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All Journal Jurnal Buana Informatika Jurnal Penelitian Kesehatan Suara Forikes Jurnal Kesehatan Jurnal Aisyah : Jurnal Ilmu Kesehatan J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Jurnal Rekam Medik & Manajemen Informasi Kesehatan (RAMMIK) JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit)
Demiawan Rachmatta Putro Mudiono
Jurusan Kesehatan, Politeknik Negeri Jember
Computer Science & IT Dentistry Economics, Econometrics & Finance Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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Klasterisasi Puskesmas dengan K-Means Berdasarkan Data Kualitas Kesehatan Keluarga dan Gizi Masyarakat Bakhtiyar Hadi Prakoso; Ervina Rachmawati; Demiawan Rachmatta Putro Mudiono; Veronika Vestine; Gandu Eko Julianto Suyoso
Jurnal Buana Informatika Vol. 14 No. 01 (2023): Jurnal Buana Informatika, Volume 14, Nomor 1, April 2023
Publisher : Universitas Atma Jaya Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24002/jbi.v14i01.7105

Abstract

One of the fundamental principles followed by the Jember Health Office for decision-making is data. Data plays a crucial role in the decision-making process. Raw data is more difficult to interpret and needs to be analyzed. Clustering is one of the techniques used for analysis. This study discusses using K-Means to cluster Public Health Center data based on AKI, AKB, and stunting prevalence. The data is processed by reducing dimensions and normalizing them. The clustering process is performed using the K-Means method, where the maximum k-value is obtained by calculating WCSS. The clustering process results in three clusters of Public Health Centers in the Jember Regency. These clusters can serve as a reference for the Jember Health Office to formulate family health and community nutrition quality policies.Keywords: data mining, K-Means, clustering, Maternal Mortality Rate, Infant Mortality Rate, the prevalence of stunting Salah satu dasar pengambilan kebijakan oleh Dinas Kesehatan Jember adalah data. Data memiliki peran dalam proses pengambilan keputusan. Data mentah yang didapatkan lebih sulit untuk diinterpretasikan sehingga diperlukan analisis terhadap data tesebut. Salah satu analisis yang dapat digunakan adalah teknik klasterisasi. Padapenelitian ini akan dibahas penggunaan K-Means untuk klasterisasi data puskesmas berdasarkan AKI, AKB, dan prevalensi stunting. Data diproses dengan melakukan reduksi dimensi dan normalisasi. Proses klasterisasi dilakukan dengan metode K-Means dimana nilai k maksimal diperoleh dengan menghitung WCSS. Adapun hasil proses klasterisasi didapatkan tiga kelompok klaster puskesmas yang terdapat di Kabupaten Jember. Hasil klasterisasi dapat digunakan sebagai referensi Dinas Kesehatan Jember dalam mengambil kebijakan terkait kualitas kesehatan keluarga dan gizi masyarakatKata Kunci: data mining, K-Means, klasterisasi, Angka Kematian Ibu, Angka Kematian Bayi, prevalensi stunting
Analisis Faktor Penyebab Keterlambatan Pengembalian Rekam Medis Rawat Inap di Rumah Sakit Baladhika Husada Jember Insani Dzakirah; Demiawan Rachmatta Putro Mudiono; Maya Weka Santi; Erna Selviyanti
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 4 No 3 (2023): June
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v4i3.3804

Abstract

The standard for returning outpatient medical records was 1 hour after providing polyclinic services and 1 x 24 hours after the patient was discharged. Delay in returning outpatient medical records occurs if it exceeds the predetermined standard limit. The implementation of medical records at Baladhika Husada Jember Hospital still has delays in returning inpatient medical records. Therefore, it impacts patient waiting time to get services and the accumulation of files due to the procurement of new medical record documents for visiting patients because the previous medical records were not in the filing room. This research aimed to analyze the factors causing delays in returning inpatient medical records. This type of research uses qualitative research, the subject is 1 head of a medical record unit, 1 medical record officer, 3 nurses, and 2 heads of inpatient rooms. The object of this research is inpatient medical records. The results found in this study are that the first priority has not been socialization related to SOP (Standard Operational Procedure) regarding the return of inpatient medical records so it is determined that efforts to hold routine SOP socialization, providing SOP are posted in each inpatient room by involving all nurses and record officers related to the activity of returning medical records.
The Analysis of Causes of Inpatient Medical Records Delayed Retrieval at Muna Anggita Hospital Bojonegoro, Indonesia Selvia Juwita Swari; Cindy Kurnia Ressa Fransiska; Demiawan Rachmatta Putro Mudiono; Erna Selviyanti; Gamasiano Alfiansyah; Maya Weka Santi
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 12 No. 3 (2023): December 2023
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v12i3.89

