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All Journal Jurnal Penelitian Kesehatan Suara Forikes Jurnal Kesehatan Jurnal Manajemen Informasi Kesehatan Indonesia (JMIKI) J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Sanitasi: Jurnal Kesehatan Lingkungan Jurnal Rekam Medik & Manajemen Informasi Kesehatan (RAMMIK) Journal of Innovative Food Technology and Agricultural Product
Efri Tri Ardianto
Politeknik Negeri Jember
Agriculture, Biological Sciences & Forestry Computer Science & IT Dentistry Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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Analisis Risiko Kerja Petugas Filling Rawat Inap Dengan Menggunakan Severity Assessment di RSUP Dr. Hasan Sadikin Bandung Inggil De Crystal; Efri Tri Ardianto; Sustin Farlinda
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 1 No 3 (2020): June
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v1i3.1960

Abstract

Risk is the possibilities of an unwanted, or unexpected, adverse loss in an activity. Risk can occur as a form of thepossibility of something bad happening in the future which can not be predicted when it comes. These risks can beresulted as negative impacts for the existing officers in several activities. We have observed the examples of risks thatoccur in the filling room of Dr. Hasan Sadikin General Hospital, Bandung. There are several risks of occupationalaccidents experienced by officers such as fingers affected by stapler attached to the medical record files, officers feelaches and pain in their hands and back when retrieving files, and the possibility of officers being hit by files. Thisresearch was aimed to analyze the risks that occur in filling inpatients. This risk assessment uses severity assessmentand a hierarchy of risk control to overcome the risks that occur. The type of research uses qualitative research with 4respondents. The results of this study produced 7 risks with 4 high injury risks and 3 moderate injury risks. Handling inrisk prevention is needed by making work safety SOPs, mandatory of Personal Protective Equipment (PPE) usage, theuse of tools to lift heavy loads, the use of chairs and stairs with strong materials, giving warning signs, paying attentionto ventilation to regulate proper lighting, and installing thermometers in inpatient filling rooms.
STRATEGI KEBIJAKAN UNIT KERJA REKAM MEDIS DENGAN METODE SWOT DI RS PHC SURABAYA Kurnia Arofah; Efri Tri Ardianto; Dony Setiawan Hendyca Putra
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 2 No 2 (2021): March
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v2i2.2002

Abstract

Primasatya Husada Citra (PHC) Hospital Surabaya is one of the private hospitals that is required to providequality services one of which is a medical record. There are several points about medical records services thathave not been implemented optimally such as 43% incomplete filling of medical record files includingincomplete informed consent, and late return of medical record document by exceeded the standard 1x24hours. The purpose of this research is to determine the policy strategy in the medical record unit of the PHCHospital Surabaya using the SWOT method. The research method was the SWOT method that identifiedstrengths, weaknesses, opportunities, and threats. The research instruments used questionnaires andobservations. The subject of this research was 6 medical records officers. The results show that the value ofthe strength factor is 3.69 and the weakness factor is 1.42 while the opportunity factor value is 3.6 and thethreats factor is 1. The position of the medical record unit, PHC Hospital Surabaya, is in quadrant I so thesuitable strategy is SO (Strength-Opportunity), the strategy includes the development of integrated informationsystems, and improve the management of medical records related to recording and documentation formaintaining the quality of medical record documents.
GAMBARAN TINGKAT PRODUKTIVITAS KERJA BERDASARKAN LINGKUNGAN DAN MOTIVASI KERJA PETUGAS ASSEMBLING RUMAH SAKIT UMUM PUSAT Dr. HASAN SADIKIN TAHUN 2020 Try Ganjar Wati; Sustin Farlinda; Efri Tri Ardianto
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 2 No 2 (2021): March
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v2i2.2004

Abstract

Based on the results of a preliminary study conducted at Hasan Sadikin Hospital, it is known that fromFebruary to March 2020 the achievement of the 20 files per day assembling task target has not been fullyachieved. 7 out of 9 assembling officers work 7 to 15 files and there was an inconsistency of the additionalform's location that assessed by each officer. This resulted in narrow space and files that were stacked toolong causing the medical record file to be damaged and the location of the additional forms to be different.This study aims to describe the level of work productivity based on the environment and the work motivationof assembling officers Dr. Hasan Sadikin 2020. This type of research uses quantitative by observing anddistributing questionnaires to respondents. The results obtained are that the assembling officer at RSUP Dr.Hasan Sadikin who has a higher level of productivity are officers with male sex, age categories 35-49 years,length of work for more than 10 years, last education diploma IV / S1, and with marital status.
Tinjauan Keterlambatan Klaim Berkas BPJS Rawat Inap di RSUP dr. Hasan Sadikin Lutfiatun Nadibah Herman; Sustin Farlinda; Efri Tri Ardianto; Agus Setiawan Abdurachman
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 1 No 4 (2020): September
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v1i4.2030

