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All Journal Jurnal Wiyata : Penelitian Sains dan Kesehatan ARKESMAS [Arsip Kesehatan Masyarakat] Jurnal Rekam Medis dan Informasi Kesehatan Infokes : Jurnal Ilmiah Rekam Medis dan Informasi Kesehatan Jurnal Promotif Preventif J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan JOURNAL OF COMMUNITY ENGAGEMENT AND EMPOWERMENT PELS (Procedia of Engineering and Life Science) Journal of Information Systems for Public Health Journal Health Information Management Indonesian Antigen: Jurnal Kesehatan Masyarakat dan Ilmu Gizi JENGGALA: Jurnal Riset Pengembangan dan Pelayanan Kesehatan Jurnal Pengabdian Masyarakat SAPANGAMBEI MANOKTOK HITEI Jurnal Rekam Medis dan Informasi Kesehatan Indonesia
Hidayat, Andra Dwitama
Institut Ilmu Kesehatan Bhakti Wiyata
Agriculture, Biological Sciences & Forestry Humanities Computer Science & IT Control & Systems Engineering Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Education Electrical & Electronics Engineering Engineering Environmental Science Health Professions Library & Information Science Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary Other

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Analysis of the Accuracy of Diagnosis and Action Codification with Reconfirmation of BPJS Inpatient Patient Claims for the January-April Period of 2024 at SLG Kediri Hospital: Analisis Keakuratan Kodifikasi Diagnosis dan Tindakan dengan Konfirmasi Ulang Klaim Pasien BPJS Rawat Inap Periode Bulan Januari-April Tahun 2024 di RSUD SLG Kediri Puspitasari, Syndia; Hidayat, Andra Dwitama; Pangestuti, Ayu
Procedia of Engineering and Life Science Vol. 7 (2025): Prosiding Seminar Nasional dan Rakernas PORMIKI X
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/pels.v7i0.2095

Abstract

The accuracy of the coding of diagnoses and procedures is determined based on the completeness of the medical record documents. A dispute case or dispute claim is a claim submitted by a hospital that is declared Dispute by BPJS Health if there is a discrepancy or disagreement between BPJS and the hospital regarding claims involving services or clinical actions that impact payment of patient claims. Accurate disease and procedure coding is very important to support the smooth submission of health service claims health service cost claims. The purpose of this study was to analyze the accuracy of coding diagnoses and actions with reconfirmation of claims for inpatient BPJS patients for the period January-April 2024. The research method used is a case study approach. Techniques data collection techniques in the form of observation, literature study and interviews. The population in this study is the number of BPJS patient claim files returned in January-April 2024. The sample used in this study is the number of BPJS inpatient claim files that are returned with coding inaccuracies in January-April 2024. The research results show that from January to April 2024, reconfirmation of inpatient BPJS patients tends to fluctuate. The highest reconfirmation was in April with a total of 89 documents. Meanwhile, reconfirmation with the highest codification inaccuracy was in January with a total of 26 documents. This reconfirmation is sent in Excel form which must be confirmed by the hospital. From the results of the research conducted, the cause of re-confirmation of inpatient BPJS patients related to coding inaccuracies is still high. Accurate coding can minimize hospital losses and the risk of fraud in health service facilities.
Challenges, Benefits and Considerations of Transitioning Disease Classification and Codification to ICD-11: Tantangan, Manfaat dan Pertimbangan Transisi Klasifikasi dan Kodifikasi Penyakit Menuju ICD-11 Perwirani, Resia; Hidayat, Andra Dwitama; Raharjo, Untoro Dwi
Procedia of Engineering and Life Science Vol. 7 (2025): Prosiding Seminar Nasional dan Rakernas PORMIKI X
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/pels.v7i0.2105

