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OPTIMALISASI MUTU PELAYANAN KESEHATAN DI KLINIK DENGAN IMPLEMENTASI SISTEM INFORMASI REKAM MEDIS BERBASIS WEB Maryati, Warsi; Utami, Yeni Tri
Jurnal LINK Vol 19 No 1 (2023): MEI 2023
Publisher : Pusat Penelitian dan Pengabdian kepada Masyarakat, Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/link.v19i1.9387

Abstract

Teknologi informasi berkembang sangat pesat, tidak terkecuali di bidang pelayanan kesehatan. Rekam Medis Elektronik merupakan salah satu faktor penting untuk meningkatkan kualitas dan keamanan layanan kesehatan, mengurangi kejadian buruk bagi pasien, mengurangi biaya, mengoptimalkan pelayanan, meningkatkan penelitian klinis, dan memperoleh luaran klinis yang lebih baik. Pengabdian kepada masyarakat ini bertujuan untuk mengimplementasikan sistem informasi rekam medis berbasis website untuk meningkatkan mutu pelayanan Kesehatan di klinik. Metode yang dilakukan dalam pengabdian kepada masyarakat di klinik ini yaitu penyediaan perangkat keras (hardware), implementasi perangkat lunak (software) berupa aplikasi pelayanan pendaftaran dan pengelolaan rekam medis berbasis website, serta pelatihan penggunaan aplikasi aplikasi pelayanan pendaftaran dan pengelolaan rekam medis berbasis website kepada petugas. Hasil kegiatan pengabdian kepada masyarakat ini yaitu rekam medis elektronok mampu mengurangi waktu tunggu pelayanan kepada pasien sehingga kepuasan pasien terhadap pelayanan di klinik meningkat. Pengetahuan dan penerimaan petugas kesehatan di klinik juga meningkat setelah mengikuti kegiatan pelatihan dan pendampingan, sehingga dapat menjamin keberlanjutan program ini.
The Sociodemographic Factors Associated With Multimorbidity In Patients With Diabetes Mellitus Type 2 In District Hospital Sukoharjo Central Java. Oktaviano Rahayuningrum, Indriyati; Maryati, Warsi; Cahya Faiza, Meilia
Proceeding of the International Conference Health, Science And Technology (ICOHETECH) 2024: Proceeding of the 5th International Conference Health, Science And Technology (ICOHETECH)
Publisher : LPPM Universitas Duta Bangsa Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47701/icohetech.v5i1.4140

Abstract

Background: Multiple chronic diseases known as multimorbidity are one of the global public health challenges. Multimorbidity among older adults was more than 50% in different countries. This study aimed to analyze the sociodemographic factors associated with multimorbidity in patients with diabetes mellitus type 2 in District Hospital Sukoharjo Central Java. Methods: This study used a cross-sectional approach utilizing medical record data of diabetes mellitus patients. Consecutive sampling was conducted, and 75 samples were included. A descriptive analysis was performed by reporting percentages. Bivariate analysis was conducted using Chi-square. Logistic regression with a 5% significance level was used to analyze the multivariable. Results: The prevalence of multimorbidity was 33 (44%). The sociodemographic factors associated with multimorbidity were age (p=0.039), gender (p=0.032), education (p=0.028), status of employment (p=0.020), and length of stay (p=0.011). Logistic regression showed an association between length of stay (OR=3.93;95%CI=1.29-11,92; p=0.016) and multimorbidity. Conclusion: Based on these findings, the sociodemographic factors associated with multimorbidity in patients with diabetes mellitus type 2 were: age, gender, education, status of employment, and length of stay. The programs to prevent multimorbidity should be formulated. Early detection and health promotion can be managed to decrease multimorbidity in patients with diabetes mellitus type 2.
Implementation Of Poac Management (Planning, Organizing, Actuating And Controlling) In An Effort To Reduce The Number Of Pending Claims For Inpatient Bpjs In The Hospital Tri Utami, Yeni; Maryati, Warsi; Sri Rahayuningsih, Lilik Anggar
Proceeding of the International Conference Health, Science And Technology (ICOHETECH) 2024: Proceeding of the 5th International Conference Health, Science And Technology (ICOHETECH)
Publisher : LPPM Universitas Duta Bangsa Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47701/icohetech.v5i1.4207