Abstract

The implementation of the National Health Insurance program in hospitals as referral Health Service Provider in collaborate with the Indonesia Health Insurance Implementing Agency to provided public health services by using a prospective payment system. Based on preliminary study, it known the inpatient claim file had delayed as much 11.38%. It’s not according to hospital standards that claimed should be 100%. This research aimed to provided a preview the causing factors of delayed inpatient claims at RSUP Dr. Hasan Sadikin Bandung based on 5M management elements. This research was descriptive qualitative with expose the results of interviews and observations that had been done in comparison of the theories available. The results showed that the officers still found difficulties to read the diagnosis and the patient's actions due to doctor’s handwrinting difficult to read, incorrect diagnosis codes and actions due to differences in perception between the coder and the doctor, incomplete claimed files such as the result of the patient's supporting examination. There was no standard operational procedure as regulation of inpatient BPJS claimed requirements, computers that been used in the process of filing claims often experiencing long loading and often experiencing network disruptions so it could reduce the performance of officers. In response to those factors, it needs to make a standar operational procedure for completing claim files, to conduct training specifically about National Health Insurance coding at least once a year and doing maintenance on the computer at least once a month. 
Evaluasi Kinerja Petugas Koding Dan Klaim Jkn Rawat Inap di RSUP dr. Hasan Sadikin Bandung Nur Amaliyatul Fadlilah; Efri Tri Ardianto; Sustin Farlinda
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 1 No 3 (2020): June
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v1i3.2059

Abstract

Performance is a work that can be achieved by a person or a group of people in one organization, inaccordance with the authority and responsibilities of each, in order to achieve organizational goals. Thefactors that affect performance are motivation, opportunity, ability. Based on the results of a preliminarystudy at RSUP Dr. Hasan Sadikin, Bandung, the performance of the coding officer and JKN claims wereconsidered to be less than optimal, because there were still many medical record files that were not yetencoded. Resulting in a delay in BPJS payments to hospitals. The purpose of this study was to evaluate theperformance of the coding officer and JKN claims for inpatients at Dr. RSUP. Hasan Sadikin Bandung. Thistype of research is a qualitative study by describing the situation at the time of the study with the aim ofproviding a clear picture of the performance of the coding officer and inpatient JKN claims. The results ofthis study were the first results coding officers and inpatient JKN claims never get a reward from theleadership let alone get praise and certificates of appreciation for their performance in accordance withexisting procedures. Both the coding officer and the inpatient JKN claim have attended training and 3seminars on medical records especially about codification. Thirdly, the existence of SPO regarding theimplementation of coding and claims of JKN is hospitalized so that it can facilitate the officers in carrying outtheir duties.
Analisis Faktor Penyebab Terjadinya Missfile Berkas Rekam Medis Rawat Inap di Rumah Sakit PHC Surabaya Tahun 2020 Muzaffatul Hasan; Efri Tri Ardianto; Dony Setiawan Hendyca Putra
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 2 No 1 (2020): December
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v2i1.2147

