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KEBIJAKAN PENGISIAN DIAGNOSIS UTAMA DAN KEAKURATAN KODE DIAGNOSIS PADA REKAM MEDIS DI RUMAH SAKIT PKU MUHAMMADIYAH YOGYAKARTA Rohman, Hendra; Hariyono, Widodo; Rosyidah, .
Jurnal Kesehatan Masyarakat (Journal of Public Health) Vol 5, No 2 (2011): Jurnal Kes Mas FKM UAD Juni 2011
Publisher : Universitas Ahmad Dahlan

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Background: Policy about manage medical record had managed the system for reach order administration and improvement health services to show quality of hospital. New policy from Permenkes No.269/MENKES/PER/III/2008 make influence in this hospital policy because some policy using old government policy. At previously research, implementation that policy had many problem with some factor problem to fill in the main diagnose and the accurate code diagnose. The purpose of research is to know the policy to fill in the main diagnose and the accurate diagnose code at medical record in PKU Muhammadiyah hospital Yogyakarta. Method: This was non experiment research, this is deskriptif kualitatif and kuantitatif data as supporting to explain. The subject of research was internis, head of medical record, coder and documents medical record patient treatment internal disease at November 2008. Technique sampling for doctor internal disease, head of medical record, and coder was purposive sampling. But Technique sampling for documents medical record was simple random sampling. Kualitatif data tested validity with triangulasi. While for kuantitatif data the accurate diagnose code check using ICD-10. Result: The result of triangulasi identificated some factor problem to fill in the main diagnose and the accurate code diagnose. There is completeness documents medical record, busy, forget, lazy, not discipline, over burden work, patient APS, new terminology, difference perception, tools not support. The other policy most supporting that activity policy. Percentace to fill diagnose in the main diagnose from analyze 161 documents medical record is 71 (43,48%) to fill in and 91 (56,52%) not fill in. While the accurate code diagnose, from analyze 161 documents medical record have 237 code diagnose and 192 (81,01%) is accurate and 44 (18,99%) is not accurate. Conclusion: The policy most important for manage activity and communication between staff most supporting to result of policy implementation. Some factor problem can be overcome if all staff aware that policy is important and put into effect. Key word: Policy, Diagnose, Diagnose Code, Medical Record

ANALISIS PENGEMBANGAN INVESTASI PERALATAN RADIOLOGI DI RUMAH SAKIT UMUM RAJAWALI CITRA BANTUL YOGYAKARTA Wahyudi, Nur; Rosyidah, .
Kes Mas: Jurnal Fakultas Kesehatan Masyarakat Vol 6, No 2 (2012): Kes Mas: Jurnal Fakultas Kesehatan Masyarakat
Publisher : Universitas Ahmad Dahlan

Background: Investment is basically an effort of investing resources (capital) in business. The radiology unit in Rajawali Citra Hospital is cooperatively performed by the third party or an investment from the third party. The investment of the radiology tools has been performed for more than 5 years, yet a reliability study from the investment has been conducted. This study aimed at assessing the reliability of developing the investment of radiology tools in Rajawali Citra Hospital over 5 yearsMethod: This study is a study with descriptive analysis method in quantitative and qualitative approach without using hypothesis. The subject of the study is parts of finance, radiology unit and medical support and financial balance of radiology in 2007 2011. The technique of data collection was interview and documentation of financial balance of the radiology unit. The data analysis was done descriptively by applying quantitative and qualitative analysis approach.Result: The result of the study from the financial aspect indicated that payback period (3 years) 327 was quicker than the economical value of the tools (5 years), NPV = Rp 5,252,878.3 investment was accepted because it resulted positive value, ARR = 150% investment was accepted because it provided more advantage than which has specified 100%, IRR = 15,2% investment was accepted because the result was more than the interest (10%), PI = 1,10 the investment was accepted because the result was more than 1.Conclusion: From the whole aspect in the reliability assessment of the investment such as market aspect, technology, law, management and financial resulted in positive value to the investment development of the radiology tools.Â Keywords: Investment, Reliability, Finance, Radiolog

ANALISIS STRATEGI PEMASARAN PELAYANAN SKIN MEDICAL CENTER DI RUMAH SAKIT PKU MUHAMMADIYAH YOGYAKARTA Hariyanti, Endri; Rosyidah, .
Kes Mas: Jurnal Fakultas Kesehatan Masyarakat Vol 4, No 2 (2010): Kes Mas: Jurnal Fakultas Kesehatan Masyarakat
Publisher : Universitas Ahmad Dahlan

