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KEAKURATAN PENENTUAN KODE UNDERLYING CAUSE OF DEATH BERDASARKAN MEDICAL MORTALITY DATA SYSTEM DI RSUD KOTA SALATIGA TAHUN 2016 Linda Widyaningrum; Tyas Kuntari
Jurnal Riset Kesehatan Vol 6, No 1 (2017): MEI 2017
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (914.39 KB) | DOI: 10.31983/jrk.v6i1.2832

Abstract

Underlying Cause of Death merupakan sebab-sebab kematian sebagai semua penyakit, keadaan sakit atau cedera yang menyebabkan atau berperan terhadap terjadinya kematian kalau tidak diderita pasien maka tidak akan meninggal. Tujuan penelitian  untuk mengetahui keakuratan Underlying Cause Of Death berdasarkan medical mortality data system (MMDS)  di RSUD Kota Salatiga tahun 2016.Penelitian ini menggunakan jenis penelitian non eksperimen, pengambilan data dengan metode  observasi dan wawancara dengan pendekatan retrospektif. Populasi penelitian adalah 658 dokumen rekam medis pasien meninggal pada tahun 2016. Jumlah sampel sebanyak 87 dokumen yang diambil dengan teknik random sampling. Instrumen penelitian berupa pedoman wawancara, pedoman observasi.tabel MMDS, ICD-10, dan check listPersentase keakuratan kode underlying cause of death di RSUD Kota Salatiga tahun 2016 menunjukan keakuratan kode sebesar 27,59% akurat dan 72,41% tidak akurat. Ketidakakuratan dibagi menjadi 3 yakni: (1) Sertifikat tidak diisi dan dikode sebesar 47,62%, (2) Salah penentuan UCoD berdasarkan prinsip umum sebesar 47,62%, (3) Salah penentuan UCoD berdasarkan rule 1 sebesar 4,76%.Sebaiknya mengkode semua diagnosis yang ada disertifikat kematian dan menggunakan aturan mortalitas baik Prinsip Umum, Rule1, 2 maupun 3 serta merujuk ke tabel MMDS supaya memberikan kode yang akurat.
RETRACTION : KEAKURATAN PENENTUAN KODE UNDERLYING CAUSE OF DEATH BERDASARKAN MEDICAL MORTALITY DATA SYSTEM Linda Widyaningrum; Tyas Kuntari
Jurnal Rekam Medis dan Informasi Kesehatan Vol 1, No 2 (2018): OKTOBER 2018
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (96.732 KB) | DOI: 10.31983/jrmik.v1i2.3851

Abstract

This article is retected from Jurnal Rekam Medis dan informasi Kesehatan Volume 1, Nomor 2 by editor due to publication ethics missconducted by author (simultaneously publication in other journal). Similar article can be found at URL: http://ejournal.poltekkes-smg.ac.id/ojs/index.php/jrk/article/view/2832. Artikel ini telah ditarik dari Jurnal Rekam Medis dan Informasi Kesehatan Volume, 1 Nomor 2 oleh editor dikarenakan kesalahan etika publikasi oleh penulis.. Artikel yang sama bisa ditemukan di URL :http://ejournal.poltekkes-smg.ac.id/ojs/index.php/jrk/article/view/2832.
PENGARUH PRE AKREDITASI JCI (JOINT COMMISSION INTERNATIONAL) TERHADAP KELENGKAPAN DATA REKAM MEDIS RESUME PASIEN RAWAT INAP DI RUMAH SAKIT Dr.MOEWARDI SURAKARTA Linda Widyaningrum
Jurnal Infokes Vol 3 No 3 (2013): Volume III No 3 November 2013
Publisher : Universitas Duta Bangsa Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47701/infokes.v3i3.112

