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All Journal Faktor Exacta Jurnal Manajemen Informasi dan Administrasi Kesehatan Jurnal Manajemen Informasi Kesehatan Indonesia (JMIKI) Indonesian of Health Information Management Journal (INOHIM) Health Sciences and Pharmacy Journal Surya Medika: Jurnal Ilmiah Ilmu Keperawatan dan Ilmu Kesehatan Masyarakat Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda (JIPIKI) Indonesian Journal of Global Health research Jurnal Kesehatan Tambusai J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Jurnal Ilmiah Wahana Pendidikan Nusantara Hasana Journal Open Access Indonesian Journal of Medical Reviews Archives of The Medicine and Case Reports KESANS : International Journal of Health and Science COMSERVA: Jurnal Penelitian dan Pengabdian Masyarakat Indonesian Journal of Health Information Management (IJHIM) Jurnal Ilmiah Kesehatan Masyarakat Jurnal Sains dan Teknologi Sehat Rakyat: Jurnal Kesehatan Masyarakat Journal of Innovation Research and Knowledge Journal of Comprehensive Science Jurnal Rekam Medik & Manajemen Informasi Kesehatan (RAMMIK) Homeostasis: Jurnal Mahasiswa Pendidikan Dokter Jurnal Rumpun Ilmu Kesehatan Cerdika: Jurnal Ilmiah Indonesia Innovative: Journal Of Social Science Research Jurnal Medika Nusantara Medic Nutricia : Jurnal Ilmu Kesehatan Antigen: Jurnal Kesehatan Masyarakat dan Ilmu Gizi Vitamedica: Jurnal Rumpun Kesehatan Umum Vitalitas Medis : Jurnal Kesehatan Dan Kedokteran Quantum Wellness : Jurnal Ilmu Kesehatan Vitamin: Jurnal Ilmu Kesehatan Umum Jurnal Rekam Medic
Yulia, Noor
Universitas Esa Unggul
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GAMBARAN KETEPATAN PENGODEAN PENYEBAB KEMATIAN PADA SERTIFIKAT MEDIS PENYEBAB KEMATIAN KASUS PERINATAL DI RSIA TIARA CIKUPA Octa Rina Sari; Laela Indawati; Noor Yulia; Lily Widjaja
Nusantara Hasana Journal Vol. 3 No. 3 (2023): Nusantara Hasana Journal, August 2023
Publisher : Yayasan Nusantara Hasana Berdikari

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59003/nhj.v3i3.957

Abstract

The basic cause of death is used as an evaluation of a health service, knowing the general health status, reporting mortality and prevention of deadly diseases and preparing for medical needs in the future. The purpose of this research is to know the description of the accuracy of the coding accuracy of the cause of death on the perinatal case death certificate at RSIA Tiara. The research method used in this research is a descriptive mix method where a mix of quantitative and qualitative is by describing and explaining the accuracy of the UCoD coding on medical certificates causing death in perinatal cases. The population in this study were all medical records of babies who died in 2020, 2021 and 2022, totaling 32 medical records. The sample used in this study was a saturated sample where all populations were sampled, namely 32 medical records. The results of the presentation of the accuracy of the coding on the medical certification cause of death were as much as 69% while those that were not correct were as many as 31%. It is preferable to code all diagnoses in the prenatal case death certificate using the guideline and rules P1,P2,P3,P4 to give the correct code. Factors causing inaccuracy in codification of the underlying cause of death on the death certificate, the doctor's writing on the infant's medical resume in the final diagnosis section using cursive letters creates obstacles for the coding officer in determining the correct code. There is no special SPO for coding prenatal cases. Lack of human resources with a background in medical records.
Analisis Kesiapan Implementasi RME Rawat Inap dengan DOQ-IT di Rumah Sakit Port Medical Center Novia Nurhikmah Sari; Daniel Happy Putra; Noor Yulia; Dina Sonia
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 5 No 1 (2023): December
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v5i1.4129

