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Pemberdayaan Remaja Dalam Pencegahan Faktor Resiko Stunting Sejak Dini Ni Ketut Ayu Mirayanti; Putra Pradnyantara, I Gusti Agung Ngurah; Ni Luh Nova Dilisca; Wahyu Aditya, Made; Cahya Sari, Lia
Jurnal Pengabdian Masyarakat Permata Indonesia Vol 5 No 2 (2025): Volume 5, Nomor 2, Oktober 2025
Publisher : Permata Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59737/jpmpi.v5i2.356

Abstract

Stunting is a chronic nutritional problem that affects physical growth, cognitive development, and the productivity of future generations. Prevention efforts need to be carried out upstream, including among adolescents who will become future parents. This community service program aimed to empower adolescents in preventing stunting risk factors through knowledge enhancement, nutrition education, and health screening. The program was implemented at Bali Dewata Health Vocational School in June 2025, involving five lecturers and two students from STIKES Wira Medika Bali. The activities included coordination with the school and primary health center, pretest, health education sessions, health screening (blood pressure measurement and medical history), distribution of educational booklets, and a posttest to evaluate knowledge improvement. A total of 61 students participated in the program. The results showed a significant increase in knowledge about stunting prevention, with the proportion of students in the “good” category rising from 50.8% to 88.5%. Health screening also revealed a small number of students with anemia, a condition that may contribute to future stunting in their offspring. This program highlights the crucial role of adolescents as agents of change in stunting prevention through healthy lifestyles, balanced nutrition, and peer education. With the active involvement of schools, health centers, and students, the program successfully improved adolescent awareness of stunting issues and produced outputs in the form of scientific publication and educational media. Continuous monitoring is planned to ensure program sustainability.
Arah Masa Depan Rekam Medis Elektronik dalam Era Kesehatan Digital: Literature Review : Arah Masa Depan Rekam Medis Elektronik dalam Era Kesehatan Digital: Literature Review I Gusti Agung Ngurah Putra Pradnyantara; Harinto Nur Seha; Nisa Nur Kusuma
Jurnal Manajemen Informasi dan Administrasi Kesehatan Vol. 8 No. 2 (2025): JMIAK
Publisher : Program Studi D3 Rekam Medis dan Informasi Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32585/jmiak.v8i2.7306

Abstract

Electronic Medical Records (EMR) have become one of the key pillars of digital health transformation, particularly in improving documentation efficiency, quality of care, and patient data integration. However, the implementation of EMR in various countries, including Indonesia, still faces several challenges such as limited infrastructure, user resistance, data standardization issues, and information security concerns. This study is a scoping review aimed at mapping the challenges and strategies of EMR implementation based on relevant literature from the past ten years. Articles were searched through PubMed, Scopus, and Google Scholar using the keywords “electronic medical record,” “implementation challenges,” and “strategies.” The review findings indicate that the main barriers to EMR implementation include technical factors (interoperability, infrastructure costs), human factors (digital literacy of healthcare professionals, resistance to change), and organizational factors (management support, policies, and regulations). Strategies frequently recommended in the literature include continuous training, early stakeholder engagement in the planning phase, clear national policies, and strengthening data security and privacy. This study provides a comprehensive overview of the dynamics of EMR implementation and can serve as a basis for decision-making by healthcare managers and policymakers in supporting digital health transformation. Keywords: electronic medical record, implementation, challenges, strategies, scoping
Strategi Kebijakan Internal dalam Peningkatan Mutu Pelayanan Kesehatan di Rumah Sakit: Systematic Literatur Review Nurul Dwi Andriani; Rezyana Budi Syahputri; Nisa Nur Kusuma; I Gusti Agung Ngurah Putra Pradnyantara
Pro Health Jurnal Ilmiah Kesehatan Vol. 8 No. 1 (2026): Vol. 8 No. 1 (2026): Pro Health Jurnal Ilmiah Kesehatan, January 2026
Publisher : Universitas Ngudi Waluyo