Abstract

Problems with pending claims in hospitals are mostly caused by incomplete files and discrepancies in the accuracy of diagnosis codes. UNS Surakarta Hospital is known to find around 50-300 BPJS Inpatient claim files pending every month. This study aims to determine management in an effort to reduce the number of pending claims for inpatient BPJS patients in hospitals. This type of research is descriptive qualitative, with a cross sectional approach. The subjects of this research include claims coordinators, coders, internal verification officers and medical committee members (doctors). The research object is the claim file for Trimonths 4 of 2023. The instruments used are interview guidelines, observation guidelines, checklists. The research results showed that of the 2289 claim files submitted, 168 files (7.34%) were pending, which were divided into 3 factor classifications, namely Medical Aspects 62 files (36.90%), Administrative Aspects 57 files (33.93%) and Coding Aspect 49 files (29.17%). The process of handling pending claims based on planning, organizing, actuating and controlling aspects is still not running optimally. This is caused by the lack of clear division of job descriptions and the absence of SOPs related to handling pending claims which are only manifested in official notes, in general evaluations are still carried out based on cases but not based on users which causes there to be no rewards and punishments for officers who do not comply. It would be better for hospitals to prepare SOPs for filling out BPJS claim requirements files, and make clear job desk divisions, especially the BPJS coding section, and implement Inpatient RME immediately.
Quality and Efficiency of Health Services in The Implementation of Electronic Medical Records: Bibliometric Analysis Maryati, Warsi; Hartono, Hartono; Puspita Febrinasari, Ratih
Proceeding of the International Conference Health, Science And Technology (ICOHETECH) 2024: Proceeding of the 5th International Conference Health, Science And Technology (ICOHETECH)
Publisher : LPPM Universitas Duta Bangsa Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47701/icohetech.v5i1.4252

Abstract

Background: Electronic medical records (EMR) were growing rapidly because they were believed to improve the quality and efficiency of health services. Literature studies related to EMR have been carried out, but the bibliometric analysis was not yet known. This study aimed to analyze the bibliometrics of research related to EMR and its impact on quality and patient care. Methods: We have carried out bibliometric analysis using VOS viewer and Mendeley on articles from the Scopus database for 2014-2023. Articles have been filtered based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) diagram. We used the keywords electronic medical records, quality and efficiency to search for articles. Articles that were not in English, could not be downloaded in full text and were not related to quality or efficiency were excluded. Articles that met the criteria were analyzed. Results: We obtained 24 articles from the screening results. Most articles in 2020 (6), there was a significant increase in 2019 (4). Most articles have been published in Journal of Medical Internet Research (3). The International Journal of Medical Informatics received the most citations (160 from 2 articles). There were 8 research articles from the United States. The most frequently used keywords were electronic medical record(s). Meanwhile, the issues most commonly associated with the implementation of EMR include; quality improvement, health care quality, patient satisfaction, and cost. Conclusion: Bibliometric analysis was important to carry out in future research to map the characteristics of research with wider data sources.
Diagnosis Recording Accuracy and Coding Accuracy in Hospitalization: Ketepatan Pencatatan Diagnosis dan Ketepatan Kode Diagnosis dalam Rawat Inap Utami, Yeni Tri; Maryati, Warsi; Astikasari, Salsa
Procedia of Engineering and Life Science Vol. 9 (2025): Proceedings of the 2025 Annual Meeting of APTIRMIKI
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

The accuracy of diagnosis recording can affect the accuracy of coding. If the diagnosis written by the doctor is unclear, the coder will have difficulty in determining the diagnosis code. Based on the results of an initial survey at PKU Muhammadiyah Wonogiri Hospital, the accuracy of diagnosis recording was 50% and the accuracy of diagnosis coding was 50%. This study aims to determine the relationship between the accuracy of diagnosis recording on the medical resume sheet and the accuracy of inpatient case coding. This type of research is analytical with a cross-sectional approach design. The population was 1,036 DRM and a sample of 92 DRM with a simple random sampling technique. Data analysis was univariate and bivariate analysis using the chi-square statistical test. The results showed that the accuracy of diagnosis recording on the medical resume sheet was 54% greater than the inaccuracy of 46%, while the accuracy of inpatient coding was greater at 71% compared to the inaccuracy of 29%. The results of the chi-square test using the SPSS 23 application showed a p-value of 0.032 < 0.05, which means there is a relationship between the accuracy of recording diagnoses on the medical resume sheet and the accuracy of coding inpatients at PKU Muhammadiyah Wonogiri Hospital. It is recommended that coders be more careful in reading diagnoses and reviewing the results of supporting examinations to avoid coding errors and update the list of disease abbreviations more comprehensively to standardize doctors in recording diagnoses.