Background: Service center medical skin is a new service PKU Muhammadiyah Hospital in Yogyakarta, the necessary research to find out the marketing strategy plan that will be used PKU Muhammadiyah Hospital in Yogyakarta. The marketing strategies of medical skin care center that will be researched to see of the marketing mix, consisting of product, price, place, promotion, people, processes and Physical evidence, from the marketing mix in the analysis using the SWOT analysis to determine the right strategy. Method: The study was descriptive qualitative research. The subjects in this study were the Director of Medical Services, Marketing Manager, one Marketing staff, dermatologist and six patients. The instrument used a form of interview guidelines and the type of recorder. Data analysis Used SWOT analysis. Results: (1) Aspects of the product; Products used in cooperation with Ristra because Ristra is a product that has been certified legal, so safe to use MUI emergency. (2) Aspects of the price, price is still relatively cheap because they still get the discount. (3) Aspects of the place; PKU Muhammadiyah Hospital in Yogyakarta strategically located alongside the highway easily accessible by any transportation making it easier for patients to come to the skin medical center. (4) Promotion: Promotion is not maximized, not broad market area just around the DIY. (5) People; trained human resources, good, loyal and work according to the procedure, Consumers who feel happy and satisfied with the services provided at the medical center skin. (6) Physical evidence; facilities and infrastructure such as physical buildings, medical equipment provided by hospital and has been standard. (7) Process: The process of medical skin care center for treatment tailored to the criteria that will be used in patient care, marketing process of the skin as support medical center for promotional material. Conclusion: The PKU Muhammadiyah Hospital in Yogyakarta in cooperation with the product Ristra because. legal and safe to use, its strategic location but the parking lot should be disciplined, the promotion should be more leverage and targets a broader region, based on SWOT analysis the most appropriate strategy used PKU Muhammadiyah Hospital in Yogyakarta is an aggressive strategy because it can be made in reference to using a strategy oriented to growth stage.Keywords: Skin Medical Center Services, Marketing Mix, SWOT analysis, Strategic Marketing

HUBUNGAN TINGKAT PENGETAHUAN PERAWAT DENGAN PENERAPAN UNIVERSAL PRECAUTION PADA PERAWAT DI BANGSAL RAWAT INAP RUMAH SAKIT PKU MUHAMMADIYAH YOGYAKARTA Yulianti, .; Rosyidah, .; Hariyono, Widodo
Kes Mas: Jurnal Fakultas Kesehatan Masyarakat Vol 5, No 2 (2011): Kes Mas: Jurnal Fakultas Kesehatan Masyarakat
Publisher : Universitas Ahmad Dahlan

Background: Universal Precaution is common caution which is nursing must be obeyed by nurse or medical labor in doing every nursing action towards the patient to protect from some of infection material. The nurses knowledge about the universal precaution is needed to be high on guard towards spreading disease. This research purposes to know the relation between nurses knowledge in application universal precaution in PKU Muhammadiyah Yogyakarta hospital. Method: This was an observational analytic with research using cross sectional approach. The population in this research is the nurse in patient II and III classes amounted to 34 nurses. The sample taken by total sampling technique is number of 34 nurses. The data of research is taken by observation and spreading question and processed by using the chi square test. Result: The degree of nurses knowledge in hospital categorize high amounted to be 26 nurses by percentage of 76,47 %. (1) the degree of nurses knowledge in application wash hand to the nurse categorize good amounted by percentage of 79,41%, gotten the score p= 0,019, it means that there is a significant relation between the degree of nurses knowledge with the application of wash hand to the nurse in hospitalized ward of PKU Muhammadiyah Yogyakarta hospital (2) the degree of nurses knowledge with application of antiseptic use and the disinfectant to the nurse categorize good amounted by percentage of 82,35%, gotten the score p= 0,006, it means that there is a significant relation between the degree of nurses knowledge with the application of antiseptic use and the disinfectant to the nurse in PKU Muhammadiyah Yogyakarta hospital. (3) The degree of nurses knowledge with the application the use of self protector to the nurse categorize good amounted by percentage of 85,29%, gotten the score p= 0,037, means that there is a significant relation between the degree of nurses knowledge with application of self protector use to the nurse in the PKU Muhammadiyah Yogyakarta hospital. (4) the degree of nurses knowledge with the application the discharge of medical rubbish to the nurse categorize good amounted by percentage of 85,29%, gotten the score p= 0,001, means there is a significant relation between the degree of nurses knowledge with the application of medical rubbish discharge to the nurse in PKU Muhammadiyah Yogyakarta hospital. Conclusion: There was a significant relationship between the degree of nurses knowledge with application universal precaution to the nurse in patient in PKU Muhammadiyah Yogyakarta hospital. Key word: the nurse, the degree of knowledge, nosocomial infection, universal precaution