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Abstract

ABSTRAK Pelaksanaan pelayanan yang bermutu menjadi indikator keberhasilan rumah sakit dalam menjamin bahwa pelayanan kesehatan berjalan dengan adil, efektif, efisien serta berorientasi kepada kepuasan pasien. Pentingya penyelenggaraan pelayanan kesehatan yang berbasis mutu menjadi tuntutan bagi pelayanan kesehatan. Untuk mencapai mutu pelayanan kesehatan yang baik, pentingnya untuk menyusun strategi kebijakan internal rumah sakit guna mencapai sasaran mutu pelayanan pasien. Penelitian ini disusun dan difokuskan dalam Upaya mendapatkan strategi kebijakan internal yang memiliki pengaruh penting dalam pelaksanaan mutu pelayanan kesehatan. Metode penelitian ini menggunakan pendekatan Systematic Literature Review (SLR). Tahapan dalam penelitian ini yaitu merumuskan masalah penelitian, menelusuri literatur, menilai kualitas penelitian, menggabungkan hasil dan meletakkan temuan dalam konteks. Penelitian ini menggunakan kerangka PICO (Population, Intervention, Comparison, Outcome). Artikel yang dipilih dalam rentang waktu tahun 2021 hingga tahun 2025. Proses pencarian data dilakukan melalui beberapa basis data terindeks, yaitu Google Scholar, PubMed dan Science Direct. Seluruh proses ini kemudian sajikan menggunakan alur Diagram PRISMA Flow. Hasil penelitian didapatkan 16 Artikel yang dilakukan analisis. Hasil analisis menunjukkan bahwa pelaksanaan patient safety yang sesuai standart, pelaksanaan akreditasi pada pelayanan Kesehatan dan penerapan Rekam Medis Elektronik berpengaruh terhadap mutu pelayanan kesehatan di RS. Kesimpulan dari penelitian ini adalah strategi Kebijakan Internal yang dapat diimplementasikan dalam Upaya peningkatan mutu pelayanan kesehatan dibagi menjadi tiga aspek ( patient safety, akreditasi dan Rekam Medik Elektronik). Ketiga aspek hasil penelitian ini relevan sebagai dasar perumusan kebijakan internal rumah sakit dalam peningkatan mutu pelayanan melalui penguatan patient safety, pemenuhan standar akreditasi, dan optimalisasi penerapan rekam medis elektronik. Kata kunci: Mutu, Pelayanan Kesehatan, Rumah Sakit ABSTRACT The implementation of quality services is an indicator of a hospital's success in ensuring that healthcare services are delivered fairly, effectively, efficiently, and with a focus on patient satisfaction. The importance of providing quality-based healthcare services has become a demand for health services. To achieve good quality in healthcare services, it is crucial to develop internal policy strategies within the hospital aimed at meeting the quality objectives for patient care. This research is organized and focused on efforts to obtain internal policy strategies that significantly influence the implementation of quality healthcare services. The research method employs a Systematic Literature Review (SLR) approach. The stages of this research include formulating, searching the literature, assessing the quality of research, combining results, and placing findings in context. This study uses PICO framework (Population, Intervention, Comparison, Outcome). The selected articles span the years 2021 to 2025. The data search process is conducted through several indexed databases, namely Google Scholar, PubMed, and Science Direct. The entire process is then presented using a PRISMA Flow Diagram. The research identified 16 articles for analysis. The results of the analysis indicate that the implementation of patient safety that meets standards, the implementation of accreditation in health services, and the application of Electronic Medical Records influence the quality of healthcare services in hospitals. The conclusion of this research is that internal policy strategies that can be implemented to improve the quality of healthcare services are divided into three aspects ( patient safety, accreditation, and Electronic Medical Records).  The findings provide empirical support for hospital management in formulating internal policies aimed at enhancing service quality through strengthening patient safety practices, meeting accreditation standards, and optimizing the use of electronic medical records.   Keywords: Quality, Healthcare, Hospital
EVALUATION OF DIGITAL HEALTH INFORMATION SYSTEMS IN THE MANAGEMENT OF MEDICAL RECORDS WITH HOT-FIT METHOD IN GENERAL HOSPITALS DHARMA YADNYA Gusti Ayu Dhea yutrisna; I Gusti Agung Ngurah Putra Pradnyantara; Made Wahyu Aditya
JURNAL KESEHATAN, SAINS, DAN TEKNOLOGI (JAKASAKTI) Vol. 5 No. 1 (2026): JURNAL KESEHATAN, SAINS, DAN TEKNOLOGI (JAKASAKTI)
Publisher : LPPM Universitas Dhyana Pura

