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Felix Kasim
Institut Kesehatan Medistra Lubuk Pakam
Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Computer Science & IT Education Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Public Health Other

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The Effect of Implementing an Electronic Medical Record (EMR) System on Patient Data Management at the Outpatient Clinic of Rumkit Tk. IV 01.07.02 Binjai in 2025 Anna Ivra Soleliza Jones; Felix Kasim; Tati Murni Karokaro
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 2 (2026): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/1h37da70

Abstract

The Electronic Medical Record (EMR) system is a crucial component in improving the quality of healthcare services through fast, accurate, and integrated patient data recording. The Outpatient Clinic of Rumkit Tk. IV 01.07.02 Binjai has fully implemented the EMR system; however, its implementation still faces several challenges, including limited computer devices, network disruptions, unstable electricity, and variations in users’ ability to operate the system, which may affect the effectiveness of patient data management. This study aims to analyze the effect of EMR implementation on patient data management, including time efficiency, data accuracy, cost savings, and healthcare workers’ satisfaction. This research employed a quantitative approach with a descriptive-analytic design, involving a sample of 38 healthcare workers representing the total population of EMR users. Data were collected using a Likert-scale questionnaire that had been tested for validity and reliability, supported by observation. Data analysis was conducted using univariate analysis, bivariate analysis with the chi-square test, and multivariate analysis using multiple linear regression. The results showed that EMR implementation was significantly associated with time efficiency, data accuracy, cost savings, and healthcare workers’ satisfaction (p < 0.05). Regression analysis indicated that data accuracy and time efficiency were the most dominant variables contributing to improved patient data management. It can be concluded that the implementation of the EMR system has a significant effect on patient data management at the Outpatient Clinic of Rumkit Tk. IV 01.07.02 Binjai. Therefore, improvements in technological infrastructure, routine training, and handling of technical obstacles are needed to optimize EMR utilization and maximize its impact on healthcare service quality.
The Influence of Digital Queue Service Quality on Patient Waiting Time Efficiency at the Polyclinic of TK.IV 01.07.02 Binjai Hospital in 2025 Normalini Potu; Felix Kasim; Sri Melda Br Bangun
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 2 (2026): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/hv0kvx68

Abstract

Queues occur when service demand exceeds facility capacity, causing patients to wait to receive care. Previous studies have shown that the implementation of a digital queuing system can reduce patient waiting times and improve efficiency as well as satisfaction with hospital services. This study aimed to analyze the effect of digital queuing service quality on the efficiency of patient waiting times at TK.IV 01.07.02 Binjai Hospital in 2025. This research used a quantitative method with a cross-sectional design. Sampling was conducted using the accidental sampling method. The sample in this study consisted of 113 patients who visited TK.IV 01.07.02 Binjai Hospital. The study was carried out at TK.IV 01.07.02 Binjai Hospital. The results showed that all dimensions of digital queuing service quality namely tangibles, reliability, responsiveness, assurance, and Empathy  had a significant effect on the efficiency of patient waiting times at TK.IV 01.07.02 Binjai Hospital in 2025 (p < 0.05). The tangibles aspect, such as the comfort of waiting rooms and digital facilities, helped accelerate service processes, while reliability and responsiveness improved the accuracy and speed of the system and staff in handling patients. The assurance aspect fostered patients’ sense of safety and trust in staff professionalism, while Empathy  encouraged humane communication and facilitated smoother service flow.Overall, improvements in all five aspects were proven to shorten waiting times and enhance service efficiency in hospital outpatient clinics. The conclusion of this study is that all dimensions of digital queuing service quality reliability, responsiveness, assurance, and Empathy  significantly affect the efficiency of patient waiting times at the hospital. Among the five aspects, Empathy  was identified as the most dominant factor in improving the efficiency of patient waiting times.
The Effect of BPJS Kesehatan Smart Claim Implementation on Service Efficiency and Effectiveness at Santa Elisabeth Hospital Medan Bima Roy Manullang; Felix Kasim; Sri Melda Bangun
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 2 (2026): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/1stfkj48

