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Tinjauan Pengembalian Rekam Medis Rawat Jalan Dan Kecepatan Pendistribusian Rekam Medis Ke Poliklinik di Rumah Sakit An-Nisa Tangerang Raysha Dheamalia Muchtar; Noor Yulia
Indonesian of Health Information Management Journal (INOHIM) Vol 5, No 2 (2017): INOHIM
Publisher : Lembaga Penerbitan Universitas Esa Unggul

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (186.597 KB) | DOI: 10.47007/inohim.v5i2.135

Abstract

 AbstractTo get the performance of medical record installation of quality the in the implementation of medical record must be done properly and accurately, including on return and distribution of medical record. The return of medical records at An-Nisa Hospital is ≤1x24 hours and the distribution of medical records is ≤ 10 minutes. Delay in the return of medical records and on the distribution of medical records will be disruptive in the medical services that will be given to patients with repeated control. The purpose of this research is to get a description of the return of medical records outpatient and the speed of distribution of medical record to polyclinics at An-Nisa Hospital Tangerang. The research method used is descriptive method. The results of the research on the return of medical records on time 83% and the not on time by 17%. For the average distribution of medical records to the nurse station is 13 minutes. Based on the result of the research, it is known that the return of outpatient medical records and the distribution of medical records has not gone well. The delay in medical record returns is due to no checks on medical records borrowed by those returned by polyclinic nurses and casemix officers. Delays on the distribution of medical records due to >1x24 hour medical record returns. In order for the medical record to run properly, it is necessary to supervise and control the return of medical records.Keywords: Medical Record, Return, Distribution, Outpatient AbstrakUntuk mendapatkan kinerja instalasi rekam medis yang berkualitas maka dalam penyelenggaraan rekam medis harus dilakukan dengan benar dan tepat, termasuk pada pengembalian dan pendistribusian rekam medis. Standar pengembalian rekam medis di Rumah Sakit An-Nisa adalah ≤1x24 jam dan pendistribusian rekam medis adalah ≤10 menit. Keterlambatan dalam pengembalian rekam medis dan pada pendistribusian rekam medis akan mengganggu pelayanan medis yang akan diberikan kepada pasien saat kontrol ulang. Tujuan penelitian ini adalah untuk mendapatkan gambaran mengenai pengembalian rekam medis rawat jalan dan kecepatan pendistribusian rekam medis ke poliklinik di Rumah Sakit An-Nisa Tangerang. Metode penelitian yang digunakan adalah metode deskriptif. Hasil penelitian pada pengembalian rekam medis yang tepat waktu sebesar 83% dan yang tidak tepat waktu sebesar 17%. Rata – rata pendistribusian rekam medis ke nurse station adalah 13 menit. Berdasarkan hasil penelitian tersebut diketahui bahwa pengembalian rekam medis rawat jalan dan pendistribusian rekam medis belum berjalan dengan baik. Keterlambatan pada pengembalian rekam medis dikarenakan tidak ada pengecekan terhadap rekam medis yang dipinjam dengan yang dikembalikan oleh perawat poliklinik dan petugas casemix. Keterlambatan pada pendistribusian rekam medis karena pengembalian rekam medis yang >1x24 jam. Agar pada proses rekam medis bisa berjalan dengan baik maka disarankan adanya pengawasan serta pengontrolan terhadap pengembalian rekam medis.Kata Kunci : Rekam Medis, Pengembalian, Pendistribusian, Rawat Jalan
Kualitas Pelayanan Medis dan Kepuasan Pasien di Rumah Sakit Studi Empiris Kualitas Pelayanan Medis di RSIA Tiara Tangerang Yulia Noor
Indonesian of Health Information Management Journal (INOHIM) Vol 6, No 2 (2018): INOHIM
Publisher : Lembaga Penerbitan Universitas Esa Unggul

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (843.964 KB) | DOI: 10.47007/inohim.v6i2.6

