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Peningkatan Pengetahuan Kader Posyandu dalam Pembuatan PMT Berbahan Dasar Kelor sebagai Upaya Percepatan Pencegahan Stunting Maya Weka Santi; Cherry Triwidiarto; Theo Mahiseta Syahniar; Refa Firgiyanto; Mira Andriani
DHARMA RAFLESIA Vol 18, No 2 (2020): DESEMBER (ACCREDITED SINTA 5)
Publisher : Universitas Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33369/dr.v18i2.12056

Abstract

Berdasarkan data profil Dinas kesehatan Kota Probolinggo Tahun 2017 masih ditemukan balita mengalami gizi buruk sebanyak 27 balita. Kecamatan Kanigaran merupakan salah satu Kecamatan di Kota Probolinggo yang memiliki jumlah balita gizi buruk tertinggi sebanyak 10 balita (37%). Peran kader di Posyandu “Boegenville” belum optimal karena masih memiliki pengetahuan yang kurang terkait stunting dan cara pencegahannya. Kader juga belum berperan aktif dalam pengolahan Pemberian Makanan Tambahan (PMT) balita. Salah satu bahan makanan lokal yang baik untuk PMT adalah daun kelor (Moringa Oleivera). Dengan demikian diperlukan peningkatan pengetahuan kader posyandu dalam pembuatan PMT berbahan dasar kelor sebagai upaya percepatan pencegahan stunting. Kegiatan dilakukan dengan memberikan materi meliputi pengertian stunting, penyebab balita stunting, cara mencegah stunting dan pengertian PMT. Kegiatan pelatihan pembuatan PMT berbahan dasar kelor juga dilakukan dengan menghasilkan tiga produk antara lain puding oreo coklat kelor, nugget ayam kelor dan cookies emping kelor. Hasil evaluasi dilakukan dengan memberikan pretest dan posttest dengan indicator keberhasilan skor 70. Sebanyak 30% kader memiliki nilai diatas 70 pada pretest dan terjadi peningkatan pengetahuan berdasarkan hasil posttest 100% kader memiliki nilai diatas 70. Perlu untuk merancang program lanjutan sebagai tindak lanjut dari kegiatan ini yaitu pelatihan kewirausahaan produk PMT bagi untuk mendukung ekonomi kader Posyandu.
Analisis Pengembalian Klaim BPJS Rawat Inap Dengan Metode PDCA di RS Jember Klinik Atma Deharja; Ayu Imelda Rosita; Rossalina Adi Wijayanti; Maya Weka Santi
Jurnal Kesehatan Vol 10 No 1 (2022): April
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/jkes.v10i1.286

Abstract

Health financing is one of the important things in the implementation of the National Health Insurance, which is held in hospitals by the Health Social Security Administering Body through the submission of claims. The file submitted was not fully confirmed, resulting in the return of the claim file. This happened at the Jember Clinic Hospital, inpatient claimed files pending for 3 months an average of 8%. The purpose of this study analyzes the return of inpatient claim files by social security administrator health verifiers with the (Plan, Do, Check, Action) approached at Clinic Hospital Jember. The type of research was qualitative. Data collection through interviews, observations, questionnaires, documentation and brainstorming conducted to four informants. The results of the identification of the factors causing the return of inpatient claim files were caused by several things, one was the patient administrative discrepancy. The planning carried out in this research was making checklist sheet for completeness of claim files, makimg Standard Operating Procedures for completeness of claim files and making a request form for the completeness of the claim files. Based on the results of the planning implementation that had been carried out, the return of the claim file was still quite high because it was not in accordance with the target set by the researcher. Recommendations from this study was to minimize the return of claim files, namely to include training for related officers, making Standard Operating Procedures related to claim process systematically and carried out computer maintenance regularly.
Strategi Mengurangi Keterlambatan Pengembalian Berkas Rekam Medis Rawat Inap di RSUD Pasirian Lumajang Tahun 2020 Feby Erawantini; Atika Yuliandari; Atma Deharja; Maya Weka Santi
Jurnal Manajemen Informasi Kesehatan Indonesia (JMIKI) Vol 10, No 2 (2022)
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.v10i2.474