Abstract

BPJS Kesehatan Smart Claim implementation at Santa Elisabeth Hospital Medan has progressed to Star 4, including online pharmacy bridging or e-prescription integration. This study aimed to analyze the effect of this implementation on service efficiency and effectiveness. It used a qualitative approach with an intrinsic case study design. Eighteen informants were selected through purposive-homogeneous sampling. Data were collected from August to December 2025 through semi-structured in-depth interviews, limited participatory observation of the end-to-end service and claim workflow, and document review. The data were analyzed thematically using methodological and theoretical triangulation. The findings show that Smart Claim improves data access, supports partial paperless processes, and accelerates service and claim processes under certain conditions. The claim cycle is perceived to be shorter, and pharmacy processing becomes faster after e-prescription integration. Tangibles and responsiveness tend to improve, whereas reliability and assurance still fluctuate during network and bridging disruptions, slow devices, and data mismatch or mapping problems that trigger rework, cross-unit escalation, and pending or returned claims. This study concludes that Smart Claim improves service efficiency and effectiveness conditionally, depending on infrastructure stability, staff readiness, and claim data governance.
The Relationship Between the Implementation of Basic Management Functions and Service Quality in the Outpatient Department of the ObstetricsClinic at Primaya Hospital North Bekasi in 2025 Lispeno Waty Agustina Br Sipayung; Felix Kasim; Sri Melda Br Bangun
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 2 (2026): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/vn642724

Abstract

In the era of globalization characterized by increasing competition, the demand for improved hospital service quality continues to rise. Patients as healthcare service users have become more selective and critical in evaluating the quality of services provided. Therefore, hospitals are required to continuously enhance service quality through innovation and effective management. Service quality is not only determined by the availability of facilities and technology, but is also significantly influenced by the implementation of management functions, including planning, organizing, actuating, and controlling (POAC). The optimal application of these management functions can promote a more efficient, integrated, and patient-oriented service system.  This study employed a quantitative approach with a cross-sectional design to analyze the relationship between POAC management functions and service quality at the Obstetrics Outpatient Clinic of Primaya Hospital Bekasi Utara. The study population consisted of 8,321 patients, with a sample of 90 respondents determined using the Slovin formula. Data analysis included univariate analysis, bivariate analysis using the chi-square test, and multivariate analysis using logistic regression.  The results showed that most respondents rated the implementation of management functions as good, including planning (66.7%), organizing (70.0%), actuating (65.6%), and controlling (74.4%). Service quality was also perceived as good by the majority of respondents (72.2%). Bivariate analysis indicated that all management function variables were significantly associated with service quality (p ≤ 0.001). Multivariate analysis revealed that planning, actuating, and controlling had significant effects on service quality, while organizing did not show a statistically significant effect. Among all variables, planning was identified as the most dominant factor.  In conclusion, the implementation of POAC management functions plays a crucial role in improving service quality, with planning as the most influential factor that needs to be continuously optimized.
Evaluation of the Implementation of Minimum Service Standards (MSS) Based on Minister of Health Regulation No. 06 of 2024 at Dandy Dinda Primary Clinic, Deli Serdang Regency Julisda Nasution; Felix Kasim; Sri Melda Br Bangun
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 2 (2026): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/6b724867

Abstract

The implementation of Minimum Service Standards (MSS) serves as a policy instrument designed to ensure equitable quality of primary healthcare services. However, the implementation of MSS in first-level healthcare facilities continues to face various challenges, particularly those related to the readiness and capacity of supporting systems. This study aims to evaluate the implementation of MSS at Dandy Dinda Primary Clinic in Deli Serdang Regency, assess the availability of facilities and infrastructure, and identify the supporting and inhibiting factors influencing the achievement of MSS indicators. This study employed a qualitative approach with a case study design. Data were collected through in-depth interviews, direct observations, and document analysis involving clinic management and healthcare personnel. The data were analyzed thematically by linking empirical findings to systems theory and the Donabedian model, which encompasses input, process, and output components. The findings indicate that MSS implementation at Dandy Dinda Primary Clinic has been carried out; however, it has not yet reached an optimal level. In terms of input, information systems, human resource development, and the availability of facilities and infrastructure remain insufficient to fully support MSS implementation. In the process aspect, the application of standard operating procedures is inconsistent, and quality evaluation has not been conducted routinely nor in a data-driven manner. Meanwhile, in the output aspect, the achievement of MSS indicators varies and has not yet produced a significant impact on improving service quality and patient safety. This study concludes that the success of MSS implementation is more strongly influenced by the robustness of supporting systems rather than individual commitment alone. Therefore, strengthening information systems, continuously enhancing human resource capacity, and implementing follow-up action plans based on quality improvement cycles are essential to improve compliance with standards and achieve MSS indicators optimally.
Factors Associated with Women’s Participation in Early Detection of Cervical Cancer at The Pinarik Community Health Center, Padang Lawas Regency 2025 Ribka Christina Nababan; Felix Kasim; Raisha Octavariny
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 2 (2026): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/ffcb7n86

