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TINJAUAN KEBUTUHAN RAK PENYIMPANAN REKAM MEDIS DI RUMAH SAKIT ANGKATAN UDARA dr. M. HASSAN TOTO BOGOR UNTUK 5 TAHUN KEDEPAN Noviana Dian Angelina; Noor Yulia; Wiwik Viatiningsih; Deasy Rosmala Dewi
Jurnal Manajemen Informasi dan Administrasi Kesehatan Vol 5, No 1 (2022)
Publisher : Program Studi Perekam Medis & Informasi Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32585/jmiak.v5i1.2111

Abstract

Rumah sakit adalah institusi pelayanan kesehatan yang menyelenggarakan pelayanan kesehatan perorangan secara paripurna yang menyediakan pelayanan rawat inap, rawat jalan, dan gawat darurat. Manajemen pelayanan rekam medis dan informasi kesehatan adalah kegiatan menjaga, memelihara dan melayani rekam medis baik secara manual maupun elektronik sampai menyajikan informasi kesehatan di rumah sakit, praktik dokter klinik, asuransi kesehatan, fasilitas pelayanan kesehatan dan lainnya yang menyelenggarakan pelayanan kesehatan dan menjaga rekaman. Penelitian ini dilakukan untuk mengetahui kebutuhan rak penyimpanan rekam medis menggunakan metode deskriptif kuantitatif dengan menghitung rak penyimpanan dengan rekam medis yang ada, menghitung luas ruangan untuk memperkirakan kebutuhan 5 tahun kedepan. Yang bertujuan untuk mengidentifikasi Standar Prosedur Operasional (SPO) penyimpanan berkas rekam medis di rumah sakit, menghitung kebutuhan rak penyimpanan rekam medis 5 tahun yang akan datang, menghitung kebutuhan luas ruang penyimpanan rekam medis 5 tahun kedepan, dan mengidentifikasi faktor – faktor masalah yang ada pada ruang penyimpanan rekam medis. Faktor masalah yang ada di ruang penyimpanan yaitu kurangnya rak penyimpanan rekam medis, tinggi rak yang tidak terjangkau oleh petugas rekam medis, tidak adanya tracer, retensi yang tidak rutin dilakukan, perlu penambahan petugas rekam medis dengan lulusan D3 Rekam Medis dan Informasi Kesehatan dan rak penyimpanan dapat diganti dengan rak roll o’ pack.
Tinjauan Kelengkapan Isi Rekam Medis Pada Formulir Resume Medis Kasus Bedah di Rumah Sakit Haji Pondok Gede Jakarta Pada Tahun 2017 Sri Ani; Wiwik Viatiningsih
Indonesian of Health Information Management Journal (INOHIM) Vol 3, No 2 (2015): INOHIM
Publisher : Lembaga Penerbitan Universitas Esa Unggul

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (300.416 KB) | DOI: 10.47007/inohim.v3i2.118

Abstract

Abstract Discharge Summary is the information contained in the home history summary is a summary of all patient care and treatment periods that have been pursued by health workers and related parties. This sheet should be signed by the treating physician. The completeness of the medical resume is used for the basis of internal and external hospital reporting, the decision evaluation is expected to be better in making further treatment plans, and to support the orderly administration. The research method used is descriptive analysis method and data collection technique is observation, quantitative analysis, and interview guidance. Based on the results of research on Standard Operational Procedures of filling medical resume at Haji Pondok Gede Hospital Jakarta already exist, where Standard Operational Procedure of medical resume fill 2X24 Hours after patient come home with standard completion of medical resume 100%, and Based on result of quantitative analysis of 102 medical resume surgical case, resume completeness is 80%. Factors causing incompleteness in filling out medical resume form of surgical case that is Doctors have a busy schedule, Policy and discipline level of medical resume filling less socialized. The need to re-socialize the Standard Operating Procedures of medical resume filling and need assertiveness from the Director of the Hospital for the level of discipline in filling the medical resume can be done well and on time.Keywords: Medical Discharge, Filling Complete, Case Surgery
Hubungan Pengetahuan dan Perilaku Petugas Terhadap Keterlambatan Klaim Biaya Rawat Inap Pasien BPJS Kesehatan di Rumah Sakit X Tahun 2018 Wiwik Viatiningsih
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 (493.025 KB) | DOI: 10.47007/inohim.v6i2.9

