suyoko suyoko
Program Studi D-3 Rekam Medis Dan Informasi Kesehatan, Fakultas Kesehatan, Universitas Dian Nuswantoro Semarang

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Journal : VISIKES

IMPLEMENTATION OF MEDICAL INFORMATION RELEASE FOR COMMERCIAL INSURANCE PURPOSES AT RSI SULTAN AGUNG SEMARANG IN 2021 suyoko suyoko; Novika Gema Palupi; Maulana Tomy Abiyasa; Retno Astuti Setijaningsih
VISIKES: Jurnal Kesehatan Masyarakat Vol 20, No 2 (2022): VISIKES (SUPLEMEN)
Publisher : Dian Nuswantoro Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33633/visikes.v20i2Supp.5785

Abstract

ABSTRACTLaw No. 44 of 2009 concerning Hospitals, states that hospitals are obliged to respect and protect the rights of patients. The early survey found that completion time in the implementation of the release of medical information for claims was constrained, depend on the presence and willingness of doctors to fill out medical information. These obstacles can possibly cause the loss for patients. The purpose of this study was to analyze the implementation of the release of medical information for commercial insurance claims at RSI Sultan Agung Semarang.The type of this research is descriptive qualitative with a cross sectional approach. The research was conducted on May-June 2021 with 2 subjects, namely the insurance officer and the head of the medical record unit. The data were collected by online interviews and analyzed descriptively based on regulations of the Sultan Agung Hospital and the legal aspects of health and then conclusions were drawn.The results showed that the implementation of information release has maintained patient privacy, every release of medical information is followed by permission from the patient/family, release to third parties accompanied by a power of attorney, release of medical information is given by the DPJP doctor. However, the release of medical information has not been involved the director and the regulation on completion time standards has not been implemented optimally. Suggestions from this study is to evaluate the applicable regulations.Keywords: Release of Medical Information, Medical Records, Commercial Insurance     
PERAN PENANGGUNG JAWAB REKAM MEDIS (PJRM) UNTUK PENINGKATAN KETEPATAN KLAIM BPJS PASIEN RAWAT INAP DI RSUD KRMT WONGSONEGORO (RSWN) KOTA SEMARANG Retno Astuti Setijaningsih; Suyoko - -; Nova Dhea Ammar N; Supriyatiningsih - -
VISIKES: Jurnal Kesehatan Masyarakat Vol 19, No 01 (2020)
Publisher : Dian Nuswantoro Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (277.353 KB) | DOI: 10.33633/visikes.v19i01.3783

Abstract

Medical Record Document (MRD) guarantees patient safety. Besides, it related to claim accuracy to BPJS (Badan Penyelenggara Jaminan Sosial) as patient health insurance operator. In fact, from the survey conducted with 15 inpatients as the subjects, 10 MRD approved (approximately 66.67%) and the other 5 MRD or about 33.34% rejected. This happened as the consequences of whether supporting examination result which is not being submitted on 2 MRD (40%), 1 MRD or 20% hold incomplete BPJS document and other 40% caused by the inaccurate operation code in MRD. Hence, the aim of this study is to analyze the role of Person In Charge in Medical Record Department to improve MRD comprehensiveness to reach BPJS claim accuracy.The type of this study is qualitative with cross-sectional approach. Primary and secondary source observation and interview are used in collecting data. Purposive sampling with four interviewees from Person In Charge in Medical Record Department, and as the main interviewee is the head of Medical Record Department also one employee of BPJS Rumah Sakit Wongsonegoro as the triangulator.So, the main function of assembling employee is to ensure the quality of Medical Record Document (MRD), quantitatively and qualitatively. Whereas, RSWN already applied Person In Charge of Medical Record Department with concurrent analysis in controlling MRD comprehensiveness concept. According to observational result of 15 inpatients, found incomplete MRD, 13% occurs in identity section, also 13% each found both in recording and reporting. While, the authentication completes 100%. From consistency analyzing result discovered inconsistency recording about 13%. Main diagnose and inform consent recording reached 100% in consistency and 0% things that can cause loss.That is, the role of Person In Charge in Medical Record of inpatient unit needs yo be improved. The main and assembling function performs by PIC in Medical Record is both coding and indexing. Input standard, Standard Operational Procedures (SOP) and minimum services standard are already available and applied to control PIC in Medical Record performance quality. However, input, process and the output are not focus in controlling MRD comprehensiveness yet, especially in BPJS participant patient. So that, to control BPJS inpatient MRD quality, needs operational standard in methods and comprehensiveness control procedures, considered with PIC in Medical Record also performing ICD code and Medical Record Document quality requires coordination of all parties.The researchers suggest to add more points in controlling incomprehensiveness BPJS Medical Record Document procedures. Furthermore, enhance input in standard structure, operational job description in Standard Operational Procedure, also minimum services standard comprehensiveness which applied has to be reached 100% qualitatively and quantitatively.Keywords: PIC in Medical Record, BPJS claim, quantitative comprehensiveness, qualitative comprehensiveness
ANALISIS DESAIN FORMULIR KARTU PENGOBATAN PENCEGAHAN TB (TB 01 P) UNTUK KELENGKAPAN DATA DI PUSKESMAS TAHUN 2019 Suyoko suyoko; Retno Astuti Setijaningsih; Wahyu Setiyowati
VISIKES: Jurnal Kesehatan Masyarakat Vol 18, No 2 (2020): VISIKES (SUPLEMENT)
Publisher : Dian Nuswantoro Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (477.797 KB) | DOI: 10.33633/visikes.v18i2.3676