Abstract

AbstractFrom the results of observations and reports on patient visits in the first semester of 2015 concluded that outpatients at the Tiara Mother and Child Hospital in Tangerang Banten were still very low after the hospital operated again, the impact on hospital income was far from expected, action was needed changes to improve patient visits. The purpose of the study was to determine the relationship of the influence of interpersonal-based medical services on service quality, trust and satisfaction of patients. The type of research used is quantitative descriptive with quantitative analysis using primary and secondary data obtained through documentation and questionnaire studies. Measurements using a Likert scale, testing the research hypothesis using SEM (Structural Equation Modeling) analysis; medical services provided well during interpersonal meetings will affect service quality; medical services that are well provided during interpersonal meetings will affect patient satisfaction; the quality of services provided to patients well will affect the patient's trust; and the factor of trust among high patients greatly influences patient satisfaction.Keywords: interpersonal, quality of medical care, trust and patient satisfactionAbstrakDari hasil observasi dan data laporan kunjungan pasien pada semester 1 tahun 2015 terlihat Kunjungan pasien rawat jalan di RSIA Tiara Tangerang masih sangat rendah setelah rumah sakit beroperasional kembali hal ini sangat berdampak pada pemasukan rumah sakit yang jauh dari yang diharapkan sehingga perlu dilakukan penelitian lebih lanjut untuk dapat meningkatkan pelayanan agar kunjungan pasien menjadi lebih baik lagi. Tujuan penelitian untuk mengetahui hubungan pengaruh pelayanan medis berbasis interpersonal terhadap mutu pelayanan, kepercayaan dan kepuasan pasien. Jenis penelitian yang dipakai adalah kuantitatif deskriptif dengan analisa kwantitatif, data yang digunakan adalah data primer dan data sekunder yang diperoleh melalui studi dokumentasi dan kuesioner. Pengukuran menggunakan skala likert,  Hipotesis penelitian diuji dengan menggunakan analisis SEM(Structural Equation Modelling) yaitu; pelayanan medis yang diberikan dengan baik saat pertemuan interpersonal akan mempengaruhi kualitas layanan; pelayanan medis yang diberikan dengan baik saat pertemuan interpersonal akan mempengaruhi kepuasan pasien; kualitas pelayanan yang diberikan kepada pasien dengan baik akan mempengaruhi kepercayaan pasien; dan faktor kepercayaan dikalangan para pasien yang tinggi sangat mempengaruhi kepuasan pasien.Kata Kunci : interpersonal, kualitas pelayanan kesehatan, kepercayaan dan kepuasan Pasien.
Pelepasan Informasi Medis Kepada Pihak Ketiga Di Rumah Sakit (Literature Review) Anastasyannisa Ramadhanty; Nanda Aula Rumana; Deasy Rosmala Dewi; Noor Yulia
SEHATMAS: Jurnal Ilmiah Kesehatan Masyarakat Vol. 1 No. 1 (2022): Januari 2022
Publisher : Yayasan Literasi Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (297.516 KB) | DOI: 10.55123/sehatmas.v1i1.30

Abstract

Medical record information is confidential which must be protected from leakage of data/information in accordance with the medical code of ethics and applicable laws and regulations. The release of medical information must follow the applicable procedures, this aims to protect the hospital from further demands. This study aims to describe the suitability of SOPs for releasing medical information to third parties, types of requests for release of medical information and constraints in releasing medical information using fishbone diagrams. This research is a literature review study using a sample of 11 journals. Search articles using the Google Scholar database. The results of the study found that the percentage of compliance with SOPs for releasing medical information to third parties in hospitals was the percentage of releases that were in accordance with SOPs between 66%-82%, while the precentage that did not match the SOPs was between 18%-34%. The types of requests for release of medical information are for the purposes of visum et repertum, insurance and education. Constraints in releasing medical information to third parties in hospitals using fishbone diagrams are mostly found in Man, especially in patients/patient families do not bring complete requirements.
Tinjauan Kualitas Pelayanan Pasien JKN Non PBI di Instalasi Rawat Jalan Puskesmas Batua Kota Makassar Leni Karunia Septiani; Nanda Aula Rumana; Deasy Rosmala Dewi; Noor Yulia
SEHATMAS: Jurnal Ilmiah Kesehatan Masyarakat Vol. 1 No. 1 (2022): Januari 2022
Publisher : Yayasan Literasi Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (300.374 KB) | DOI: 10.55123/sehatmas.v1i1.33