KEBIJAKAN PENGISIAN DIAGNOSIS UTAMA DAN KEAKURATAN KODE DIAGNOSIS PADA REKAM MEDIS DI RUMAH SAKIT PKU MUHAMMADIYAH YOGYAKARTA Rohman, Hendra; Hariyono, Widodo; Rosyidah, .
Kes Mas: Jurnal Fakultas Kesehatan Masyarakat Vol 5, No 2 (2011): Kes Mas: Jurnal Fakultas Kesehatan Masyarakat
Publisher : Universitas Ahmad Dahlan

Background: Policy about manage medical record had managed the system for reach order administration and improvement health services to show quality of hospital. New policy from Permenkes No.269/MENKES/PER/III/2008 make influence in this hospital policy because some policy using old government policy. At previously research, implementation that policy had many problem with some factor problem to fill in the main diagnose and the accurate code diagnose. The purpose of research is to know the policy to fill in the main diagnose and the accurate diagnose code at medical record in PKU Muhammadiyah hospital Yogyakarta. Method: This was non experiment research, this is deskriptif kualitatif and kuantitatif data as supporting to explain. The subject of research was internis, head of medical record, coder and documents medical record patient treatment internal disease at November 2008. Technique sampling for doctor internal disease, head of medical record, and coder was purposive sampling. But Technique sampling for documents medical record was simple random sampling. Kualitatif data tested validity with triangulasi. While for kuantitatif data the accurate diagnose code check using ICD-10. Result: The result of triangulasi identificated some factor problem to fill in the main diagnose and the accurate code diagnose. There is completeness documents medical record, busy, forget, lazy, not discipline, over burden work, patient APS, new terminology, difference perception, tools not support. The other policy most supporting that activity policy. Percentace to fill diagnose in the main diagnose from analyze 161 documents medical record is 71 (43,48%) to fill in and 91 (56,52%) not fill in. While the accurate code diagnose, from analyze 161 documents medical record have 237 code diagnose and 192 (81,01%) is accurate and 44 (18,99%) is not accurate. Conclusion: The policy most important for manage activity and communication between staff most supporting to result of policy implementation. Some factor problem can be overcome if all staff aware that policy is important and put into effect. Key word: Policy, Diagnose, Diagnose Code, Medical Record

ANALISIS KEPATUHAN PERAWAT PADA STANDAR ASUHAN KEPERAWATAN DI UNIT RAWAT INAP KELAS III RSU PKU MUHAMMADIYAH BANTUL YOGYAKARTA TAHUN 2010 Lestari, Citra Ega; Rosyidah, .
Kes Mas: Jurnal Fakultas Kesehatan Masyarakat Vol 5, No 1 (2011): Kes Mas: Jurnal Fakultas Kesehatan Masyarakat
Publisher : Universitas Ahmad Dahlan

Background: A hospital is an organization of health professionals through an organized and permanent medical facilities conducting medical services, continuous nursing care, diagnosis and treatment of illnesses suffered by patients. Nurses require documentation standards as guidance and direction in maintenance recording / documentation of activities and instructions for making patterns / recording formats appropriate, evidence recording and reporting on the status of the client and used as a communication tools that is accurate and complete. Nurses are not only required to improve the quality of nursing care, but also claimed to be properly documented. Nurses often do not obey and do the routine without regard to their legality aspect, although many factors are influence documentation. This study aims to determine compliance with standards of nursing care nurse at PKU Muhammadiyah Hospital in Bantul. Methods: This was a qualitative descriptive research with a view to charging documents compliance with nursing standards of nursing care PKU Muhammadiyah Hospital in Bantul. This research was conducted with a view of nursing care standards document in May 2010. Implementation process that includes data collection, data processing, and presentation of comprehensive data and information accurately, timely, and trustworthy in the hospitalization. Results: he results seen from the documentation of nursing care standards shows that the nurses in the inpatient unit class PKU Muhammadiyah Hospital in Bantul III comply with the standards of nursing care that is 100% obedient to categorize nurses in assessment, diagnosis and planning, while 94.7% of nurses in the implementation of compliance and categorize 89.5% nurses in the evaluation categorize obedient. Conclusion: Compliance with the standards of nursing care nurse in the Inpatient Unit RSU PKU Muhammadiyah class III Bantul, has been running quite well because the nurse dutifully on the charging document nursing care standards. Key words: compliance, standards of nursing care, nurse, in patient

