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Evaluation Existential of Medical Record Laboratory at the Diploma 3 Program for Medical Record & Health Information, Mathematics and Natural Science Faculty, Gadjah Mada University Savitri Citra Budi; Hariyono Hariyono; Sri Purwatiningsih
IJCCS (Indonesian Journal of Computing and Cybernetics Systems) Vol 1, No 1 (2006): January
Publisher : IndoCEISS in colaboration with Universitas Gadjah Mada, Indonesia.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ijccs.21

Abstract

The availability of Medical Record Laboratory to support Medical Record education is one that the education provider should prepare. In addition, education providers should also organize the usage, instrument provision, HRD provision and clear planning and objectives.The present research used evaluation topic on the existence of Medical Record Laboratory at the Diploma 3 Program for Medical Record and Health Information, MIPA Faculty, Gadjah Mada University. This topic was used by considering the Government Regulation on education provision, especially Medical Record Education (The Regulation of Minister Health Number 1192/Menkes/Per/X/2004) as thinking base. Data were taken from initial survey that the Laboratory was considered as not maximally performed. Base on instrument availability, this laboratory had no complete instrument, especially manually data processing completeness. Moreover, in fact, the usage and planning on this facility had not been well organized, while there was mostly high demand on the usage. To this end, evaluation was highly required for future progress. Evaluation was gradually performed. First was evaluation on input related technology, human resources, costs, facilities and management. Second was evaluation on process related to whether the planned activities had been completed or not. Third, evaluation on inputs related to attitudes, norms and skill knowledge of those involved in the laboratory (staffs, students, and stakeholder).The present research exploited descriptive method with qualitative approach using single data variable (the existence of Medical Record Laboratory at the Diploma 3 Program for Medical Record and Health Information Gadjah Mada University). Data were collected using source triangulation approach through data cross-checking with fact from other sources. Data analysis was performed by comparing data taken to the existing standard (Government Regulation and theory). To simplify discussion, data were discussed based on principle elements of health services, among others, including: inputs, process, and outputs.Evaluation on the existence of laboratory was presumably exploited to consider future development and management as expected that this Laboratory could be taken as example for medical record management in hospitals.
Penerapan Konsep Integrasi Berkas Rekam Medis di Rumah Sakit Umum Daerah Wates, Kulonprogo, Yogyakarta Savitri Citra Budi
Jurnal Pengabdian kepada Masyarakat (Indonesian Journal of Community Engagement) Vol 1, No 2 (2016): Maret
Publisher : Direktorat Pengabdian kepada Masyarakat Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (244.439 KB) | DOI: 10.22146/jpkm.10612

Abstract

In Indonesia, under Law No. 44 of 2009 about Hospital, hospital has an obligation to organize medical records. Medical record is the file containing the notes and documents about the patient, examinations, treatments, actions, and other services that have been given to the patients (Regulation of Ministry of Health No. 269 of 2008 concerning Medical Record). Wates District Hospital has had a plan to change medical record storage from decentralized system to centralized one. One of the aims is obtained continuous patient’s medical history. Medical record must be prepared in such change. To implement the concept of integrated medical record by redesign of medical record forms in Wates District hospitals. The methods were carried out by following the design form concept, starting from collecting references, design, sources triangulation, first presentation, testing, revision, second presentasion, and the last was giving the design results to Wates District Hospital to be implemented. The application of the concept of integrated medical record was the new design of medical record forms consisting of a medical record folder, divider, emergency form, outpatient form, discharge summary form, resume form, inpatient approval form, informed consent form, and the newborn identification form. 
Pentingnya Tracer Sebagai Kartu Pelacak Berkas Rekam Medis Keluar dari Rak Penyimpanan Savitri Citra Budi
Jurnal Pengabdian kepada Masyarakat (Indonesian Journal of Community Engagement) Vol 1, No 1 (2015): September
Publisher : Direktorat Pengabdian kepada Masyarakat Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (332.992 KB) | DOI: 10.22146/jpkm.16959

Abstract

The availability of medical record quickly and accurately when needed will greatly help the quality of health care provided to patients. If the medical record filing system were poor then there will be problems that can interfere with the availability of medical record. In the case of medical record filing system, the staffs at Dlingo I Bantul community health center do not using tracer to mark the medical records that were out from storage. This will have an impact on the wrong location, misfile, and complicates the return of medical record in the right order. Method used in this community service was the diffusion of science and technology to design the tracer which is suitable for use in Dlingo I Bantul community health centers. Furthermore, the training was also implemented, started with counseling. Community service was running smoothly. At first, the tracer was not used as a tracker and a guidance of medical record which was out from the storage. After counseling and training, the staffs finally realized that it is necessary to use tracer. 
Optimalisasi Sistem Informasi Puskesmas pada Layanan Kesehatan di Puskesmas Dlingo I Kabupaten Bantul Yogyakarta Nur Rokhman; Savitri Citra Budi; Nuryati Nuryati
Jurnal Pengabdian kepada Masyarakat (Indonesian Journal of Community Engagement) Vol 1, No 1 (2015): September
Publisher : Direktorat Pengabdian kepada Masyarakat Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (349.56 KB) | DOI: 10.22146/jpkm.16960