Abstract

ICD-11 was developed to address the limitations of ICD-10, adapting to advances in medicine and technology. ICD-11 has not been implemented in Indonesia due to the absence of supporting regulations that enforce the use of ICD-11 as a disease coding guideline to replace ICD-10. This study analyses information related to the benefits, challenges and considerations of implementing ICD-11 in the form of a narrative literature review conducted using the PRISMA framework. The databases used were Google Scholar, Pubmed, ScienceDirect and Scopus. Article search keywords used the SPICE research question framework. Inclusion criteria included articles published within 2019-2024 in English or Indonesian. Article screening was conducted using the Rayyan.ai tool, followed by critical appraisal using the MMAT instrument with a cut-off point of 80%. We obtained 5,813 articles from the database. A total of 5,776 articles were excluded, 4 articles were duplicated, leaving 13 articles selected for extraction and analysis. ICD-11 has many benefits, including a more complete list of diagnoses and health-related problems, from the update of classification data in each organ system/disease group category to the inclusion of new categories. ICD-11 also has a “post- coordination” feature and cluster codes allow for more specific diagnosis codes. One of the barriers to the implementation of ICD-11 is that there are other classification guidelines in some particular diseases that overlap with ICD-11, for example in the classification of mental illness and CHD. The implementation of SNOMED-CT, which is expected to go in parallel with the use of ICD-11, requires a Common Ontology to map the semantics of each system’s terminology. Successful implementation requires policy support, effective training, improved clinical documentation, and promotion so that ICD-11 can be implemented effectively, ensuring relevance and usefulness in various health fields.
Utilizing Telemedicine to Improve the Health of the Young Generation Hidayat, Andra Dwitama; Jayanti, Krisnita Dwi; Lestarjo, Agustinus Nugroho Pudji; Ghafar, Siti Aisyah Abd; Ramli, Nalisha Mohamed; Yusof, Ainuddin Yushar
Journal of Community Engagement and Empowerment Vol 7, No 1 (2025)
Publisher : Institut Ilmu Kesehatah Bhakti Wiyata Kediri

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Abstract

The community service activity themed “Utilizing Telemedicine to Improve the Health of the Young Generation” was conducted at Al-Mahrusiyah Elementary School, Kediri City. This initiative was a collaboration between IIK Bhakta Kediri and Universiti Sains Islam Malaysia (USIM). Its objective was to enhance the health literacy of the young generation by utilizing telemedicine technology as an alternative for modern and efficient healthcare services. The community service activity involved 120 participants, consisting of 4th, 5th, and 6th-grade students. Participants attended sessions that included presentations on telemedicine, simulations of telemedicine application usage, and practical online health consultations. Before the activity began, a pretest was conducted to assess the participants’ initial knowledge of telemedicine. The pretest results showed that only 35% of the participants understood the basic concepts of telemedicine. After completing all the activities, a post-test revealed a significant improvement, with 88% of participants able to understand and explain the benefits and workings of telemedicine. Overall, the activity successfully achieved its goals of raising awareness and understanding among students about the importance of telemedicine as a modern solution for healthcare services. In addition to increasing knowledge, the activity also motivated participants to adopt this technology in their daily lives. It is hoped that through innovative approaches like this, the young generation in Kediri City can grow healthier and better prepared to face health challenges in the digital era.
HUBUNGAN KELENGKAPAN INFORMASI REKAM MEDIS DENGAN KEAKURATAN KODE DIAGNOSIS DI RUMAH SAKIT Andra Dwitama Hidayat; Krisnita Dwi Jayanti; Dianti Ias Oktaviasari; Intan Ayudya Novitasari
Jurnal Rekam Medis dan Informasi Kesehatan Indonesia Vol. 3 No. 1 (2023): 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.v3i1.46

Abstract

Accuracy in determining the diagnosis code was something that must be considered, an accurate code was obtained with information that was able to support the coder in determining the diagnosis code. The accuracy of diagnosis codes was very important in the fields of education, research, national health statistics, quality of hospital services, and the basis for decision-making. This study aims to analyze the relationship between completeness of medical record information and accuracy of the diagnosis code in the hospital. The method used  descriptive analytic with a retrospective approach. The study population consisted of 6,069 inpatient medical record documents with a sample of 375 documents taken using simple random sampling technique. Based on the results of statistical tests using Chi-square, a p value of was obtained that there was a relationship between the completeness of medical record information and the accuracy of the diagnosis code at the hospital. Evaluation of the completeness of each medical record documents for a certain period of time was highly recommended to improve the accuracy of the diagnosis code.
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.
Gambaran Kejadian Mortalitas Bayi Usia 0-11 Bulan di RSUD Kabupaten Kediri pada Triwulan I-III Tahun 2024 Rosa Aulia Sari; Krisnita Dwi Jayanti; Andra Dwitama Hidayat; Ayu Pangestuti; Reni Triyaningtyas
Antigen : Jurnal Kesehatan Masyarakat dan Ilmu Gizi Vol. 3 No. 2 (2025): Antigen : Jurnal Kesehatan Masyarakat dan Ilmu Gizi
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/antigen.v3i2.625