Abstract

Cervical cancer is one of the most common types of cancer affecting women worldwide. This study aims to determine the factors associated with women's participation in cervical cancer early detection at Puskesmas Pinarik, Padang Lawas Regency, in 2025. The results showed that the attitude variable had the most significant influence on women's participation in cervical cancer early detection, with a P value = 0.000 and an Exp(B) value = 186.250. Based on these results, it can be concluded that women's attitudes are the most important factor influencing their participation in cervical cancer early detection. Therefore, Puskesmas Pinarik needs to improve health education and promotion about the importance of cervical cancer early detection for women, so that women can have sufficient knowledge and awareness to undergo early detection and reduce morbidity and mortality rates due to cervical cancer. Thus, it is expected that this study can serve as a reference for Puskesmas Pinarik in increasing women's participation in cervical cancer early detection and reducing the negative impact of cervical cancer on women.
PERBANDINGAN BIAYA RUMAH SAKIT DENGAN PAKET INA-CBGS PADA PEMBAYARAN KLAIM SECTIO CAESAREA PASIEN BPJS DI RSU INDAH KOTA BAGAN BATU RIAU TAHUN 2025 Indah Maharani Hasibuan; Felix Kasim; Sri Melda Br. Bangun
JOURNAL OF HEALTHCARE TECHNOLOGY AND MEDICINE Vol 11, No 1 (2025): APRIL 2025
Publisher : Universitas Ubudiyah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33143/jhtm.v11i1.4808

Abstract

Sistem pembiayaan yang digunakan oleh BPJS kesehatan yaitu sistem Indonesia Case Based Group’s (INA-CBGs) untuk biaya pengganti dari BPJS untuk klaim pembiayaan. Metode operasi caesar menjadi salah satu layanan BPJS yang mengalami peningkatan signifikan dari tahun ke tahun di mana operasi caesar di rumah sakit terus meningkat sehingga pembiayaan juga mengalami peningkatan. Tarif INA-CBGs adalah besaran pembayaran klaim oleh BPJS kesehatan kepada fasilitas kesehatan rujukan tingkat lanjut atas paket layanan yang didasarkan kepada pengelompokan diagnosis penyakit dan prosedur (PMK nomor 52, 2016). Tujuan dalam penelitian ini adalah untuk menganalisis perbandingan biaya rumah sakit dengan paket INA-CBGs pada pembayaran klaim sectio caesarea pasien BPJS di RSU Indah Kota Bagan Batu Riau Tahun 2025. Jenis penelitian ini dilakukan dengan menggunakan pendekatan kualitatif. Teknik pengambilan sampel dalam penelitian ini yaitu menggunakan informan. Teknik pengumpulan data yang utama dalam penelitian ini dilakukan melalui wawancara yang mendalam atau indept interview. Analisa data dalam penelitian ini menggunakan analisa naratif. Hasil analisa menunjukkan bahwa rata-rata biaya pelayanan tindakan Sectio Caesarea di RSU Indah Kota Bagan Batu Riau meliputi komponen obat-obatan, alat kesehatan, jasa medis, dan biaya administrasi. Total biaya aktual yang dikeluarkan rumah sakit lebih tinggi dibandingkan dengan tarif klaim yang diterima melalui sistem INA-CBGs, terutama pada kasus dengan komplikasi medis. Diharapkan Manajemen rumah sakit sebaiknya mengadakan evaluasi berkala terhadap perbedaan antara biaya aktual dan tarif klaim INA-CBGs.
Optimization of Case Manager in Increasing Patient Satisfaction and Reducing Heart Patient Care Costs at Mitra Mulia Husada Hospital Felix Kasim
Medistra Medical Journal (MMJ) Vol 2 No 2 (2025): Medistra Medical Journal (MMJ)
Publisher : Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/mmj.v2i2.2751