Abstract

Standar waktu pengembalian berkas rekam medis rawat inap adalah 2x24 jam setelah pasien dinyatakan keluar rumah sakit. Pada bulan Januari – Desember 2019 terjadi keterlambatan pengembalian berkas rekam medis rawat inap yaitu sebanyak 6398 dari 9570 berkas rekam medis rawat inap yang terlambat dikembalikan ke unit rekam medis. Tujuan penelitian ini adalah menyusun strategi untuk mengurangi keterlambatan pengembalian berkas rekam medis rawat inap di RSUD Pasirian Lumajang. Penelitian ini merupakan penelitian kualitatif dengan metode action research. Metode pengumpulan data menggunakan wawancara, observasi dan brainstorming. Hasil identifikasi faktor penyebab keterlambatan pengembalian berkas rekam medis rawat inap yaitu kurangnya sosialisasi SOP pengembalian berkas rekam medis, belum pernah dilakukan pelatihan dan evaluasi terkait  pengembalian berkas rekam medis rawat inap, ketidaklengkapan pengisian berkas rekam medis rawat inap, serta belum terdapat SOP kelengkapan pengisian berkas rekam medis rawat inap. Berdasarkan hal tersebut, upaya perbaikan masalah yang peneliti sarankan kepada pihak RSUD Pasirian Lumajang yaitu dengan menyusun SOP kelengkapan pengisian berkas rekam medis rawat inap, sosialisasi dan pendistribusian SOP kelengkapan pengisian dan SOP pengembalian berkas rekam medis, serta pembuatan laporan pengembalian berkas rekam medis rawat inap.
Analysis of Factors Causing Delay in Returning Inpatient Medical Record Files at Purwoharjo Health Center Maya Weka Santi; Wiwik Dian Sari; Ida Nurmawati; Sabran Sabran
Saintika Medika Vol. 18 No. 2 (2022): December 2022
Publisher : Universitas Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22219/sm.Vol18.SMUMM2.21959

Abstract

Delays returning inpatient medical record files at the Purwoharjo Health Center reached 54.01%, far from the standard 100% return target within 2x24 hours after the patient returned home. The purpose of the study was analyzing the factors causing the delay in returning medical record files at the Purwoharjo Health Center. The research subjects were 8 informants. Collecting data using interviews, observation, documentation, priority problems with USG, and improvement planning to fix problems with FGD. The results of the analysis of the delay in returning inpatient medical record files due to lack of knowledge of officers on the standard of returning medical record files, indiscipline of officers in filling medical record files, SIMPUS often an error, non-optimal use of expedition books, incomplete filling of medical record files, patient motivation in the form of encouragement from medical record officers have been done but officers still often return medical record files delayed. Priority problems include incomplete filling of patient medical files, indiscipline in filling patient medical record files, and lack of motivation in the form of reward. Improvement planning is making SOP for filling the medical record, improving SOP for returning the medical record, posting SOP in every officer room, giving the reward.
Technology Acceptance Model to Implementation of Electronic Medical Record (EMR’s) at Clinic of Rumah Sehat Keluarga Jember Atma Deharja; Meiranda Normarisa Azis; Novita Nuraini; Angga Rahagiyanto; Maya Weka Santi; Muhammad Yunus
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No 4: December 2022
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (860.343 KB) | DOI: 10.30604/jika.v7i4.1370

