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Tinjauan Sistem Pendaftaran Rawat Jalan di Puskesmas Kelurahan Klender Tahun 2023 Rizky Alfiansyah; Puteri Fannya; Daniel Happy Putra; Laela Indawati
Vitamin : Jurnal ilmu Kesehatan Umum Vol. 2 No. 4 (2024): Oktober : Jurnal ilmu Kesehatan Umum
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/vitamin.v2i4.768

Abstract

Puskesmas is a functional health organization as well as a center for community health development. The Klender urban health center currently uses an online registration system and offline registration. This study aims to determine the online and offline outpatient registration system at the Klender Village Community Health Center in 2023. This research is a qualitative research. In this study, researchers directly observed the process of outpatient registration. Retrieval of research data is done by observation and interviews with registration officers. The results of the study found that online registration uses the Jaksehat application, patients do not need to come to the health center to register, patients come to the health center to validate queue numbers to the polyclinic only. Calling patients who register online is prioritized with a system of calling queue numbers 1-5, 11-15 and so on. Offline registration is done by having patients come directly to the puskesmas and queue to register. For calling patients, register offline after patients register online with queue numbers 6-10, 16-15, etc. The problems found in registration were the separate queues for patients who registered online and offline and there was a mismatch in calling patients according to the serial number of the queue. The conclusion in this study is that online registration of outpatients uses the Jaksehat application and offline registration is carried out using the system used by the puskesmas. It is expected that the puskesmas will separate the queues of patients who have registered online with patients who have registered offline.
Tinjauan Ketepatan Kode Diagnosis pada Kasus Neoplasma di RSIJ Cempaka Putih Farhah Kamalia; Laela Indawati
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.11083581

Abstract

Keakuratan kode diagnosis secara signifikan mempengaruhi informasi yang diperoleh dari laporan morbiditas dan mortalitas, tagihan biaya layanan, dan kualitas rumah sakit secara keseluruhan. Tujuan penelitian ini adalah untuk mengidentifikasi keakuratan kode diagnosis kasus neoplasma pada pasien rawat inap di RSIJ Cempaka Putih. Metode penelitian yang digunakan adalah metode deskriptif dengan pendekatan kuantitatif. Besar sampel terdiri dari 96 rekam medis yang dipilih dari populasi sebanyak 703 rekam medis, dengan menggunakan rumus Slovin dan metode simple random sampling. Hasil penelitian: SPO untuk pengkodean diagnosis secara umum telah berjalan, namun belum ada SPO khusus mengenai pemberian kode diagnosis pada kasus neoplasma. Hasil keakuratan kode diagnosis diperoleh kode topografi 54 rekam medis (56,52%) akurat dan 42 rekam medis (43,75%) tidak akurat. Rumah sakit belum menerapkan kode morfologi neoplasma. Ketidaktepatan kode diagnosis neoplasma disebabkan oleh ketidakakuratan pengkode, kurangnya informasi terkait diagnosis, dan belum adanya SPO khusus yang mengatur tata cara pengkodean diagnosis neoplasma. Untuk meningkatkan keakuratan kode yang dihasilkan, perlu dilakukan evaluasi terhadap prosedur pengkodean diagnosis neoplasma. Dengan demikian, kualitas data dan keandalan laporan morbiditas dan mortalitas rumah sakit, penagihan layanan, dan penilaian kualitas dapat ditingkatkan.
Analisis Kebutuhan Perekam Medis dan Informasi Kesehatan dengan Metode Analisis Beban Kerja Kesehatan di Puskesmas Tambora Muhamad Fazriyansah; Lily Widjaja; Laela Indawati; Muhammad Rezal
Jurnal Manajemen Informasi dan Administrasi Kesehatan Vol. 7 No. 2 (2024): JMIAK
Publisher : Program Studi D3 Rekam Medis dan Informasi Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32585/jmiak.v7i2.5751

Abstract

Observasi awal di Puskesmas Tambora ditemukan dari 15 petugas, hanya satu yang berpendidikan rekam medis, menyebabkan beban kerja berat dan pengelolaan rekam medis tidak optimal. Penelitian ini bertujuan untuk memberikan gambaran hasil analisis kebutuhan perekam medis dan informasi kesehatan di Puskesmas Tambora dengan metode deskriptif kuantitatif yang menggunakan sampel jenuh dari total 15 petugas di unit rekam medis. Dari hasil penelitian yang dilakukan oleh peneliti didapatkan informasi bahwa Puskesmas Tambora memiliki SOP terkait perencanaan kebutuhan SDMK berdasarkan Permenkes No. 33 Tahun 2015. Hasil perhitungan kebutuhan perekam medis dan informasi kesehatan dengan metode analisis beban kerja kesehatan menunjukkan Puskesmas Tambora membutuhkan 16 petugas rekam medis, namun saat ini hanya ada 15 petugas, sehingga kekurangan 1 orang. Saran untuk penelitian ini yaitu dilakukannya penyesuaian jumlah perekam medis dan informasi kesehatan sesuai beban kerja dengan cara 4 orang pelaksana pendaftaran 24 jam lulusan SMA diberikan beasiswa untuk sekolah pendidikan DIII-RMIK di perguruan tinggi yang menyelenggarakan kelas karyawan dan merekrut 1 orang lulusan DIII-RMIK untuk memenuhi kekurangan 5 orang perekam medis dan informasi kesehatan (Manajemen pengelolaan rekam medis). Selain itu, 1 orang pelaksana pendaftaran BPJS lulusan SMA yang berlebih dapat dipindahkan ke bagian pendaftaran pasien yang kekurangan 1 orang petugas lulusan SMA.
Tinjauan Ketepatan Kode Penyakit Gastroenteritis di Rumah Sakit (Literature Review) Anisa Dewi Wahyuni; Noor Yulia; Nanda Aula Rumana; Laela Indawati
Sehat Rakyat: Jurnal Kesehatan Masyarakat Vol. 4 No. 1 (2025): Februari 2025
Publisher : Yayasan Pendidikan Penelitian Pengabdian Algero