Abstract

Rumah sakit Dr.Moewardi memiliki nilai BOR paling tinggi diantara rumah sakit propinsi Jawa Tengah yang lain dimana angka BOR tersebut menunjukan tingkat penggunaan tempat tidur rumah sakit. Semakin tinggi angka BOR menunjukan bahwa semakin tinggi pula masyarakat yang menggunakan fasilitas tempat tidur untuk rawat inap oleh karena itu diperlukan kenyamanan dan keselamatan pasien. Salah satu upaya peningkatan pelayanan dengan akreditasi yang mengharuskan kelengkapan data rekam medis resume pasien di Rumah Sakit Dr.Moewardi Surakarta minimal 90% lengkap. Penelitian ini adalah penelitian experimental dengan desain pre test dan post test. Populasi dalam penelitian ini adalah 95 dokumen rekam medis resume pasien rawat inap sebelum dan sesudah pre akreditasi dengan jumlah sampel 95 dokumen rekam medis resume pasien rawat inap dengan menggunakan tekning sampling total populasi. Intrument penelitian yang digunakan adalah cheklist, analisis data dengan uji regresi linier. Hasil dari penelitian ini berdasarkan hasil uji regresi linier antara pre akreditasi dan kelengkapan data rekam medis resume pasien rawat inap didapat hasil ρ value 0,00, maka Ho ditolak karena nilai ρ value 0,00
PENGARUH METODE PROSPECTIVE PAYMENT TERHADAP MUTU PELAYANAN PASIEN RAWAT INAP DI RUMAH SAKIT UMUM DAERAH KOTA SURAKARTA Linda Widyaningrum
Jurnal Infokes Vol 7 No 1 (2017): Volume I, Nomor 1, Februari 2017
Publisher : Universitas Duta Bangsa Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47701/infokes.v7i1.168

Abstract

Prospective  Payment  System merupakan    sistem  pembayaran  pada  sistem  pelayanan  kesehatan,  baik rumah sakit maupun dokter dalam jumlah yang ditetapkan sebelum pelayanan medik dilaksanakan tanpa memperhatikan  tindakan  medik atau  lamanya  perawatan  dirumah  sakit  (Sulastomo,  2007).  Kelebihan dari sistem ini diantaranya biaya operiasional yang rendah, serta meningkatkan efisiensi. Harapan dari sistem ini agar kesehatan masyarakat terjamin akan kesehatanya. Karena dengan sistem ini masyarakat dengan  membayar  premi  diawal  apabila  sakit  tidak  memikirkan  biaya  yang  sangat  mahal  untuk membayar  rumah  sakit.  Pencapain  kesehatan  masyarakat  secara  menyeluruh  (Universal  Coverage). Tujuan penelitian menganalisis pengaruh metode prospective payment terhadap mutu pelayanan pasien rawat  inap  di  rumah  sakit  umum  daerah  kota  surakarta.  Sampel  yang  digunakan  adalah  24  responden denga accidental sampling pasien kelas 2 di RSUD Kota Surakarta. Hasil penelitian tidak ada hubungan prospective  pyment  dengan  kepuasan  pasien. Saran  yang  diberikan  untuk  RSUD  Surakarta  adalah menjaga kualitas pelayanan yang sudah dilaksanakan karena pelayana yang diberikan berdasrkan hasil penelitian sudah memuaskan dengan tidak membedakan jenis pembayaran yang dipakai oleh pasien  Kata Kunci : Prospective Payment System, BPJS, Kepuasan
Implementation the Fourth Character Code of Insulin Dependent Diabetes Mellitus (IDDM) Diagnosis Based International Statistical Classification of Diseases and Related Health Problems Linda Widyaningrum; Nor Azlinah Md Lazam; Tominanto Tominanto; Dona Yanuar Agus Santoso
Proceedings of the International Conference on Nursing and Health Sciences Vol 3 No 1 (2022): January-June 2022
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/picnhs.v3i1.1150

