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All Journal Media Kesehatan Masyarakat Indonesia Jurnal Kebijakan Kesehatan Indonesia Public Health of Indonesia Jurnal Kesehatan Medika Saintika Jurnal Manajemen Kesehatan Yayasan RS.Dr. Soetomo Jurnal Pengabdian Masyarakat AbdiMas Jurnal Kreativitas PKM JOURNAL OF SCIENCE AND SOCIAL RESEARCH Indonesian of Health Information Management Journal (INOHIM) Jurnal JTIK (Jurnal Teknologi Informasi dan Komunikasi) Jurnal Kesehatan Tambusai J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Sehat Rakyat: Jurnal Kesehatan Masyarakat PELS (Procedia of Engineering and Life Science) Indonesian Journal of Health Information Management Services (IJHIMS) International Journal of Health and Information System (IJHIS) Holistik Jurnal Kesehatan Jurnal Ilmu Kesehatan Masyarakat
Witri Zuama Qomarania
Universitas Esa Unggul
Computer Science & IT Control & Systems Engineering Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Electrical & Electronics Engineering Engineering Health Professions Library & Information Science Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary Other

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Hubungan Kualitas Resume Medis dan Ketepatan Koding Kasus Pneumonia dengan Hasil Klaim di RSIJ Sukapura Sansy Dua Lestari Putri Azah; Husni Abdul Muchlis; Hosizah Hosizah; Witri Zuama Qomarania
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 7 No 3 (2026): June
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v7i3.5839

Abstract

Hospitals submit BPJS Health insurance claim documents to obtain reimbursement for healthcare services provided. Observations at RSIJ Sukapura identified 32 pending claim files (70%) caused by incomplete documentation of clinical symptoms in medical discharge summaries. This issue led to the revision of the diagnosis code from J18.9 to J22, resulting in reduced claim values and an increased number of pending claims. This study aimed to examine the relationship between the quality of medical discharge summaries, coding accuracy, and claim outcomes among hospitalized pneumonia patients at RSIJ Sukapura. A quantitative study was conducted using a population of 102 pneumonia cases recorded in May 2024. Using purposive sampling, 89 claim files were selected for analysis. The results showed that 71 files (79.8%) had good-quality medical discharge summaries, 75 files (84.3%) demonstrated accurate coding, and 70 files (78.7%) resulted in eligible claims. Multiple logistic regression analysis revealed a significant relationship between the quality of medical discharge summaries, coding accuracy, and claim outcomes (p < 0.001). Good-quality documentation and accurate coding increased the likelihood of producing eligible claims. Therefore, physician education regarding complete documentation in accordance with BPJS Health requirements is recommended to reduce pending claims.
Analisis Spasial Lokal Faktor Risiko Individu terhadap Kejadian ISPA Balita di Kecamatan Kebon Jeruk Wilayah Davina Afifah Zahra; Witri Zuama Qomarania; Hosizah Hosizah; Tria Saras Pertiwi; Mieke Nurmalasari
Sehat Rakyat: Jurnal Kesehatan Masyarakat Vol. 5 No. 2 (2026): Mei 2026
Publisher : Yayasan Pendidikan Penelitian Pengabdian Algero

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54259/sehatrakyat.v5i2.7610

Abstract

Prevalence of acute respiratory infections (ARI) in Indonesia among toddlers in 2024 was 52.7%, with West Jakarta Administrative City ranking second highest in DKI Jakarta Province. ARI is an upper respiratory tract infection influenced by infectious agents and various individual and environmental risk factors. Differences in risk factors have the potential to cause differences in ARI incidence between regions, requiring spatial analysis to identify the geographical correlation of disease incidence. This study aims to analyze the spatial correlation of ARI incidence in toddlers with risk factors between sub districts in the Kebon Jeruk Health Center working area in 2025. The study was conducted from August - September 2025, with a population of 16,344 children with ISPA and a sample of 109 children. Analyzed using Moran's I Global Index and Local Indicators of Spatial Association (LISA) using the GeoDa program. The global analysis revealed no spatial autocorrelation between the occurrence of ISPA in children and all the risk factors studied. However, local spatial analysis identified significant spatial autocorrelation between ISPA cases and the following risk factors incomplete immunization (p-value = 0,015) in Kebon Jeruk subdistrict, smoking habits of family members (p-value = 0,015) in Kedoya Selatan and Sukabumi Selatan subdistrict, and mother education level (p-value = 0,006) in Kelapa dua subdistrict.
Peningkatan Kapasitas PMIK Dalam Mengolah dan Menganalisis Data Klaim INA-CBG’s untuk Meningkatkan Akurasi Kodefikasi & Dokumentasi di RSIJ Pondok Kopi Husni Abdul Muchlis; Mieke Nurmalasari; Witri Zuama Qomarania; Anastasia Cyntia Dewi Kurniawati; Muhammad Fuad Iqbal; Yati Maryati
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 9, No 2 (2026): Volume 9 Nomor 2 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v9i2.23624

