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Analysis of Medical Breast Cancer Completeness Under Chemotherapy Resume at Dharmais National Cancer Center Nursiah Nursiah; Rokiah Kusumapradja; Fresley Hutapea
Journal of Multidisciplinary Academic Vol 5, No 1 (2021): Science, Engineering and Social Science Series
Publisher : Penerbit Kemala Indonesia

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The background of this study is a return of INACBG's claim rate files inpatient at the National Cancer Centre Dharmais Hospital was still high, where the highest return was due to the confirmation of medical coding and resume. The potential to cause losses for the hospital as a result of delayed claim payments. This study aimed to analyse the completeness of the medical resume which includes the accuracy of the components of the diagnosis, procedure and coding of the INA-CBG's inpatient claim rate at the National Cancer Centre Dharmais Hospital. In this study, we proposed a qualitative approach was used with in-depth interview techniques and a review of the medical resumes of breast cancer patients who received chemotherapy during June-July 2020. From the results, we obtain that the highest incompleteness in filling out medical resumes was related to filling in the indication for admission to care with a percentage of 68, 33%, physical examination 33.33%, and supporting examination 6.67% of the total 60 cases studied. The incompatibility rate of writing a secondary diagnosis was 30% and the procedure/action was 28.33%. Writing the main diagnosis between the medical record and medical resume was known to be in accordance. The main diagnosis coding inaccuracy was still found, with a percentage of 13.33%. The result of the inaccuracy of the main diagnosis coding was a secondary diagnosis mismatch and a procedure / action incompatibility, which resulted in a claim difference of IDR 133,763,800. Therefore, the commitment of the management of the Dharmais Cancer Hospital, namely the team involved in the final coding which was the hospital's internal team should be further strengthened in order to improve the quality of the claim file from the aspects of completeness and accuracy of diagnosis, procedure and coding so that the accurate INA-CBG claim value can be obtained.

The Influenced Factor of Revisits Patient Intention to The Executive Polyclinic Hospital A. Stefanus Andi Pranata; Andry Andry; Rokiah Kusumapradja
Journal of Multidisciplinary Academic Vol 5, No 4 (2021): Science, Engineering and Social Science Series
Publisher : Penerbit Kemala Indonesia

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The executive polyclinic is one of the health services options available in hospitals, where the trend of visits tends to increase at this time, both prior visits and new visits. The determinants that influence the visit have not been extensively studied empirically. The purpose of this study is to look at the impact of service quality and marketing mix parameters on the frequency of patient return visits, as mediated by patient satisfaction, at Hermina Ciruas Hospital's Executive Polyclinic. This study used a cross-sectional strategy with 201 respondents who were frequent visitors to the Executive Polyclinic of Hermina Ciruas Hospital. The independent variables in this study are reliability, tangibility, responsiveness, assurance, empathy, customer needs, cost, convenience, and communication. Patient satisfaction is the intervening variable. Meanwhile, the intention to return patient is the dependent variable. Path analysis is a type of data analysis. The customer needs factor (b=0.226; p=0.006) has a direct impact on patient satisfaction with the Executive Polyclinic's services. The patient's intention to return to the Executive Polyclinic was influenced by the assurance factor (b=-0.077; p=0.009), tangibility (b=0.257; p=0.027), cost (b=0.043; p=0.042), convenience (b=0.075; p=0.002), and patient satisfaction (b=0.232; p=0.012). The most important aspect influencing the patient's decision to return to the Executive Polyclinic is tangibility. Hospitals must concentrate on maintaining and improving physical facilities in order to maintain the desire for recurrent patient visits

Theory Organizational Behaviour untuk Menganalisa Pengaruh Psychological Well-Being dan Job Attitude terhadap Perawat Klinis Ahmad Fauzi; Rina Anindita; Rokiah Kusumapradja
Jurnal Health Sains Vol. 2 No. 11 (2021): Jurnal Health Sains
Publisher : Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jhs.v2i11.328

Job Attitude nurses become the basis of the formation of good health services, one of the dimensions of job attitude is job satisfaction. Clear career development makes nurse job satisfaction good and has a loyalty impact on the hospital. Psychological well-being is the most important part of the nurse's Turn Over Intention process. The number of job demand nurses in daily activities causes job attitude nurses to be not good and nurses feel dissatisfied with high job demand. The goal is to analyze the effect of Job Demand and Career Development on The Job Attitude of Nurses In Class C Hospitals Through Psychological Well-being as an Intervening Variable. Research methods with an associative quantitative descriptive approach with cross-sectional research design. The data analysis technique used is path analysis and uses 63 nurses as a saturated sample of research. The result is the Effect of Job Demand and Career Development on Nurse Job Attitude Through Psychological Well-being as an Intervening Variable. Broadly speaking there is the Influence of Job Demand and Career Development on Job Attitude Through Psychological Well-being in Class C Hospital Tangerang City. Management must make a Determination of Work load of each nursing unit in the Hospital so that it can create a good assignment, plan the nurse's career development work program and make a corner of complaints so that every problem can be resolved properly. Further research needs to develop with a larger sample and add independent variables to be more widespread in the discussion