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Abstract

The implementation of a digital health information system in improving the quality of hospital services, especially in the management of electronic medical records (ERM). Although it has been implemented, various obstacles are still found such as system disruptions, delays in data input, and limited user capabilities. Therefore, this study is aimed evaluate the digital health information system in medical record management using the HOT-Fit method at Dharma Yadnya General Hospital. The study method used is a qualitative descriptive study with a case study approach. Data collection was carried out through in-depth interviews. The number of Participants is 25 informants the EMR system. Out of those participants, 7 key informants were selected using a purposive sampling technique based on certain criteria, namely officers who were directly involved and had experience in using the system. The selection of informants was carried out until data saturation was achieved (data saturation), observation, and documentation of several informants involved in using the system. Data analysis was carried out by referring to the HOT-Fit model components, namely human, organizational, technological, and net benefit aspects. The results of the study showed that from the human aspect, users felt the system helped their work. From an organizational perspective, management and policy support are in place, but monitoring and evaluation are not yet optimal. From a technological perspective, the system is considered quite good, but technical challenges such as errors and downtime persist. The conclusion of this study is that the implementation of the digital health information system at Dharma Yadnya General Hospital has been quite successful, but not optimal in several HOT-Fit aspects. Improved human resource training, strengthened organizational support, and improved technological infrastructure are needed to optimize the system's benefits.
Reaktivasi Klaim BPJS sebagai Cerminan Kualitas Rekam Medis Elektronik: Studi di Rumah Sakit Tahun 2025 I Gusti Agung Ngurah Putra Pradnyantara; Harinto Nur Seha; Nurul Dwi Andriani
Jurnal Manajemen Informasi dan Administrasi Kesehatan (JMIAK) Vol. 9 No. 1 (2026): JMIAK
Publisher : Program Studi D3 Rekam Medis dan Informasi Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32585/jmiak.v9i1.8104

Abstract

BPJS claim reactivation is a process of resubmitting rejected claims due to discrepancies in medical record data and administrative requirements. In claim-based healthcare financing systems, the quality of Electronic Medical Records (EMR) plays a crucial role in determining the success of claim verification and reimbursement. A high reactivation rate may indicate underlying issues in the quality of clinical and administrative data recorded in EMR systems. This study aims to analyze BPJS claim reactivation as a reflection of EMR quality in a hospital in 2025. This study employed a quantitative approach with a descriptive-analytic design. The sample was determined using total sampling, consisting of 3,843 reactivation cases out of 11,299 submitted claims. Data were obtained from BPJS claim reports and the EMR system and analyzed descriptively. The results showed that the reactivation rate reached 34% of total claims. The distribution of reactivation was fluctuating, with the highest number in February due to backlog accumulation and in October indicating actual issues in claim management. The high reactivation rate suggests that EMR quality is not yet optimal, particularly in terms of completeness, accuracy, and timeliness of data entry. In conclusion, BPJS claim reactivation can be used as an indirect indicator to assess EMR quality. Therefore, efforts are needed to improve EMR quality through better documentation standards, enhanced staff competency, and optimization of health information systems. Keywords: claim reactivation, BPJS, electronic medical records, data quality, healthcare quality
Knowledge of Cervical Cancer Screening in Adult Women: Meta-Analysis I Gusti Agung Ngurah Putra Pradnyantara; Indah Adhitama Chrisnanda
Journal of Epidemiology and Public Health Vol. 7 No. 1 (2022)
Publisher : Masters Program in Public Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (31.155 KB) | DOI: 10.26911/jepublichealth.2022.07.01.03