HUBUNGAN ANTARA BRAND IMAGE DENGAN MINAT PASIEN UNTUK BEROBAT DI POLIKLINIK ANAK RUMAH SAKIT PKU MUHAMMADIYAH YOGYAKARTA Oktariyani, Nina; Marwati, Triyani; Rosyidah, .
Kes Mas: Jurnal Fakultas Kesehatan Masyarakat Vol 5, No 3 (2011): Kes Mas: Jurnal Fakultas Kesehatan Masyarakat
Publisher : Universitas Ahmad Dahlan

Background: One important aspect that should be considered by the hospitals to improve patient medication interest is to build a positive brand image in its society. A brand is believed to be able to improve the communication and interaction with consumers. The stronger the brand image, the more powerful interaction with customers, so the more established brand image. The more positive brand image is formed, the higher the patients interest to make a purchase and vice versa, the more negative brand image that is formed, then consumers will tend to look for other alternatives or moved. The purpose of this study was to find out wheter there is a positive correlation between brand image and the interest of patients for medication at child polyclinics Rumah Sakit PKU Muhammadiyah Yogyakarta. Methode: This research used descriptive method with cross sectional approach. Sample of this research was taken from the family of medical patient at children clinic of Rumah Sakit PKU Muhammadiyah Yogyakarta, amounting to 87 people. Measurement of brand image and interests of patients for medication used a questionnaire that had previously been tested on 30 respondents out of subjects. Data analysis using univariate analysis, bivariate, and multivariate. Result: There was a positive influence of brand image with the interests of patients to take a medication at the children clinic of Rumah Sakit PKU Muhammadiyah Yogyakarta as indicated by the value of the correlation coefficient (r) of 0.798 with a significance value of 0.000; Conclusion: There was a positive influence of brand image with the interests of patients to take a medication at the children clinic of Rumah Sakit PKU Muhammadiyah Yogyakarta. Key words: brand image, the interest of patients for medication.

PERENCANAAN SISTEM REKAM MEDIS BERDASARKAN INPUT DAN PROSES DI TEMPAT PENDAFTARAN PASIEN RAWAT JALAN PUSKESMAS BANGUNTAPAN II KABUPATEN BANTUL TAHUN 2011 Khasanah, Yuli Uswatun; Rosyidah, .
Kes Mas: Jurnal Fakultas Kesehatan Masyarakat Vol 5, No 1 (2011): Kes Mas: Jurnal Fakultas Kesehatan Masyarakat
Publisher : Universitas Ahmad Dahlan

Background : Paradigm of a healthy life can be the foundation for better understanding the complexities of public health issues. Four main factors that influence health status of individuals/communities, among other behavioral factors, environmental, health and genetic services. Health factors play a role in this concept is the third largest. Health care institutions are also required to improve quality in providing outstanding service, such as by improving the quality of medical record keeping activities.High and low quality of health services can be seen from the data whether or not complete treatment are listed in the medical record. Medical records are very important in carrying out the quality of medical care. A medical record has seven competencies, one of which is a medical records management unit. Place of registration of patients in Puskesmas Banguntapan II regency there are still many problems. So, it needs planning system in order to improve the quality of health services. The research objective is planning a medical record system based on inputs and processes at patient registration. Methode : This was descriptive research using qualitative method. Data collection techniques using observation, interviews and documentation tools while using field notes, check lists, interview guides, tape recorder, and stationery. Analysis of studies using data reduction, data presentation, and drawing conclusions. Result : The results showed that there was many problems in the review of resource inputs (man, money, materials, methods, mechine, and the market) so that it can identify the problem. Based on the identification of the problem it will get priority problems and causes of the problems that arise alternate problem solving. Under an agreement resolving the jury was selected from several alternative settlement of existing problems. The results of selected problem-solving that will be the planning system. Conclusion: there was many problems in the review of resource inputs (man, money, materials, methods, mechine, and the market) and the planning system in particular parts of the registration of medical records of patients can be prepared based on the analysis of the situation. Keywords : Planing, records management unit, out patient

