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Prototipe User Interface Telepsikologi Layanan Kampus Yang Terintegrasi Sistem Big Data Kesehatan Astuti, Nina Dwi; Fahyudi, Asharul; Naryanti, Indah; Sugiarti, Ida; Sukawan, Ari
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 7 No 1 (2025): December
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v7i1.6422

Abstract

Counselling services are an important component of higher education service delivery. Poltekkes Kemenkes Semarang provides counselling services; however, consultation outcomes have not yet been integrated into the clinic’s Electronic Medical Records (EMR), resulting in incomplete patient examination histories and difficulties for psychologists in delivering care. Therefore, the development of an EMR-integrated telepsychology system is required. This study aims to develop a telepsychology prototype integrated with EMR using a prototyping research method. Informants included clinic managers, administrative staff, and psychologists. The research stages comprised information system requirements analysis, data requirements analysis, and user interface design. The telepsychology user interface prototype was developed using Figma. The results show that the developed prototype is able to meet user needs, particularly by enabling psychologists to access psychological examination data efficiently. The telepsychology system supports online counselling services and allows psychologists to view complete patient examination histories directly through the system. In addition, telepsychology records can be accessed by general practitioners as supporting information for referral decisions to psychiatrists. The Primary Clinic of Poltekkes Kemenkes Semarang is encouraged to further enhance the telepsychology application by improving video call features and providing mental health information and self-care tips to support campus clinic services.
Clinical audit of medical records based on clinical pathway: case study Benign Prostatic Hyperplasia (BPH) Sugiarti, Ida; Setiadi, Dedi; Junaedi, Fadil Ahmad; Wahyuni, Ida
Media Penelitian dan Pengembangan Kesehatan Vol. 36 No. 1 (2026): MEDIA PENELITIAN DAN PENGEMBANGAN KESEHATAN
Publisher : Poltekkes Kemenkes Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34011/jmp2k.v36i1.3436

Abstract

Background: Benign Prostatic Hyperplasia (BPH) is a common condition in adult men with a prevalence exceeding 50% by the age of ≥ 60 years. BPH causes symptoms of lower urinary tract infection, which reduces the quality of life and increases the burden of health services through visits, examinations, and medical interventions. BPH service practices still vary between health services, and medical records are still inconsistent and often deviate from clinical guidelines Objective: To examine the implementation of the BPH clinical pathway (CP) through clinical audit and explore its inhibiting factors. Methods: Qualitative research with a case study design in one regional referral service center. Data were collected through three triangulation sources: (1) observation of medical audits of 63 BPH patients' medical records, (2) in-depth interviews with 12 health workers (doctors and nurses), and (3) policy documents related to CP. Thematic analysis was carried out iteratively to identify patterns of CP non-conformity and implementation barriers. Results: Thirty-five percent of medical records did not meet CP criteria. Key obstacles included low awareness of the CP among healthcare workers, limited clinical time, and lack of integration of health information systems. Conclusion: The implementation of the BPH clinical pathway remains hindered by clinical and systemic factors. Evidence-based CP provides strategic solutions to improve service consistency and quality, but supporting policies, ongoing training, and integration of information systems are needed to optimize its application.
PENDAMPINGAN IMPLEMENTASI PROSEDUR PENGISIAN CLINICAL PATHWAY (PILOT PROJECT KASUS SEBAGAI ROLE MODEL) Sugiarti, Ida; Wahyuni, Ida; Trikusumah, Rizka Ajeng
Jurnal Pengabdian Masyarakat (Jupemas) Vol. 6 No. 1 (2025): Maret
Publisher : Universitas Bakti Tunas Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36465/jupemas.v6i1.1485

Abstract

Pelayanan kesehatan yang efektif dan bermutu di rumah sakit memerlukan penerapan clinical pathway (CP) yang baik, namun di RSUD dr. Soekardjo penerapan CP belum optimal dan hanya digunakan untuk kepentingan akreditasi. Pengabdian kepada masyarakat ini bertujuan untuk mendampingi implementasi pengisian CP, baik manual maupun elektronik, dengan fokus pada kasus Benign Prostatic Hyperplasia (BPH). Metode yang digunakan meliputi sosialisasi CP, uji coba sistem informasi CP elektronik terintegrasi (SIE-CPat), serta diskusi dan wawancara mendalam dengan tenaga kesehatan terkait. Hasil dari kegiatan menunjukkan antusiasme yang tinggi dari peserta, dan sistem CP elektronik yang diuji coba dapat digunakan dengan mudah oleh berbagai peran, seperti dokter dan perawat. Ditemukan bahwa validasi dan penyesuaian warna pada SIE-CPat perlu disesuaikan dengan standar dan kebijakan CP BPH di rumah sakit, serta dibutuhkan penambahan kolom untuk mencatat hal-hal yang tidak sesuai dengan CP. Kesimpulannya, implementasi SIE-CPat sejalan dengan CP manual dan dapat meningkatkan kualitas pelayanan di rumah sakit. Saran yang diberikan adalah perlunya legalisasi prosedur pengisian CP dan sosialisasi berkelanjutan untuk memastikan penggunaan CP yang lebih efektif di masa mendatang.  
Pendampingan Digital Maturity Index (DMI) RME pada Satu Sehat Mobile di Puskesmas Pameumpeuk Kabupaten Garut Gugun Priyadi; Ida Sugiarti; Andi Suhenda; Fery Fadly; Dewi Lena
Abdimas Galuh Vol 8, No 1 (2026): Maret 2026
Publisher : Universitas Galuh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25157/ag.v8i1.22297