Abstract

The development of the health care industry, one of which is hospitals, and the enactment of Permenkes 24 of 2022 concerning RME, which requires all health facilities to implement RME. This study aims to determine the readiness of inpatient RME implementation at Port Medical Center Hospital which is in the process of transmitting conventional medical records to RME. This study aims to determine the readiness of health facilities in implementing RME. Involving 100 respondents involving; Decision Making Team, Doctors, Outpatient and Emergency Room Units, Inpatient and ICU Units, Central Opname, Radiology Unit, Unit, Laboratory, Nutrition Unit, Physiotherapy Unit, Pharmacy Unit, and Information Systems Technology Unit. The research time was conducted October 2022 - June 2023. The data collection technique used a questionnaire. The results of the study, Readiness for Implementation of Inpatient EMR at Port Medical Center Hospital is in category II, which is quite ready with aspects of organizational alignment at a score of 24.91 and aspects of organizational capacity at a score of 44.24 in the category of quite ready. Readiness in the implementation of RME needs to be improved in terms of work culture regarding discussions of the framework, decision-making teams, discussions regarding accountants, and infrastructure improvements.
Tinjauan Pelaksanaan Penyusutan Rekam Medis Di Rumah Sakit Umum Daerah Kembangan Intan Rusdiana Dewi; Lily Widjaja; Laela Indawati; Noor Yulia
Jurnal Rumpun Ilmu Kesehatan Vol. 3 No. 3 (2023): November: Jurnal Rumpun Ilmu Kesehatan
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jrik.v3i3.2680

Abstract

Shrinkage is the reduction of medical records on storage shelves by moving inactive medical records to a different room from the active shelf seen from the last patient visit. The purpose of this study was to determine the implementation of shrinkage at the Kembangan Regional General Hospital. This research method uses a qualitative descriptive method by means of interviews and observations in the medical records unit. So it can be concluded from the results of the study that the Kembangan Regional General Hospital already has SOP related to shrinkage which is divided into SOP sorting, media transfer and destruction. In the implementation of shrinkage, officers carry out the process of sorting, transferring and transferring media every day. But officers do not conduct an assessment based on use value. The destruction process is carried out when the number of medical records has reached 2 tons by using a third party to make medical records in the form of pulp. The main obstacles to the implementation of shrinkage are officers who do not have a decree on duties and teams so that officers often delay the implementation of shrinkage, paper quality that makes it difficult for officers to see medical record sheets in the past year and scan machines that heat up quickly due to continuous use. Therefore, the Kembangan Regional General Hospital should complete the SOP related to shrinkage, make a decree of duties and conduct an assessment stage so that the implementation of shrinkage is carried out properly, and add a scan machine so that the implementation of media transfer is not delayed.
Analisis Pending Klaim BPJS Kesehatan Pasien Rawat Inap Di Rumah Sakit Islam Jakarta Pondok Kopi Tahun 2023 Sri Mulya; Dina Sonia; Daniel Happy Putra; Noor Yulia
Sehat Rakyat: Jurnal Kesehatan Masyarakat Vol. 3 No. 3 (2024): Agustus 2024
Publisher : Yayasan Pendidikan Penelitian Pengabdian Algero

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54259/sehatrakyat.v3i3.3021

Abstract

Pending BPJS Health claims at RSIJ Pondok Kopi are divided into 3 (three) aspects including administration, coding and medical. This research aims to determine the factors of causes pending claims, resolution, and pending trends using a descriptive quantitative approach, which provides an overview of the factors causing pending claims and pending trends in 2023. Results with 1,143 samples of pending claim reports due to administration 523 (46%) with the most pending categories due to inappropriate treatment class 120 (23%), causative factors due to coding 570 (50%) with the most pending categories due to inaccurate diagnosis 525 (92.1%), and factors medical causes 50 (4%) with the most pending category due to inappropriate medical indications 36 (72%). So the pending settlement is carried out after receiving the verification results report by the casemix officer by completing the claim requirements according to the pending claim category and confirming with the DPJP if necessary. The pending trend in 2023 for 1st semester period January to June  showed decreasing results with a significant decrease in March of 12%. To minimize pending figures, hospitals should recruit employees according to their field of competence, empower existing human resources by clinical coding training, implement RME so that RM documentation is more complete, and internal verification officers are more thorough in carrying out their work.
Perbedaan Efektivitas Kuliah Metode Daring dan Metode Luring Pada Mata Kuliah Klasifikasi dan Kodefikasi Penyakit Shafa Aulia Ananda Hermanto; Puteri Fannya; Dina Sonia; Noor Yulia
INSOLOGI: Jurnal Sains dan Teknologi Vol. 2 No. 5 (2023): Oktober 2023
Publisher : Yayasan Literasi Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55123/insologi.v2i5.2741

