Elsa Mayori
Politeknik Negeri Jember

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EVALUASI FUNGSI KERJA PETUGAS ASSEMBLING DI RUMAH SAKIT PUSAT PERTAMINA TAHUN 2020 Elsa Mayori; Feby Erawantini; M. Choirur Roziqin; Djasmanto Djasmanto
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.v2i2.2017

Abstract

Based on a preliminary study, the implementation of the medical record assembling at Pertamina CentralHospital was still inappropriate. The return of the medical record file from the inpatient has been delayed,more than 2x24 hours, the medical record file was not 100% complete. The purpose of this study was toevaluate the function of assembling work at Pertamina Central Hospital with 5M management elementsconsisting of man, money, method, machine, material. This type of research was qualitative research withdata collection methods were interview, observation, and documentation. The subject of this research wasthe assembling officer. The results showed that there were problems with man, method, and materialvariables. Man variable, the lack of staff's knowledge about understanding the importance of medicalrecords. Method variables, assembling SOP in Pertamina Central Hospital was not in accordance with thetheory because quantitative analysis of medical record file still not exist. Material variable, medical recordfile wais not 100% complete in the authentication aspect. The solution is to include medical records officersin training activities about medical records, assembling workload evaluation, assembling Standard OperatingProcedures shall be added to control medical records incompleteness (quantitative analysis) and create theKLPCM form to find any deficiency or incomplete medical record file, that will have an impact for improvingthe quality of the medical record.
Upaya Perbaikan Keterlambatan Pengajuan Klaim BPJS Kesehatan Pada Unit Rawat Inap di RSIA Srikandi IBI Jember Tahun 2019 Elsa Mayori; Atma Deharja; Novita Nuraini; Maya Weka Santi
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 2 No 4 (2021): September
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v2i4.2301

Abstract

Based on a preliminary study at RSIA Srikandi IBI Jember, there was a delay in submitting claim health BPJS to the inpatient unit over the next ten months. The delay in submitting claim health BPJS as many as 28 days with 353 inpatient files (57,5%) in January 2019, while February as 31 days with 249 inpatient files (78,3%) and March 29 days with 313 inpatient files (75,0%).It would harm hospital finances because of delays in the payment of health BPJS funds. This research aimed to improve the delay claim of health BPJS in inpatient units at RSIA Srikandi IBI Jember. This research used a qualitative method with interviews, observation, questionnaires, and brainstorming to collect data methods. This research showed that the cause of delay in submitting claims health BPJS by material factor was incomplete inpatient claim such as medical resume, the result of examinations. The Plan made SOP submit requests claims BPJS to the inpatient unit, the checklist of BPJS document, and SOP to verify the completeness and accuracy to the inpatient claim. The Do stage accepts the SOP to the hospital director. Stage of Check is to see the result of implementation claim health BPJS to the inpatient unit in February-April 2020, and that showed a decrease in the number of delays in submitting claims health BPJS at the hospital. Action steps were known that these efforts could help the BPJS health claims process.