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Transformasi digital di bidang kesehatan menjadi prioritas Kementerian Kesehatan RI melalui penerapan Rekam Medis Elektronik (RME) berbasis aplikasi Satu Sehat Mobile. Implementasi ini bertujuan meningkatkan integrasi data pasien, efisiensi pelayanan, serta keamanan informasi medis. Namun, penerapan di tingkat fasilitas kesehatan primer masih menghadapi kendala, seperti keterbatasan infrastruktur teknologi, literasi digital tenaga kesehatan, dan interoperabilitas sistem. Puskesmas Pameumpeuk Kabupaten Garut merupakan salah satu fasilitas yang mulai mengadopsi Satu Sehat Mobile, namun belum optimal dalam pemanfaatannya. Kegiatan pengabdian kepada masyarakat ini dilakukan untuk mendampingi tenaga kesehatan dalam menilai dan meningkatkan Digital Maturity Index (DMI) penerapan RME. Metode pelaksanaan meliputi sosialisasi, pelatihan, dan praktik langsung penggunaan DMI untuk mengevaluasi kesiapan infrastruktur, kompetensi SDM, serta integrasi sistem. Evaluasi dilakukan melalui pre-test dan post-test guna mengukur peningkatan pengetahuan peserta. Hasil kegiatan menunjukkan peningkatan pemahaman tenaga kesehatan mengenai indikator DMI, keterampilan penggunaan RME, serta kesadaran terhadap pentingnya keamanan data pasien. Kegiatan ini juga mendorong optimalisasi pemanfaatan teknologi informasi kesehatan di Puskesmas Pameumpeuk, sekaligus memperlihatkan pentingnya sinergi antara perguruan tinggi, fasilitas kesehatan, dan pemerintah daerah. Diharapkan, pendampingan ini dapat berlanjut dengan evaluasi berkala serta penguatan kapasitas digital, sehingga implementasi RME di layanan primer semakin efektif, efisien, dan sesuai regulasi nasional.
Claim Procedure Analysis Health BPJS In Hospital Ida Sugiarti Sugiarti
Indonesian Journal of Health Information Management Vol. 1 No. 2 (2021)
Publisher : Sekolah Tinggi Ilmu Kesehatan Mitra Husada Karanganyar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54877/ijhim.v1i2.21

Abstract

The membership administration procedure factor, the medical resume factor, the diagnosis codification factor and the action codification factor are still obstacles so that they are returned by the BPJS Health verifier. The purpose of the study was to determine the BPJS Health claim procedure at the hospital. Literature research or literature study and qualitative approach. Based on a review of 15 (fifteen) journals, it was found that there are still obstacles in the BPJS Health claim procedure so that the file is returned to the BPJS verifier. As in the case of membership administration procedures, medical resume factors, diagnosis codification factors, and action codification factors. which causes BPJS health files to be returned, namely the absence of Standard Operating Procedures which regulates the factors regarding the collection of documents for BPJS patient registration requirements. Components of author authentication and audit records are not appropriate because there is no signature of medical personnel and there are still empty parts. And the writing of the diagnosis is not specific so that the codification is not accurate and the coder on memorization does not refer to ICD-10 or only sees ICD-10 volume 3 without looking at Referring to volume 1.
Overview of the Accuracy and Completeness of Diagnosis and Procedure Coding for Diabetes Mellitus Cases at Hospital X Ari Sukawan; Ida Sugiarti; Gugun Priyadi; Ayu Rahayu; Diana Barsasella
Media Informasi Vol. 22 No. 1 (2026): February
Publisher : Poltekkes Kemenkes Tasikmalaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37160/mijournal.v22i1.1325