Abstract

Service quality comes from the comparison of what consumers feel (expectations) with consumer perceptions about the performance of companies that provide services. The purpose of this study was to describe the quality of service for JKN non-PBI patients at the Batua Public Health Center in Makassar. The method used is quantitative analysis with descriptive method. Calculation of sample size using the proportion estimation formula obtained 96 samples with the sampling method, namely Incidental/Convenience Sampling. Data collection techniques using interviews and self-filling by patients with interview guide instruments and questionnaires, and data were analyzed using SPSS. Service quality is assessed based on 5 dimensions, namely Tangible, Responsiveness, Reliability Assurance and Empathy. From the results of the study, it was found that the percentage of service quality at Batua Health Center was 57.3% of good service quality and 42.7% not good, meaning that the service quality was classified as not good because ≤ 90% based on outpatient SPM. Obstacles that often occur when serving patients such as problems with communication tools/speakers, lack of computers, patients do not want to queue and do not bring medical cards/BPJS cards/identity cards. It is recommended to the Puskesmas to pay more attention to the cleanliness and comfort of the registration place, the officers should improve their competence, advance working hours so that there are no delays in opening the counter, apply 3S 1T, pay attention to the problematic speakers and computers as well as socialize the files that must be brought during registration.
Tinjauan Lama Waktu Penyediaan Rekam Medis Rawat Jalan Di Rumah Sakit Anna Medika Bekasi Winda Febriarini; Puteri Fannya; Nanda Aula Rumana; Noor Yulia
SEHATMAS: Jurnal Ilmiah Kesehatan Masyarakat Vol. 1 No. 1 (2022): Januari 2022
Publisher : Yayasan Literasi Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (360.059 KB) | DOI: 10.55123/sehatmas.v1i1.57

Abstract

In the provision of medical record files in hospitals, it is one indicator of patient satisfaction whose time has been determined in accordance with the hospital's minimum service standards, the standard for the time of providing medical record documents for outpatient services is less than or equal to 10 minutes.  10 minutes), while the time for providing inpatient medical record documents is less than or equal to 15 minutes (  15 minutes). The purpose of the study was to determine the length of time for providing outpatient medical records at Anna Medika Hospital Bekasi. The research method uses a descriptive method with a quantitative approach, the population of outpatient medical record files visiting the hospital, the sample studied is 106 files, through observation, interviews and time measurement records in the timely provision of medical records so that researchers get research results. The results of the study found that 59 (55.66%) medical records were provided on time and 47 (44.34%) medical records were not provided on time. Factors causing the length of time of provision > 10 minutes are errors in storing medical records, full storage shelves, lack of competence of medical record officers. Suggestions can improve the quality of service and the speed of time for providing medical records and holding standard operating procedures (spo) regarding the provision of medical records.
Tinjauan Penyimpanan Rekam Medis Di Ruang Filling Puskesmas Karang Mulya Kecamatan Bojongmangu Kabupaten Bekasi Rifqi Fauzan; Noor Yulia; Laela Indawati; Puteri Fannya
SEHATMAS: Jurnal Ilmiah Kesehatan Masyarakat Vol. 1 No. 1 (2022): Januari 2022
Publisher : Yayasan Literasi Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (259.116 KB) | DOI: 10.55123/sehatmas.v1i1.58

Abstract

The medical record storage system is very important to do in health care institutions, because it can make it easier for medical records to be stored in storage racks, speed up finding or retrieval and return, and protect medical records from theft, physical, chemical, and biological damage. The purpose of this study was to find out how the implementation of medical record storage in the filing room at Karang Mulya Health Center, Bojongmangu District, Bekasi Regency. The research method uses descriptive qualitative analysis method with the main informant being the head of the Puskesmas, other informants in charge of the medical record room, and medical record staff. The results of the study show that there is no standard operating procedure for storing medical records specifically for internal health centers, the results of the analysis of the storage space capacity can accommodate 30,000 medical records, and currently there are 16,319 medical records. The storage rack is still sufficient if there is a new medical record. The problem factor is in the filing room, the preparation of medical records is still stacked not in a row, and the medical records used are not immediately returned to the shelves, there has been no retention since 2017. Suggestions for standard operating procedures for storage procedures are made for internal health centers. Evaluate and improve the placement of medical records according to the applicable standards in the filing room.
Literature Review: Peranan Media Informasi Kesehatan Dalam Penanganan Kasus KLB (Covid 19) Willy Haposan; Deasy Rosmala Dewi; Noor Yulia; Wiwik Viatiningsih
SEHATMAS: Jurnal Ilmiah Kesehatan Masyarakat Vol. 1 No. 2 (2022): April 2022
Publisher : Yayasan Literasi Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (301.162 KB) | DOI: 10.55123/sehatmas.v1i2.71