Abstract

The Rumah Sehat Keluarga Clinic is one of the clinics in Jember that has just implemented electronic medical records (RME) at the end of October 2020. Based on observations made on January 4, 2021, at the Rumah Sehat Keluarga Clinic, it is known that there are several obstacles in implementing the electronic medical record system. outpatient treatment indicating that analysis is necessary. This study aims to analyze the application of outpatient electronic medical records at the Rumah Sehat Keluarga Clinic. Identification of problems using the TAM (Technology Acceptance Model) method by reviewing aspects of external variables, aspects of perceived usefulness, aspects of perceived ease of use, and aspects of behavioral intention to use. This type of research is qualitative with data collection methods, namely interviews, observation, documentation and brainstorming. The subjects of this study are the head of the clinic and the medical record officer. The results showed that based on aspects of external variables, several constraining factors were obtained including the absence of guidelines for using RME for new or old users and there was a diagnosis menu that had not been integrated with the ICD 10 database. Aspects of perceived usefulness, namely the use of electronic medical records in the clinic made the work of the officers faster and more efficient. The perceived ease of use aspect showed that receiving electronic medical records is considered easy to understand, flexible enough with the work of officers and easy to use to help work. Based on the aspect of behavioral intention to use, even though there are several obstacles in its application, outpatients show interest in RME and they will use it in the future. Abstrak: Klinik Rumah Sehat Keluarga baru menerapkan Rekam Medis Elektronik (RME) pada akhir Oktober 2020. Berdasarkan pengamatan terdapat kendala dalam penerapannya yang menunjukkan perlu dilakukan analisis. Tujuan penelitian ini untuk menganalisis penerapan rekam medis elektronik rawat jalan Klinik Rumah Sehat Keluarga. Identifikasi permasalahan menggunakan metode TAM (Technology Acceptance Model) dengan meninjau dari aspek variable luar (external variable), aspek kebermanfaatan (perceived usefulness), aspek kemudahan (perceived ease of use), dan aspek minat (behavioral intention to use). Jenis penelitian ini kualitatif dengan metode pengumpulan data yaitu wawancara, observasi, dokumentasi dan brainstorming. Subjek penelitian ini adalah kepala klinik dan petugas rekam medis. Hasil penelitian menunjukkan bahwa berdasarkan aspek variabel luar (external variable) diperoleh faktor kendala diantaranya tidak adanya panduan penggunaan RME bagi pengguna baru atau lama dan terdapat menu diagnosis yang belum terintegrasi dengan database ICD 10. Aspek kebermanfaatan (perceived usefulness) yaitu penggunaan rekam medis elektronik di klinik membuat pekerjaan petugas menjadi lebih cepat dan efisien. Aspek kemudahan (perceived ease of use) menunjukkan dalam penerimaan rekam medis elektronik dinilai mudah dipahami, cukup fleksibel dengan pekerjaan petugas serta mudah digunakan untuk membantu pekerjaan. Berdasarkan aspek minat (behavioral intention to use) yaitu petugas rawat jalan menunjukkan minatnya terhadap RME serta berencana menggunakannya di masa yang akan datang.
Analisis Faktor Penyebab Keterlambatan Pengembalian Rekam Medis Rawat Inap di Rumah Sakit Baladhika Husada Jember Insani Dzakirah; Demiawan Rachmatta Putro Mudiono; Maya Weka Santi; Erna Selviyanti
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 4 No 3 (2023): June
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v4i3.3804

Abstract

The standard for returning outpatient medical records was 1 hour after providing polyclinic services and 1 x 24 hours after the patient was discharged. Delay in returning outpatient medical records occurs if it exceeds the predetermined standard limit. The implementation of medical records at Baladhika Husada Jember Hospital still has delays in returning inpatient medical records. Therefore, it impacts patient waiting time to get services and the accumulation of files due to the procurement of new medical record documents for visiting patients because the previous medical records were not in the filing room. This research aimed to analyze the factors causing delays in returning inpatient medical records. This type of research uses qualitative research, the subject is 1 head of a medical record unit, 1 medical record officer, 3 nurses, and 2 heads of inpatient rooms. The object of this research is inpatient medical records. The results found in this study are that the first priority has not been socialization related to SOP (Standard Operational Procedure) regarding the return of inpatient medical records so it is determined that efforts to hold routine SOP socialization, providing SOP are posted in each inpatient room by involving all nurses and record officers related to the activity of returning medical records.
Analisis Faktor Penyebab Rendahnya Bed Occupancy Rate (BOR) di Balai Besar Kesehatan Paru Masyarakat Makassar Agus Salim; Ervina Rachmawati; Maya Weka Santi; Indah Muflihatin
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 4 No 4 (2023): September
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v4i4.3322