Abstract

Dlingo I Community Health Center used Integrated Health Information System (IHIS) as software to support patient services. Besides IHIS, Dlingo I Community Health Center also used P-Care to records data service of BPJS patients. There are some technical problems related to the use of IHIS and P-Care. Community service has been held in Dlingo I Community Health Center to give a training and assistance for the officers. In early stage we analyzed the problems and the needs of Dlingo I Community Health Center officers with observation and interview. Some problems has been found like the lack of responsiveness of P-Care and the server that temporary down. There are also some feature in IHIS that didn’t meet the officer expectation.  From the problems mentioned above, Vocational College of Universitas Gadjah Mada held a training and assistance related to the use of P-Care and IHIS. As an output from this activity we also make a recommendation for the development of community health center information system in the future. The officers claimed that they are satisfied with the training and the assistance.
Kepuasan Pasien TNI Terhadap Pelayanan Pendaftaran Rawat Jalan Dengan Metode Importance Performance Analysis (IPA) di RSPAU Dr. S. Hardjolukito Indira Yeni; Savitri Citra Budi
Jurnal Kesehatan Vokasional Vol 1, No 2 (2017): April
Publisher : Sekolah Vokasi Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkesvo.27570

Abstract

Latar Belakang: Rumah sakit sebagai pemberi jasa harus mengetahui hal-hal dianggap penting oleh pasien dan pihak rumah sakit harus berusaha untuk menghasilkan kinerja sebaik-baiknya sehingga dapat memuaskan pasien. Mengetahui penilaian pasien terhadap kualitas pelayanan rumah sakit merupakan hal penting sebagai acuan dalam meningkatkan pelayanan. Pelayanan pendaftaran pasien TNI di RSPAU dr. S. Hardjolukito, mengalami perubahan setelah adanya JKN, yaitu berupa kelengkapan persyaratan administratif dan perbedaan loket pendaftaran. Hal ini menimbulkan pasien TNI komplain dan mengeluhkan lamanya pelayanan pendaftaran.Tujuan: Mengetahui rata-rata kenyataan dan rata-rata harapan, kesenjangan antara kenyataan dan harapan, dan kepuasan pasien TNI terhadap pelayanan pendaftaran rawat jalan berdasarkan Importance Performance Analysis (IPA).Metode: Jenis penelitian deskriptif kuantitatif dan rancangan penelitian cross sectional. Populasi penelitian ini adalah pasien TNI yang mendapatkan pelayanan pendaftaran rawat jalan. Jumlah sampel diambil sebanyak 100 responden menggunakan teknik purposive sampling. Pengambilan data menggunakan metode angket/kuisioner. Analisis data menggunakan statistik deskriptif, analisis kesenjangan, dan importance performance analysis.Hasil: Rata-rata kenyataan 3,196 sedangkan rata-rata harapan 3,472. Kesenjangan antara kenyataan dan harapan bernilai negatif. Tingkat kesesuaian sebesar 92,04%. Berdasarkan diagram kartesius terdapat lima atribut yang berada di kuadran A, empat atribut di kuadran B, lima atribut di kuadran C, dan enam atribut di kuadran D.Kesimpulan: Rata-rata kenyataan berada pada kategori cukup baik. Rata-rata harapan berada pada kategori sangat penting. Kesenjangan bernilai negatif, berarti pelayanan yang diterima lebih kecil daripada harapan. Tingkat kesesuaian kepuasan pasien TNI terhadap pelayanan pendaftaran rawat jalan telah sesuai.
Sistem Penyimpanan dan Pemrosesan Rekam Medis Terkait Standar Akreditasi Kriteria 8.4.3 di Puskesmas Jetis 1 Bantul Rahmah Nindyakinanti; Savitri Citra Budi
Jurnal Kesehatan Vokasional Vol 1, No 2 (2017): April
Publisher : Sekolah Vokasi Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkesvo.27575

