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All Journal Jurnal Simantec Jurnal Kesehatan Hesti Wira Sakti Multidiciplinary Journal Jurnal Manajemen Informasi dan Administrasi Kesehatan JURNAL PENDIDIKAN TAMBUSAI Hearty : Jurnal Kesehatan Masyarakat Jurnal Manajemen Informasi Kesehatan Indonesia (JMIKI) Indonesian of Health Information Management Journal (INOHIM) Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal KESMAS UWIGAMA: Jurnal Kesehatan Masyarakat Jurnal Peduli Masyarakat jurnal syntax admiration Budapest International Research and Critics Institute-Journal (BIRCI-Journal): Humanities and Social Sciences Jurnal Kesehatan Tambusai J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan PELS (Procedia of Engineering and Life Science) Journal of Training and Community Service Adpertisi Jurnal Kesehatan Amanah Jotika Journal in Management and Entrepreneurship Promotor: Jurnal Mahasiswa Kesehatan Masyarakat Journal of International Multidisciplinary Research ASSYIFA: Jurnal Ilmu Kesehatan Jurnal ARSI : Administrasi Rumah Sakit Indonesia Proceeding International Conference Of Innovation Science, Technology, Education, Children And Health Ulil Albab Jurnal Rekam Medis dan Informasi Kesehatan Indonesia Proceeding International Conference Of Innovation Science, Technology, Education, Children And Health
ACHMAD JAELANI RUSDI
Institut Teknologi, Sains Dan Kesehatan RS Dr. Soepraoen Malang, Indonesia
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Analisis Digitalisasi Scanning Berkas Rekam Medis Inaktif Di Rs Wava Husada Kepanjen Achmad Jaelani Rusdi; Farma Duana; Amalia Nur Kamila
Journal of International Multidisciplinary Research Vol. 2 No. 7 (2024): Juli 2024
Publisher : PT. Banjarese Pacific Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62504/jimr807

Abstract

Digitalisasi berkas rekam medis adalah proses pengubahan data menjadi format digital sehingga dapat diproses, disimpan, dan dibagikan secara elektronik. Digitalisasi rekam medis merupakan salah satu bentuk pendukung pengenalan rekam medis elektronik. Fokus penelitian ini adalah menganalisis sudah terlaksana atau belumnya kegiatan digitalisasi pemindaian di RS Wava Husada Kepanjen dan faktor penghambat dalam proses tersebut. digitalisasi pemindaian file rekam medis. Metode penelitian yang digunakan adalah metode deskriptif dengan pendekatan kualitatif. Subjek penelitian ini adalah petugas rekam medis bagian perakitan yang merangkap sebagai petugas pemilahan di RS Wava Husada Kepanjen. Metode pengumpulan data adalah wawancara, observasi, dan dokumentasi dan fokus penelitiannya adalah proses digitalisasi pemindaian berkas rekam medis inaktif. Hasil penelitian menunjukkan bahwa kegiatan digitalisasi pemindaian berkas rekam medis inaktif di RS Wava Husada Kepanjen belum terlaksana sesuai dengan Standar Operasional Prosedur (SPO) pemusnahan berkas rekam medis yaitu pada tahap “scanning”. dilakukan terhadap BRM yang memuat hal-hal penting untuk kepentingan jangka panjang”. Upaya yang dapat dilakukan antara lain dengan mengatur alur pemusnahan rekam medis terutama pada tahap penyortiran sesuai Standar Operasional Prosedur (SPO) yang ada, menambah sumber daya manusia, menyediakan peralatan yang akan digunakan dalam kegiatan digitalisasi pemindaian. Peneliti menyarankan untuk mengevaluasi dan meningkatkan kegiatan digitalisasi pemindaian berkas rekam medis inaktif.
STRATEGI OPTIMALISASI KLAIM JAMINAN KESEHATAN NASIONAL DI UNIT CASEMIX RUMAH SAKIT “X” BLITAR Syahira, Nurfathina; Rusdi, Achmad Jaelani; Akbar, Prima Soultoni
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 10, No. 2
Publisher : UI Scholars Hub