Abstract

Online/distance learning is learning that is carried out without face-to-face meetings, or using assistive platforms. Offline or face-to-face learning is a learning system that does not use an internet connection or use a learning assistant platform, in other words students and lecturers meet face to face. This study aims to find out the differences and effectiveness of learning online and offline methods in disease classification and coding courses conducted by Medical Record Students at Esa Unggul University. This study uses a quantitative approach to the research method, namely inferential analysis using the t dependent test instrument. The effectiveness of online learning methods is 33 or 44.0%, and the effectiveness of offline learning methods is 40 or 53.3%. based on the results of the dependent t-test, a significant score of 0.000 was obtained between the effectiveness of online learning and the effectiveness of offline learning. So it can be concluded that there are differences between online learning methods and offline learning methods. So it is advisable to combine learning methods or use hybrid learning methods.
GAMBARAN KEPUASAN PASIEN TERHADAP MUTU PELAYANAN DI BAGIAN PENDAFTARAN PUSKESMAS KECAMATAN PENJARINGAN JAKARTA UTARA DESCRIPTION OF PATIENT SATISFACTION WITH QUALITY IN THE REGISTRATION SECTION OF THE PENJARINGAN DISTRICT HEALTH CENTER Maeimunah, Siti; Noor Yulia; Dina Sonia; Puteri Fannya
Medic Nutricia : Jurnal Ilmu Kesehatan Vol. 5 No. 4 (2024): Medic Nutricia : Jurnal Ilmu Kesehatan
Publisher : Cahaya Ilmu Bangsa Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5455/nutricia.v5i4.5075