Abstract

ABSTRAK Keberhasilan klaim JKN-BPJS sangat bergantung pada akurasi dokumentasi klinis dan kodefikasi diagnosis serta prosedur. RSIJ Pondok Kopi masih menghadapi kendala dalam pemanfaatan data klaim untuk evaluasi mutu dan optimalisasi nilai klaim. Kegiatan ini bertujuan meningkatkan kemampuan PMIK dalam mengolah dan menganalisis data klaim INA-CBG’s untuk mendukung akurasi kodefikasi dan dokumentasi. Program dilaksanakan melalui sosialisasi, pelatihan teknis Excel PivotTable, dan pendampingan penyusunan dashboard analisis klaim. Evaluasi menggunakan pre-test dan post-test serta observasi produk analisis. Pelatihan meningkatkan skor pengetahuan tim sebesar 22 poin, terutama pada materi MCC/CC. Tim berhasil menghasilkan dua laporan dashboard internal terkait capture rate MCC/CC dan distribusi LOS (AMLOS/GMLOS). Peningkatan kompetensi PMIK dalam analisis data klaim mampu memperbaiki akurasi kodefikasi dan mendorong pemanfaatan data klaim sebagai alat manajemen mutu dan optimalisasi nilai klaim rumah sakit. Kata Kunci: Data Klaim, Dokumentasi Klinis, INA-CBG’s, Klaim BPJS, Kodefikasi.  ABSTRACT The success of JKN–BPJS claims strongly depends on the accuracy of clinical documentation and clinical coding of diagnoses and procedures. RSIJ Pondok Kopi still faces challenges in utilizing claim data to evaluate service quality and optimize reimbursement values. This community service activity aims to improve the capacity of Health Information Management professionals (PMIK) in processing and analyzing INA-CBG’s claim data to support accurate coding and clinical documentation. The program was carried out through socialization, technical training using Excel PivotTable, and mentoring in developing analytical dashboards. Evaluation was conducted using pre-test and post-test assessments, as well as observation of the analytical products. The training improved staff knowledge by 22 points, with the highest increase in MCC/CC competence. The team successfully produced two internal dashboard reports related to MCC/CC capture rate and LOS distribution (AMLOS/GMLOS). Improving PMIK competency in claim data analysis enhances the accuracy of clinical coding and encourages the use of claim data as a tool for quality management and reimbursement optimization in hospitals. Keywords: Claim Data, Clinical Coding, Clinical Documentation, INA-CBG’s, BPJS Claim.
ANALISIS BEDA RATA-RATA WAKTU TUNGGU PELAYANAN PENGGUNAAN APLIKASI MOBILE JKN DI RUSD KOTA TANGERANG Arti Pristiwati Utami; Witri Zuama Qomarania
JOURNAL OF SCIENCE AND SOCIAL RESEARCH Vol. 7 No. 4 (2024): November 2024
Publisher : Smart Education