Abstract

Background: Cervical cancer is the fourth common cancer worldwide and the second most common cancer cases in women. Cervical cancer screening allows detection of abnormal cervical cells. Having knowledge about cervical cancer and its screening can increase the absorption of services for cervical cancer screening. This study was aimed to determine the comparison of participation in cervical cancer screening in adult women with high education with adult women with low education. Subjects and Method: This study was a systematic review and meta-analysis with the following PICO, population: adult women. Intervention: high knowledge. Comparison: low knowledge. Results: cervical cancer screening. The articles used in this study were obtained from two databases, namely Google Scholar and Pubmed. Keywords to search for "Knowledge," "screening" "cervical cancer" "adult women". The articles included are full-text articles with a cross-sectional study design from 2016 to 2022 and report multivariate analysis with Adjusted Odds Ratio (aOR). Articles were analyzed using the Review Manager 5.3 application. Results: Systematic study and meta-analysis of this study A total of 16 articles from 2 African continents (Ethiopia, Nigeria, Southern Ethiopia, South west Ethiopia, Ivory Coast, South Africa, Northwest Ethiopia, Cameroon, eastern Ethiopia, Ghana), and Asia (Thailand and Malaysia). Showed that women with high knowledge had an attitude to cervical cancer screening 3.63 times compared to women with low knowledge and the results were statistically significant (aOR = 3.63; 95% CI = 2.11 to 6.24; p<0.001). Conclusion: A high level of knowledge increases attitudes to cervical cancer screening in adult women. Keywords: screening, cervical cancer, knowledge. Correspondence: I Gusti Agung Ngurah Putra Pradnyantara, Poltekkes Permata Indonesia. Jl. Ringroad Utara No 22 C, Gandok, Condong Catur, Depok, Sleman, Yogyakarta, Indonesia. Email: gustipradnyantara1997@gmail.com. Mobile: +6282146804776.
PENGUATAN LITERASI KESEHATAN REMAJA TENTANG BAHAYA KONSUMSI ALKOHOL MELALUI PENDEKATAN INTERAKTIF, TEKNIK PENGELOLAAN DAN PEMERIKSAAN ALKOHOL URINE, SERTA EDUKASI REKAM MEDIS BERBASIS APLIKASI Ni Luh Nova Dilisca Dwi Putri; Ni Ketut Ayu Mirayanti; Made Wahyu Aditya; Agung Ngurah Putra Pradnyantara; Lia Cahya Sari
JURNAL PENGABDIAN MANDIRI Vol. 5 No. 1 (2026): Januari 2026
Publisher : Bajang Institute

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Konsumsi minuman beralkohol di kalangan remaja merupakan permasalahan kesehatan masyarakat berpotensi menimbulkan dampak kesehatan dan sosial. Rendahnya pengetahuan mengenai bahaya konsumsi alkohol serta minimnya pemahaman tentang deteksi alkohol dan pencatatan hasil pemeriksaan kesehatan menjadi faktor pemdorong perlunya upaya edukatif yang terstruktur. Kegiatan pengabdian kepada masyarakat ini bertujuan meningkatkan pengetahuan dan kewaspadaan remaja terhadap bahaya konsumsi alkohol, memperkenalkan tata cara pengelolaan spesimen urine untuk pemeriksaan kandungan alkohol, serta meningkatkan pemahaman tentang pencatatan rekam medis elektronik di lingkungan sekolah. Kegiatan dilaksanakan pada siswa kelas X melalui penyampaian materi, diskusi, simulasi, serta evaluasi. Hasil kegiatan menunjukkan seluruh peserta menyatakan pentingnya penyuluhan bahaya alkohol. Evaluasi post-test menunjukkan peningkatan tingkat pengetahuan siswa tentang bahaya konsumsi alkohol dengan kategori baik sebesar 91%. Pemahaman siswa mengenai pengelolaan spesimen urine dan pemeriksaan alkohol secara kualitatif berada pada kategori baik sebesar 87%. Peningkatan pengetahuan juga terjadi pada aspek pencatatan rekam medis elektronik dengan kategori baik sebesar 90%. Kegiatan ini terbukti efektif dalam meningkatkan pengetahuan, wawasan, dan pemahaman remaja mengenai bahaya alkohol, deteksi alkohol melalui urine, serta pentingnya pencatatan kesehatan yang baik. Pengabdian masyarakat ini diharapkan dapat menjadi langkah preventif dalam upaya peningkatan kualitas kesehatan masyarakat melalui pemberdayaan remaja sebagai agen perubahan di lingkungan sekolah dan Masyarakat.
Qualitative Analysis Of Medical Record And Health Information Officers’ Experiences In Using Electronic Medical Records (EMR) Applications Based On The Delone And Mclean Model At Rsud Wangaya Denpasar City Gede Angga Arviana Putra; I Made Sudarma Adiputra; I Gusti Agung Ngurah Putra Pradnyantara
International Journal of Health Engineering and Technology Vol. 5 No. 1 (2026): IJHET MAY 2026
Publisher : CV. AFDIFAL MAJU BERKAH