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54259/sehatrakyat.v4i1.3774

Abstract

Factors of completeness of medical record documents, medical personnel, coding infrastructure, coders, and policies affect the coding of gastroenteritis diagnoses where inaccuracy due to this can cause a decrease in service quality, inaccurate report data, and errors in billing for services that have been provided by the hospital. This study aims to identify the accuracy of coding gastroenteritis disease and the factors that cause inaccuracy in coding gastroenteritis disease based on the 5M elements. The research method uses the literature review method with the PICO framework, P = Medical records of gastroenteritis patients, I = Gastroenteritis, O = Accuracy of coding of gastroenteritis disease. The inclusion criteria in this study are journals that discuss the accuracy and accuracy as well as the factors of inaccuracy and inaccuracy of gastroenteritis disease codes. The results of the 10 journals analyzed showed that the lowest code accuracy was 0% in 2 journals, while the highest percentage reached 91.5% in 1 journal. The most common factor in the inaccuracy of gastroenteritis codes is found in the man factor, namely the diagnosis provided by doctors is often incomplete or not written at all, and coding is often not based on other supporting information. Coders also lack mastery in analyzing medical record documents and errors in disease coding are related to coder knowledge. In addition, communication between coders and doctors was not effective. Increased training and provision of adequate resources to improve the accuracy of disease coding are needed.
Analisis Kebutuhan Tenaga Admisi IGD dengan Metode Analisis Beban Kerja Kesehatan di Rumah Sakit Khusus Daerah Duren Sawit Sadono Hadi Saputro; Muhammad Rezal; Muhammad Fuad Iqbal; Laela Indawati
Vitamin : Jurnal ilmu Kesehatan Umum Vol. 3 No. 2 (2025): April : Jurnal ilmu Kesehatan Umum
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/vitamin.v3i2.1218

Abstract

Admission services in the emergency department (IGD) are an important part of hospital operations that require effective management to support health services. Optimal medical record management requires human resource planning according to actual workload. This research was conducted to analyze the need for admission registration at the Duren Sawit Regional Special Hospital (RSKD) with a quantitative approach using descriptive methods. The research results show that RSKD Duren Sawit has Standard Operational Procedures (SPO) which refer to Minister of Health Regulation No. 33 of 2015 in planning health human resource needs (HRK). Health workload analysis indicates that the ideal requirement is seven admissions officers, while currently only five officers are available, so there is a shortage of two officers. Factors that influence the workload of admission registration include: Man, namely the limited number of officers in the medical records unit, Machine, namely the BPJS server down and power outages, Material, namely the mixed admissions work room with the cashier so the medical record files are still in one room, Method, namely the HR application process at RSKD Duren Sawit found no obstacles, Money, namely there is no budget planning for additional officers in the medical records unit.
Analisis Kebutuhan SDM Petugas Rekam Medis di Rumah Sakit Mekar Sari Bekasi Menggunakan Metode ABK-Kes Fani Nur Azizah; Puteri Fannya; Laela Indawati; Bangga Agung Satrya
SEHATMAS: Jurnal Ilmiah Kesehatan Masyarakat Vol. 4 No. 4 (2025): Oktober 2025
Publisher : Yayasan Literasi Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55123/sehatmas.v4i4.6174

Abstract

Human resource planning is essential to ensure the availability of a workforce that meets current and future service needs. In the health sector, the health workload analysis method is used to objectively evaluate human resource needs. This study was conducted at Mekar Sari Bekasi Hospital to determine the ideal number of medical record and health information officers. Currently there are 9 medical record officers, consisting of 4 people with PMIK (Medical Recorder and Health Information) education backgrounds and 5 non-PMIK people. Conditions in the field show that officers often get additional workloads when colleagues are absent, and even have to work overtime to get the job done on time. This study uses descriptive quantitative methods through direct observation and interviews. The results show that the available work time (WKT) is 1201 hours or 72,000 minutes per year. With a Supporting Task Factor (FTP) of 8% and a Supporting Task Standard (STP) of 1.09, the ideal HR requirement is 10 people. This requires the addition of 1 officer with a PMIK background, who will be placed in the assembling section. Meanwhile, 1 officer each from the coding and filing sections will be transferred to the filing section.