Abstract

Coding is the assignment of codes by using letters in numbers that represent data components. Activities and actions as well as diagnoses contained in the medical record must be coded and then indexed to facilitate services in presenting information to support the functions of planning, management and research in the health sector. This study aims to determine the application of the 4th character code to the diagnosis of Insulin Dependent Diabetes Mellitus (IDDM) based on ICD 10 in inpatient medical records at RSAU dr Siswanto Lanud Adi Soemarmo in 2020. The research method uses descriptive. The approach used is retrospective with observation and interview data collection. The sample used was 117 inpatient medical record documents with a diagnosis of Insulin Dependent Diabetes Mellitus (IDDM) with a sampling technique using saturated samples.The procedure for implementing the coding is not yet in accordance with the SPO and the SPO for the application of the 4th character code does not yet exist. The accuracy of the application of the 4th character code in the diagnosis of Insulin Dependent Diabetes Mellitus (IDDM) was 57% (67 documents) and 43% (50 documents) incorrectly due to an error in selecting the 4th character code. The factors causing the 4th character code inaccuracy based on ICD 10, namely medical personnel factors and medical record personnel (coder). Researchers suggest that hospitals should socialize to medical personnel about writing a diagnosis, this will minimize errors in the 4th character code. Coder officers should be more careful in coding and check again on ICD 10 volume 1 to provide the right code.
Correlation Between Reselection Rule Main Diagnosis and Accuracy Code Linda Widyaningrum; Lutviana Devi
Proceeding of International Conference on Science, Health, And Technology Proceeding of the 1st International Conference Health, Science And Technology (ICOHETECH)
Publisher : LPPM Universitas Duta Bangsa Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (274.539 KB) | DOI: 10.47701/icohetech.v1i1.750

Abstract

The diagnosis code has a very important role in making policies for health care providers. This study is an analytical study with a cross sectional approach. The method used is observation, interview and check list. The study sample was 81 out of 431 inpatient medical record documents. and sampling technique with systematic random sampling from. Data analysis uses univariate and bivariate with Fisher's. The percentage of accuracy of reselection rules shows 64% accuracy (52 documents) and inaccurate is 36% (29 documents). The percentage of accuracy of reselection rules is 69 documents with a percentage of 85% and 12 documents incorrect with a percentage of 15%. The results of the Fisher's statistical calculation show no corelation to the primary diagnosis based on reselection rules with the accuracy of the diagnosis code based on ICD-10 (p = 0.529).
Accuracy Code Cronic Obstructive Pulmonary Desease Linda Widyaningrum; Astri Sri Wariyanti; Sauha Lulumanin; Lutfi Maratin
Proceeding of International Conference on Science, Health, And Technology 2021: Proceeding of the 2nd International Conference Health, Science And Technology (ICOHETECH)
Publisher : LPPM Universitas Duta Bangsa Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (457.822 KB) | DOI: 10.47701/icohetech.v1i1.1070

Abstract

Chronic Obstructive Pulmonary Disease is inflammation of the lungs that develops over a long period of time. This study determine the level of accuracy of the diagnosis code for Chronic Obstructive Pulmonary Disease. This research is a descriptive study, with a retrospective approach. Saturated samples were 100 cases of Chronic Obstructive Pulmonary Disease using nonprobability sampling technique. The research instruments were ICD-10, checklist, observation guide, interview guide, calculator and voice recorder. Data processing by editing, coding, data entry, tabulating, and presenting data. The analysis was carried out descriptively. The percentage of diagnosis code accuracy of Chronic Obstructive Pulmonary Disease is 60% and code inaccuracy is 40%. The code inaccuracy is 40 medical records of 100 documents. Factors that affect the accuracy of the diagnosis code are medical personnel (doctors), medical record officers as coders, and other health workers. The author suggests that more emphasis should be placed on doctors to clarify the writing of a diagnosis and use medical terminology for disease diagnosis in order to make it easier for coding officers to provide disease codes and affect the accuracy of patient disease codes, the officers should be more careful and careful during the disease coding process. So that there are no more medical record files that are not coded so that the resulting code is accurate, and coding officers should be more careful during the process of giving the diagnosis code so that there are no more inaccurate medical record files due to incorrect coding.
THE Identification Pending Claim of Healthcare and Social Security Agency Insurance at Nirmala Suri Hospital. Linda Widyaningrum; Warsi Maryati; Rizki Nurul Wulandari
Proceeding of International Conference on Science, Health, And Technology Proceeding of the 3rd International Conference Health, Science And Technology (ICOHETECH)
Publisher : LPPM Universitas Duta Bangsa Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (649.308 KB) | DOI: 10.47701/icohetech.v3i1.2251