ANALISIS PENERAPAN TARIF PAKET PELAYANAN ESENSIAL (PPE) JAMKESMAS PADA PELAYANAN OPERASI CAESAREA KELAS III DI RUMAH SAKIT PKU MUHAMMADIYAH UNIT I YOGYAKARTA TAHUN 2009 Alfiah, Dian; Rosyidah, .; Mulasari, Surahma Asti
Kes Mas: Jurnal Fakultas Kesehatan Masyarakat Vol 5, No 2 (2011): Kes Mas: Jurnal Fakultas Kesehatan Masyarakat
Publisher : Universitas Ahmad Dahlan

Background: The growth and developed hospital should be effectively and efficiency managed. This fact should be carried out in order to face strict competitions in the health world. The hospital can survive in facing the existing competitions by counting the previous hospital fee and using fee account model competitively. In PKU Muhammadiyah Unit I Yogyakarta, Set of Essential Services (SES) of caesarea operation fee, class III, and cost sharing between the hospital and the goverment are different. In this study, the researcher only counts caesarea operation fee for re-use in order to create low cost sharing. Up till now, the hospital party never counts those existing differences. This case will lead them to get a financial loss. By having this fact, the researcher was eager to know about cost sharing analysis of caesarea operation fee account, class III, in PKU Muhammadiyah Unit I Yogyakarta.Methode: This was qualitative descriptive research which analyses the exact fee by using real cost method to know the difference of patient?s fee toward the real fee in the hospital. Bisides that, interview method was applied to know the head of finance and Central Surgeon Installation (CSI) workers opinion.Resulth: The result of Set of Essential Services (SES) fee of health insurance? toward caesarea operation was Rp 1.230.429, caesarea operation fee by using real cost method was Rp 3.764.388, in fact, the exact fee from RS PKU Muhammadiyah Unit I Yogyakarta was Rp 4.705.388. In conclusion, the final results were the difference of Set of Essential Services (SES) fee of health insurance between real cost was Rp 2.533.959 and the difference of Set of Essential Services (SES) fee of health insurance? between the exact hospital costs was Rp 3.475.056.Conclusion: The researcher has concluded that set of costs which is based on unit cost was higher that hospital cost recently. The highest cost was given for buying medicines and temporary materials. The hospital party has to decide the best strategy to reduce those differences.Key words: cost sharing, real cost method, Set of Essential Services (SES) of caesarea operation fee, class III.

HUBUNGAN BUDAYA ORGANISASI DENGAN KOMITMEN ORGANISASI PERAWAT BAGIAN RAWAT INAP KELAS II DAN III RUMAH SAKIT PKU MUHAMMADIYAH YOGYAKARTA Darajat, Luthfah Nurfaizah; Rosyidah, .
Kes Mas: Jurnal Fakultas Kesehatan Masyarakat Vol 6, No 2 (2012): Kes Mas: Jurnal Fakultas Kesehatan Masyarakat
Publisher : Universitas Ahmad Dahlan

Background: The Hospital of PKU Muhammadiyah Yogyakarta is a hospital that has an Islamic background. Based on the writers observation that was made on March 2, 2011 at the inpatient RS PKU Muhammadiyah Yogyakarta, in getting that there are many patients who should be treated in the inpatient section contained three classes of complexity in it, both in terms of economic and social class. This is a challenge for nurses in the hospitalization. Based on the results of interviews with staff personnel at the hospital found that PKU Muhammadiyah Yogyakarta there are regular activities for the employees of lectures every Wednesday and Saturday. For employees with years of service 15, 20, 25 and 30 years there is also a reward that is usually given on special milad hospital. This is part of organizational culture in hospitals. Based on the above, the author wants to examine the relationship of organizational culture with organizational commitment of nurse inpatient section class II and III hospital PKU Muhammadiyah Yogyakarta. Methods: This study was an analytical cross sectional study design. Hypothesis test used was kendalls tau correlation. The sampling technique used is saturated sampling. Instrument in the study is a questionnaire. Results: Based on bivariate analysis of organizational culture with the organizational commitment, obtained P value 0.008 < ? 0.05, for the analysis of bivariate sub variable the demand of work, interpersonal relations, support work and the physical work environment with a organizational commitment the obtained the P value in a row 0.016, 0.024, 0.041, 0.044 < 0.05, which means that there is a significant relationship of organizational culture and its sub-variables with organizational commitment of nurse-inpatient section class II and III hospital PKU Muhammadiyah Yogyakarta. Conclusion: There was a significant relationship of organizational culture and sub variable the demand of work, interpersonal relations, support of work and the physical work environment with organizational commitment of nurs-inpatient section class II and III hospital PKU Muhammadiyah Yogyakarta. Keywords: Organizational culture, demand of work, interpersonal relationship, support of work, the physical work environment, organizational commitment.

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