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Fannya, Puteri
Univeritas Esa Unggul
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Tinjauan Tata Ruang Unit Rekam Medis dalam Menjaga Keamanan dan Kerahasiaan Rekam Medis di RSUD Kembangan Tri Putra, Iqbal; Fannya, Puteri; Widjaya, Lily; Muniroh, Muniroh
Cerdika: Jurnal Ilmiah Indonesia Vol. 2 No. 4 (2022): Cerdika: Jurnal Ilmiah Indonesia
Publisher : Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/cerdika.v2i4.372

Abstract

In the Medical Record Unit of the Kembangan Regional General Hospital, the work space of the medical record unit is directly related to the active medical record storage room, the door of the medical record unit at the Kembangan Regional General Hospital does not yet have a secret key or additional security such as a fingerprint. The purpose of this study was to determine the layout of the medical record unit in maintaining the security and confidentiality of medical records at the Kembangan Regional General Hospital. This study used quantitative descriptive methods with observation and interview data collection techniques, as well as direct measurements in the workspace and storage of the medical record unit of the Kembangan Regional General Hospital using a measuring instrument in the form of a building meter, then to determine the need for storage space obtained from the calculation of shelf requirements. medical record storage using the formula according to the International Federation of Health Information Management Associations. The results of the research are in the medical record unit of the Kembangan Regional General Hospital already have standard operating procedures related to the security and confidentiality of medical records but in practice it has not been implemented optimally. Inadequate facilities and infrastructure can be seen from the current work area of 10.27 m3, it should takes 15 m3, the storage space is still minimally lit and does not meet the standards. Suggestion: it is better if standard operating procedures have not been implemented to be implemented immediately.
Tinjauan Prosedur Pendaftaran Pasien Rawat Inap di RSU Bhakti Asih Tangerang Fandhika, Lilin Tata; Fannya, Puteri; Rumana, Nanda Aula; Yulia, Noor
Cerdika: Jurnal Ilmiah Indonesia Vol. 2 No. 4 (2022): Cerdika: Jurnal Ilmiah Indonesia
Publisher : Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/cerdika.v2i4.375

Abstract

The inpatient registration procedure contains a collection of patient data that is admitted per day, from the existing data registered for inpatient registration, it can be seen the number of patients admitted per day, the number of patients admitted per treatment room. The purpose of this study was to determine the procedure for registering inpatients at Bhakti Asih General Hospital, Tangerang. This type of research uses a qualitative descriptive method. Data collection techniques used are observation and interviews. The results of this study are related to the implementation of inpatient registration procedures, there are obstacles regarding incomplete requirements at the time of registration such as personal identity cards (KTP/KK), patient referral letters and the lack of registration officers so that there is a buildup during inpatient registration. the lack of completeness in the patient identity requirements as a condition for patient registration, therefore the officer must educate the patient to make a statement letter for files that are left behind 2 X 24 hours or before the patient goes home. to be brought as terms and procedures of patient registration at the hospital.
Gambaran Prosedur Klaim Peserta Rawat Inap Bpjs Kesehatan Di Rspad Gatot Subroto Tahun 2022 Amalia, Isnaini; Fannya, Puteri; Viatiningsih, Wiwik; Aula Rumana, Nanda
Cerdika: Jurnal Ilmiah Indonesia Vol. 3 No. 4 (2023): Cerdika : Jurnal Ilmiah Indonesia
Publisher : Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/cerdika.v3i4.578