Abstract

Based on the results of a preliminary study conducted at the Surabaya PHC Hospital in 2020 in the filing section of the Surabaya PHC Hospital there was still a missfile incident in the inpatient medical record file. Missfile is an incident where the medical record file is not found because of an error in placing the medical record file on the filing rack, this can cause a decrease in the quality of services provided. The importance of the role of medical record documents in creating information that is sustainable, researchers interested in examining the problem of the occurrence of errors (missfile). This study aims to analyze the analysis of the factors that cause the medical file file missfile in Surabaya PHC Hospital using the PTA (Problem Tree Analysis) method. This type of research is qualitative with observation and interview data collection techniques. The results of this study are the main factors causing missfile is the behavior of officers, level 1 contributing factors are There is no responsible person in the inpatient medical record file storage, less maximum use of facilities and infrastructure and SOP (Standard Operating Procedure) storage of inpatient medical record files never been socialized. Factors causing level 2 are the need for officers to be responsible for storing inpatient medical record files, lack of knowledge about tracers and the existence of maps in inpatient medical record files, lack of application of SOP (Standard Operating Procedure) does not match the reality because it is only limited accreditation fulfillment requirements. So the implementation of inpatient medical record file storage in Surabaya PHC Hospital is still not good, so that there is still a missfile. The hospital should increase the number of workers in the medical records unit in the filing section, conduct socialization on the importance of using tracers, accelerate the procurement of inpatient medical record file folders and apply SOPs as guidelines for officers in carrying out work. So that the implementation of inpatient medical record file storage for the better.
EVALUASI KETIDAKTEPATAN PEMBERIAN KODE REKAM MEDIS RAWAT JALAN DI RS PHC SURABAYA Mahardika Nugraha; Dony Setiawan Hendyca Putra; Efri Tri Ardianto
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 2 No 2 (2021): March
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v2i2.2176

Abstract

Codification is an activity to transform a diagnosis into a code consisting of letters and numbers.Inaccuracies of coding can slow the process of insurance claims and decrease the quality of medicalrecords. Preliminary study results showed a percentage of inaccuracy in the diagnostic code of 4documents of a total of 10 outpatient medical record documents at PHC Surabaya Hospital. This researchaims to evaluate the correctness of an outpatient medical record file in Surabaya's PHC Hospital. This typeof research used qualitative research. The samples were 44 documents of the outpatient medical record inJanuary 2020. Data collection techniques using observation and documentation. The results of the studyshow that the code inaccuracies in an outpatient medical record document of 13 (29.5%) improper codeand 21 (70.5%) of the right code. The cause of its absence was an error in the code-granting suspect of15.4%, a mistake in giving control code and therapy of 61.5%, and an error in giving the fourth character inthe case of diabetes mellitus by 23.1%. Factors that lead to inaccuracy in the coding of an outpatientmedical record were the less thorough officers in conducting medical record reviews as well as mistakes indetermining the old case and new cases. The suggestions provided by researchers are to conduct routinecoding audits, repair SOP, socialization about the correct encoding procedures, and make a note for thecode which is often to be used.
Analisis Faktor Penyebab Rendahnya Kinerja Petugas Pada Unit Filing di RSU Bhakti Husada Krikilan Nabilah Khoirun Nissa'; Rossalina Adi Wijayanti; Atma Deharja; Efri Tri Ardianto
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 2 No 3 (2021): June
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v2i3.2187

Abstract

Berdasarkan survey pendahuluan di Rumah Sakit Umum Bhakti Husada Krikilan terdapat permasalahan terkait kinerja pada unit filing yaitu beberapa job description belum terlaksana dan belum dikerjakan maksimal, waktu penyediaan dokumen rekam medis lebih dari 10 menit, petugas filing berlatar belakang pendidikan sekolah menengah kejuruan dan sekolah menengah ekonomi atas. Penelitian ini bertujuan untuk melakukan analisis faktor penyebab rendahnya kinerja petugas rekam medis pada unit filing kemudian dilakukan analisis faktor penyebab kinerja rendah dari faktor individu, organisasi dan psikologi dengan metode Problem Tree Analysis. Jenis penelitian yang digunakan adalah penelitian kualitatif dan pengumpulan data dengan wawancara, observasi dan dokumentasi. Hasil penelitian ini menunjukkan bahwa pada penyebab utama faktor individu dan demografi, adanya latar belakang pendidikan petugas yang tidak sesuai sementara perekrutan tenaga baru belum dilaksanakan karena masih dalam proses perencanaan manajemen; pada faktor organisasi penyebab utama desain pekerjaan terdapat kurangnya koordinasi terkait job description dan SOP antar petugas dan atasan, terbatasnya jumlah tenaga, dan petugas kurang memahami pentingnya job description; pada faktor psikologi penyebab utama sikap yaitu adanya jam kerja yang cukup padat namun tenaga kerjanya terbatas sehingga penyediaan berkas terlambat dan pada faktor penyebab utama motivasi yaitu adanya motivasi dalam diri petugas (bukan pengakuan dari orang lain yang mendorong kerja petugas) serta  motivasi dari luar diri petugas (pihak luar kurang memahami pentingnya job description dan masih  dalam proses perencanaan manajemen).
ANALISIS FAKTOR RISIKO PADA PENYAKIT KARSINOMA PARU (C34) PASIEN RAWAT INAP DI RUMAH SAKIT BALADHIKA HUSADA JEMBER Salma Firyal Nabila; Dony Setiawan Hendyca Putra; Sustin Farlinda; Efri Tri Ardianto
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 2 No 2 (2021): March
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v2i2.2197