Abstract

The delayed retrieval (return) of medical records at Muna Anggita Hospital Bojonegoro in January-May 2022 hindered the data process, reporting, and BPJS claim submissions. It also impeded services when patients underwent health check-ups and affected the quality of hospitals and patient satisfaction. This study aims to analyze the factors causing the tardy return of inpatient medical records based on Lawrence Green's behavior theory, which includes predisposing, enabling, and reinforcing factors. This qualitative study collected data through interviews, observations, documentation, USG (Urgency Seriousness and Growth), and brainstorming. The research subjects include one medical record head, two assembling officers, and four inpatient ward heads. The results indicated that predisposing factors included the lack of knowledge of ward heads and their attitude (behavior) towards extending the return time of medical records. These predisposing factors can occur due to the lack of supporting facilities. Also, motivating external factors such as rewards or reprimands from ward heads and minimal socialization of standard operating procedures (SOPs) regarding borrowing and return of medical records also contribute to the delay. Behavioral factors refer to the ward heads' lack of compliance and discipline in returning medical records. Muna Anggita Hospital should conduct SOP socialization every three months and regularly provide supporting facilities. The ward heads should also set an example regarding medical record return punctuality. The subsequent researchers are encouraged to formulate a strategic plan to reduce the delays in returning inpatient medical records at Muna Anggita Hospital in Bojonegoro.
Analysis of Individual Characteristics of Employee’s Performance at Regional Hospital dr. Soebandi Jember on the Case of BPJS Inpatient Pending Claim Demiawan Rachmatta Putro Mudiono; Atma Deharja; Erna Selviyanti; Widha Alamanda
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 8, No 1: March 2023
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (689.466 KB) | DOI: 10.30604/jika.v8i1.1533

Abstract

JKN program is mandatory social health insurance for all Indonesian citizens. JKN claims are submitted every month by the hospital to reimburse the service fee that has been provided to its participants. Pending claims occur because the submitted claims still get confirmation from the Social Security Administrator for Health. In March–May 2021, 234 pending claims were found out of 1934 total submitted inpatient claims by RSD dr. Soebandi Jember. This incident cannot be separated from the performance of claim officers. According to Gibson's theory, performance could be influenced by individual variables. The purpose of this study is to analyze the determinants of inpatient pending claims based on individual characteristics. This research a qualitative using depth interviews, observation, and documentation. The result shows pending claims caused by an unmatched ability of coders and physicians in charge of the patients, the implementation of internal verification has not been maximized and different perceptions regarding claims regulation between coders and BPJS verifiers. To solve the problem, an in-charge officer for the completeness of medical records in each inpatient room is needed, implement one-stop administration system, increase the understanding and accuracy of coder, and communicating with BPJS to equalize claims regulation perceptions. Abstrak: Program JKN merupakan asuransi kesehatan sosial yang bersifat wajib bagi seluruh penduduk Indonesia. Klaim JKN ditagihkan setiap bulan oleh rumah sakit untuk mendapatkan pergantian biaya atas pelayanan yang telah diberikan kepada pesertanya. Pending klaim terjadi akibat klaim yang telah diajukan masih mendapat konfirmasi dari BPJS Kesehatan. Jumlah pending klaim rawat inap RSD dr. Soebandi Jember pada bulan Maret-Mei 2021 ditemukan sebanyak 234 klaim (12,23%) dari total pengajuan 1914 berkas. Kejadian pending tidak terlepas dari kinerja pegawai yang terlibat dalam pengajuan klaim. Kinerja menurut teori Gibson dapat dipengaruhi oleh variabel individu. Penelitian ini bertujuan untuk menganalisis determinan kejadian pending klaim BPJS rawat inap berdasarkan variabel karakteristik individu. Jenis penelitian yaitu kualitatif dengan teknik pengumpulan data wawancara mendalam, observasi, dan dokumentasi. Hasil penelitian determinan pending klaim rawat inap disebabkan adanya ketidaksesuaian kemampuan dan keterampilan petugas koding dan DPJP, pelaksanaan verifikasi internal belum maksimal, dan terdapat perbedaan persepsi terkait regulasi klaim antara koder dengan verifikator BPJS. Upaya perbaikan masalah tersebut yaitu perlunya penanggung jawab kelengkapan kuantitas pengisian rekam medis di setiap ruang rawat inap, penerapan sistem one stop administration, peningkatan pemahaman dan ketelitian petugas koding, melakukan komunikasi dengan BPJS untuk menyamakan persepsi regulasi klaim.
Faktor Penyebab Terjadinya Duplikasi Penomoran Rekam Medis di Fasilitas Pelayanan Kesehatan Feby Erawantini; Tamami Alifia Annisa; Ervina Rachmawati; Demiawan Rachmatta Putro Mudiono
Jurnal Penelitian Kesehatan SUARA FORIKES 2022
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf13nk417

