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Gambaran Ketersediaan Rekam Medis Rawat Jalan Berdasarkan Standar Pelayanan Minimal di Rumah Sakit Islam Jakarta Pondok Kopi Paryati Paryati; Deasy Rosmala Dewi; Daniel Happy Putra; Nanda Aula Rumana
SEHATMAS: Jurnal Ilmiah Kesehatan Masyarakat Vol. 2 No. 2 (2023): April 2023
Publisher : Yayasan Literasi Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55123/sehatmas.v2i2.1860

Abstract

The availability of medical records is greatly influenced by fast and precise distribution. If the delivery of medical records to the intended polyclinic is not on time, it will affect the waiting time for patient services. The general objective of this study was to determine the length of time it took to provide outpatient medical records at RSIJ Pondok Kopi. This type of research uses descriptive, quantitative in nature, namely a survey conducted on a set of objects which usually aims to see a picture of what is happening in a certain population. From the results of research conducted in the medical record storage room, all procedures have been carried out properly. It's just that there is still a procedure that does not exist in this case, namely standardization of the time for providing medical records for outpatient services. Based on the conclusions that can be drawn from the results of the study, namely: in the implementation of taking and compiling medical records the officers carry out according to the SPO, it's just that there is no standardization of the length of time for providing medical records for outpatient services from the patient registering until the medical record is available / found. Some suggestions that can be useful for service providers are: it is hoped that there will be a standard time regarding the provision of medical records for outpatient services, so that officers can speed up the process of providing medical records.
Tinjauan Ketepatan Kode Penyakit Tuberkulosis Paru Berdasarkan ICD-10 pada Pasien Rawat Inap di RSKD Duren Sawit Tahun 2021 Vania Rachma Putri; Puteri Fannya; Deasy Rosmala Dewi; Lily Widjaja
Sehat Rakyat: Jurnal Kesehatan Masyarakat Vol. 2 No. 2 (2023): Mei 2023
Publisher : Yayasan Pendidikan Penelitian Pengabdian Algero

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54259/sehatrakyat.v2i2.1675

Abstract

Coding accuracy is the process of conforming to the diagnosis code that has been determined by the coding officer based on ICD-10 which greatly affects data reporting and administration. Pulmonary tuberculosis is an infectious disease caused by Mycobacterium tuberculosis which causes disturbances in the respiratory tract. In RSKD Duren Sawit pulmonary tuberculosis is included in the 10 biggest diseases. The purpose of this study was to determine the accuracy of the pulmonary tuberculosis disease code based on ICD-10 in inpatients at RSKD Duren Sawit in 2021. This study used a descriptive method with a quantitative approach that took 80 samples using a saturated sample technique by means of observation and interviews. The results obtained from 80 samples of the accuracy of the pulmonary tuberculosis code of inpatients at RSKD Duren Sawit found that 56 (70%) and 24 (30%) were inaccurate. There are factors that affect the inaccuracy of using the 5M (Man, Money, Material, methode, Machine) element, namely the man element due to the inappropriateness of the coding officer's profession and lack of thoroughness and the element of the coding SOP method which is still being revised. Suggestions should be officers who do coding in accordance with their profession or medical recorders.
Analisis Ketepatan Kode Diagnosis pada Kasus Persalinan Pasien Rawat Inap di Rumah Sakit Patria Ikkt Tahun 2022 Angela Marsiana Siki; Deasy Rosmala Dewi; Daniel Happy Putra; Puteri Fannya
SEHATMAS: Jurnal Ilmiah Kesehatan Masyarakat Vol. 2 No. 2 (2023): April 2023
Publisher : Yayasan Literasi Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55123/sehatmas.v2i2.1201

Abstract

Diagnostic coding must comply with ICD-10 rules. According to WHO, the coding of delivery cases consists of the code for the mother's condition (O00-O75), the method of delivery (O80-084), and the Outcome of delivery Z37.-., while the code is Z37.-. used as an additional code to determine the outcome of labor. So that the coder officer must have knowledge in setting the diagnosis code. Coding accuracy is very necessary because it is used as a reporting material. To determine the Standard Operating Procedure (SOP), the percentage of accuracy of the diagnosis code for inpatient labor cases based on 3M (complications, delivery method, and outcome of delivery) and the cause of the inaccuracy of the diagnosis code for labor cases. Descriptive research type with a quantitative approach. The population is medical records of inpatients in labor cases with a sample of 100 medical records. The sampling technique is by systematic random sampling. Collecting data by means of observation, interviews, and documentation. Research results: SOPs already exist, but not yet complete. The percentage of accuracy of the correct diagnosis code for labor cases is 22.33% while the incorrect diagnosis code is 77.67%. The cause of the inaccuracy of the ICD-10 code for delivery cases is that the diagnosis does not include the method of delivery and the outcome of delivery, and has never been done. evaluation or audit coding. The accuracy of the diagnosis of labor cases is still incomplete. Improve the SOP entry and complete the delivery method and outcome of delivery in medical records and registers.
Tinjauan Penyebab Peserta Non Aktif Bpjs di Puskesmas Kecamatan Cengkareng Navry Nanda Aprilian; Deasy Rosmala Dewi; Puteri Fannya; Daniel Happy Putra
Jurnal Siti Rufaidah Vol. 2 No. 3 (2024): Agustus : Jurnal Siti Rufaidah
Publisher : PPNI UNIMMAN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jasira.v2i3.101

Abstract

Abstract: The Social Security Administering Body (BPJS) is an organizing body whose membership is mandatory. Every company is required to register its workers for a minimum of 6 months, while those who do not work for a company are required to register themselves and their family members with BPJS. Each BPJS participant will be charged a contribution, the amount of which will be determined later. Inactive BPJS membership is a participant whose registration process is hampered and services become payable independently. The aim of the research is to review the causes of Non-active BPJS participants in Cengkareng sub-district. The research method is a quantitative approach. The technique uses saturated sample observations. The research results showed that there were 75 Non-active participants. Of the 75 samples, there were 34 participants who were inactive due to premiums (45.33%), 13 participants because they left of their own accord (17.33%), 7 participants because their children were PPU> 21 years (9.33%), 10 participants were not covered (13 .33%), 11 participants with double data (14.66%). Follow-up of Inactive BPJS membership at the Cengkareng Community Health Center, there were 65 participants (86.67%) taking care of returning BPJS participants and 10 participants (13.33%) continuing at their own expense. Of the number of BPJS participants who registered for treatment at the Cengkareng sub-district health center, their membership status was inactive due to premiums being one of the highest. The follow-up is to pay all arrears and take care of returning the membership to the nearest BPJS. Suggestions In accordance with the vision and mission of BPJS Health to be able to improve the quality of service to participants, BPJS Health must be able to improve the quality of service, especially in the field of information technology which can be made to remind BPJS Health participants, especially those whose membership status is inactive, by using E-mail and Whatsapp.