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55227/ijhet.v5i1.814

Abstract

The development of information technology in the healthcare sector has encouraged healthcare facilities to implement Electronic Medical Records (EMR) systems to improve service efficiency and patient data management. Wangaya Regional General Hospital in Denpasar has implemented EMR in accordance with the Indonesian Ministry of Health Regulation Number 24 of 2022. However, several challenges are still experienced by system users. This study aims to analyze the experiences of Medical Record and Health Information Officers (PMIK) in using the EMR application based on the DeLone and McLean Information System Success Model, which includes system quality, information quality, and service quality. This research employed a qualitative method with a phenomenological approach. Data were collected through in-depth interviews with seven PMIK officers at Wangaya Regional General Hospital. The results indicate that the system quality of EMR is considered relatively easy to use and helpful in supporting daily work activities. However, several obstacles were identified, such as occasional system errors, suboptimal diagnosis code searching, and slower system access when the network is unstable. The information quality is considered sufficiently complete and supportive of healthcare services, although there are occasional cases of duplicate medical record numbers or BPJS numbers and delays in data access under certain conditions. Meanwhile, service quality is perceived as fairly good as the system improves service efficiency and facilitates coordination between units, although training programs have not been evenly distributed and the response to technical issues still needs improvement. Overall, the implementation of EMR at Wangaya Hospital has provided benefits in supporting healthcare services; however, further system development and service support are required to optimize its utilization.
Clinical Medical Record Audit Description For Quality Control And Cost Control In Healthcare Services At Dharma Yadnya General Hospital Denpasar: A Qualitative Study Nichia Trinity Luisa Walangitan; Anak Agung Gde Oka Widana; I Gusti Agung Ngurah Putra Pradnyantara
International Journal of Health Engineering and Technology Vol. 5 No. 1 (2026): IJHET MAY 2026
Publisher : CV. AFDIFAL MAJU BERKAH

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55227/ijhet.v5i1.815

Abstract

Clinical audit of medical records is an important effort to improve the quality of healthcare services and control costs in hospitals. However, inconsistent implementation and incomplete medical record documentation can affect its effectiveness. This study aimed to examine the implementation of clinical audits of medical records in supporting quality control and cost control at RSU Dharma Yadnya Denpasar. This study used a descriptive qualitative method, with data collection techniques including interviews and observations, and the data were analyzed using the Colaizzi 7-step method. The results showed that the implementation of clinical audits of medical records has followed a process in accordance with the Standard Operating Procedures (SOP), including sample selection, assessment, analysis, and the provision of recommendations. However, in practice, several discrepancies were found, such as audit implementation that was not consistently carried out according to schedule and incomplete medical record documentation. These conditions have resulted in the audit function not being optimal in supporting quality control and have caused obstacles in the claim process, thereby affecting cost control. Therefore, clinical audits of medical records play an important role in supporting quality and cost control; however, their implementation needs to be improved through consistent scheduling and increased compliance of healthcare personnel in completing medical records.
Edukasi Kerahasiaan Rekam Medis Sebagai Upaya Peningkatan Mutu Pelayanan Kesehatan Dan Pencegahan Stunting Pada Siswa SMK Kesehatan I Gusti Agung Ngurah Putra Pradnyantara; Ni Ketut Ayu Mirayanti; Ni Luh Nova Dilisca Dwi Putri; Made Wahyu Aditya; Lia Cahya Sari
Jurnal Pengabdian Masyarakat Permata Indonesia Vol 6 No 1 (2026): Volume 6, Nomor 1 , April 2026
Publisher : Permata Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59737/jpmpi.v6i1.384

Abstract

Kerahasiaan rekam medis merupakan aspek fundamental dalam pelayanan kesehatan yang menjamin perlindungan informasi pasien serta meningkatkan kepercayaan terhadap fasilitas layanan kesehatan. Di era transformasi digital kesehatan, pemahaman tenaga kesehatan dan masyarakat mengenai pentingnya keamanan data masih perlu diperkuat, terutama dalam mendukung program pencegahan stunting yang memerlukan data kesehatan ibu dan anak yang akurat dan terlindungi. Kegiatan pengabdian kepada masyarakat ini bertujuan untuk meningkatkan pengetahuan dan kesadaran peserta mengenai pentingnya kerahasiaan isi rekam medis. Metode pelaksanaan dilakukan melalui tahap persiapan, sosialisasi dengan pendekatan ceramah interaktif dan diskusi, serta evaluasi menggunakan pre-test dan post-test. Hasil kegiatan menunjukkan adanya peningkatan pemahaman peserta yang ditunjukkan melalui kenaikan skor post-test dibandingkan pre-test serta partisipasi aktif selama kegiatan berlangsung. Luaran kegiatan berupa materi edukasi, dokumentasi kegiatan, dan rencana publikasi ilmiah. Kegiatan ini berkontribusi dalam mendukung pelayanan kesehatan yang aman, etis, dan berbasis data guna menunjang upaya pencegahan stunting.