Abstract

Heart disease is a major cause of morbidity and mortality in Indonesia, with increasing health care costs. Optimizing the role of case managers is seen as a potential solution to improve service quality while reducing care costs. This study aims to analyze the effect of optimizing case managers in improving patient satisfaction and reducing care costs in heart disease patients at Mitra Mulia Husada Hospital. This study used a quantitative design with a pre-experimental one-group pretest-posttest approach. Data were collected through a patient satisfaction survey using a SERVQUAL-based instrument and analysis of care cost data from medical record reports before and after the implementation of case managers. The implementation of case managers showed an increase in the average patient satisfaction score from 3.55 to 4.45 (Likert scale 1-5) and a decrease in the average daily cost of care by 20%. In addition, there was a reduction in the length of hospitalization from 7 to 5 days. Optimal implementation of case managers can significantly improve patient satisfaction and efficiency of care costs. These findings support the integration of case managers as an important part of health service management for heart disease patients in hospitals.
Implementation of Quality Control of Medical Record Services and its Implications for Patient Satisfaction Felix Kasim
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 7 No. 2 (2025): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/a5bhf154

Abstract

Background: High-quality medical records play a crucial role in modern healthcare services as they serve as the primary foundation for medical decision-making and contribute significantly to patient safety and service satisfaction. The success of medical record management is highly dependent on the implementation of effective quality control, which not only includes the accuracy and completeness of data but also ensures that the data is securely managed and easily accessible to healthcare providers. Objective: This study aims to analyze the relationship between the implementation of quality control in medical record services and patient satisfaction at RS Grandmed Lubuk Pakam. Research Methods: This study employs a quantitative descriptive correlational approach. The sample consists of medical record staff and patients, selected through total sampling and purposive sampling techniques. Data was collected through questionnaires and analyzed using Pearson correlation and simple linear regression. Results: The analysis indicates a significant positive relationship between the implementation of quality control and patient satisfaction, with a correlation coefficient of r = 0.652 and a p-value of < 0.05. The regression analysis shows that quality control contributes 42.6% to the variation in patient satisfaction. Conclusion: The better the implementation of quality control in medical record services, the higher the patient satisfaction perceived. Therefore, hospitals need to continue enhancing quality control implementation through staff training, optimization of information technology, and strengthening data protection systems to improve service quality and patient satisfaction.
Optimization of Congenital Hypothyroidism Screening (SHK) Actions in Newborns in the Perinatology Room Lili Marliana; Felix Kasim; Okto Hebron Purba
JURNAL KEBIDANAN KESTRA (JKK) Vol. 8 No. 1 (2025): Jurnal Kebidanan Kestra (JKK)
Publisher : Fakultas Kebidanan Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/287f4g04

Abstract

Background: Congenital Hypothyroidism (CH) is a thyroid dysfunction disorder present at birth. Congenital Hypothyroidism Screening (CHS) is performed a few days after birth to detect CH early and prevent negative impacts on the child's growth and development. However, the implementation of CHS in healthcare facilities often faces challenges.Objective: This study aims to describe and analyze the efforts to optimize the implementation of CHS for newborns in the perinatology room of RSUD dr. H. Kumpulan Pane, Tebing Tinggi City. Research Method: This descriptive qualitative study used snowball sampling technique to select informants. Data was collected through interviews and observations, with five main informants and fifteen additional informants. The research was conducted from January to March 2024. Results: The implementation of CHS at RSUD dr. H. Kumpulan Pane still faces several challenges, such as limited knowledge and skills of the staff, only one trained staff member, and ineffective communication. Additionally, the procurement of disposable medical supplies (BMHP) from the Tebing Tinggi City Health Office for 2024 is still unclear. Conclusion: The implementation of CHS at RSUD dr. H. Kumpulan Pane needs improvement, particularly in staff training, internal communication, and BMHP procurement. The Health Office is advised to enhance training, ensure BMHP procurement, and strengthen monitoring and cooperation with the hospital to make CHS more effective.
Co-Authors Anggi Isnani Paranduri Anna Ivra Soleliza Jones Balqis Wasliati Balqis Wasliati Wasliati Beni Satria Bima Roy Manullang Dodi Arif P Siahaan Emy Pardomuan Sinaga Harris Rambey Henri Gudmen Rionald Sihite Henri Gudmen Sihite Henri GudmenRionald Sihite Ika Nur Saputri Ika Nur Saputri Indah Maharani Hasibuan Ira Cahyani Saragih Irma Nurianti Jul Asdar Putra Samura Julisda Nasution Karokaro, Tati Murni Kuat Sitepu Kuat Sitepu Lili Marliana Lispeno Waty Agustina Br Sipayung Lubis, Basyariah Marice Simarmata Normalini Potu Novita Br Ginting Okto Hebron Purba Raisha Octavariny Redyanto Sidi Ribka Christina Nababan Ruth Diah Ayuni Sihaloho Samuel Ginting Sri Melda Bangun Sri Melda Bangun