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All Journal Disease Prevention and Public Health Journal Jurnal Infokes (Informasi Kesehatan)
Triyo Rachmadi
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Synchronization of Codification of Unspecified Schizophrenia Againts Back-Referral System of Mirit Public Health Center Nur Hayati Munawaroh; Ndari Afriyani; Sri Wahyuni; Triyo Rachmadi
Disease Prevention and Public Health Journal Vol. 16 No. 1 (2022): Disease Prevention and Public Health Journal
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/dpphj.v16i1.4678

Abstract

Background: The disease classification system is a grouping of diseases following the International Statistical Classification of Diseases and Related Health Problems Tenth Revisions ICD-10. The coding application must be in accordance with ICD-10 to obtain a valid code in disease indexing, national, international reporting of morbidity and mortality, analysis of health care costs, and epidemiological and clinical research. The diagnosis of schizoaffective disorder is made if schizophrenia and affective disorder are symptoms based on the ICD-10 diagnostic criteria. This study aims to determine the synchronization of the codification of unspecified schizophrenia and determine the factors that influence it against the back-referral system at the Mirit Health Center. Method: This research is qualitative research with a descriptive approach. Respondents were four officers, i.e. one doctor, one medical record officer, one person holding a mental program, one pharmacy officer. The number of observed medical record documents was 96 data with research indicators of accuracy and completeness of the diagnosis code in patients referred from First Level Health Facilities (FKTP) to Advanced Health Facilities (FKTL). Result: The results showed 30 referrals, with nine referrals having the accuracy of the patient referral diagnosis code. The back-referral program (PRB) for mental illness at the Mirit Health Center, in collaboration with Mbah Marsio's mental health rehabilitation center, was carried out well. However, the implementation of the Chronic Disease Management program (Prolanis) for mental health was still not good. Conclusion: There are many unsynchronized codifications. It is recommended to conduct an evaluation where they communicate with each other about the patient's condition to supervise the implementation of Referback Patients, especially to specialists who write the back-referral form.
PENGARUH PENGISIAN LEMBAR JAWABAN PEMERIKSAAN RADIOLOGI TERHADAP KUALITAS KODIFIKASI PENYAKIT TUBERCULOSIS OF LUNG WITHOUT MENTION OF BACTERIOLOGICAL OR HISTOLOGICAL CONFIRMATION (A16.2) DI RUMAH SAKIT PKU MUHAMADIYAH PETANAHAN Triyo Rachmadi; Haidar Ali Mahmud
INFOKES (Informasi Kesehatan) Vol 4 No 1 (2020)
Publisher : POLITEKNIK PIKSI GANESHA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56689/infokes.v4i1.294

Abstract

The answer sheet of radiology examination as a supporting sheet to assist the doctor in establishing the diagnosis of disease and the accuracy of the diagnosis greatly affects the code of the disease itself.Codification of Tuberculosis of lung codification without mention of bacteriological or histological confirmation depends on the cmpletenessof the answer sheet radiological examination in the patient’s medical records. The purpose of this research is to know the effect of filling the answer sheet of radiology examination to the quality of the Tuberculosis of lung codification without mention of bacteriological or histological confirmation in the hospital PKU Muhamadiyah petanahan. This research uses qualitative descriptive method with sample of 30 medical record files and 3 respondents namely Director of Hospital, Head of Medical Record and Officer of Coding. Data collection techniques used are observation, interview and literature study. Indicators on the answer sheet of radiology examination are 11 Patient identification, date and time, result of anamnesa, result of physical examination, diagnosis, management plan, treatment of action, other service, approval of action, clinical observation note and treatment result, name and signature of doctor while indicators for the quality of disease codification are 4, namely diagnostic accuracy, diagnostic clarity, using ICD-X and codification accuracy.The result of observation of answer sheet of radiology examination, complete indicator there are 4 whereas incomplete there is 7. The result of observation of quality of disease codification that fulfill indicator there are 4 while that does not fulfill indicator that is not exist. Results of interviews on 3 respondents good results. From the results of this study there is an influence between the filling sheet answer radiology examination of tuberculosis of tuberculosis of disease quality without mention of bacteriological or histological confirmation. As for suggestion than is make standard opertional precedureand socialization to radiologi officer.
Co-Authors Haidar Ali Mahmud Ndari Afriyani Nur Hayati Munawaroh Sri Wahyuni