree algorithm, it is expected to help enhance information security and protect network infrastructure from increasingly complex cyber threats
KEAKURATAN KODE DIAGNOSIS FRAKTUR DAN EXTERNAL CAUSES DI RSUD MARDI WALUYO KOTA BLITAR Nurhadi Nurhadi; Krisnita Dwi Jayanti; Andra Dwitama Hidayat; Sevi Oktrianadewi; Eva Firdayanti Bisono; Endah Retnani Wismaningsih; Elok Rizma Hapsari; Wahyu Wijaya Widiyanto
Jurnal Rekam Medis dan Informasi Kesehatan Indonesia Vol. 1 No. 2 (2022): Jurnal Rekam Medis dan Informasi Kesehatan Indonesia
Publisher : program studi Rekam Medis dan Infomasi Kesehatan ITSK RS dr Soepraoen Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/jurmiki.v1i2.48

Abstract

Diagnostic codification must fulfill 10 characteristics of quality data, namely one of which is accurate, namely the truth and validity of data values. External Causes are external causes of fracture cases which classify based on the place and activity of the incident. It is very important that external causes codes are documented in medical record files for financing analysis, health services and reporting. The purpose of this study was to determine the accuracy of the fracture diagnosis code and external causes at Mardi Waluyo Hospital, Blitar City in 2021. The research method used a retrospective descriptive. The sampling technique is simple random sampling, with 52 samples. The implementation of coding at Mardi Waluyo Hospital, Blitar City, was carried out by coder officers and was in accordance with the policies and standard operating procedures at the hospital. The level of accuracy of the fracture diagnosis code with a percentage of 85% is included in the category that needs improvement and external causes with a percentage of 6% is included in the unsatisfactory category. The inaccuracy of the external causes code is caused by the use of the 5th character or the activity code that has not yet been coded. The inaccuracy of the officers in coding caused the resulting code to be inaccurate, so it was suggested that filling out medical record documents must be filled in completely and clearly to support proper and accurate coding of fractures and external causes so as to produce a better percentage of accuracy.
An Assessment of Electronic Medical Record Adoption in the Emergency Unit Using HOT-FIT Model: Evidence from RSUD A.M Parikesit Lidia Putri Fitriana; Wahyu Wijaya Widiyanto
International Journal of Health and Medicine Vol. 2 No. 3 (2025): July: International Journal of Health and Medicine
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/ijhm.v2i3.454

Abstract

The implementation of Electronic Medical Records (EMRs) in hospital emergency units is essential to improve the speed, accuracy, and quality of services. However, various challenges hinder optimal system utilization. This study aimed to assess the adoption of EMR at the Emergency Unit of RSUD A.M Parikesit Tenggarong using the Human-Organization-Technology Fit (HOT-FIT) framework. A qualitative descriptive approach was employed involving seven purposively selected informants, including health professionals, administrative staff, and IT personnel. Data were collected through interviews, observations, and document reviews, then analyzed using the Miles and Huberman interactive model. The findings indicate that from the human aspect, the system was considered easy to use (85%), though user satisfaction remained moderate (67.14%) due to system errors and incomplete CPPT data entries. Organizationally, the hospital provided adequate infrastructure and support, though some policies require stronger enforcement. Technological aspects revealed limitations in system stability, lack of pharmacy integration, and low service quality due to frequent downtime. The study concludes that EMR implementation in the Emergency Unit has not yet achieved full effectiveness across all HOT-FIT domains. Improvements are needed in system reliability, information consistency, and inter-unit integration to optimize EMR benefits and enhance patient care delivery in critical settings.
Evaluation of Outpatient Electronic Medical Record User Satisfaction Using the EUCS Model at Sultan Fatah Regional Hospital Indonesia Ainurrizah Ainurrizah; Wahyu Wijaya Widiyanto
International Journal of Health and Medicine Vol. 2 No. 3 (2025): July: International Journal of Health and Medicine
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/ijhm.v2i3.455

Abstract

The implementation of Electronic Medical Records (EMR) in outpatient services aims to improve the efficiency, accuracy, and accessibility of clinical information. However, the effectiveness of such systems is highly dependent on user satisfaction. This study evaluated the satisfaction of health personnel using outpatient EMR at Sultan Fatah Regional Hospital, Indonesia, by employing the End User Computing Satisfaction (EUCS) model. The research addressed issues related to incomplete data, low system responsiveness, and interface usability that may affect the quality of service delivery. A qualitative descriptive method was used, involving in-depth interviews, direct observations, and document analysis from 21 informants selected purposively across multiple service units. The EUCS dimensions—content, accuracy, format, ease of use, and timeliness—were used to assess user experience. The findings indicate that users encountered problems such as incomplete patient data and duplicate records (accuracy), non-intuitive interfaces (format and ease of use), and delays in accessing medical information (timeliness). Observations and documentation review further revealed a reliance on manual backups and inconsistencies between digital and physical records. Overall, the study highlights the need for better data integration, enhanced user training, interface redesign, and system infrastructure upgrades to ensure real-time and comprehensive EMR usage. The study concludes that addressing technical and human factors through the EUCS model can enhance user satisfaction and system utilization in outpatient healthcare settings.
Evaluating Outpatient EMR Adoption Using the Technology Acceptance Model: A Case Study at RSAU dr. Siswanto, Indonesia Dimas Luthfi Pambudi; Wahyu Wijaya Widiyanto
International Journal of Health and Medicine Vol. 2 No. 3 (2025): July: International Journal of Health and Medicine
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/ijhm.v2i3.456