Abstract

The number of deaths due to Covid-19 is increasing from time to time. The industrial era 4.0 is one of the eras of public information disclosure, therefore there are many media that can be used to support communication patterns and activities. This information disclosure will make it easier for citizens to carry out remote control and communication to monitor activities carried out by the government in dealing with this pandemic. This is one form of easy access to public information disclosure supported by information technology media. The purpose of this study was to determine the role of health information media in controlling the COVID-19 outbreak and to find out the most common way the media used to provide health information on Covid-19. This study was designed using a Literature review that examines the Role of Information Media in Handling Covid-19 cases. The results of a study of 8 journals found that health information media had several roles in handling Covid 19. The largest role was the media that played a role in educating the public about the importance of implementing health protocols and social distancing. It can be concluded that the role of the information media in handling the Covid-19 outbreak is very important, because the media are asked to always update data quickly, validly and in real time. The media are also asked to be able to break the chain of spread of Covid-19 by informing the travel ban, recommendations to comply with health protocols and recommendations to comply with social distancing procedures. distancing is the most common way.
Gambaran Ketepatan Waktu Pengembalian Rekam Medis Rawat Inap di RSUP Dr. Sitanala Kota Tangerang Yoga Septian Bayu Ariyanto; Nanda Aula Rumana; Noor Yulia; Daniel Happy Putra
INSOLOGI: Jurnal Sains dan Teknologi Vol. 1 No. 2 (2022): April 2022
Publisher : Yayasan Literasi Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (286.827 KB) | DOI: 10.55123/insologi.v1i2.235

Abstract

Medical record is a file that contains records and documents of patient identity, examination, treatment, actions and other services that have been provided by doctors to patients. One of the factors that support medical record services is the return of medical records. Based on hospital policies that have been established inpatient medical records at RSUP Dr. Sitanala Tangerang City must return 1 x 24 hours after the patient returns home. The method used in this research is quantitative descriptive method and the data collection technique uses observation and interviews. Sampling in this study used a non-random sampling method by means of convenience sampling or no special criteria by selecting which medical records were encountered by the researcher. Based on the results of the study, it was found that 77 medical records (22.6%) were on time and 264 medical records (77.4%) were not returned on time, with an average return time of 9 x 24 hours. The factor that causes the inaccuracy of returning medical records is due to doctors who have not filled out the patient's medical resume. So it was concluded that the return of medical records was not in accordance with the guidelines set by the hospital. For this reason, there must be a new policy and sanctions that regulate the return of medical records for the sake of quality of service and the return of medical records can be returned on time.
Tinjauan Pelaksanaan Pengisian Formulir General Consent Rawat Inap RSUP Dr. Sitanala Kota Tangerang Tahun 2021 Setiawan Irwansyah; Noor Yulia; Daniel Happy Putra; Nanda Aula Rumana
INSOLOGI: Jurnal Sains dan Teknologi Vol. 1 No. 3 (2022): Juni 2022
Publisher : Yayasan Literasi Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (301.371 KB) | DOI: 10.55123/insologi.v1i3.312

Abstract

General consent is an agreement signed by the patient’s family at the inpatient registration. The purpose of this research is to describe the implementation of filling out the general consent form at Dr. RSUP. Sitanala Tangerang City. Using descriptive method with quantitative analysis of observation and interviews. Cross sectional design, non-random sampling of the patient’s family at the inpatient registration place. Result the officer explained how to fill out the general consent form only to 86 patient's family (57.3%), explained the purpose of filling only 24 patient's family (16%), explained the procedure for filling out the to 90 patient's family (60%), explained the contents of the form to 68 patient's family (44%), the factors that influenced the incomplete filling of the general consent from were the officers did not explain in detail how to fill out the complete form, factors from the patient's family are those who rush to fill in, don’t listen to detailed explanations, did not understand ethe explanation given by the officer but was lasy to ask, afraid to ask research suggestions, audit filling out the general consent form according to standard operating prosedures.
Tinjauan Peranan Koder Dalam Pengajuan Berkas Klaim BPJS Kesehatan Pasien Rawat Inap Di RSUD DR. R.M. Djoelham Kota Binjai Mordekhai Immanuel Sitorus; Noor Yulia; Puteri Fannya; Nanda Aula Rumana
Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda Vol. 7 No. 1 (2022): Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda Edisi Februari
Publisher : Akademi Perekam dan Informasi Kesehatan Imelda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jipiki.v7i1.722