Abstract

AbstractDelay is execution of a job is not in accordance with a predetermined time or not on time. The delay is influenced by various factors. Some of them are knowledge, attitudes and behaviors. Delay claims hospitalization costs resulting cash flow of BPJS Kes patiens hospital disrupted so would disrupt hospital operations are likely to impact the delivery of health care to patients. The purpose of this study was to determine the relationship of knowledge, attitudes and behavior towards officials delay hospitalization expenses claims BPJS Kes patiens in RS X. The method used is quantitative approach to the study of observational and cross-sectional design. The population of this study is related to the implementation of the officer claims hospitalization costs BPJS Kes are doctors, cashier, Laboratory, Radiology, Medical Records, and Verification numbering 25 people, while the sample used is saturated sample is the number of the population. Analysis of the data used is univariate and bivariate (chi-square). The results showed that the implementation cost of hospitalization BPJS Kes claim not timely 48%. Knowledge workers on hospitalization expenses claims provisions BPJS Kes 52%. and good officer behavior is 52%. Bivariate test results indicate that there is a significant relationship between knowledge, attitudes and behavior towards hospitalization expenses claims delays BPJS Kes Patiens where P <0.05. The odds ratio for knowledge is 59.813, and behaviors  35.840. Delay claims hospitalization patien BPJS Kes patiens will result in the timely payment of claims that are not necessary for the implementation of quality improvement officers claim not too late. To improve the knowledge, attitudes and behaviors required personnel training, seminars, socialization, motivation, improved work discipline and responsibility towards work.Keywords : knowledge, attitudes, behavior, and delay claims.AbstrakKeterlambatan adalah pelaksanaan suatu pekerjaan tidak sesuai dengan waktu yang telah ditentukan atau tidak tepat waktu. Keterlambatan dipengaruhi oleh berbagai faktor. Beberapa diantaranya yaitu pengetahuan, dan perilaku. Keterlambatan klaim biaya rawat inap pasien BPJS Kesehatan dapat mengakibatkan cash flow rumah sakit terganggu sehingga akan mengganggu operasional rumah sakit yang akan berdampak pula kepada pemberian pelayanan kesehatan kepada pasien. Tujuan penelitian ini untuk mengetahui hubungan pengetahuan, dan perilaku petugas terhadap keterlambatan klaim biaya rawat inap pasien BPJS Kesehatan di RS X Cikupa-Tangerang penelitian yang digunakan adalah kuantitatif dengan pendekatan observasional serta disain penelitian cross sectional. Populasi penelitian ini adalah petugas yang terkait dengan pelaksanaan klaim biaya rawat inap pasien BPJS Kesehatan yaitu dokter, bagian Kasir, Laboratorium, Radiologi, Rekam Medis, dan Verifikasi yang berjumlah 25 orang, sedangkan sampel yang digunakan adalah sampel jenuh yaitu jumlah dari seluruh populasi. Analisa data yang digunakan adalah analisa univariat dan bivariat (chi square). Hasil penelitian menunjukkan bahwa pelaksanaan klaim biaya rawat inap pasien BPJS Kesehatan tidak tepat waktu 48%. Pengetahuan yang baik petugas tentang ketentuan klaim biaya rawat inap pasien BPJS Kesehatan 52%. dan perilaku petugas yang baik 52%. Hasil uji bivariat menunjukkan bahwa ada hubungan yang bermakna antara pengetahuan, dan perilaku terhadap keterlambatan klaim biaya rawat inap pasien BPJS Kes dimana P < 0,05. Odd ratio untuk pengetahuan 59,813, dan perilaku 35,840. Keterlambatan klaim biaya rawat inap pasien BPJS Kes mengakibatkan pembayaran klaim tidak tepat waktu sehingga diperlukan peningkatan kualitas petugas agar pelaksanaan klaim tidak terlambat. Untuk meningkatkan pengetahuan, dan perilaku petugas diperlukan pelatihan, seminar, sosialisasi, pemberian motivasi, peningkatan disiplin kerja dan tanggung jawab terhadap pekerjaan.Kata kunci : Pengetahuan, keterlambatan, klaim.
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.
Literature Review Desain Formulir Rekam Medis Di FASYANKES Fatkur Ridho; Wiwik Viatiningsih; Deasy Rosmala Dewi; Noor Yulia
Indonesian Journal of Health Information Management Vol. 2 No. 2 (2022)
Publisher : Sekolah Tinggi Ilmu Kesehatan Mitra Husada Karanganyar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54877/ijhim.v2i2.59