Preferensi Pasien sebagai Media Menuju Loyalitas, Dampak Dari Implementasi Relationship Marketing Vitasya Nusantari; Wekadigunawan Wekadigunawan; Rokiah Kusumapradja
Jurnal Health Sains Vol. 2 No. 12 (2021): Jurnal Health Sains
Publisher : Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jhs.v2i12.369

Patient loyalty is the hope of all health care providers especially hospitals. This certainly must begin with the differentiation strategy of the hospital so that the patient's tendency arises to choose and always reuse the hospital of their choices. This study aims to analyze the relationship between Relationship Marketing, patient preferences for the choice of treatment and its relationship with the formation of loyalty thereafter. With the background of this research is to determine the tendency of patients in choosing a place of treatment with marketing strategies implemented by hospital management in the form of a more personal approach that focuses on the needs and care for patients with the hope of making patients loyal to the hospital. The study was conducted in 2019, at Hospital X in DKI Jakarta Province, located on Jalan Salemba Tengah, Kec. Senen, Jakarta Pusat. The population in this study was adult patients confined to general outpatients at X Hospital at a certain time, using a purposive sampling method. The number of samples using the Slovin formula were 245 respondents. This study uses the Structural Equation Model (SEM) method with the statistical program SmartPLS version 3.0. By proposing 4 hypotheses and with the results all hypotheses are accepted. The results of this study indicate that patient preferences are proven to mediate the relationship between relationship marketing and patient loyalty at Hospital X with management implications that the tendency of patients to choose hospitals is because of the flexibility of patients to provide input, suggestions for the progress of Hospital X, so that patients feel care and respect and this makes the patient remain loyal to continue to choose Hospital X as a place for treatments

Pengaruh Peran Kepala Unit dan Beban Kerja terhadap Budaya Keselamatan Pasien Melalui Implementasi Handover Perawat-Farmasi Aini Nadhifah; Rokiah Kusumapradja; Nofierni Nofierni
Jurnal Health Sains Vol. 3 No. 1 (2022): Jurnal Health Sains
Publisher : Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jhs.v3i1.391

The application of patient safety culture is one of the hospital's efforts in keeping patients from experiencing unexpected events. This study uses a quantitative approach with a causal design research design using a variant-based VB-SEM, PLS (Partial Least Square), aimed at analyzing influences that can improve the cultural values of patient safety in hospitals. The study used a saturated sample of 77 people (room nurse staff and pharmacy). The results of this study showed that there was a positive influence on the role of the head of the unit on the culture of patient safety, the negative influence of workload on patient safety culture, the positive influence of the implementation of nurse-pharmacy handovers on patient safety culture, the positive influence of the role of the head of the unit on the implementation of nurse-pharmacy handovers.positive influence of the role of the head of the unit on the patient safety culture through the implementation of nurse-pharmacy handover as an intervening variable, where the results of tstatistic>ttabel and probability (pvalue) measurements 0,000<0.05, and there is no negative influence of workload on the implementation of nurse-pharmacy handovers, and there is no negative influence of workload on patient safety culture through the implementation of nurse-pharmacy handovers as intervening variables where results are tstatistics<ttabel and probability (pvalue) >0.05. Based on the results of the study, the implications in this study show the influence of the role of the head of the unit on the culture of patient safety through the implementation of handovers as planners, organizing, military, directing and supervision in the implementation of effective and efficient handovers to improve patient safety in hospitals

Pengaruh Motivasi dan Imbalan terhadap Kepatuhan Pengisian Rekam Medis M. Tryanza Maulana; Rokiah Kusumapradja; Andry Andry
Jurnal Health Sains Vol. 3 No. 1 (2022): Jurnal Health Sains
Publisher : Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jhs.v3i1.393

Minimum Service Standard (SPM), the hospital in which there is information about the standard of hospital medical record service is the completeness of filling medical records 24 hours after completion of service and completeness of informed consent after obtaining clear information has a standard of 100%. This study aims to analyze the influence of understanding about medical records, attitudes, motivations, rewards and work design to the compliance of doctors in filling medical records at Insan Permata Hospital. This study uses a quantitative approach with a research sample of 30 respondents. Data analysis testing using binary logistic regression. The results of the research obtained there is the influence (simultaneous) understanding, motivation, attitude, rewards, and design of the doctor's work to the compliance of medical record filling. Partially there is an influence of motivation and rewards to the doctor's compliance in the filling of medical records. The variable that most affects compliance is motivation and is followed by rewards. It is recommended that IP Hospitals can provide training on medical records for doctors or nurses

Analisis Pengaruh Rekam Medis Elektronik Berdasarkan Teori TAM Firmansye Ika Panggulu; Rokiah Kusumapradja; Lily Widjaja
Jurnal Health Sains Vol. 3 No. 2 (2022): Jurnal Health Sains
Publisher : Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jhs.v3i2.429