Abstract

The Bed Occupancy Rate (BOR) at the Makassar Community Lung Health Center in the last 3 years has decreased in 2018 by 64%, in 2019 by 62% and in 2020 by 52%. BOR is an indicator of health services that can be used to determine the level of quality, level of utilization of facilities and efficiency of health services. The impact of the decrease in BOR causes a decrease in economic income for the Hospital. The purpose of this study was to analyze the factors causing the low BOR at the Makassar Community Lung Health Center with (human resources), (facilities and infrastructure), (discipline of health care providers) and (problem improvement efforts. This study used qualitative research methods, with the intention of digging deeper into the factors causing the low BOR by using interview, observation, documentation and brainstorming techniques involving 3 informants including HRD, head of facilities and infrastructure and head of nursing.The results of this study indicate that the factor causing low BOR is the lack of resources. human nurses, facilities and infrastructure are not adequate, the discipline of health service providers is not consistent. The solution is that human resources need to be added to facilities and infrastructure that are immediately improved and complete the facilities and infrastructure that are not yet available.
Gambaran Budaya Kerja Organisasi Terhadap Adaptasi Rekam Medis Elektronik dalam Pelayanan Kesehatan di Rumah Sakit Sabran Sabran; Maya Weka Santi; Dony Setiawan Hendyca Putra; Mochammad Choirur Roziqin
ARTERI : Jurnal Ilmu Kesehatan Vol 4 No 3 (2023): Mei
Publisher : Puslitbang Sinergis Asa Professional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37148/arteri.v4i3.380

Abstract

Electronic Medical Records (EMR) have become a vital system aimed at enhancing the efficiency of patient data management in hospitals. EMR is not just an innovation but a necessity that all healthcare services in Indonesia must adhere to, aligning with the targets set forth in the National Medium-Term Development Plan (RPJMN). In this context, several supportive factors play a pivotal role in EMR implementation, including organizational work culture, human resources, infrastructure, governance, and leadership. This research aimed to provide insight into hospital preparedness in the context of organizational work culture to ensure the smoother implementation of EMR. The research employed a quantitative approach with descriptive analysis. The research subjects were medical record personnel working in hospitals, with data collected from 15 hospitals of various types in the East Java region. The results of this study highlight several critical aspects of organizational work culture that influence EMR implementation, including training, socialization, mentoring, commitment, support from medical record personnel, and an understanding of how technology can enhance service quality. Nevertheless, the research also identified a prevailing perception that EMR is merely an Information Technology project, which could act as a potential hindrance to successful implementation. This research served as a reminder to hospitals about the importance of paying attention to these aspects as part of comprehensive preparations for EMR implementation. Consequently, it is anticipated that EMR implementation can proceed more efficiently and effectively, delivering greater benefits to patients and overall healthcare service delivery.
Analisis Faktor Penyebab Kerusakan Berkas Rekam Medis di Puskesmas Nogosari Kabupaten Jember Selvia Juwita Swari; Sakinah Salsabila; Maya Weka Santi; Angga Rahagiyanto; Gamasiano Alfiansyah
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 5 No 3 (2024): June
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v5i3.3924

Abstract

Medical records at The X Community Health Center are easily torn due to overfilled filing racks, making it difficult to retrieve medical record files. Forcing the files out can result in torn records. Approximately 7.35% of medical records were found to be damaged. The aim of this study was to analyze the factors causing damage to medical records based on the 7M aspects. The research was qualitative, with data collected through interviews, observations, and documentation. The research subjects consisted of 1 registration officer, 1 filing officer, 1 administrative staff member, 1 head of administration, and the Head of the X Community Health Center. Data were analyzed through data reduction, data presentation, and conclusion drawing. The results showed that the damage to medical records was caused by several factors, including man (education level, lack of knowledge, and no training), machines (insufficient number of medical record storage racks), methods (no SOP for medical record maintenance), materials (medical record folder materials), media (physical environment), motivation (no rewards or punishments), and money (insufficient budget for procuring medical record folders). It is recommended that The X community health center provide medical record maintenance training and develop and implement SOP for medical record maintenance.