Abstract

Abstrak Desain formulir merupakan suatu kegiatan yang bertujuan melakukan proses perancangan formulir menggunakankreativitas seseorang untuk menghasilkan fungsi dan nilai keindahan pada formulir. Penelitian ini dilakukan untuk mengetahui kesesuaian desain formulir rekam medis berdasarkan aspek anatomi, aspek isi, serta aspek fisik yang terdapat pada desain formulir rekam medis di fasilitas pelayanan kesehatan dengan menggunakan metode literature review terhadap 10 jurnal. Hasil dari penelitian ini ditinjau dari aspek anatomi pada komponen heading dengan sub komponen tanggal penerbitan semua jurnaltidak memiliki tanggal penerbitan, sedangkan pada komponen body dengan sub komponen type style dan cara pencatatan semua jurnal memiliki type style dan cara pencatatan yang sesuai serta pada komponen introduction, instruction, dan closing terdapat jurnal yang sesuai dan tidak sesuai dengan prinsip desain formulir. Ditinjau dari aspek fisik pada komponen tinta semua jurnal memiliki tinta yang sesuai sedangkan pada komponen warna, bahan, dan ukuran terdapat jurnal yang sesuai dan tidak sesuai dengan prinsip desain formulir. Ditinjau dari aspek isi pada komponen kelengkapan butir atau item formulir dan terminologi data terdapat jurnal yang sesuai dan tidak sesuai dengan prinsip desain formulir. Abstract Form design is an activity that aims to carry out the form design process using one's creativity to produce the function and aesthetic value of the form. This study was conducted to determine the suitability of the mediscal record form design based on anatomical aspects, content aspects, and physical aspects contained in the mediscal record form design in health care facilities using the literature review method of 10 journals. The results of this study are viewed from the anatomical aspect of the heading component with the publishing date sub-component, all journals do not have a publication date, while the body component with the style type sub-component and the recording method of all journals has the style type and the appropriate recording method and the introduction component instruction, and closing there are journals that are appropriate and not in accordance with the principles of form design. Judging from the physical aspect of the ink component, all journals have the appropriate ink while on the color, material, and size components there are journals that are appropriate and not in accordance with the principles of form design. Judging from the content aspect of the component of completeness of items or form items and data terminology, there are journals that are appropriate and not in accordance with the principles of form design.
Tinjauan Analisis Desain Formulir Ringkasan Pulang Rawat Inap di RSUD Kabupaten Bekasi Tahun 2022 Anggita Nurul Fadlilah; Wiwik Viatiningsih; Puteri Fannya; Nanda Aula Rumana
Sehat Rakyat: Jurnal Kesehatan Masyarakat Vol. 1 No. 3 (2022): Agustus 2022
Publisher : Yayasan Pendidikan Penelitian Pengabdian Algero