Abstract

Lung carcinoma or commonly known as lung cancer is one of the main causes of death from disease in theworld that reach 7.6 million deaths or about 13% of all cancer diagnoses. Baladhika Husada Jember Hospitalis a third-level hospital in Jember Regency that has oncology and chemotherapy services including a cancerdiagnosis. Based on existing data of the morbidity and mortality rates of pulmonary carcinoma are alwaysincreasing from 2016 until 2018. This study aims to analyze the risk factors for lung carcinoma such as age,gender, smoking history, genetic history, and predisposition of other lung disease based on medical records ofinpatients with the pulmonary disorder at Baladhika Husada Hospital in Jember. The research method usedquantitative analysis with a cross-sectional research design. The number of samples was 98 respondents.Data analysis used the chi-square test for bivariate and the logistic regression test for multivariate. Thebivariate analysis result shows that each independent variable had an influence on lung carcinoma cases.Multivariate analysis shows that the variable had a simultaneous influence (p value=0,000). Partially, eachvariable has an influence, age (p value=0,003), smoking history (p value=0,003), genetic history (pvalue=0,002), predisposition of other lung disease (p value=0,000), except on genders (p value=0,857). Theconclusion is the risk factors can explain the effect on the incidence of pulmonary carcinoma by 84.8%. Thisresearch is expected to be used as information to cope with the increased morbidity and mortality rates ofpulmonary carcinoma.
Analisis Faktor-Faktor Penyebab Kejadian Misfile di Puskesmas Kademangan Kabupaten Bondowoso Desi Syahbaniar; Rossalina Adi Wijayanti; Feby Erawantini; Efri Tri Ardianto
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 2 No 2 (2021): March
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v2i2.2201

Abstract

The observation results of the medical record filing unit in Kademangan Public Health Service Bondowosofound that, in a week, 51 of 366 outpatient medical records were on the wrong location or lost (misfile) Theimpact of misfiling is the delay of service patients in search of medical records, duplication of numbersrecord the medical, and the contents of medical records document become not sustainable. This studyaimed to analyze the factors that cause medical records misfile in Kademangan Public Health ServiceBondowoso. This study used qualitative methods and data obtained through an interview, observation, andUSG (Urgency, Seriousness, Growth) method. The results of the research showed that the priority problemof misfile’s causes was the less of leadership motivation such as reward and punishment. The alternativesolutions were giving punishment or reward to medical record officers, especially to the filling officer tocreate their discipline in doing their work. The discipline of the filing officers in conducting work makes themanagement of filing medical records run optimally
Co-Authors Agus Setiawan Abdurachman Alinea Dwi Elisanti Alinea Dwi Elisanti Atma Deharja Dahlia Indah Amareta, Dahlia Indah Denisistya Krisworo Dina Ayu Mashita dony setiawan hendyca putra Dwi Rizky Permatasari Ervina Racmawati Feby Erawantini Futari Ayu Istikomah Gamasiano Alfiansyah Gandu Eko Julianto Suyoso Ilham Aditya Aji Indah Muflihatin Inggil De Crystal Irene Anjar Pratiwi Kurnia Arofah Lutfiatun Nadibah Herman Mahardika Nugraha Maya Weka Santi Melati Ayu Pratiwi Mila Imamatul Lutfiah Mochammad Choirur Roziqin Muzaffatul Hasan Nabilah Khoirun Nissa' Niyalatul Muna Nofitalia Sawondari Novita Nuraini Nur Amaliyatul Fadlilah nurmawati, ida Rachmawati, Ervina Rossalina Adi Wijayanti Sabran Sabran Salma Firyal Nabila Sedyo Pinerdi Selvia Juwita Swari Siti Sofia Sustin Farlinda Sustin Farlinda Syahbaniar, Desi Try Ganjar Wati Yani Subaktilah