Abstract

Jaminan kesehatan yang dilaksanakan memiliki prosedur dan kebijakan. Prosedur dan kebijakan tersebut merupakan penjelasan fasilitas kesehatan diharuskan mengajukan klaim secara rutin yaitu maksimal tanggal 10 bulan berikutnya. Dalam prosedur dan kebijakan tersebut BPJS Kesehatan memiliki sebuah sistem yang digunakan untuk mengajukan klaim dengan pola pembayaran Indonesian Case Base Groups (INA-CBG’s) pada tarif pelayanan kesehatan tingkat lanjut. Sebelum mengajukan klaim, pihak rumah sakit melakukan verifikasi administrasi dengan dokumen yang dibutuhkan. Penelitian ini menggunakan metode penelitian analisis deskriptif dengan pendekatan kualitatif melalui observasi dan wawancara. SPO dalam pengajuan klaim sejak dibuat tahun 2016 belum memiliki perubahan. Isi dari SPO itu tetap sama dengan memiliki 16 poin yang menjadi pedoman dalam pengajuan klaim. Pengajuan klaim memiliki 4 tahapan yaitu verfikasi JKN, grouper JKN, verifikasi BPJS Kesehatan dan pembayaran. Pada pelaksanaannya masih terdapat kendala dalam proses pengajuan klaim yaitu masih terdapatnya kode yang salah, tidak lengkapnya berkas yang dibutuhkan, serta sistem yang terkadang bermasalah. Maka dari itu petugas diharapkan agar memperhatikan kembali SPO yang ada apakah SPO tersebut memerlukan perubahan atau tidak. Dan petugas agar lebih teliti lagi dalam proses koding dan mengumpulkan berkas yang diperlukan.
Penerapan Metode Hot-Fit dalam Mengevaluasi Sistem Informasi Manajemen Rumah Sakit (Literature Review) Piter Serhalawan, Roi; Aula Rumana, Nanda; Happy Putra, Daniel; Fannya , Puteri
COMSERVA : Jurnal Penelitian dan Pengabdian Masyarakat Vol. 3 No. 08 (2023): COMSERVA : Jurnal Penelitian dan Pengabdian Masyarakat
Publisher : Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/comserva.v3i08.1106

Abstract

Sistem Informasi Manajemen Rumah Sakit atau yang biasa disebut sebagai SIMRS merupakan bentuk penerapan teknologi informasi yang berfungsi untuk meningkatkan upaya pelayanan kesehatan di rumah sakit, dengan mengelola dan mengatur informasi terkait data pasien dan pelaporan kegiatan rumah sakit, sehingga dapat membantu tenaga kesehatan untuk bekerja dengan lebih efektif dan efisien. Sebagai upaya untuk meningkatkan kinerja SIMRS, evaluasi perlu dilakukan terhadap sistem yang telah berjalan untuk mengetahui aspek positif yang mendorong penggunaan sistem dan mengidentifikasi faktor yang menimbulkan hambatan. Tujuan penelitian ini untuk mengetahui penerapan metode Hot-Fit dalam mengevaluasi Sistem Informasi Manajemen Rumah Sakit (SIMRS) dengan menempatkan komponen manusia (human), organisasi (organization), teknologi (technology) dan net benefit dengan metode yang digunakan adalah metode Literature review dengan teknik pengumpulan data melalui google scholer. Hasil penelitian ini dilihat pada komponen manusia; kurangnya motivasi pengguna dalam penerapan SIMRS, serta pengguna masih kurang paham cara mengoperasikan SIMRS. Komponen organisasi; dukungan pihak manajemen memiliki peran penting dalam keberhasilan penerapan SIMRS akan tetapi belum adanya evaluasi yang dilakukan secara rutin untuk mengetahui kendala teknis maupun non teknis dalam penerapan SIMRS. Komponen teknologi; sering terjadi eror pada sistem dan terkendala jaringan yang sering bermasalah pada jam pelayanan, hal ini menyebabkan jam kerja pengguna sistem bertambah. Komponen net benefit; SIMRS memiliki manfaat dalam pelayanan di rumah sakit dalam meningkatkan efisiensi pekerjaan dan membantu tugas pengguna sehari-hari.
Overview of Completeness of Filling Out Inpatient Discharge Summary Form at General Ahmad Yani General Hospital Metro in 2021 Aulia, Ni Wayan Riskita; Wiwik Viatiningsih; Nanda Aula Rumana; Puteri Fannya
Open Access Indonesian Journal of Medical Reviews Vol. 2 No. 2 (2022): Open Access Indonesian Journal of Medical Reviews
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/oaijmr.v2i2.179

Abstract

Medical records are the property of hospitals that must be maintained because they are useful for patients, doctors, and hospitals. Medical record documents are very important in carrying out the quality of medical services provided by hospitals and their medical as well as accurate evidence in court, doctors, nurses, and other health workers who treat patients are required to complete medical records following applicable regulations. This study aims to describe the completeness of filling out inpatient discharge summary form at General Ahmad Yani Hospital Metro in 2021. This study used a descriptive research method. The research location is the Medical Record Unit of General Ahmad Yani General Hospital Metro Lampung. This research was conducted in October 2021. Of the 100 samples of medical records, the completeness of the inpatient discharge summary form was completed. There are 80% complete and 20% incomplete, where the completeness value of 100% is found in the patient identity filling item, and there are no scribbles. Meanwhile, 20% incompleteness is found in important note items (5%) and authentication (15%). In conclusion, standard operating procedures for completeness of medical records already exist and the implementation of completeness of medical record files has been carried out according to applicable standards, but it can be seen that the steps in the SOP are not detailed and less thorough.
Overview of the Implementation of Medical Record Maintenance at Tarakan Hospital Jakarta in 2021: A Qualitative Study Noviliana, Tiara; Siswati; Puteri Fannya; Wiwik Viatiningsih
Open Access Indonesian Journal of Medical Reviews Vol. 2 No. 2 (2022): Open Access Indonesian Journal of Medical Reviews
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/oaijmr.v2i2.181