Abstract

Latar Belakang: Puskesmas wajib dilakukan penilaian akreditasi setiap tiga tahun sekali. Perlu adanya upaya evaluasi terhadap kegiatan persiapan akreditasi yang telah dilakukan oleh Puskesmas agar lebih siap menghadapi penilaian akreditasi berikutnya. Berdasarkan hasil pengabdian kerja yang peneliti lakukan pada bulan Agustus 2015 di Puskesmas Jetis 1 Bantul, hampir setiap hari terjadi missfile di tempat penyimpanan rekam medis.Tujuan Penelitian: Penelitian ini bertujuan untuk mengetahui sistem penyimpanan dan pemrosesanrekam medis terkait standar akreditasi kriteria 8.4.3 di Puskesmas Jetis 1 Bantul berdasarkan lima unsur manajemen yaitu men, materials, methods, machines, and money.Metodologi Penelitian: Jenis penelitian ini adalah deskriptif kualitatif dan rancangan fenomenologi.Hasil: Kompetensi dan jumlah petugas rekam medis yang tersedia belum memenuhi syarat. Surat Keputusan (SK) tentang Pengelolaan Rekam Medis dan Standar Operasional Prosedur (SOP) tentang Penyimpanan Rekam Medis tidak sesuai dengan format penyusunan dokumen akreditasi FKTP tahun 2015. Pelaksanaan kegiatan identifikasi pasien yang dilakukan oleh petugas rekam medis tidak sesuai dengan urutan kerja SOP. Formulir identitas pasien belum mengumpulkan data secara efektif dan efisien. Tidak terdapat prosedur tetap terkait dengan kegiatan pengkodean keluarga. Tracer tidak memuat nama pasien dan tujuan rekam medis dikeluarkan. Petugas tidak melakukan analisis kelengkapan rekam medis. Penentuan masa simpan berkas dan penyusutan tidak seimbang dengan luas tempat penyimpanan.Kesimpulan: Sistem penyimpanan dan pemrosesan rekam medis terkait standar akreditasi kriteria8.4.3 di Puskesmas Jetis 1 Bantul berdasarkan unsur manajemen men, materials, dan methodsbelum sesuai.
Efektifitas Implementasi Clinical Pathway Terhadap Average Length Of Stay dan Outcomes Pasien DF-DHF Anak di RSUD Kota Yogyakarta Neri Faradina Nur Fadilah; Savitri Citra Budi
Jurnal Kesehatan Vokasional Vol 2, No 2 (2017): November
Publisher : Sekolah Vokasi Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkesvo.30333

Abstract

Latar belakang: Clinical pathway digunakan sebagai kendali mutu dan biaya dalam pelayanan kesehatan. Mutu pelayanan salah satunya dapat dilihat dari average length of stay dan outcomes. Implementasi clinical pathway yang sudah diterapkan perlu diukur efektifitasnya dalam menurunkan rata-rata lama dirawat dan menghasilkan outcomes yang lebih baik. Kasus DF dan DHF masuk dalam daftar 10 besar penyakit rawat inap di RSUD Kota Yogyakarta.Tujuan: Mengukur perbedaan average length of stay dan outcomes pasien DF-DHF anak antara sebelum dan setelah implementasi clinical pathway di RSUD Kota Yogyakarta.Metode: Jenis penelitian ini adalah penelitian kuantitatif dengan metode survey analitik dan rancangan cross sectional. Pengumpulan data dilakukan dengan studi dokumentasi pada 146 berkas rekam medis dan formulir clinical pathway.Hasil: Persentase outcomes tertinggi pada pasien DF yaitu pada kategori membaik 71,4% sebelum CP dan 80,9% setelah CP. Persentase outcomes tertinggi pada pasien DHF yaitu pada kategori membaik 83,9% sebelum CP dan 90,3% setelah CP. Average length of stay setelah CP lebih kecil dibandingkan sebelum CP pada pasien DF-DHF anak, dengan p-value DF anak = 0,016 < α = 0,05 dan p-value DHF anak = 0,021 < α = 0,05. Tidak ada perbedaan outcomes pasien DF-DHF anak antara sebelum dan setelah implementasi clinical pathway, dengan p_value DF anak = 0,775 > α = 0,05 dan p-value DHF anak = 1 > α = 0,05.Kesimpulan: Implementasi clinical pathway dapat menurunkan average length of stay, namun belum mampu membuktikan adanya perbedaan pada outcomes pasien.
KEEFEKTIFAN SISTEM PENDAFTARAN ONLINE PASIEN RAWAT JALAN RSUP dr. SOERADJI TIRTONEGORO KLATEN Ana Amirotun Solihah; Savitri Citra Budi
Jurnal Manajemen Informasi Kesehatan Indonesia (JMIKI) Vol 6, No 1 (2018)
Publisher : Asosiasi Perguruan Tinggi Rekam Medis dan Informasi Kesehatan Indonesia- APTIRMIKI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33560/.v6i1.177