Abstract

ABSTRAK Latar Belakang : Kepuasan pasien merupakan tingkat perasaan pasien yang timbul sebagai akibat dari kinerja layanan kesehatan yang diperoleh dibandingkan dengan apa yang diharapkannya. Tujuan penelitian : mengetahui gambaran kepuasan pasien terhadap mutu pelayanan di bagian pendaftaran Puskesmas Kecamatan Penjaringan. Metode penelitian deskriptif dengan pendekatan analisis kuantitatif. Sampel dalam penelitian ini adalah pasien yang melakukan pendaftaran di TPP rawat jalan sebanyak 106 responden. Hasil penelitian : Petugas pendaftaran sudah menjalankan tugasnya sesuai dengan SPO yang berlaku. Karakteristik responden terbanyak Wanita (60%), Usia terbanyak antara 20 – 30 tahun (72%), Pendidikan terbanyak D4/S1 (34%). Hasil kepuasan pada pada dimensi Tangible didapatkan persentase terendah sebesar 15%, sedangkan persentase tertinggi sebesar 49%. Dimensi responsive didapatkan persentase terendah sebesar 12%, sedangkan persentase tertinggi sebesar 54%. Dimensi reliability didapatkan persentase terendah sebesar 12%, sedangkan persentase tertinggi sebesar 47%. Dimensi empathy didapatkan persentase terendah sebesar 7%, sedangkan persentase tertinggi sebesar 44%. Dimensi Assurance didapatkan persentase terendah sebesar 10%, sedangkan persentase tertinggi sebesar 42%. Maka persentase kepuasan pasien didapatkan pada kategori Sangat Memuaskan 32%, Memuaskan 50%, Cukup Memuaskan 15%, Kurang Memuaskan 2%, Tidak Memuaskan 0%. Kesimpulan : Maka didapatkan persentase pada kategori tertinggi yaitu yang menyatakan memuaskan sebesar 50%, sedangkan persentase terendah yaitu yang menyatakan kurang memuaskan sebesar 2%. Saran : Petugas pendaftaran lebih meningkatkan dan memahami dalam melayani dan menyampaikan informasi yang lebih tepat dan jelas. Kata Kunci : Kepuasan Pasien, Mutu Pelayanan, TPP. ABSTRACK Background Patient satisfaction is the level of patient feelings that arise as a result of the performance of health services obtained compared to what they expected. Descriptive research method with a quantitative analysis approach. The sample : in this study was 106 patients who registered at the outpatient TPP. Reserach results: resgistration officers have carried out their duties in accodance with the applicable SPO. Characteristics of most respondents: female (60%). Most aged between 20 – 30 years (72%), most education is D4/S1 (34%). The satisfaction results for the Tangible dimension obtained the lowest percentage of 15%, while the highest percentage was 49%. The lowest percentage obtained for the responsive dimension was 12%, while the highest percentage was 54%. The lowest percentage obtained for the reliability dimension was 12%, while the highest percentage was 47%. The lowest percentage obtained for the empathy dimension was 7%, while the highest percentage was 44%. The Assurance dimension obtained the lowest percentage of 10%, while the highest percentage was 42%. So the percentage of patient satisfaction was obtained in the category Very Satisfactory 32%, Satisfactory 50%, Quite Satisfactory 15%, Unsatisfactory 2%, Unsatisfactory 0%. Conclusion: So the percentage obtained in the highest category is 50% which states it is satisfactory, while the lowest percentage is 2% which states it is unsatisfactory. Suggestion: Registration officers improve and understand more in serving and conveying more precise and clear information. Keyword: patient satisfaction, service quality, TPP.
Tinjauan Ketepatan Kode Diagnosa dan External Cause Kecelakaan Lalu Lintas di IGD RSIJ Pondok Kopi Aneu Rosliana; Laela Indawati; Puteri Fannya; Noor Yulia
SEHATMAS: Jurnal Ilmiah Kesehatan Masyarakat Vol. 2 No. 3 (2023): Juli 2023
Publisher : Yayasan Literasi Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55123/sehatmas.v2i3.1854

Abstract

Codification is the activity of classifying diseases based on certain criteria. Coding of disease diagnoses according to ICD-10 rules. One form of classification coding is using External Cause, which is a code used to classify the external cause of a disease caused by accidents, injuries, poisoning, burns, or side effects of drugs. This study was conducted at the Emergency Department of the Jakarta Islamic Hospital Pondok Kopi with the aim of the study to determine the percentage of accuracy of diagnosis and external cause codes and identify SPO related to classification coding. This study uses a quantitative descriptive method, with the technique of taking total sampling or saturated samples on 66 medical records for the period July 2022. The results of the research obtained with 66 samples related to traffic accident patients. Obtained the results of the accuracy of 66 appropriate injury diagnosis codes (100%) and 0 inappropriate (0%). The results of the accuracy of the external cause code obtained 66 (0%) external cause codes cannot be assessed because external cause coding activities have not been carried out. Only have SPO specifically for coding diagnoses in general, SPO specifically for external causes is not yet available. Of the 5 inhibiting factors studied, 3 inhibiting factors were obtained that caused the inaccuracy of external cause coding, namely Man, Money, and Material.
Analisis Perancangan Sistem Anjungan Pendaftaran Mandiri Untuk Pemilihan Dokter dan Waktu Pelayanan di Rumah Sakit: Literature Review Nerissa Adha Andrania; Daniel Happy Putra; Noor Yulia; Adi Widodo
SEHATMAS: Jurnal Ilmiah Kesehatan Masyarakat Vol. 2 No. 4 (2023): Oktober 2023
Publisher : Yayasan Literasi Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55123/sehatmas.v2i4.2304