Electronic medical records are computerized health information systems that provide detailed records of patient demographic data, medical history, allergies, and history of laboratory examination results and some of which are also equipped with decision support systems. The purpose of the study was to analyze the influence of organizational contextual factors, attitudes and social influences simultaneously and respectively on the application of electronic medical records. Method: The model used to test the acceptance of technology is the Technology Acceptance Model (TAM). This study uses a quantitative approach with explanatorical causality research design with a sample of 65 with individual analysis units. Tenik data retrieval with questionnaires and tested with path analysis. Results: Based on the results of the above research can be summarized that the findings in this study are in line with TAM theory with variables of contextual factors of organization, attitudes and social influences affect the perception of benefits and perception of ease in electronic medical records both individually and simultaneously. In addition, contextual factors of the organization affect social influence but attitudes do not affect social influence. Implication: This research assists hospital management in developing this electronic medical record system to be easier to use by creating a network of systems that can be accessed on mobile phones by the PPA even if they are not in the hospital. recognize the importance of management support and training in the application of electronic medical records

Pengaruh Persepsi Manajemen Perubahan Terhadap Kinerja Dokter Dengan Gaya Kepemimpinan Transformasional Dan Resistensi Sebagai Variabel Intervening Elvina. R. M; M.F Arrozi Adhikara; Rokiah Kusumapradja
Journals of Ners Community Vol 13 No 2 (2023): Journals of Ners Community
Publisher : Fakultas Ilmu Kesehatan Universitas Gresik

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55129/jnerscommunity.v13i2.2877

Kinerja dokter tidak dapat dinilai secara umum karena menyangkut outcome klinis pasien terhadap pelayanan yang diberikan. Manajemen perubahan merupakan strategi yang digunakan untuk mempertahankan posisi RS dalam dunia bisnis saat ini, jika manajemen perubahan tidak dipersiapkan dan dikelola dengan baik, akan menyebabkan resistensi dan berpengaruh terhadap kinerja, terutama bila tanpa dukungan pemimpin yang memiliki gaya kepemimpinan transformasional. Tujuan dari penelitian ini untuk menganalisis pengaruh manajemen perubahan terhadap kinerja dokter yang dimediasi oleh gaya kepemimpinan transformasional dan resistensi. Penelitian ini merupakan penelitian explanatory research dengan pendekatan kuantitatif dalam bentuk penggunaan kausalitas hipotesis terhadap 62 dokter yang bekerja minimal 1 tahun sebelum terjadinya manajemen perubahan. Metode analisis data yang digunakan adalah Three Box Method dan analisa jalur. Pada penelitian ini didapatkan persepsi manajemen perubahan memiliki pengaruh negatif dan signifikan terhadap kinerja dokter, persepsi manajemen perubahan tidak berpengaruh signifikan terhadap gaya kepemimpinan transformasional, persepsi manajemen perubahan berpengaruh positif dan signifikan terhadap resistensi, gaya kepemimpinan transformasional berpengaruh positif dan signifikan terhadap kinerja dokter, resistensi berpengaruh positif dan signifikan terhadap kinerja dokter, gaya kepemimpinan transformasional berpengaruh positif dan signifikan terhadap resistensi dan persepsi manajemen perubahan berpengaruh positif signifikan terhadap kinerja dokter jika dimediasi oleh gaya kepemimpinan transformasional dan resistensi sebagai variabel intervening

Analisis Faktor yang Berhubungan dengan Penerapan Budaya Keselamatan Pasien pada Perawat Dewi Kuraesin; Rina Mutiara; Rokiah Kusumapradja
Jurnal Health Sains Vol. 4 No. 5 (2023): Journal Health Sains
Publisher : Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jhs.v4i5.899

Patient safety culture is a product of values, attitudes, competencies and behavioral patterns of individuals and groups that determine the commitment, style and ability of a health care organization towards patient safety programs. if a health service organization does not have a patient safety culture, accidents can occur resulting in latent errors, psychological and physiological disturbances to staff, decreased productivity, reduced patient satisfaction and cause interpersonal conflicts. leadership, competence and effective communication are important factors for the successful implementation of patient safety culture in hospitals. Analyzing the relationship of leadership, competency and effective communication to the implementation of patient safety culture. This research was conducted on 179 nurses working in the inpatient room of the XX Serang hospital which were taken from 323 nurses, with the research method using cross-sectional research, where data was taken through interviews using questionnaire sheets. In this study the authors used statistical analysis of the Cji Square test and correlation test to determine the strength of the relationship between variables. Statistical test results obtained values for leadership variables 0.001, competence 0.000 and effective communication 0.017 < P value (0.05) so that it can be concluded that there is a significant relationship between leadership, competence and effective communication on the application of patient safety culture to nurses in inpatient rooms of XX hospital Attack. While the results of the correlation test obtained a coefficient value for leadership 0.25, competence 0.043 and effective communication 0.164, of the three independent variables, it is the leadership variable that has a higher value than the others, this shows that leadership plays a very high role in implementing patient safety culture to nurses in the inpatient room of the XX Serang Kata hospital

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