Abstract

Medical record files that have not been combined with previous files will determine information on services provided to patients which results in patient data being unstructured, it is difficult for doctors to provide diagnoses and therapy to patients, this is related to service quality. So a study is needed to review the factors that cause duplication of medical record numbering based on the Man, Money, Method, Machine, and Materials factors. This literature review uses the Google Scholar database, the Garuda portal, and Crossreff. Obtained 1022 articles which were then selected 16 articles. The results of the review show that the man element is the lack of accuracy and responsibility of officers, the minimum number of officers with medical record education, and the lack of training and seminars for officers; the element of money is a limited source of funds for, as well as an increase in the budget due to the increased use of supporting materials; the method element is the lack of SOP implementation; machine element is a system that still often errors; the material element is that infrastructure is available, but not used properly, patients still often do not carry MNH.Keywords: medical record; duplication; management ABSTRAK Berkas rekam medis yang belum digabungkan dengan berkas sebelumnya akan memutuskan informasi pada pelayanan yang diberikan kepada pasien yang mengakibatkan data pasien menjadi tidak terstruktur, sulit bagi dokter dalam memberikan diagnosa dan terapi pada pasien, hal ini terkait dengan mutu pelayanan. Maka diperlukan studi untuk mereview faktor penyebab terjadinya duplikasi penomoran rekam medis berdasarkan faktor Man, Money, Method, Machine, dan Materials. Literature review ini menggunakan database Google Scholar, portal Garuda, dan Crossreff. Didapatkan 1022 artikel yang selanjutnya terpilih 16 artikel. Hasil review menunjukkan bahwa unsur man adalah kurangnya ketelitian dan tanggung jawab petugas, minimnya petugas berpendidikan perekam medis, serta kurangnya pelatihan dan seminar bagi petugas; unsur money adalah sumber dana yang terbatas untuk, serta naiknya anggaran karena bertambahnya penggunaan material pendukung; unsur method adalah kurangnya implementasi SOP; unsur machine adalah sistem yang masih sering error; unsur material adalah sarana prasarana sudah tersedia, namun tidak digunakan dengan baik, pasien masih sering tidak membawa KIB.Kata kunci: rekam medis; duplikasi; manajemen
Faktor-Faktor Penyebab Keterlambatan Penyediaan Rekam Medis Rawat Jalan di Rumah Sakit Fajria Nur Rahmah; Maya Weka Santi; Ervina Rachmawati; Demiawan Rachmatta Putro Mudiono
Jurnal Penelitian Kesehatan SUARA FORIKES 2022
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf13nk409