Abstract

A pending claim is a claim that is returned by the BPJS (Social Security Administering Agency) Health verifier to the hospital for revision which can later be resubmitted. This study aims to determine the causes of pending BPJS claims for inpatients at Nirmala Suri Sukoharjo Hospital in 2020. This study is a descriptive study, with a retrospective approach. Samples of 685 claims are pending with the saturated sample technique. The research instrument was in the form of observation guidelines and interview guidelines. Data processing with classification, editing, and presentation of data in text form. Data processing with data analysis is done descriptively. The implementation of BPJS patient claims at the Nirmala Suri Sukoharjo Hospital has been implemented and has implemented the existing SPO (Standard Operating Procedures). There are 14 classifications of pending BPJS claims for inpatients at Nirmala Suri Sukoharjo Hospital. The causes of pending BPJS claims for inpatients at the Nirmala Suri Sukoharjo Hospital in 2020 include: completeness of medical record documents, clarity of doctor's writing, and application system updates. Coordinate with related units such as medical records and registration units, inpatient installations, emergency units, cashier units, and pharmacy installations regarding matters that affect pending claims so that they do not happen again. It is better if the coder requires updating the latest knowledge and rules related to coding rules or BPJS Health rules and it takes the accuracy of the coder and grouper in the coding and input process
Analysis of the Implementation of the Hypertension Control Program Using Linear Regression Test Liss Dyah Dewi Arini; Linda Widyaningrum; Darah Ifalahma; Yeni Nurmalitasari; Azahra Salma Salsabila Putri
International Journal of Health and Social Behavior Vol. 1 No. 4 (2024): November : International Journal of Health and Social Behavior
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/ijhsb.v1i4.100

Abstract

Hypertension is a condition that is often encountered. Hypertension is a condition when blood pressure rises. Risk factors that can cause hypertension are age, race, gender, lifestyle, sodium consumption, smoking, alcohol consumption, stress level, and education. The urgency of this research is that the number of hypertension patients at the Purwodiningratan Surakarta Health Center experiences a spike every year. Based on a preliminary study at the Community Health Center, data was obtained that the number of hypertension patients in the last five year period experienced a spike, then fell, then spiked again. The objective problem of this research is the increase in hypertension patients, so it is necessary to research the relationship between knowledge, attitudes and family support and efforts to control hypertension. The importance of this research is a manifestation of efforts to control hypertension which continues to experience a surge using interview methods and distributing leaflets with the aim of a community approach. The aim of the research is to analyze the magnitude of the impact of the hypertension control program using the swallow method (interviews and leaflets). The research approach used cross sectional. The sample was 77 hypertensive patients at the Community Health Center. The sampling technique used the accidental sampling method based on inclusion and exclusion criteria. The statistical test uses a linear regression test at a significance level of 0.05.
- Implementasi Rekam Medis Rawat Jalan Elektronik di Praktek Dokter Dr. Sri Ningsih Upaya Meningkatkan Mutu Pelayanan: Implementasi Rekam Medis Rawat Jalan Elektronik di Praktek Dokter Dr. Sri Ningsih Upaya Meningkatkan Mutu Pelayanan Linda Widyaningrum; Agung Suryadi
Jurnal Pelayanan dan Pengabdian Masyarakat Indonesia Vol. 2 No. 3 (2023): September : Jurnal Pelayanan dan Pengabdian Masyarakat Indonesia
Publisher : Sekolah Tinggi Ilmu Administrasi Yappi Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jppmi.v2i3.613

Abstract

Dokter praktek merupakan pelayanan perorangan yang mampu menangani pasien secara komprehensif yaitu promotive, preventive, curative, rehabilitative dan palliative care. Pelayanan dokter praktek dituntut untuk mampu menyelenggarakan pelayanan kesehatan yang berkulaitas. Salah satunya dengan pelayanan rekam medis elektronik untuk menghasilkan data dan informasi yang berkualitas. Salah satu dokter praktek yang memperhatikan kualitas pelayanan adalah Dr praktek Sriningsih. Isi dari rekam medis rawat jalan ini adalah nomor rekam medis pasien, nama, alamat, usia, pekerjaan, anamnesis diagnosis dan Tindakan. Formulir masih manual dan belum ada space tanda tangan pemberi asuhan. Implementasi rekam medis rawat jalan di Praktek Dokter melalui lima tahapan. Tahapan tersebut adalah penyusunan materi dan Customize Software, sosialisasi, pelatihan, pendampingan dan monitoring evaluasi