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

Abstract

The funding for patient care of participants of the Social Security Administering Body (BPJS) Health in hospitals is carried out through a claim mechanism. This study aims to design a strategy to optimize the claims for patient care costs for BPJS participants at Hospital "X" in Blitar. The study is conducted with a descriptive qualitative approach, and data collection is done through interviews and Focus Group Discussions (FGD). The informants consist of a doctor and four coders in the casemix unit. The study begins with an analysis of the claim service system situation, focusing on strengths, weaknesses, opportunities, and threats (SWOT). From the collected SWOT, an assessment of alternative strategies is carried out to avoid issues in the claims process, based on the interaction between internal and external elements. The study found that the informants prioritized strategies derived from the strengths and opportunities (SO), including enhancing the integration of the hospital's information system with BPJS, effectively implementing BPJS guidelines in the coding and claim process, and leveraging BPJS responsiveness to expedite claim resolution to improve the speed of the claims process.
Development of an Evaluation Method to Measure the Accuracy of Inpatient Diagnosis Codes at Lawang Regional Hospital Diva Nur Asmianova; Achmad Jaelani Rusdi; Rizka Andika Sari
KESMAS UWIGAMA: Jurnal Kesehatan Masyarakat Vol 10 No 2 (2024): December
Publisher : Universitas Widya Gama Mahakam Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24903/kujkm.v10i2.2967

Abstract

Background: The provision of diagnosis codes on medical record documents needs to be carried out accurately based on the ICD-10 book. The role of medical personnel and coding officers affects the accuracy of the diagnosis code. The coding officer must ensure that the medical record data is clear and complete such as severe or critical conditions, spesific anatomical positions, the course of health disorders, complications or the patient’s history to support the primary diagnosis. Objectives: The research objevtives to be achieved in this study evaluate and examine several causes that affect the accuracy of the selection of patient diagnosis codes at Lawang Hospital. Research Metodes: The type of research implemented is descriptive with a quantitative approach. Data collection is taken by observation, interviews, and code accuracy checklist. The population used in this study is all medical record files of inpatients in May with a total of 645 medical record documents. The sample was taken using a simple random sampling technique with as many as 25 medical record files of inpatients. Data analysis was carried out by univariate analysis by looking at the percentage of each research variable. Results: This study shows that the level of code accuracy is still said to be low because it still reaches 84% with as many as 21 documents and the code inaccuracy reaches 16% with as many as 4 documents. . Conclusion: The cause of inaccuracy will be due to the completeness of the primary and secondary diagnoses that are less specific, lack of communications between officers regarding clarity in writing in medical record documents, and some diagnoses do not include the 4th character in the case of fracture, namely the close or open description. For the development of evaluation, officers can take part in codification training and make help books such as pocket books that contain a collection of diagnosis codes. Keywords: Accuracy; Diagnosis Code; Medical Record; Hospital
EVALUASI SISTEM INFORMASI MANAJEMEN RUMAH SAKIT (SIMRS) DI RSU PINDAD TUREN MENGGUNAKAN METODE TECHNOLOGY ACCEPTANCE MODEL (TAM) Oktariyono, Wisnu Rafi; Wijaya, Avid; Rusdi, Achmad Jaelani; Prabowo, Rahmadyo Yudhi; Trisnanto, Puguh Yudho; Marselina, Elystia Vidia
Jurnal Simantec Vol 13, No 1 (2024): Jurnal Simantec Desember 2024
Publisher : Universitas Trunojoyo Madura