Abstract

Self-Registration Patient is a health service facility related to registration independently by patients who are provided by the machine. The purpose of this study is to identify what the user/patient needs and also to analyze the design for the doctor's appointment in hospitals. The method used a literature review approach through a database of Google Scholar obtained by 6 national-based journals, while Google Patent obtained 4 international-based patents. The results are related to the process of basic needs that will be used by users/patients such as QR Barcodes; touch screen monitors; Numpad and mouse; speakers; receipt printing machine; SEP paper printing; and CPU. The design supported by distribution model system such as; Entity-Relationship Diagram (ERD); Data Flow Chart (DFD); Use Case Diagram (UCD); flow chart, and interface design. In conclusion, the research could help the hospital's needs and also the patients, including knowing the latest status of patients, making appointments according by intended polyclinic, doctors, and time visits based on doctor's time schedule. It is also could print SEP as well as the pharmacy queue number receipt after being examined. The system is also expected to reduce long queues at the Outpatient Registration Place (TPPRJ), especially for BPJS Insurance users.
Tinjauan Kelengkapan Rekam Medis Rawat Inap di Rumah Sakit Umum Daerah Kembangan Nabilah Khairunisa; Dina Sonia; Puteri Fannya; Noor Yulia
SEHATMAS: Jurnal Ilmiah Kesehatan Masyarakat Vol. 2 No. 4 (2023): Oktober 2023
Publisher : Yayasan Literasi Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55123/sehatmas.v2i4.2403

Abstract

The completeness of filling in the medical record can be checked using a documentation audit, one of which is quantitative analysis by reviewing certain parts of the contents of the medical record with the intention of finding deficiencies, especially those related to medical record documentation. The purpose of this study was to get an overview of the completeness of filling out inpatient medical records at the Kembangan Regional General Hospital. This research method uses a descriptive method with a quantitative approach. The population in this study were inpatient medical records at the Kembangan Regional General Hospital with a sample of 89 medical records. Based on the results of calculations using quantitative analysis obtained an average completeness of 82%, the highest completeness is the patient identification component of 87% and the lowest completeness is the important reporting component of 76%. Based on the research that has been done, it can be concluded that filling in the medical record at the Kembangan Regional General Hospital is not complete, this is due to the lack of awareness of health workers to complete filling in the medical record so that it has an impact on incomplete filling in medical record files
Prototipe Rekam Kesehatan Personal pada Pasien Diabetes Mellitus (Literature Review) Risma Ayu Fitriyani; Noor Yulia; Puteri Fannya; Laela Indawati
SEHATMAS: Jurnal Ilmiah Kesehatan Masyarakat Vol. 2 No. 4 (2023): Oktober 2023
Publisher : Yayasan Literasi Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55123/sehatmas.v2i4.2509

Abstract

Personal Health Record (PHR) is a collection of health-related data that is archived and managed by an individual or parties associated with the PHR. Its purpose is to provide a comprehensive and accurate summary of a person's health history that can be accessed online. This research is a Literature Review study which aims to determine the features and implementation of Personal Health Records in Patients with Diabetes Mellitus. The method used is the Literature Review method from 7 journals which uses several methods including the prototype method, qualitative methods, heuristic evaluation methods, applied development methods, participatory action research methods, and randomized controlled trial methods with data collection techniques through google scholar, direct science and pubmed. The results of the research are seen in the features and implementation of the Personal Health Record. The Personal Health Record feature for diabetes mellitus with dialysis measures has 25 features on the main page, the PHR feature for diabetes mellitus has 7 main features. PHR implementation allows users to access their personal health records anytime and anywhere. Thus, the PHR system can increase accessibility and allow users to access PHR without time restrictions and also the Personal Health Record can assist in monitoring the health condition of Diabetes Mellitus patients. Research conclusion According to the journals analyzed, PHR is effective because it can encourage patient participation in individual health controls, and can access information about diabetes mellitus through monitoring physical activity, diet, weight, and glucose levels.
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.