Abstract

The development of various technologies makes easiness in the health field, one of which is the online indirect registration to unravel the patient's buildup due to the length of registration time. Online registration of outpatients applied in RSUP dr. Soeradji Tirtonegoro which is divided into 3 types. However, in the implementation of this system has not been matched by a wise attitude by users, that is the online registration cancellation without confirmation. Therefore, this study aims to determine the implementation and effectiveness of online outpatients registration dr. Soeradji Tirtonegoro. The type of this research is quantitative descriptive with data collection by observation. Implementation procedures online registration RSUP dr. Soeradji Tirtonegoro is described in SPO Outpatient Registration through Short Message Service (SMS) / WhatsApp (WA). From the results of the observation of 1594 sample online registrants, there are positive patients list of 416 applicants via WhatsApp and 1049 registrants via SMS. However, from the sample there are 9 cancellations of registration via WhatsApp and 120 cancellation of registration via SMS. It can be concluded that online registration via SMS has a higher number, both registration and cancellation of registration compared with online registration via WhatsApp
TREN INSIDEN BERDASARKAN SASARAN KESELAMATAN PASIEN Savitri Citra Budi; Sunartini Sunartini; Lutfan Lazuardi; Fatwa Sari Tetra
Jurnal Manajemen Informasi Kesehatan Indonesia (JMIKI) Vol 7, No 2 (2019)
Publisher : Asosiasi Perguruan Tinggi Rekam Medis dan Informasi Kesehatan Indonesia- APTIRMIKI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33560/jmiki.v7i2.236

Abstract

Latar Belakang: Insiden terkait keselamatan pasien menjadi salah satu indikator penilaian mutu dan keselamatan pasien di rumah sakit. Monitoring insiden dilakukan melalui analisis laporan insiden. Artikel ini bertujuan untuk mendeskripsikan angka kejadian insiden berdasarkan 6 sasaran keselamatan pasien.Metode: Jenis penelitian kuantitatif deskriptif dengan rancangan cross sectional. Lokasi penelitian di salah satu rumah sakit tipe B Pendidikan di Daerah Istimewa Yogyakarta. Populasi penelitian adalah laporan insiden tahun 2017.Hasil: Jumlah insiden yang dilaporkan pada tahun 2017 ada 138 insiden terdiri dari insiden terkait SKP.1 sampai SKP.6 dan insiden terkait fasilitas adalah 31,88 %; 7,97%; 41,30%; 2,90%; 1,45%; 13,04%; dan 1,45% insiden terkait fasilitas.Kesimpulan: Pemantauan angka insiden secara rutin dan proses umpan balik pelaporan yang tepat waktu menjadi pembelajaran yang baik untuk mencegah terjadinya insiden kedua.
Trend Analysis Infant Mortality Rate dengan Autoregresive Integrated Moving Average (ARIMA) Savitri Citra Budi; Sunartini Sunartini; Lutfan Lazuardi; Fatwa Sari Tetra
Jurnal Manajemen Informasi Kesehatan Indonesia (JMIKI) Vol 4, No 2 (2016)
Publisher : Asosiasi Perguruan Tinggi Rekam Medis dan Informasi Kesehatan Indonesia- APTIRMIKI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33560/.v4i2.141

Abstract

ABSTRAKInfant Mortality Rate (IMR) adalah angka kematian bayi yang berumur kurang dari 1 tahun  yang dalam Millenium Development Goals ditargetkan angka kejadiannya semakin menurun. Autoregressive Integrated Moving Average (ARIMA) merupakan salah satu metode yang dapat digunakan untuk memprediksi kejadian Infant Mortality Rate (IMR). Penelitian ini bertujuan untuk menentukan model ARIMA yang terbaik dan prediksi IMR pada tahun 2016. Desain penelitian yang digunakan adalah time series study dengan sampel dalam penelitian berjumlah 48 data yang berasal dari satu rumah sakit berupa data IMR dari tahun 2012 sampai 2015. Hasil analisis menghasilkan model ARIMA yang terbaik adalah ARIMA (1,1,0) dan prediksi IMR untuk tahun 2015 sebesar 51. Kesimpulan penelitian ini adalah model ARIMA yang terbaik adalah ARIMA (1,1,0), dan prediksi IMR tahun 2016 sebesar 51 kematian per seribu penduduk.  Kata Kunci: Trend Analysis, Infant Mortality Rate, Autoregressive Integrated Moving Average. ABSTRACTInfant Mortality Rate (IMR) is rate of death in children during the first year of life that targeted must be reduced by Millenium Development Goals. Autoregressive Integrated Moving Average (ARIMA) is one methods can be used to forecast IMR. The purpose of this research are to determine the best ARIMA model and forecast IMR at 2016. The design study is time series design. Sampel taken from a hospital contains 48 observation that constitute IMR form 2012 until 2015. The result are the ARIMA models is ARIMA (1,1,0) and the forecast of IMR at 2016 is 51. Conclusion is then ARIMA models is ARIMA (1,1,0) and the forecast of IMR at 2016 is 51 per 1000 birth.Keyword: Trend Analysis, Infant Mortality Rate, Autoregressive Integrated Moving Average.