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54314/jssr.v7i4.2349

Abstract

Abstract: Waiting time is an important component of the service and is the first gateway that plays an important role in making a good first impression on patients. The Mobile JKN application is an application for the national health insurance system which is a form of digital transformation of the business model created by BPJS Kesehatan. The purpose of this study is to find out the Difference in Average Waiting Time for the Use of Mobile JKN Application services. The study used a cross sectional design. The research was conducted at the Tangerang City Hospital at the dental polyclinic and internal medicine polyclinic. The sampling technique uses the quota sampling technique with a total of 400 samples. The data analysis technique in this study uses the Mann Whitney Test. The results of the study showed that the minimum waiting time for respondents at the dental polyclinic was 67 minutes, and the maximum was 178 minutes. The average waiting time of respondents was 119.15 minutes. Meanwhile, in the internal medicine polyclinic, the minimum waiting time for respondents is 65 minutes, and the maximum is 202 minutes. The average waiting time for respondents was 129.71 minutes.  At the dental polyclinic, as many as 62 respondents (44.0%) were users of the Mobile JKN Application and as many as 79 respondents (56.0%) were respondents who came directly. Meanwhile, in the internal medicine poly, as many as 98 respondents (37.8%) were users of the Mobile JKN Application and as many as 161 respondents (62.2%) were respondents who came directly. Keywords: Waiting Time, Mobile JKN, Service Abstrak: Waktu tunggu merupakan komponen penting dalam pelayanan dan merupakan pintu gerbang pertama yang berperan penting dalam memberikan kesan pertama yang baik bagi pasien. Aplikasi Mobile JKN adalah aplikasi untuk sistem asuransi kesehatan nasional yang merupakan bentuk transformasi digital model bisnis yang dibuat oleh BPJS Kesehatan. Tujuan penelitian ini untuk mengetahui beda rata-rata waktu tunggu pelayanan penggunaan Aplikasi Mobile JKN. Penelitian menggunakan desain cross sectional. Penelitian dilakukan di RSUD Kota Tangerang pada poliklinik gigi dan poliklinik penyakit dalam. Teknik pengambilan sampel menggunakan teknik quota sampling dengan jumlah 400 sampel. Teknik analisis data pada penelitian ini menggunakan Uji Mann Whitney. Hasil penelitian menunjukan bahwa minimal waktu tunggu responden pada poliklinik gigi adalah 67 menit dan maksimal adalah 178 menit. Rata–rata waktu tunggu responden yaitu 119,15 menit. Sedangkan pada poliklinik penyakit dalam, minimal waktu tunggu responden adalah 65 menit dan maksimal adalah 202 menit. Rata–rata waktu tunggu responden 129,71 menit.  Pada poliklinik gigi sebanyak 62 responden (44,0%) adalah pengguna Aplikasi Mobile JKN dan sebanyak 79 responden (56,0%) adalah responden yang datang secara langsung. Sedangkan pada poli penyakit dalam sebanyak 98 responden (37,8%) adalah pengguna Aplikasi Mobile JKN dan sebanyak 161 responden (62,2%) adalah responden yang datang secara langsung. Kata kunci: Waktu Tunggu, Mobile JKN, Pelayanan
HUBUNGAN ANTARA PENGETAHUAN PERAWAT TENTANG REKAM MEDIS ELEKTRONIK DENGAN KELENGKAPAN PENGISIAN CATATAN PERKEMBANGAN PASIEN TERINTEGRASI (CPPT) RAWAT INAP DI RS SOEHARTO HEERDJAN Gheary Artha Sitanggang; Mieke Nurmalasari; Hosizah; Witri Zuama Qomarania; Ifah Muzdalifah
JOURNAL OF SCIENCE AND SOCIAL RESEARCH Vol. 9 No. 3 (2026): June 2026
Publisher : Smart Education