Abstract

Submission of claim files to BPJS Health is carried out every 10th of the month, BPJS Health will provide information whether the claim file is feasible or not. If the claim file is not feasible, it needs to be corrected. The purpose of the research is to describe the role of the coder in filing claims for BPJS Health inpatients at RSUD Dr. R.M. Djoelham Binjai City. The research method used is descriptive method with a quantitative approach. The sample uses 43 claim files returned by BPJS Health in April and May 2021 and also interviews with two coders. Data is collected by using observation with a checklist instrument and interviews with interview guidelines. The result shows that the hospital does not have standard operating procedures related to the submission of BPJS Health claim files, from 276 files (100%) submitted in April and May 2021, there were 233 files (84,42%) that deserve to be claimed and 43 files (15,58%) that were returned (not eligible). The reasons for the return were due to confirmation of diagnosis (18,60%), medical support (25,58%), indications for hospitalization (16,28%), coding (11,63%), purification failure (6,98%) and other causes (20,93%). The roles of the coder in handling claim files are assembling, determining the primary diagnosis code and secondary diagnosis based on ICD-10, determining the code of action (procedure) based on the ICD-9-CM, and coordinating with various internal parties for the completeness of the BPJS Health claim file. Suggestions for hospital to make standard operating procedures related to claim files submission and coders to be more thorough in preparing the complete claim files.
Co-Authors Adi Widodo Adi Widodo Adi Widodo Ahmad Hikmi Aldio Al Faqih, M. Rolan Tiro Aldio, Ahmad Hikmi Almahshunatul Hanifah Ambarwati Anastasyannisa Ramadhanty Aneu Rosliana Angelina, Noviana Dian Anisa Dewi Wahyuni Annisa Azzahra, Annisa Arif Ibnu Fadillah Aringgi Al Pasya Darwis Armila Astiyana Triadi Aurelius Anugerah Harvey Pepo Azhar Muttaqin Azhar Muttaqin Bangga Agung Satrya Bella Safitri Daniel Happy Putra Darmawan, Rifqi Helmi Dewi Kisaputri Dewi, Deasy Rosmala Dianty, Gebbrien Anggia Dina Sonia Dinda Fidia Ardiani Dwi Nurul Fadila Elina Intan Apzari Elsa Nindia Safitri Endah Wardani Endang Palupi Ningsih Erviana, Erviana Fandhika, Lilin Tata Fannya, Puteri Fatimatuzzahra, Joevancha Livancha Fatkur Ridho Febriyan Awi Pasa Fitria Atmojowati Fitria, Annah Fredrika Welhelmina Gita Sugiarti Hari Dwi Cahya Hosizah Hosizah Indahwati, Laela Indawati, Laela Intan Rusdiana Dewi Iqbal, Muhammad Fuad Ivan Permana Leni Karunia Septiani Lia Yulia Budiarti Lilin Tata Fandhika Lily Widjaya Lisa Anggun Magdalena Gea Maeimunah, Siti Magdalena, Selvy Maria Ferawaty Parera Mekhtildis Suryati Mordekhai Immanuel Sitorus Muhammad Arif Sutrasno Munazhifah Munazhifah Muniroh, Muniroh Muzdalifah, Ifah Nabila Raihani Nabilah Khairunisa Nadia Sintia Nanda Aula Rumana Nerissa Adha Andrania Nindia Safitri, Elsa Novia Nurhikmah Sari Noviana Dian Angelina Octa Rina Sari Pangesti, Wulan Aprilia Pinkan, Lia Putri, Dwi Tania Putri, Sisilia Rabnah Rani Yulistianingsih Raysha Dheamalia Muchtar Revina Purnaningrum Rezal, Muhammad Rifqi Fauzan Risma Ayu Fitriyani Risma Sisni Fadilla Rizky Khaerunnisa Setiawan Irwansyah Shafa Aulia Ananda Hermanto Siswati Siswati Siswati Siswati Siswati Siti Kaidah Siti Nur Azizah Jamil Sri Kholifatun Sri Mulya Surlialy, Dewi Suryati, Mekhtildis Sutarto, Mutia Sutrasno, Muhammad Arif Syahrul Dwi Ramadhani Syarif, Hilwa Syifa Erintan Uli Shalatiya uli Viatiningsih, Wiwik Viatningsih, Wiwik Widjaja, Liliy Widjaja, Lily Willy Haposan Winda Febriarini Wiwik Viatningsih Yeni Safitri Yoga Septian Bayu Ariyanto Yunita Fauzia A.