Abstract

Electronic Medical Records (EMRs) have become a fundamental component of healthcare digitization, offering improved accuracy, accessibility, and efficiency in patient data management. However, the adoption of EMR systems often encounters varied acceptance levels among healthcare workers, particularly in outpatient services where workflow integration is crucial. This study evaluates the implementation of an outpatient EMR system at RSAU dr. Siswanto, Indonesia, using the Technology Acceptance Model (TAM) framework. The research aims to explore users’ perceived usefulness, ease of use, attitude toward usage, behavioral intention, and actual system usage in daily operations. Employing a qualitative descriptive approach, data were collected through in-depth interviews, observations, and document analysis involving doctors, nurses, and medical record staff. The findings reveal that although the EMR system is generally perceived as beneficial for improving documentation and efficiency, several challenges persist, including incomplete feature utilization, limited training, and inconsistent user adaptation across roles. Additionally, network instability and technical downtime were noted as barriers to system reliability. Overall, the study underscores that perceived ease of use and continuous institutional support significantly influence EMR acceptance. These insights highlight the need for targeted capacity building and iterative system development to ensure effective EMR integration in outpatient settings.
Evaluating the Performance of Hospital Information Systems Using the HOT-Fit Model: A Case Study of Outpatient Registration at Nur Hidayah Hospital, Bantul Roki Mahendra; Wahyu Wijaya Widiyanto
International Journal of Health and Medicine Vol. 2 No. 3 (2025): July: International Journal of Health and Medicine
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/ijhm.v2i3.472

Abstract

The implementation of Hospital Management Information Systems (SIMRS) has become a strategic necessity to improve healthcare service quality and operational efficiency. This study focuses on evaluating the performance of SIMRS in the outpatient registration unit of Nur Hidayah Hospital Bantul, where system disruptions, inconsistent SOP application, and limited user training were identified as core issues. The research aims to assess how well the SIMRS aligns with the Human, Organization, and Technology components through the HOT-Fit model framework. A descriptive qualitative method was employed using purposive sampling to select five informants directly involved in SIMRS operations, including registration officers, IT staff, and the head of the medical records unit. Data were collected through in-depth interviews, direct observation, and documentation, and analyzed thematically based on the HOT-Fit model. The findings show that SIMRS contributes positively to workflow efficiency and data management; however, human factors such as inconsistent training and input errors remain prevalent. Organizational support is visible but lacks structured evaluation routines, and although the technological infrastructure is generally stable, peripheral device and network issues persist. The study synthesizes that effective SIMRS performance requires not only technological readiness but also consistent organizational commitment and continuous human resource development. It concludes that strengthening user competence, formalizing SOP usage, and improving infrastructure are essential to optimize the system's functionality and alignment with the HOT-Fit model.
A Quantitative Analysis of SIMKES User Satisfaction in Outpatient Units Using the EUCS Approach Adnan Syarif Mustaqim; Wahyu Wijaya Widiyanto
International Journal of Public Health Vol. 2 No. 2 (2025): June : International Journal of Public Health
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/ijph.v2i2.457

Abstract

The implementation of health information systems such as SIMKES (Sistem Informasi Manajemen Kesehatan) plays a crucial role in enhancing administrative efficiency and service delivery in primary healthcare centers. However, user satisfaction remains a key indicator of system effectiveness, especially in outpatient service units. This study aims to evaluate the satisfaction level of health personnel toward the implementation of SIMKES at the outpatient unit of Teguhan Health Center, Ngawi, Indonesia. Employing a descriptive quantitative method, this research involved a census of 17 respondents using a validated questionnaire based on the End-User Computing Satisfaction (EUCS) model, which comprises five dimensions: content, accuracy, format, ease of use, and timeliness. The data were analyzed using frequency distribution and mean scoring to categorize satisfaction levels. Results showed that the overall satisfaction score was 73.58, indicating that users were generally satisfied with the system. All five EUCS dimensions were categorized as satisfactory, with the highest rating in the format dimension and the lowest in timeliness. Despite the overall positive assessment, users reported issues related to system speed, technical bugs, and limited guidance for system navigation. The findings suggest that while SIMKES supports outpatient service delivery effectively, improvements are needed in system responsiveness and user support to enhance satisfaction and usability. This study contributes to the ongoing evaluation and development of health information systems in resource-limited primary care settings.
HOT-FIT-Based Evaluation of the Outpatient Registration System at RSUD Komodo Fransiska Defriani Nahu Pandur; Wahyu Wijaya Widiyanto
International Journal of Health and Social Behavior Vol. 2 No. 2 (2025): May: International Journal of Health and Social Behavior
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/ijhsb.v2i2.387

Abstract

process standardization, and system optimization. The study concludes that the HOT-FIT model is This study evaluates the performance of the outpatient registration information system at RSUD Komodo using the Human-Organization-Technology Fit (HOT-FIT) framework. Hospital Information Systems, particularly in the outpatient registration process, are crucial for supporting service efficiency and data accuracy. However, RSUD Komodo has experienced several challenges in the implementation of its SIMRS module, including system slowdowns, sudden monitor failures, and unstable internet connectivity during service hours. These issues hinder operational effectiveness and risk compromising service quality. The objective of this research is to assess system performance comprehensively across human, organizational, and technological dimensions. A qualitative descriptive design was employed, involving in-depth interviews with five key informants: registration staff, IT personnel, coder, head of the medical records unit, and head of the casemix team. The findings show that in the human dimension, users lacked sufficient training and adaptation strategies. In the organizational aspect, weak coordination and the absence of standardized procedures were identified. In the technology dimension, hardware malfunctions and slow system performance significantly disrupted services. These interconnected issues reveal the need for capacity buildingan effective tool for evaluating hospital information systems, offering a structured approach to identifying and resolving performance gaps in outpatient service modules.