Abstract

Background: The importance of hospitals in addressing maternal and infant health issues, particularly in reducing the Infant Mortality Rate (IMR). Objective: To describe the incidence of mortality in infants aged 0-11 months at RSUD Kabupaten Kediri during the first to third quarters of 2024.  Method: A descriptive study with a retrospective approach to 50 medical records of infant patients. Results: From 1,908 inpatient visits, there were 50 infant deaths. The characteristics of the deceased infants included a birth weight of 1,500-2,500 grams (46%), an age of 0-6 days (52%), a majority being male (56%), and originating from Pare District (27%). The leading diagnosis for mortality was Low Birth Weight (LBW) (36%), with the majority of mothers aged 20-35 years (74%). The IMR at RSUD Kabupaten Kediri during this period was 27 per 1,000 live births. Conclusion and Recommendations: In the first to third quarters of 2024, RSUD Kabupaten Kediri recorded 1,858 live births and 50 infant deaths aged 0-11 months, with an infant mortality rate of 27 per 1,000 live births, predominantly among infants with low birth weight, with the highest mortality occurring at 0-6 days of age, and most cases originating from Pare District. There is a need for monitoring high-risk infants, particularly those with LBW and male infants, as well as education for high-risk pregnant women during pregnancy, and routine calculation of infant mortality rates every quarter as a basis for decision-making.    
FAKTOR YANG BERHUBUNGAN DENGAN KELUHAN MOSKULOSKELETAL PADA PERAWAT RAWAT INAP DI RUMAH SAKIT X KABUPATEN KEDIRI Zuliana, Ni'matu; Putri, Alfira Maudy Sukmaning; Jayanto, Deni Luvi; Hidayat, Andra Dwitama
ARKESMAS [Arsip Kesehatan Masyarakat] Vol 10 No 1 (2025)
Publisher : UHAMKA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22236/arkesmas.v10i1.19803

Abstract

ABSTRAK Latar Belakang: Keluhan Muskuloskeletal adalah keluhan yang dirasakan dibagian otot rangka manusia, keluhan yang dirasakan mulai dari keluhan ringan sampai sangat sakit. Ketika otot telah menerima beban yang statis secara terus menerus dan dalam jangka waktu lama, maka dapat menyebabkan keluhan berupa kerusakan yang terjadi pada sendi, ligamen dan tendon. Keluhan yang mencapai kerusakan inilah yang sering disebut dengan keluhan muskuloskeletal disorders (MSDs). Berdasarkan hasil Riskesdas pada tahun 2018 terdapat 713.783 yang menderita penyakit sendi antara lain osteoarthritis,huperurisemia dan rheumatoid arthritis.  Muskuloskeletal merupakan salah satu penyebab utama gangguan produktivitas di tempat kerja pasca-pandemi dan menjadi beban ekonomi yang signifikan. Tujuan: Mengetahui faktor yang mempengaruhi terjadinya keluhan muskuloskeletal pada Perawat Rawat Inap Di Rumah Sakit X  Kabupaten Kediri. Metode: Penelitian kuantitatif dengan menggunakan pedekatan cross sectional. Sampel berjumlah 50 responden perawat rawat inap dengan mteknik sampling non probability dengan total sampling. Sample diambil pada perawat yang bekerja lebih dari 8 jam.Pengumpulan data melalui kuesioner dengan panduan NBM dan REBA, analisis data menggunakan SPSS dengan uji Chi Square. Hasil: Terdapat hubungan signifikan antara jenis kelamin (p=0,047), dan postur kerja (p=0,033) dengan keluhan Muskuloskeletal. Tidak ada hubungan antara usia (p=0,710) dan masa kerja (0,936) Kesimpulan & Saran: Perawat disarankan untuk lebih memperhatikan postur kerja saat melakukan aktivitas keperawatan. Meminimalisir gerakan mengankat pasien secara manual dan mengutamakan alat bantu Safe Patient Handling and Mobility (SPHM) yang didukung oleh kebijakan dari manajemen. Kata Kunci: Keluhan Muskuloskeletal, Postur Kerja, Perawat Rawat Inap
Implementasi Rekam Medis Elektronik di Rumah Sakit Umum Daerah Daha Husada Kota Kediri dengan Model DOQ-IT Cahyani, Vony Rista; Hidayat, Andra Dwitama; Jayanti, Krisnita Dwi; Bisono, Eva Firdayanti
Jurnal Sistem Informasi Kesehatan Masyarakat Vol 10, No 1 (2025)
Publisher : Divisi SIMKES, HPM, Fakultas Kedokteran, Kesehatan Masyarakat, UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jisph.98240