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54314/jssr.v9i3.6319

Abstract

Abstract: Electronic Medical Records (EMR) is a form of health information service that is carried out and recorded computerized. In 2024, at Soeharto Heerdjan Hospital, obstacles encountered in filling out the Integrated Patient Progress Notes (CPPT) were its completeness, where 25.6% of patient data documents were incomplete. The purpose of this study was to determine the relationship between nurses' knowledge of electronic medical records and the completeness of the Integrated Patient Progress Notes (CPPT) at Soeharto Heerdjan Hospital. This study was conducted at Soeharto Heerdjan Hospital from February 2024 to June 2025 using a quantitative method with a cross-sectional research design with a sample of 58 inpatient nurses at Soeharto Heerdjan Hospital. The instruments in this study were the CPPT completeness observation sheet and the nurses' knowledge questionnaire about EMR. The data collection technique in this study was non-probability sampling with an accidental sampling method with univariate and bivariate analysis using chi-square. The analysis of the completeness of the CPPT showed that 53.4% (31 respondents) completed the form completely, and 46.6% (27 respondents) incompletely. Regarding nurses' knowledge of EMR, 33 nurses (56.9%) had sufficient knowledge, and 25 nurses (43.1%) had good knowledge. Bivariate analysis using the Chi-Square test revealed a correlation between nurses' knowledge of EMR and the completeness of the CPPT (p-value 0.000). To improve nurses' knowledge of EMR use at Soeharto Heerdjan Hospital, routine technical training on the use of EMR and nursing documentation is recommended at least twice a year to achieve the completeness of the CPPT. Keywords: CPPT Completeness, Nurse Knowledge, Electronic Medical Records. Abstrak: Rekam Medis Elektronik merupakan salah satu bentuk layanan informasi kesehatan yang dilakukan dan tercatat secara komputerisasi. Tahun 2024 di RS Soeharto Heerdjan kendala yang terjadi dalam pengisian CPPT terdapat pada kelengkapannya dimana terdapat 25,6% dokumen data pasien yang belum terisi. Tujuan penelitian ini adalah mengetahui hubungan antara pengetahuan perawat tentang rekam medis elektronik dengan kelengkapan Catatan Perkembangan Pasien Terintegrasi (CPPT) di RS Soeharto Heerdjan. Penelitian ini dilakukan di RS Soeharto Heerdjan pada bulan Februari 2024-Juni 2025 dengan metode kuantitatif dengan desain penelitian cross sectional dengan jumlah sampel 58 perawat rawat inap RS Soeharto Heerdjan. Instrumen dalam penelitian ini adalah lembar observasi kelengkapan CPPT dan Kuesioner pengetahuan perawat tentang RME. Teknik pengumpulan data pada penelitian ini yaitu non-probability sampling dengan metode accidental sampling dengan analisi univariat dan bivariat menggunakan chi-square. Hasil analisis kelengkapan CPPT didapatkan sebanyak 53,4% (31 responden) terisi lengkap dan sebanyak 46,6% (27 responden) tidak terisi lengkap. Pada variabel pengetahuan perawat tentang RME, sebanyak 33 perawat (56,9%) memiliki pengetahuan cukup dan 25 perawat (43,1%) memiliki pengetahuan baik. Berdasarkan hasil uji bivariat menggunakan uji Chi-Square terdapat hubungan antara pengetahuan perawat tentang RME dengan kelengkapan pengisian CPPT (p- value 0.000). Dalam upaya untuk meningkatkan pengetahuan tentang penggunaan RME pada perawat di RS Soeharto Heerdjan sehingga kelengkapan CPPT dapat tercapai diharapkan untuk menyelenggarakan pelatihan teknis rutin minimal dua kali dalam setahun tentang penggunaan Rekam Medis Elektronik (RME) dan pendokumentasian keperawatan. Kata Kunci: Kelengkapan CPPT, Pengetahuan Perawat, Rekam Medis Elektronik.
ANALISIS PROFIL PASIEN DENGAN GANGGUAN JIWA DI RUMAH SAKIT SOEHARTO HEERDJAN Brian Jodi; Mieke Nurmalasari; Hosizah Hosizah; Witri Zuama Qomarania; Ifah Muzdalifah
JOURNAL OF SCIENCE AND SOCIAL RESEARCH Vol. 9 No. 3 (2026): June 2026
Publisher : Smart Education

