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All Journal Jurnal Delima Harapan 2-TRIK: TUNAS-TUNAS RISET KESEHATAN Jurnal Keperawatan Garuda Pelamonia Jurnal Penelitian Kesehatan Pelamonia Indonesia
Dwi Nurjayanti
STIKes Buana Husada Ponorogo
Health Professions Medicine & Pharmacology Nursing Public Health

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Implementation of Electronic Medical Records at Balong Community Health Center, Ponorogo Regency Hapy Marsya Pradita; Dwi Nurjayanti
Garuda Pelamonia Jurnal Keperawatan Vol. 7 No. 2 (2025): Agustus : Garuda Pelamonia Jurnal Keperawatan
Publisher : Institut Kesehatan Pelamonia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.4425/garuda.v7i2.873

Abstract

Hapy Marsya Pradita, 2025. “Implementation of Electronic Medical Records in Services at Puskesmas Balong, Ponorogo Regency.” Scientific Paper, Advisor: Dwi Nurjayanti, S.ST., M.Kes. Diploma III Program in Medical Records and Health Information, STIKes Buana Husada Ponorogo. Electronic Medical Records (EMR) are a form of digitalization in healthcare services aimed at improving efficiency, accuracy, and integration of patient data. This study aims to identify the implementation of EMR based on ideal implementation indicators at Puskesmas Balong, Ponorogo Regency. Data were obtained through observation and interviews with registration officers, medical staff, and the head of the health center using the EPUS Klaster application system. The results showed that EMR implementation had a positive impact by accelerating services, facilitating access to patient data, and improving coordination between units. However, obstacles such as network disruptions, lack of training, and dependency on third-party vendors remain significant. Managerial support was also found to be suboptimal in providing necessary facilities and infrastructure. It is necessary to strengthen human resource training, improve IT infrastructure, and conduct regular evaluations to ensure that EMR implementation runs optimally and sustainably.
Factors Causing Pending Claims on Health BPJS Patients with Fishbone Diagrams at Al – Hikmah Clinic Sukorejo Ponorogo Districrt Hindun Al Istiqomah; Dwi Nurjayanti
Garuda Pelamonia Jurnal Keperawatan Vol. 7 No. 2 (2025): Agustus : Garuda Pelamonia Jurnal Keperawatan
Publisher : Institut Kesehatan Pelamonia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.4425/garuda.v7i2.874

Abstract

Pending BPJS Health claims are claim returns where there is no agreement between BPJS Health and FKRTL regarding coding or medical principles (claim disputes), but resolution is carried out in accordance with BPJS Law Number 7 of 2018. The purpose of this research is to identify the factors causing pending claims using the Fishbone diagram approach, which includes the aspects of Man, Money, Method, Machine, and Material. The type of this research is a qualitative descriptive method using interviews and observations. The population of this study consists of all inpatient and outpatient insurance officers at Al-Hikmah Clinic. The sampling techniques used are total sampling and purposive sampling. Data were analyzed descriptively. Based on the research results at Al-Hikmah Sukorejo Clinic, the factors causing pending claims include the absence of staff with a background in medical records, incomplete claim documents, system errors in the P-Care application, and internet network issues. Continuous training, improvement of the digital system, and adjustment of SOPs are needed to minimize pending claim cases and enhance service efficiency. The researchers' recommendation is to always check the completeness of claim documents for the BPJS insurance claim process and to conduct regular training for claim officers at the clinic.
Factors Causing Delays in BPJS Health Inpatient Claims at Dr. Harjono S Regional General Hospital in Ponorogo Regency Ike Wahyu Septian; Dwi Nurjayanti
Garuda Pelamonia Jurnal Keperawatan Vol. 7 No. 2 (2025): Agustus : Garuda Pelamonia Jurnal Keperawatan
Publisher : Institut Kesehatan Pelamonia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.4425/garuda.v7i2.877

Abstract

Ike Wahyu Septian, 2025 “Factors Causing Pending BPJS Health Inpatient Claims At RSUD Dr. Harjono S, Ponorogo Regency.” Scientific Paper, Supervisor: Dwi Nurjayanti, S.ST., M.Kes. Study Program of Diploma III in Medical Record and Health Information, STIKES Buana Husada Ponorogo. Pending inpatient BPJS Health claims pose a financial and operational challenge for hospitals. At RSUD Dr. Harjono S Ponorogo, 228 pending claims were identified in November 2024 out of 1,335 total claims. This issue was caused by incomplete supporting documents, coding errors, and non-specific medical diagnoses and procedures. This study used a descriptive qualitative approach through observation and interviews. The sample consisted of four claims officers and 228 inpatient pending claim files. The sampling technique used was purposive sampling. Data were analyzed through data reduction, presentation, and conclusion drawing. The study revealed several contributing factors: (1) Man – lack of accuracy and training among staff; (2) Method – suboptimal claim procedures; (3) Material – incomplete supporting documents; (4) Machine – information system disruptions; and (5) Money – delayed claim payments. The primary causes of pending inpatient claims are incomplete medical documentation and inaccurate coding. Improvements are needed in staff training, claim procedures, and system integration between hospitals and BPJS Health.
Co-Authors Ani Rosita Hapy Marsya Pradita Hindun Al Istiqomah Ike Wahyu Septian Intan Puspitarani Putri Janna Putri Nastiti Kusuma Putri Rahayu Muhamad Ikhsan Amsori Putri Nur Alfiana Rumpiati, Rumpiati Salmaa Anggia Rafitrin Siti Nur Haliza Titik Restina Titin Istikomah