Abstract

A medical record is a file that contains notes and documents about patient identity, examination, treatment, actions, and other services that have been provided to patients. Medical records in carrying out maintenance and protection so that medical records are protected from damage and can facilitate the service process. This study discusses the process or activities of maintaining medical records at the Tarakan Hospital, Jakarta. The purpose of this study was to find out what factors could trigger the occurrence of damage or dangers to the medical record unit and to find out the preventive actions taken by the hospital in protecting medical records. This type of research uses a qualitative descriptive method, which describes the implementation of the maintenance of medical record files in the filing room in 2021. The implementation of medical record maintenance by medical record unit officers, it does not follow the SOP that has been set by Tarakan Hospital Jakarta. Constraints in maintaining medical records are seen from biological, chemical, environmental, and security factors. These obstacles are often the factors that cause damage to medical records such as dust, fire/coal on cigarettes, pests/insects, and chemical liquids and maintenance of medical records at the Tarakan Hospital.
Tinjauan Pelaksanaan Rekam Medis Elektronik Rawat Jalan di Rumah Sakit Soeharto Heerdjan Azzahra, Annisa; Yulia, Noor; Sonia, Dina; Fannya, Puteri
Jurnal Manajemen Informasi dan Administrasi Kesehatan Vol. 8 No. 2 (2025): JMIAK
Publisher : Program Studi D3 Rekam Medis dan Informasi Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32585/jmiak.v8i2.7091

Abstract

The rapid development of information technology has penetrated various sectors of life, including the healthcare sector, and has significantly influenced the advancement of computer-based medical record systems. The utilization of information technology in medical record systems is a strategic step to improve the quality of healthcare services in hospitals. However, in practice, the implementation of Electronic Medical Records (EMR) still faces several challenges, such as the gap between regulation and actual implementation, limited human resources, and suboptimal infrastructure. This study aims to review the implementation of Standard Operating Procedures (SOP), the use of EMR systems, and the inhibiting factors based on the 5M approach (Man, Material, Machine, Method, Money) at Soeharto Heerdjan Hospital. The research method used is descriptive qualitative, conducted through in-depth interviews and observations involving 12 informants, including medical personnel, administrative staff, and IT teams. The results of the study indicate that although SOPs are available and the system is integrated, the implementation is still hindered by work habit factors, limitations of the application system, and inadequate infrastructure support. Therefore, improvements in training, system strengthening, and workflow enhancement are necessary.
Efektivitas Penggunaan RME Terhadap Pelayanan Poli Kesehatan Ibu Hamil Puskesmas Pancoran Jakarta Ahmad Rizky; Dina Sonia; Puteri Fannya; Daniel Happy Putra
Jurnal Manajemen Informasi dan Administrasi Kesehatan Vol. 8 No. 2 (2025): JMIAK
Publisher : Program Studi D3 Rekam Medis dan Informasi Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32585/jmiak.v8i2.7234