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21107/simantec.v13i1.27225

Abstract

Pindad Turen General Hospital has implemented a hospital management information system (SIMRS) since 2018. However, some users still complain of dissatisfaction with the system. One important factor affecting the successful implementation and use of information technology is user readiness. The level of user readiness in accepting information technology greatly affects the success or failure of the application of the technology. This study used a quantitative descriptive approach with a sample of 36 SIMRS users at RSU Pindad Turen. Data collection techniques were carried out through questionnaires to collect information about SIMRS user perceptions, as well as observations of the system. The variables were measured using dimensions of the Technology Acceptance Model (Perceived Ease of Use, Perceived Usefulness, attitude toward using, behavioral intention, and actual usage). The data obtained was analyzed quantitatively and the results are presented in table form. The study results show the average values for the dimensions of Perceived Ease of Use (3.08), Perceived Usefulness (2.87), attitude toward using (2.67), behavioral intention (3.01), and actual usage (2.89). User perceptions of SIMRS indicate that the system is running well, but still needs improvement due to several shortcomings. Therefore, it is necessary to evaluate the existing information system and further socialize it to officers who use SIMRS. This evaluation aims to measure the benefits of SIMRS implementation and identify potential problems faced by the hospital.Keywords: Evaluation, Technology, Hospital, SIMRS, TAM.
Kepercayaan Kerahasiaan Data Diri Masyarakat Pada Pelayanan Telemedis: Path Analysis Model Rusdi, Achmad Jaelani; Prisusanti, Retno Dewi; Ikawati, Fita Rusdian; Oktoriani, Ervita Nindy
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 6 No 1 (2024): December
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v6i1.4654

Abstract

Online health consultations via telemedicine, conducted through websites or digital platforms, have become a trend with the advancement of communication technology. However, data privacy is a major concern, especially when it involves patients' personal health information. This study analyzes the factors influencing public trust in telemedicine services. The aim is to examine the impact of economic, educational, environmental, usefulness, ease of use, and information quality factors on public trust in telemedicine. The research method involves path analysis using a quantitative approach, followed by qualitative analysis. The study involved 90 participants, with a 2:1 ratio between the user group and the control group. The results indicate a significant influence of economic status, education level, environment, system ease of use, and information quality on public trust in data privacy within telemedicine, with a total trust score reaching +0.545. These findings underscore the need for the public, as telemedicine users, to be more cautious about the security and confidentiality of their personal data. Additionally, service providers must make efforts to ensure patient data security and privacy, while establishing clear terms in every privacy policy and providing legal guarantees regarding data protection.
IMPLEMENTASI PENCATATAN KETIDAKLENGKAPAN CATATAN MEDIS RAWAT INAP DI RSUD TONGAS: Implementation of Recording Incompleteness of Inpatient Medical Records at RSUD Tongas Rusdi, Achmad Jaelani; Rauf, Abdur; Faid, Roifatul
ASSYIFA : Jurnal Ilmu Kesehatan Vol. 2 No. 3 (2024)
Publisher : Forind Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62085/ajk.v2i3.110

Abstract

Hospitals as health service provider institutions need to consistently improve their service quality standards by ensuring that the medical records presented are precise and accurate. Medical record filling is considered quality if each component in the medical record form is filled with comprehensive information. Comprehensive medical records reflect the quality standards of the hospital. This study aims to identify the level of completeness of inpatient medical record documents at RSUD Tongas by applying a quantitative descriptive approach method. Sampling was done based on the Slovin formula from a population of 407 files, and resulted in 80 samples. The results showed that the average completeness based on patient identification reached 100%. The results of the review of the average completeness of important reporting were 96%. The results of the average review of completeness on authentication are 85%. The results of the average review of completeness in documentation are 100%. Medical record documents that are incomplete will be returned to the treatment room or the doctor in charge of the patient.
PENINGKATAN MUTU DAN EFISIENSI PELAYANAN KESEHATAN MELALUI IMPLEMENTASI REKAM MEDIS ELEKTRONIK DI RUMAH SAKIT HASTA HUSADA: Improving the Quality and Efficiency of Health Services through the Implementation of Electronic Medical Records (RME) at Hasta Husada Hospital Rusdi, Achmad Jaelani; Kurniawan, Fendi; Rifqi, Amir Muhammad
ASSYIFA : Jurnal Ilmu Kesehatan Vol. 2 No. 3 (2024)
Publisher : Forind Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62085/ajk.v2i3.119