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Background: Complete and accurate medical records are a crucial component in supporting the accuracy of diagnosis coding, particularly for chronic diseases such as Diabetes Mellitus (DM). Incomplete data in medical records can lead to errors in diagnosis coding, which subsequently affects patient management and the quality of healthcare services. Objectives: This study aims to analyze the relationship between the completeness of medical record documentation and the accuracy of DM diagnosis coding at Hospital X. Methods: This study used a quantitative analytical observational design with a cross-sectional approach through observation and analysis of medical record documents. Statistical analysis was performed using the Chi-square test to determine the relationship between documentation completeness and coding accuracy. Results: From 66 medical record samples, it was found that 40 medical records (60.6%) had incomplete diagnosis documentation, while only 26 medical records (39.4%) were completely filled out. Furthermore, the accuracy of diagnosis code assignment also showed suboptimal results, with 42 medical records (63.6%) displaying incorrect code assignment, and only 24 medical records (36.4%) being coded accurately. The findings indicate that complete medical records tend to result in more accurate diagnosis coding. Conclusion: In conclusion, the completeness of medical records has a positive effect on the accuracy of DM diagnosis codes. Therefore, strengthening documentation practices, implementing standard operating procedures (SOPs), and providing regular coding training for medical record personnel are necessary to improve diagnosis coding accuracy and hospital data quality.
Beyond The Screen: Academic Benefits, Student Satisfaction, And The Quality Of Midwife-Patient Interaction After Digital Continuity Of Care (CoC) Learning Yeni Fitrianingsih; Ida Sugiarti; Herni Kurnia
Jurnal Medisci Vol 4 No 1 (2026): Vol 4 No 1 August 2026
Publisher : Ann Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62885/medisci.v4i1.1279

Abstract

Background: Continuity of Care (CoC) is a cornerstone of quality midwifery services and a key strategy for reducing maternal and infant mortality. Integrating mobile Health (mHealth) technology into CoC-based midwifery curricula is intended to strengthen holistic patient monitoring while preserving humanistic, patient-centered communication. Aim: This study evaluated midwifery students' perceived academic benefit and satisfaction after digital CoC learning, and examined the associated quality of midwife-patient interaction and patient satisfaction. Methods: An observational analytic study with a quasi-experimental post-test design was conducted among 51 midwifery students of Poltekkes Kemenkes Tasikmalaya (Cirebon campus) and 51 patients receiving continuity care through the D Kia application across four partner hospitals in Cirebon and Indramayu. Data were collected using structured Likert-scale questionnaires and analyzed descriptively. Results: Students reported very high perceived academic benefit (mean 4.46±0.62) and interaction satisfaction (mean 4.42), while patients rated communication quality (mean 4.52) and satisfaction with CoC (mean 4.50±0.63) as very high. Conclusions: Digital CoC learning was perceived very positively by both students and patients without compromising humanistic communication. Implication: Findings support wider integration of mHealth into midwifery curricula to prepare digitally competent, patient-centered future midwives.
Kesiapan Penggunaan Tanda Tangan Elektronik Tersertifikasi pada Rekam Medis Elektronik di RSU X Tasikmalaya Faridda Az Zahra; Ida Sugiarti
Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda (JIPIKI) Vol. 11 No. 2 (2026): Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda Edisi Agustus
Publisher : Akademi Perekam dan Informasi Kesehatan Imelda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jipiki.v11i2.2234

Abstract

The implementation of electronic medical records requires secure and accountable authentication of medical documents, including certified electronic signatures. At RSU X Tasikmalaya, non-certified electronic signatures were still used, resulting in additional verification processes, particularly in claims. This study aimed to analyze the readiness for implementing certified electronic signatures in electronic medical records at RSU X using the Doctor’s Office Quality-Information Technology (DOQ-IT) framework. A descriptive qualitative design was employed. Four informants representing managerial, medical records, information technology, and admission perspectives were selected using purposive sampling. Data were collected through semi-structured interviews, observations, and document analysis, with source and technique triangulation. The results showed that readiness for implementing certified electronic signatures was not fully optimal across the four DOQ-IT domains. Human resource readiness was suboptimal because training had not been conducted systematically or evenly. Organizational culture was generally adaptive to digital technology, although resistance and shared account practices remained barriers to accountability. Leadership governance was supported by internal policies, cross unit coordination, implementation planning, and budget preparation, but operational procedures had not been established. Technological infrastructure had a technical foundation to support implementation, although infrastructure performance was uneven and individual access controls required strengthening. RSU X was therefore not fully ready for comprehensive implementation of certified electronic signatures. Technical training, transition support, operational SOPs, individual user accounts, and network capacity strengthening are recommended to support secure, consistent, and sustainable implementation.