Abstract

Perkembangan teknologi dan sistem informasi saat ini berkembang pesat, salah satunya di bidang kesehatan dengan penerapan Reakma Medis Elektronik (RME) untuk mendukung transformasi layanan kesehatan menjadi lebih efektif dan efisien. Penelitian ini bertujuan mengetahui efektivitas penggunaan RME terhadap pelayanan Poli KI Hamil di Puskesmas Pancoran. Penelitian ini menggunakan pendekatan kualitatif deskriptif dengan teknik pengumpulan data melalui wawancara mendalam dan observasi langsung terhadap tenaga kesehatan. Analisis data dilakukan berdasarkan lima konstruk utama dalam teori UTAUT, yaitu ekspektansi kinerja, ekspektansi usaha, pengaruh sosial, kondisi fasilitas, dan nilai keperilakuan. Hasil penelitian menunjukkan bahwa penggunaan sistem RME seperti EPus dan Wehopes terbukti meningkatkan efisiensi pelayanan melalui percepatan proses pencatatan dan pencarian data medis. Dari sisi ekspektansi usaha, tenaga kesehatan menganggap sistem ini mudah digunakan, tidak memerlukan keahlian teknis khusus, dan didukung oleh pelatihan serta pendampingan teknis. Pengaruh sosial, seperti dukungan pimpinan, rekan kerja, serta kebijakan pemerintah dalam digitalisasi pelayanan kesehatan, turut memperkuat penerimaan dan penggunaan RME. Kondisi fasilitas yang cukup memadai, meskipun masih terdapat beberapa kendala teknis ringan, telah menciptakan lingkungan kerja yang kondusif bagi penerapan sistem ini. Terakhir, tenaga kesehatan menunjukkan intensi dan komitmen yang tinggi untuk terus menggunakan RME, serta menolak kembali ke sistem manual yang dinilai kurang efisien.
Evaluasi Efektivitas Tempat Tidur Tahun 2019-2024 Di Rumah Sakit Pelabuhan Jakarta Salsabella, Pradita; Iqbal, Muhammad Fuad; Fannya, Puteri; Dewi, Deasy Rosmala
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 6 No 4 (2025): September
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v6i4.6154

Abstract

The effectiveness of bed utilization is a key indicator of inpatient service quality. Fluctuations in the number of beds at Pelabuhan Hospital Jakarta from 2019 to 2024 have affected the Bed Occupancy Rate (BOR), which remains below the ideal standard. This study aims to evaluate bed utilization effectiveness during that period using a descriptive quantitative method based on inpatient census data. Results showed that the number of beds in each ward fluctuated, with an average BOR ranging from 37% to 74%. The Turnover Interval (TOI) and Average Length of Stay (AvLOS) were generally within the ideal range, while the Bed Turnover (BTO) tended to be high. Changes in bed numbers had varying effects on BOR: an average increase of 3.8 beds raised BOR by 22.8%, while an increase of 5 beds reduced it by 8.4%. Conversely, reducing 2.6 beds increased BOR by 7.2%, while reducing 2 beds decreased it by 19.3%. Bed procurement was carried out through an official memorandum from the nursing unit to the director based on service trends and needs. Therefore, bed planning should use predictive methods and historical data analysis over a minimum of three to five years.
TINJAUAN TAHAP-TAHAP PELAKSANAAN LAPORAN BULANAN DATA KESAKITAN (LB1) LITERATURE REVIEW Sabiladina, Khoirunnisa; -, Muniroh; Fannya, Puteri; Widjaja, Lily
Jurnal Manajemen Informasi dan Administrasi Kesehatan Vol. 4 No. 2 (2021): JMIAK
Publisher : Program Studi D3 Rekam Medis dan Informasi Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32585/jmiak.v4i2.1786