Abstract

Implementation of electronic medical records (RME) in hospitals has become an important step in improving the quality and efficiency of health services. Hasta Husada Hospital has adopted this system, but still faces various challenges. This study aims to analyze and evaluate improving the quality and efficiency of health services through the implementation of electronic medical records (RME) at Hasta Husada Hospital. This research uses a qualitative approach. The research results show that RME provides significant benefits, including fast and accurate access to patient data, increased work efficiency, and reduced medical errors. Although most users feel comfortable using RME after training, there are still complaints about the system interface needing to be simplified. User attitudes were generally positive towards RME after seeing real benefits, despite initial resistance. Implementation of the Hospital Management Information System (SIMRS) has shown mixed results, with some units having fully transitioned to RME and others still in the transition stage.
Determinan Pending Claim Badan Penyelenggara Jaminan Sosial Kesehatan di Rumah Sakit Nayada Ilfania Arokhta Yunifa; Achmad Jaelani Rusdi; Lilik Afifah
Jurnal Syntax Admiration Vol. 6 No. 1 (2025): Jurnal Syntax Admiration
Publisher : Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jsa.v6i1.2092

Abstract

Pending claims are a problem that still often occurs in Indonesia, where many hospitals face obstacles in the BPJS Kesehatan claim process. This problem can have a significant impact on the quality of health services. This study aims to analyze the factors that cause BPJS Kesehatan pending claims in hospitals. The method used is literature review by searching for articles through the Google Scholar database in the last five years. The study follows PRISMA guidelines and uses the PICO framework to determine inclusion and exclusion criteria. The keywords used in the search involve the operator's boolean: "Factor" AND "Pending Claim" OR "Return" AND "BPJS" OR "JKN". From the search results, 20 articles were found that were worthy of systematic review. The results of the review showed that 17 articles identified internal factors as the main cause of pending claims, especially the incompleteness of supporting documents such as laboratory results, ECG, and chronological letters. In addition, 19 articles revealed external factors as the main cause, namely lack of thoroughness and responsibility in carrying out tasks, such as data input errors, incompleteness in filling out medical resumes, and inaccuracies in diagnostic or action codes. Internal and external factors influence each other, so the right solutions are needed for every aspect, including improving the quality of documentation, improving the e-claim information system, and developing human resource competencies through training.
Tantangan Implementasi Rekam Medis Elektronik di Puskesmas Hammam Abror Asminoto; Achmad Jaelani Rusdi; Anis Ansyori
Jurnal Kesehatan Amanah Vol. 8 No. 1 (2024): Jurnal Kesehatan Amanah
Publisher : Universitas Muhammadiyah Manado

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jka.v8i1.728

Abstract

This study aims to identify the extent to which the Health Center is ready for the implementation of Electronic Medical Records. The methodology applied in this study is Literature Review. The data sources used are secondary data collected from various literature sources available on the internet. The journal used is a reputable publication and focuses on the theme of readiness to implement electronic medical records at the Health Center. The collection of journals was carried out with inclusion criteria that included Population, Intervention, Comparator, Results, Time, Study Design, and Language, so that the total journals analyzed in this study reached 10 Journals. The readiness in the implementation of electronic medical records seen from the aspect of human resources in the Puskesmas shows that they are not fully prepared, because there are still several challenges such as the shortage of medical personnel responsible for medical records and the mismatch between the educational background of employees and the tasks carried out. In terms of cost, the Puskesmas is quite ready for the implementation of electronic medical records and no obstacles were found in terms of funding. In terms of materials, the Puskesmas is not fully prepared, because there are still several problems faced, such as the lack of computers, network problems that are often unstable, and system disruptions that cause errors. In the mechanical aspect, the health center showed quite good readiness, with the results of the study showing that the health center developed more electronic medical record systems using the waterfall approach. However, there are no health centers that implement an electronic system for RME developed by the Ministry of Health in this study. In terms of methodology, the Puskesmas is quite ready, which can be evidenced by the existence of Standard Operating Procedures (SOP) for the implementation of Electronic Medical Records in several Puskesmas.  
HANDLING OF MEDICAL RECORD DOCUMENTS IN FACING DATA DIGITIZATION AT MITRA SEHAT SITUBONDO HOSPITAL Rusdi, Achmad Jaelani; Bulgis, Malikal; Yosin, Kresensia Dasilva
HEARTY Vol 13 No 2 (2025): APRIL
Publisher : Fakultas Ilmu Kesehatan, Universitas Ibn Khaldun, Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/hearty.v13i2.17345