Abstract

Latar belakang: Rumah Sakit Daha Husada Kota Kediri pada rawat inap masih dalam masa transisi hal ini penilaian kesiapan implementasi sebelum penerapan rekam medis elektronik perlu dilakukan guna untuk mengetahui kesiapan dalam implementasi rekam medis elektronik.Hasil: dapat diperoleh informasi bahwa pada aspek sumber daya manusia, tata kelola kepemimpinan, dan infrastruktur secara keseluruhan sudah baik, namun dalam aspek tata kelola dan kepemimpinan masih terdapat hal yang perlu ditambahkan dan dilakukan sehingga bisa dijadikan dasar dalam implementasi rekam medis elektronik.Kesimpulan: bahwa implementasi RME secara keseluruhan sudah cukup baik, namun masih ada hal yang perlu ditambahkan diantaranya yaitu perlu adanya SOP dan reward kepada petugas dalam implementasi RME.
Hubungan Asupan Protein Ikan Sebagai Pencegahan Stunting pada Balita Oktaviasari, Dianti Ias; Kurniasari, Mia Ashari; Mayhimamia, Arrsillaufiatma; Zuliana, Ni’matu; Jayanti, Krisnita Dwi; Wismaningsih, Endah Retnani; Hidayat, Andra Dwitama; Nurkhalim, Ratna Frenty
Jurnal Promotif Preventif Vol 7 No 5 (2024): Oktober 2024: JURNAL PROMOTIF PREVENTIF
Publisher : Fakultas Kesehatan Masyarakat Universitas Pancasakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47650/jpp.v7i5.1525

Abstract

Kondisi gagal tumbuh yang menyebabkan terhambatnya pertumbuhan pada anak disebut stunting. Balita stunting mempunyai postur tubuh yang lebih rendah. Asupan Protein merupakan salah satu zat yang dapat mempengaruhi terjadinya pertumbuhan yang buruk. Salah satu sumber makanan yang kaya protein adalah Ikan. Di Kabupaten Lamongan, jumlah balita stunting lebih banyak ditemukan di wilayah non-pesisir dibanding di pesisir. Penelitian ini mempunyai tujuan menganalisis hubungan asupan protein ikan pada balita di pesisir dan non-pesisir. Metode menggunakan survey analitik dengan desain cross-sectional study, Teknik sampling yang digunakan purposive sampling dengan sampel sebanyak 90 balita. Hasil penelitian menunjukkan, berdasarkan uji statistik Chi-Square, nilai P-Value sebesar 0,002 (<0,05), yang mengindikasikan adanya hubungan asupan protein ikan dan kejadian stunting pada balita di wilayah pesisir dan non pesisir. Kesimpulan dari penelitian ini adalah, terdapat hubungan yang signifikan antara konsumsi ikan pada balita di wilayah pesisir dan non-pesisir dalam pencegahan stunting.
Rancangan Formulir Electronic General Consent di UPTD Puskesmas Wonorejo Kabupaten Kediri Setyawan, Hari Krisna; Putri, Elisa Triana Kamila; Ningrat, Usama Jaya; Hidayat, Andra Dwitama; Oktrianadewi, Sevi; Karina, Ina
Journal of Community Engagement and Empowerment Vol. 6 No. 2 (2024)
Publisher : Institut Ilmu Kesehatah Bhakti Wiyata Kediri