Abstract

Previous studies have shown that there is a delay in the provision of outpatient medical records in hospitals across Indonesia, where the provision time is not in accordance with established standards. So a study is needed to find out the factors that cause delays in the provision of outpatient medical records in hospitals. The method used is a literature review by identifying 30 articles from Google Scholar and the Garuda Portal. The results of the data abstraction of 30 selected literature can be summarized by the factors causing the delay in the provision of outpatient medical records at hospitals in terms of the 5M element, the man factor, which is high workload and the number of medical record human resources is small, the money factor is the budget that has not been used properly, the material factor namely the medical record file was not found on the filing rack, material factors, namely the medical record file was not found on the filing rack, the machine factor, namely the condition and location of the filing room was not supportive.Keywords: medical record; provision; lateness ABSTRAK Penelitian terdahulu menunjukkan adanya keterlambatan penyediaan rekam medis rawat jalan di rumah sakit yang tersebar di Indonesia, dimana waktu penyediaan tidak sesuai dengan standar yang telah ditetapkan. Maka diperlukan studi untuk mengetahui faktor-faktor yang menyebabkan keterlambatan penyediaan rekam medis rawat jalan di rumah sakit. Metode yang digunakan yaitu literature review dengan mengidentifikasi 30 artikel dari Google Scholar dan Portal Garuda. Hasil abstraksi data 30 literatur terpilih dapat dirangkum faktor penyebab keterlambatan penyediaan rekam medis rawat jalan di rumah sakit ditinjau dari unsur 5M, pada faktor man yaitu beban kerja tinggi dan jumlah SDM perekam medis sedikit, faktor money adalah anggaran yang belum digunakan dengan baik, faktor material yaitu berkas rekam medis tidak ditemukan di rak filing, faktor material yaitu berkas rekam medis tidak ditemukan di rak filing, faktor machine yaitu kondisi dan lokasi ruang filing kurang mendukung.Kata kunci: rekam medis; penyediaan; keterlambatan
Kerahasiaan Rekam Medis dalam Pelaksanaan Pelepasan Informasi Rekam Medis di Rumah Sakit : Literature Review indah muflihatin; alifia tirta ramadhanti; demiawan rachmatta putro mudiono; selvia juwita swari
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 14, No 3 (2023): Juli - September 2023
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf.v14i3.3158

Abstract

Document of medical records are owned by health care facilities and the contents of medical records are owned by patients. Release of medical record information must be carried out with the approval from the leader of hospital, based on terms and conditions. Implementation in several hospitals still found problems which could resulting the leakage of medical records. The aims of this study is analyzing the release of medical record based on 3 factors, such as man, facilities, and methods. This is literature review research which uses articles on the online databases of Google Scholar, Crossref, Garuda Portal, and Microsoft Academic. Search and selection resulted in 24 selected articles. The results of the study explain that in the man factor the medical record officer becomes a facilitator in releasing medical record information. Facilities factor, the requirements that must be attached are official permit from suppliant. Method factor, the information release procedure begins with the submission of requirements, processing the request, and submitting the results to the applicant. Problems that often occur in the release of medical record information consist of incomplete requirements, medical record officers did not comprehend the procedure, and Standard Operating Procedures were not yet available. Suggestions for improvements which could be made include providing training to medical record officers, making x-banners of flow and procedures for releasing medical record information, and reinforcing or updating Standard Operating Procedures.
Co-Authors alifia tirta ramadhanti Andri Permana Wicaksono Atma Deharja Bakhtiyar Hadi Prakoso Cindy Kurnia Ressa Fransiska Djasmanto Djasmanto Erna Selviyanti Erna Selviyanti Erna Selviyanti Fajria Nur Rahmah Feby Erawantini Gamasiano Alfiansyah Gamasiano Alfiansyah Gandu Eko Julianto Suyoso Indah Muflihatin Insani Dzakirah Livia Nuri Syafitri Mahardika Nugraha Maya Weka Santi Maya Weka Santi Maya Weka Santi Mitha Audia Rachma Moch. Choirur Roziqin Nada Savira Nurjannah Niyatul Muna Novita Nuraini Nungki Annisa Pratiwi Rachmawati, Ervina Rizky Farah Dilla Rossalina Adi Wijayanti Selvia Juwita Swari Selvia Juwita Swari Siti Alifa Lufianti Sustin Farlinda Tamami Alifia Annisa Veronika Vestine Widha Alamanda Widiyanto Widiyanto