Abstract

Laporan Bulanan Data Kesakitan (LB1) adalah laporan bulanan yang berisikan pendistribusi kasus penyakit menurut kelompok umur serta kasus baru ataupun kasus lama di puskesmas. Dengan adanya data dan informasi yang diperoleh dari laporan bulanan data kesakitan, maka dinas kesehatan dapat melakukan perencanaan, pemantauan, dan evaluasi pelaksanaan kegiatan program yang ada di puskesmas. Data dan informasi di dalam laporan tersebut dapat bernilai apabila dilaksanakan secara tepat dan akurat. Selain itu, data dan informasi tersebut harus dapat dipertanggungjawabkan keakuratannya karena keputusan yang tepat waktu tidak akan berguna apabila keputusan tersebut tidak sesuai untuk menangani masalah kesehatan yang sedang terjadi. Penelitian ini bertujuan untuk mengetahui proses pelaksanaan laporan bulanan data kesakitan dengan menggunakan metode literature review. Berdasarkan hasil tinjauan literature review terhadap 4 jurnal terkait pelaksanaan laporan bulanan data kesakitan didapatkan proses pengumpulan LB1 bersumber dari register kunjungan pasien, buku register pelayanan dalam gedung dan luar gedung dan pelayanan puskesmas berupa berkas rekam medis sedangkan pustu berupa lembar nota pembayaran. Proses pengolahan LB1 dibuat secara komputerisasi dengan menggunakan microsoft excel dan masih terdapat pengolahan secara manual, Proses penyajian LB1 disajikan dalam bentuk tabel secara manual, tabel excel dan grafik excel, Proses pengiriman LB1 dalam bentuk soft copy dan hard copy tetapi masih terdapat puskesmas yang mengalami keterlambatan dalam pengiriman.
Co-Authors -, Muniroh Adham, Yunan Adil Hidayat Afra, Rara Ahmad Rizky Aliyani Aliyani Alvina Amalia Amalia, Isnaini Amirah Syafiqah Zahra Anas Fajry Rhomadon Aneu Rosliana Angela Marsiana Siki Angelina Angelina Anggita Nurul Fadlilah Anisa Dyah Irawati Anisa Nur Safitri Anisa Nur Zulkarina Annida Ariyani Annisa Azzahra, Annisa Aqshal Hidayatullah Armila Astiyana Triadi Athiyyah, Hanifatul Aulia, Ni Wayan Riskita Ayu Hardianti Bagas Saputra Bangga Agung Satrya Betji Nadiana Bissilisin Brigita Natalia Br Surbakti Budi Sunaryo Budiana Gustiara Chresia Ericha Cindi Trisa Olivia Daniel Happy Putra Debbie Friscilla Carolina Manalu Dede Lisda Nurjanah Dede Lisda Nurjanah Delmi Sulastri Dessy Safutri Deta Nurfena Nurfena Dewi Kisaputri Dewi Sartika Dewi, Deasy Rosmala Dila Yuliandini Dina Munadiatu Dina Sonia Dinda Melani Safitri Diva Angelita Diva Sabina Dwi Chandrarika Putri Aulia Dwi Nurul Fadila Edi Kurnianto Endika Rachmad Fadia Eka Septiawati Faiha, Hana Fandhika, Lilin Tata Fani Nur Azizah Fathul Baari Fingky Rizki Wulandari Fiqih Nurhidayah Fretycia Laurenty Gina Sonia Hana Faiha Hardi Arissaputra Ilham Abdurohman Indawati, Laela Iqbal Tri Putra Iqbal, Muhammad Fuad Isnaini Amalia Izmi Novianita Jack Febrian Rusdi Kevin Handynata Khoirunnisa Sabiladina Lasmaria Simorangkir Lilin Tata Fandhika Lily Widjaya Lily Widjaya Lily Widjaya Listania Aisyah Putri Luthfiah Aulia Rachman M. Fuad Iqbal Maeimunah, Siti Magdalena, Selvy Manalu, Debbie Friscilla Carolina Mei Nur Khasanah Melani Aulia Mufida Mordekhai Immanuel Sitorus Muammar Dzachwani Muhamad Al Imran Rangga Putra Muhammad Arif Sutrasno Muhammad Hafiz Zuhri Munazhifah Munazhifah Muniroh Muniroh - Muniroh Muniroh Muniroh Muniroh Muniroh Muniroh Muniroh Muniroh Muniroh, Muniroh Nabila Zahara Ramadan Nabilah Khairunisa Nanda Aula Rumana Navry Nanda Aprilian Nazira Nur Amalia Nicki Nugrahaningtyas Noviliana, Tiara Nur Fadilah Nur Mawaddah, Nur Nurfena, Deta Nurfena Nurhaliza Putrikama Nurmayantih Nusamina Pulungan Piter Serhalawan, Roi Putri Rafikasani Putri Syaikhu Putri, Listania Aisyah R Gumilar Hadiningrat Rahmawati, Rena Maulina Ramadhana, Nur Fatihah Adlia Ratna Sari Rifda Ulfa Andini Rifqi Fauzan Risma Ayu Fitriyani Risma Sisni Fadilla Rizky Alfiansyah Rizky Khaerunnisa Roi Piter Serhalawan Rosa Patricia Rosfita Rasyid Rosita, Annida Ulfiar Rumana, Nanda Sabiladina, Khoirunnisa Sabina, Diva Safitri, Dinda Melani Salsabella, Pradita Salsabillah Zahrah Hayati Sarah Khonsa Seastama, Komang Cyntia Noviari Selvi Damayanti Shafa Aulia Ananda Hermanto Simorangkir, Lasmaria Siswati Siswati Siswati Sonaria Tambunan Suciyanti Suciyanti Surlialy, Dewi Sutrasno, Muhammad Arif Syahrul Dwi Ramadhani Tantri Wilananda Tedja Gurat Baktina Tri Putra, Iqbal Trideswira Tryandi Rohmadoni Usman, Nadia Salim Bin Vania Rachma Putri Viatiningsih, Wiwik Vitianingsih, Wiwik Wahyudi Prasetyo Widjaja, Lily Widjaya, Lily Winda Febriarini Windiana Mega Sukmawati Wiwik Vitianingsih Yati Maryati Yenni Syafitri Yulia, Noor