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54259/sehatrakyat.v1i3.1103

Abstract

Medical record form is a design tool with a predetermined filling limit to be used as one of the media. Inpatient discharge summary form is a brief record of the patient's condition during inpatient treatment. The purpose of this study was to determine the analysis of the inpatient discharge summary form design at the Bekasi District Hospital 2022. This study used a qualitative descriptive research method by re-examining the data that had been obtained in order to obtain valid data and classifying the data that had been obtained by entering it into a data table. then redesigned the form as a suggestion for the Bekasi District Hospital. Based on the data analysis that has been carried out, it is concluded that the Bekasi District Hospital has an SOP for Changes in Form Design which is used as a guide for any form design changes in the Bekasi District Hospital which has been determined by the Director of the Bekasi District Hospital on December 27, 2017. The results of the analysis carried out on Inpatient discharge summary form on physical, anatomical and content aspects shows that the paper used is still using NCR 55 gsm, the title of the form is still using an Inpatient Medical Resume not using the title of the Inpatient Discharge Summary form, on the form there is no edition number and page number, no there are instructions in filling out the form, there are unusual abbreviations such as ICD-9 CM and ICD-10 CM and there is a "/" symbol which means or.
KETEPATAN KODE DIAGNOSIS PENYEBAB DASAR KEMATIAN DI RUMAH SAKIT DI INDONESIA : LITERATUR REVIEW Fredrika Welhelmina; Wiwik Viatiningsih; Lily Widjaja; Noor Yulia
Jurnal Kesehatan Tambusai Vol. 3 No. 3 (2022): September 2022
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v3i3.7693

Abstract

Pelaporan mortalitas dilakukan sebagai upaya untuk pencegahan penyakit yang mematikan dan sebagai evaluasi fasilitas pelayanan kesehatan. Dalam memilih kode pada sertifikat medis penyebab kematian perlu diperhatikan agar pelaporan dapat terlaksana secara optimal. Kode yang tepat adalah kode yang sesuai dengan ICD-10 serta dibantu dengan Tabel MMDS. Tujuan dari review ini melihat melihat ketepatan kode diagnosis penyebab dasar kematian dan untuk mengetahui faktor penyebab ketidaktepatan pengodean diagnosis dan pengisian sertifikat medis penyebab kematian di rumah sakit. Metode penelitian ini menggunakan metode literatur review terhadap sejumlah artikel penelitian yang dipublikasikan rentang waktu tahun 2011-2021 dan ditemukan sebanyak 13 artikel jurnal memenuhi kriteria penelitian. Hasil menunjukkan presentasi ketepatan kode diagnosis sebesar 83% dan presentase ketidaktepatan kode diagnosis sebesar 90%. Hasil studi literatur ini juga membahas faktor penyebab ketidaktepatan pengodean diagnosis dan pengisian sertifikat penyebab dasar kematian yaitu faktor Man, Method, Material, Machine, dan Money.
TINJAUAN KETEPATAN SUSUNAN PERAKITAN REKAM MEDIS RAWAT INAP DI RUMAH SAKIT CITRA HARAPAN BEKASI Febriyan Awi Pasa; Wiwik Viatiningsih; Noor Yulia; Deasy Rosmala Dewi
Journal of Innovation Research and Knowledge Vol. 2 No. 7: Desember 2022
Publisher : Bajang Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Perakitan merupakan kegiatan merakit, menyusun dan menyimpan formulir rekam medis ke sampul dengan tertata rapih baik dari segi kuantitias maupun segi kualitas, sebelum diletakkan kembali pada rak penyimpanan. Perakitan berfungsi untuk merapikan dan menyusun formulir-formulir sesuai dengan urutan. Tujuan penelitian mengetahui gambaran ketepatan susunan perakitan rekam medis rawat inap di Rumah Sakit Citra Harapan Bekasi. Metode penelitian menggunakan metode deskriptif dengan analisis secara kuantitatif dengan sampel 69 rekam medis rawat inap. Hasil penelitian menunjukan Standar Prosedur Operasional perakitan rekam medis dirumah Sakit Citra Harapan sudah ada, dimana SPO perakitan rekam medis rawat inp dengan nomor SK Dir. Nomor : 007/RSCH/SK/DIR/2017 SPO diterbitkan pada tanggal 01 Agustus 2017 didapatkan ketepatan susunan perakitan rekam medis rawat inap sesuai dengan ketepatan susunan Standar Prosedur Operasional oleh petugas sebanyak 45 rekam medis (65,21%) dan jumlah yang tidak sesuai dengan ketepatan susunan Standar Prosedur Operasional berjumlah 24 rekam medis (34,78%). Berdasarkan faktor 5M (Man, Money, Machine, Method, Material) di dapatkan Faktor Man yaitu ketidaktepatan susunan perakitan rekam medis rawat inap karena kurang telitinya petugas dalam melakukan perakitan, beban kerja petugas perakitan yang berlebihan, kurangnya SDM dengan latar pendidikan RMIK, kurangnya pelatihan untuk petugas perakitan rekam medis, prasarana yang kurang memadahi untuk petugas dalam perakitan rekam medis sehingga menyebabkan proses perakitan rekam medis tidak terstruktur dengan baik. Saran, revisi SPO perakitan rekam medis, Perlu dibuat laporan evaluasi setiap akhir bulan, Tingkatkan kemampuan petugas diberikan pelatihan perakitan rekam medis dan mengikuti kegiatan seminar rekam medis.
Evaluasi Penerapan Sistem Informasi Manajemen Puskesmas (SIMPUS) Ahmad Hikmi Aldio; Deasy Rosmala Dewi; Noor Yulia; Wiwik Viatiningsih
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 | Full PDF (3812.735 KB) | DOI: 10.59141/cerdika.v2i4.364