Abstract

Tuberculosis is an infectious disease which becomes a global problem. The increase in TB case is caused by inadequate monitoring of treatment, unavailability of standardized recording and reporting system. This research was conducted to evaluate the completeness TB form design in providing more complete information. This research was administered in the form of a case study. Interviews were done to 3 nurses and 1 doctor and TB Form (TB.01P) was observed at Miroto Health Center. The completeness of 33 TB form filling (TB.01P) at the Malmahera Health Center was also evaluated. The obtained data were descriptively analyzed. The results showed the completeness of identification review reached 96%, recording review of 90%, reporting review of 64%,and 0% for authentication review. Incomplete information led to inaccurate TB control information. This incompleteness was associated toimproper design of the form, especially the unavailability of form filling instructions, names and signatures of officersin the anatomic aspect. In the aspect of content, lack of clinical data was also found. Regarding to the results of this research, revision in the design of TB Treatment and Prevention Card is needed in order to accommodate the data completeness of TB patients. This research also proposed a better design of TB Treatment and Prevention Card Keywords : Quantitative Completeness, Tuberculosis, Form Design, TB Treatment Card (TB.01P) 
THE MANAGEMENT OF MEDICAL REPORT COMPLETENESS FOR THE LEGALITY OF MEDICAL RECORD DOCUMENTS AT RSUD KRMT WONGSONEGORO (RSWN) SEMARANG CITY Suyoko suyoko; Aylin Ivana; Arinda Juwita; Retno Astuti Setijaningsih
VISIKES: Jurnal Kesehatan Masyarakat Vol 20, No 2 (2021)
Publisher : Dian Nuswantoro Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33633/visikes.v20i2.5069

Abstract

ABSTRACTBackground: Quality hospital services is reflected in the achieving of medical records. Improper medical record documentation would negatively affect the quality of service delivered to patients and it would disadvantage the hospital when medical disputes occur.Objective:Analyzing the management of medical record completeness at RSWN to guarantee the legality of medical record documents and its effect in supporting the completeness of medical record documents.Method:In this qualitative research,  observation and interviews were conducted to 60 PJRM officers in the Arimbi ward, Banowati, Nakula I and Prabukresna. The obtained data were qualitatively and quantitatively analyzed based on several underlying theories.Results:The results showed that the completeness of some aspects includinghuman, money, method, material and machine elements was proper. The quantitative analysis showed 100%, while the qualitative analysis showed a percentage of 100% with the exception on the informed consent component with the potential for loss of 99%.Conclusions:The human element required periodic outreach to PPA. In the machine element, special computerswere needed for PJRM officers, and the importance of informed consent for patients undergoing hemodialysis to obtain medical records with strong legal force. Key Words           :Management, Medical Record Completeness, Legality of Medical Records.
TELOGOREJO HOSPITAL BED PREDICTION 2021-2022 Nias Amelia Rahmawati; Evina Widianawati; Suyoko Suyoko; Widya Ratna Wulan
VISIKES: Jurnal Kesehatan Masyarakat Vol 20, No 2 (2022): VISIKES (SUPLEMEN)
Publisher : Dian Nuswantoro Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33633/visikes.v20i2Supp.5934

Abstract

AbstractBackground. Hospital statistical indicators during the Covid-19 pandemic will be different from normal conditions before covid-19, One of the indicators for inpatient services is BOR which is the percentage of bed usage with Barber Johnson's ideal standard of 75-85%. During a pandemic, BOR information is needed to assist hospitals in terms of speed of service and policies in the use of beds and rooms. The purpose of this research is to predict the bed at Tlogorejo Hospital in 2021-2022. Method. This type of research is quantitative descriptive and uses secondary data, the data used is from March 2020 - June 2021 by way of observation. Result. The study results from the Barber Johnson chart with linear bed predictions are not efficient from July 2021 - May 2022 and efficient from July 2021 - May 2022. June 2021 - Dec 2022 while the results of the barber johnson chart predict beds with a BOR of 75% that all wards from July 2021-Dec 2022 are efficient. Conclusion. Therefore it is recommended to Tlogorejo hospital to add beds according to the predicted results of beds BOR 75 % or predicted results of bed Linier.Keywords: Predictions, beds, barber johnson charts and BOR.