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54314/jssr.v9i3.6714

Abstract

Abstract: Mental disorders are one of the major health problems that continue to increase in Indonesia and require serious attention. According to Riskesdas (2018), the prevalence of severe mental disorders increased from 1.7 per 1,000 households in 2013 to 7 per 1,000 households in 2018, equivalent to around 450,000 people with severe mental illness, and in 2019 there were still 5,218 cases of severe mental illness under restraint. At Soeharto Heerdjan Hospital, the number of inpatients with mental disorders has shown an increasing trend from 2019 to 2023, rising from 3,068 patients in 2019 to 4,036 patients in 2023, and reaching 4,781 patients in 2024. This study aims to analyze the profile of inpatients with mental disorders at Soeharto Heerdjan Hospital in 2024 based on demographic characteristics, environmental factors, and clinical profiles. This research employed a descriptive quantitative design with a sample of 400 patients drawn from a total population of 4,781 patients. Data were collected through medical record reviews and analyzed using univariate analysis. The results showed that the majority of patients were male (50.2%) and the largest age group was 20–29 years (25.8%). Most patients had no formal education (35.5%) and were covered by BPJS health insurance (89.3%). In terms of environmental factors, the most dominant cause was family conflict (27.8%), followed by socioeconomic factors (20.3%) and the loss of parents/family members (20.0%). The most common diagnosis was paranoid schizophrenia (F20.0) at 40.5%, while the most frequent medical intervention was behavioral therapy (94.23) at 55.3%. The length of stay was most commonly 14 days (12.5%). Keywords: Patient Profile, Mental Disorders, Inpatient Care   Abstrak: Gangguan jiwa merupakan salah satu masalah kesehatan yang terus meningkat di Indonesia dan memerlukan perhatian serius. Menurut Riskesdas (2018), prevalensi gangguan jiwa berat meningkat dari 1,7 per 1.000 rumah tangga pada 2013 menjadi 7 per 1.000 rumah tangga pada 2018, setara dengan sekitar 450 ribu ODGJ berat, dan pada 2019 masih tercatat 5.218 ODGJ berat dalam kondisi pasung. Pada rumah sakit Soeharto Heerdjan, jumlah pasien rawat inap dengan gangguan jiwa mengalami peningkatan dari tahun 2019 hingga 2023, yaitu dari 3068 pasien pada 2019 naik menjadi 4036 pasien pada 2023, hingga mencapai 4.781 pasien pada tahun 2024. Penelitian ini bertujuan untuk menganalisis profil pasien rawat inap dengan gangguan jiwa di Rumah Sakit Soeharto Heerdjan tahun 2024 berdasarkan karakteristik demografis, faktor lingkungan dan profil klinis. Metode penelitian yang digunakan adalah deskriptif kuantitatif dengan sampel sebanyak 400 pasien dari total populasi 4.781 pasien. Data diperoleh melalui telaah rekam medis dan dianalisis secara univariat. Hasil penelitian menunjukkan bahwa mayoritas pasien berjenis kelamin laki-laki (50,2%) dengan kelompok usia terbanyak 20–29 tahun (25,8%). Sebagian besar pasien tidak menempuh pendidikan formal (35,5%) dan menggunakan jaminan kesehatan BPJS (89,3%). Berdasarkan faktor lingkungan, penyebab dominan adalah konflik keluarga (27,8%), disusul faktor sosial ekonomi (20,3%) dan kehilangan orang tua/keluarga (20,0%). Diagnosis terbanyak adalah skizofrenia paranoid (F20.0) sebesar 40,5% dengan tindakan medis dominan berupa terapi perilaku (94.23) sebesar 55,3%. Lama rawat terbanyak adalah 14 hari (12,5%). Kata Kunci: Profil Pasien, Gangguan Jiwa, Rawat Inap
Co-Authors AA Sudharmawan, AA Adelina Fitri Amanda, Kiki Ambarwati Arti Pristiwati Utami Ashar Nuzulul Putra Azza, Azizatul Brian Jodi Davina Afifah Zahra DinaMarthaFitri1 ErnyElviany2 Ety Nurhayati Gheary Artha Sitanggang Herlina Afrelina Hosizah Hosizah Hosizah Hosizah Hosizah Husni Abdul Muchlis Idris, Vanny Ifah Muzdalifah Indah Cahyani Buana Iqbal, Muhammad Fuad Kurniawati, Anastasia Cyntia Dewi Lestari, Betri Widya Loli Adriani Meutia, Nurma Michaela, Sarah Mauren Novi Mulyani Putri Nugroho Budhisantosa Nugroho, Purwo Setiyo Nurhasanah, Raden Nurmalasari, Mieke Rahmawati, Danisa Ocha Ramadhani, Muhammad Ridho Ranggani, Nila Rosana Dwiyanti Putri Salamiyah, Barokatus Salsabila, Nada Salsabilla, Jihan Saskia Sansy Dua Lestari Putri Azah Saputra, Alief Imran Sukaesti, Diah Sulistianingsih Sulistianingsih Sulistianingsih Sulistianingsih Supryatno, Adi Temesvari, Nauri Anggita Tria Saras Pertiwi Utami, Arti Pristiwati Wittri, Zalipa Yati Maryati