Abstract

In evaluating the implementation of the Puskesmas Management Information System (SIMPUS) at the puskesmas, it is expected to be able to minimize the accumulation of patients the health service procedures at the puskesmas and also to foster more enthusiasm for the officers at the puskesmas so that services become more effective. So it is necessary to evaluate the implementation of the health center management information system (SIMPUS). Objective: evaluate the implementation of the puskesmas management information system (SIMPUS) to find out what methods are used in evaluating the implementation of the puskesmas management information system (SIMPUS). This study uses the google scholar database in computing a literature review search by using the keyword search for this research journal, namely ” Evaluation of applications (SIMPUS) at the puskesmas. Research results in it can be seen that the most dominant SIMPUS evaluation used is Hot-fit while the least is the cloud-based methods in evaluating the implementation of the puskesmas management information system (SIMPUS). The puskesmas management evaluation information system (SIMPUS) has several methods in implementing the SIMPUS evaluation, namely, web-based, hot-fit, and cloud-based.
Tinjauan Kebutuhan Rak Penyimpanan Rekam Medis di Rumah Sakit Annisa Bogor Tahun 2022 Annisa Nur Salsabila; Wiwik Viatiningsih; Lily Widjaja; Laela Indawati
Cerdika: Jurnal Ilmiah Indonesia Vol. 2 No. 7 (2022): Cerdika: Jurnal Ilmiah Indonesia
Publisher : Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (757.525 KB) | DOI: 10.59141/cerdika.v2i7.436

Abstract

Hospital is a health service institution by providing outpatient and inpatient services. Each hospital also has an obligation to have a Medical Record Unit. Medical records are files that contain records or documents such as patient identities, results of diagnoses, actions, and treatments as well as services that have been provided to patients. In the context of administering medical records, health service facilities are required to provide the necessary facilities. One of them is a medical record storage rack to store medical records. Based on the results of research at the Medical Record Unit of the Annisa Hospital, Bogor, it was found that the medical record storage rack was inadequate and some medical records were piled on the floor, making it difficult for officers to find medical records when needed and services at the polyclinic became hampered. The purpose of this study was to determine the need for medical record storage racks for the next 5 years at Annisa Hospital Bogor in 2022. The study was conducted using a quantitative descriptive method, using a non-random sampling method with saturated sampling technique. From the results of the study, the Annisa Bogor Hospital still lacks medical record storage rack facilities which currently have 12 wooden shelves and 3 Roll O'packs, an additional rack of 9 Roll O'packs is needed. The storage area at Annisa Hospital Bogor is sufficient because the area needed for the next 5 years is 61.3 m2. Meanwhile, the current room area is 120 m2 combined with the medical record officer's workspace.