Abstract

Hospitals as health service providers are responsible for ensuring the storage of medical records in accordance with regulations, both in conventional and electronic form. At Mitra Sehat Situbondo Hospital, the process of transitioning from conventional to electronic medical records is ongoing, but has not yet been fully implemented. Some of the obstacles faced include delays in digitalization and no clear operational procedures (SOP). This research aims to evaluate the management of medical records in support of digitalization, using a qualitative descriptive approach involving observation and interviews. The research results show that the use of RME at Mitra Sehat Hospital has only been implemented in outpatient settings, while scanning and digitizing medical records is not yet optimal. Digitalization of conventional medical record files is carried out through a scanning and retention process to reduce the accumulation of files in the filing unit. Storage efficiency and security of physical documents that indicate damage, loss and natural factors can be maintained with digital files. Through this research, it is hoped that Mitra Sehat Hospital can design features that support media transfer to ensure consistent medical records and ensure an efficient data migration process.
Co-Authors Abdur Rauf, Abdur Agung, Arnoldus Anugerah Agustina Rusfadir Akbar, Prima Soultoni Amalia Nur Kamila Ana Fitriani Ancah Caesarina Novi Marchianti Anggraini, Retno Dwi Anis Ansyori Annastasia, Shinta Aprilia, Sendi Fantrri Arimbi Ulfa Nazira Aris Setyawan Ayu Indah Oktavia Ayu Indah Oktavia Ayuni, Amelia Septi Bulgis, Malikal Choiriyah, Ana Cininta, Sabila Nada Ayunani Dewi Anggraeni Diva Nur Asmianova Eka Agustina, Eka Faid, Roifatul Farma Duana Febrisari Putri Febrisari Putri Ramadani Fita Rusdian Ikawati Fita Rusdian Ikawati Fitriyani, Endang Hammam Abror Asminoto Ikawati, Fita Rusdian Khofiza Ardhani Ali Raharusun Khuriyana Patty Kirana, Erinia Rahayu Okta Kurniawan, Fendi Kusumaningrum, Tyas Lilik Afifah Lilik Afifah Ma'roef, Moch. Noer Hoedan Ma'ruf, Agus Sukron Maharani, Devi Maharani, Happy Eprilia Mahyuni, Ni Putu Reni Margareta, Ananda Agustin Marselina, Elystia Vidia Mawadda, Widdy Ma’ruf, Agus Syukron Melody Muna Anggraeni Moch.Noer Hoedan Ma’roef Moch.Noer Hoedan Ma’roef Mochamad Anshori Muslim, Saepul Nabila, Assiva Putri Nadhya Arie Twungga Dewi Murcahayaning Wulan Nayada Ilfania Arokhta Yunifa Nazira, Arimbi Ulfa Ni Putu Reni Mahyuni Ninda, Rahmaninda Putri Gading Ningsih, Dovi Dwi Mardiyah Nugraheni, Shevia Dwi Nuril Khabibatul Jamilah Oktariyono, Wisnu Rafi Oktoriani, Ervita Nindy Prabowo, Rahmadyo Yudhi Putri, Alya Nurryta Putri, Fenanda Berliana Putri Putri, Meuthia Berliana Qodar, Mita Lailatul R. A. Rengganis Ularan R.A. Rengganis Ularan Raharusun, Khofiza Ardhani Ali Rahma Putri Kasimbara Rengganis Ularan Retno Dewi Prisusanti Rifqi, Amir Muhammad Rizka Andika Sari Rusfadir, Agustina Sabila Nada Ayunani Cininta salsabila, Tsabita Amadea Santy Irene Putri Saputri, Giovany Okvia Septya Anggari Salsa Hari Sukma Shoim, Achmad Slamet Suhariyono, Untung Slamet, Untung Suhairi, Ariski Yantika Suhariyono, Untung Slamet SUWITO SUWITO Syahira, Nurfathina Trisnanto, Puguh Yudho Umar Yasin, rana zakaria Untung Slamet Suhariyono Untung Slamet Suhariyono Veninda, Nabella Wahandika, Akbar Novando Putra Widasari, Immaculata Vettha Sarasvati Y A Triana Ohoiwutun Yosin, Kresensia Dasilva