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Abstract

Puskesmas adalah fasilitas pelayanan kesehatan yang menyelenggarakan upaya kesehatan masyarakat dan upaya kesehatan perorangan yang lebih mengutamakan upaya promotif dan preventif di wilayah 2 kerjanya untuk mencapai derajat kesehatan masyarakat yang setinggi-tingginya di wilayah kerjanya (Permenkes RI No. 43, 2019). Kegiatan pelaayanan di Puskesmas salah satunya adalah rekam medis, dimana rekam medis adalah berkas yang berisikan data identitas pasien, pemeriksaan, pengobatan, tindakan dan pelayanan lain yang telah diberikan kepada pasien (Permenkes RI No. 24, 2022). Seiring dengan perkembangan era digitalisasi termasuk dalam bidang kesehatan sehingga terdapat transformasi salah satunya pada rekam medis elektronik yang memerlukan ide dan inovasi baru. Salah satu inovasi penting tersebut adalah dalam perancangan formulir persetujuan umum elektronik (Electronic General Consent) yang menggantikan metode tradisional berbasis kertas. Rancangan formulir ini bertujuan untuk meningkatkan efisiensi, aksesibilitas, dan akurasi dalam proses pengambilan persetujuan dari pasien dan petugas di fasilitas pelayanan kesehatan. Kegiatan perancangan diawali dengan pengamatan lapangan di UPTD Puskesmas Wonorejo dan diakhiri dengan evaluasi kegiatan. Hasil dari perancangan menunjukkan bahwa formulir persetujuan umum elektronik dapat mengurangi penggunaan kertas serta meminimalkan kesalahan manusia dalam pengisian dan pengelolaan dokumen.
Co-Authors Abhiseka, Rengga Bagas Arshy Prodyanatasari Arsy, Salsa Al Avrileta, Noryfumi Cinta Ayu Pangestuti Bisono, Eva Firdayanti Cahyani, Vony Rista Cici Nila Ardila Deni Luvi Jayanto Dianti Ias Oktaviasari Dianti Ias Oktaviasari, Dianti Ias Dinda Agnes Wahyu Aprilia dr. AG Nugroho Pudji Lestarjo Dwi, Titania Elok Rizma Hapsari Endah Retnani Wismaningsih Endah Retnani Wismaningsih Endah Retnani Wismaningsih, Endah Retnani Erlina, Tita Eva Firdayanti Bisono Eva Firdayanti Bisono Fatmawati, A’yuni Nur Ghafar, Siti Aisyah Abd Ilahi, Nasywa Shifi Intan Ayudya Novitasari Karina, Ina Komala Anggraeni Krisnita Dwi Jayanti Krisnita Dwi Jayanti Krisnita Dwi Jayanti Krisnita Dwi Jayanti, Krisnita Dwi Kurniasari, Mia Ashari Lestarjo, Agustinus Nugroho Pudji Maharani, Eva Ratih Maria Sulistyaningsih Mayhimamia, Arrsillaufiatma Muhammad Atnang Mukti Lestari, Tri Mulya Ike Ardila, Ninda Munir, Mochammad Miftahul Ninda Mulya Ike Ardila Ningrat, Usama Jaya Ni’matu Zuliana Nurhadi Nurhadi NURHADI Nurhadi Nurhadi Nurhadi Nurhadi Nurhadi Nurhadi Oktrianadewi, Sevi Pangestuti, Ayu Perwirani, Resia Poonwong, Prakasit Prakasit Poonwong Puspitasari, Syndia Putri Indra Suryandari Putri, Alfira Maudy Sukmaning Putri, Elisa Triana Kamila Raharjo, Untoro Dwi Rahmadi, Nadifatul Rama Wahyu Susilo Putra Ramli, Nalisha Mohamed Rany Eka Putranti Ratna Frenty Nurkhalim Raya Mulyasari Reni Triyaningtyas Roma Firmansyah Rosa Aulia Sari Setyawan, Hari Krisna Sevi Oktrianadewi Simorangkir, Anggia Dini Marsaroha Boru Panggabean Suryandari, Putri Indra Titin Wahyuni Tri Mukti Lestari Tyas, Reni Trianing Vicky Bin Djusmin Wahyu Putra Alfiansyah Widiyanto, Wahyu Wijaya Yusof, Ainuddin Yushar Zuliana, Ni'matu Zuliana, Ni’matu