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All Journal JAIS (Journal of Applied Intelligent System) Jurnal Manajemen Informasi Kesehatan Indonesia (JMIKI) Tedc
Rizqy Dimas Monica
Politeknik TEDC Bandung
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BEBAN KERJA PETUGAS FILING TERHADAP RATA-RATA WAKTU PENYEDIAAN DOKUMEN REKAM MEDIS RAWAT JALAN Rizqy Dimas Monica; Fathia Mawar Firdaus; Intan Puji Lestari; Yesti Suryati; Dini Rohmayani; Ayu Hendrati
Jurnal Manajemen Informasi Kesehatan Indonesia (JMIKI) Vol 3, No 2 (2015)
Publisher : Asosiasi Perguruan Tinggi Rekam Medis dan Informasi Kesehatan Indonesia- APTIRMIKI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33560/.v3i2.90

Abstract

AbstractThe number of officers in RSUI Yakssi Filing Gemolong Sragen as many as 5 people. Based on the preliminary survey, the average time of provision of outpatient medical record documents in RSUI Yakssi Gemolong Sragen is 13.5 minutes in which time is not in accordance with minimum service standards set by the Minister of Health No: 129 / Menkes / SK / II / 2008. The purpose of this study was to determine the effect of workload attendant to the average filing time provision of medical record documents in RSUI Yakssi Gemolong Sragen. This type of research is analytic research by testing the effect of workload attendant to the average filing time provision of medical record documents in RSUI Yakssi Gemolong Sragen. Data collection methods used were observation and interviews, while the instruments used are guidelines for observation, interview and observation time of provision of the document sheet. The data obtained will be analyzed bivariate with Simple Linear Regression. The analysis showed that the workload of officers filing very strong influence on the average time providing outpatient medical record documents in RSUI Yakssi Gemolong Sragen. Based on the analysis, the authors provide suggestions for RSUI Yakssi Gemolong Sragen in order to analyze the workload and labor requirements in the filing, made the job description for each piece and give motivation to the filing officer to speed up the provision of medical record documents.Keywords: Workload, Filing Officer, Document Delivery TimeAbstrakJumlah petugas Filing di RSUI Yakssi Gemolong Sragen sebanyak 5 orang. Berdasarkan survei pendahuluan, rata-rata waktu penyediaan dokumen rekam medis rawat jalan di RSUI Yakssi Gemolong Sragen adalah 13,5 menit di mana waktu tersebut belum sesuai dengan standar pelayanan minimal yang ditetapkan oleh KepMenKes RI No: 129/Menkes/SK/II/2008. Tujuan penelitian ini adalah untuk mengetahui pengaruh beban kerja petugas filing terhadap rata-rata waktu penyediaan dokumen rekam medis di RSUI Yakssi Gemolong Sragen. Jenis penelitian yang digunakan adalah penelitian analitik dengan menguji pengaruh beban kerja petugas filing terhadap rata-rata waktu penyediaan dokumen rekam medis di RSUI Yakssi Gemolong Sragen. Metode pengumpulan data yang digunakan yaitu observasi dan wawancara, sedangkan instrumen yang digunakan adalah pedoman observasi, pedoman wawancara dan lembar pengamatan waktu penyediaan dokumen. Data yang diperoleh akan dianalisis bivariat dengan Regresi Linier Sederhana. Hasil analisis menunjukkan bahwa beban kerja petugas filing berpengaruh sangat kuat terhadap rata-rata waktu penyediaan dokumen rekam medis rawat jalan di RSUI Yakssi Gemolong Sragen. Berdasarkan hasil analisis tersebut, penulis memberikan saran untuk RSUI Yakssi Gemolong Sragen agar melakukan analisis beban kerja dan kebutuhan tenaga kerja di filing, membuat job description untuk masing-masing bagian dan memberikan motivasi kepada petugas filing untuk meningkatkan kecepatan penyediaan dokumen rekam medis. Kata kunci:Beban Kerja, Petugas Filing, Waktu Penyediaan Dokumen
Analisis Perbedaan Tarif Riil Rumah Sakit dengan Tarif Ina-CBG’s Berdasarkan Kelengkapan Medis Pasien Rawat Inap pada Kasus Persalinan Sectio Caesarea guna Pengendalian Biaya Rumah Sakit TNI AU Dr. M. Salamun Bandung Rizqy Dimas Monica; Fathia Mawar Firdaus; Intan Puji Lestari; Yesti Suryati; Dini Rohmayani; Ayu Hendrati
Jurnal Manajemen Informasi Kesehatan Indonesia (JMIKI) Vol 9, No 1 (2021)
Publisher : Asosiasi Perguruan Tinggi Rekam Medis dan Informasi Kesehatan Indonesia- APTIRMIKI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33560/jmiki.v9i1.289

Abstract

Berdasarkan studi pendahuluan yang dilakukan penulis di Instalasi Rekam Medis RS AU TNI Dr. M. Salamun Bandung, ditemukan perbedaan tarif riil rumah sakit dan tarif INA-CBG’s yang dilihat dari software INA-CBG’s terhitung dari bulan Januari sampai dengan Desember Tahun 2019 memiliki perbedaan tarif yang signifikan sehingga dapat menyebabkan kerugian pada pihak rumah sakit.Metode penelitian yang digunakan adalah metode deskriptif dengan pendekatan kuantitatif. Teknik pengumpulan data yaitu dengan observasi, wawancara, studi kepustakaan, dan dokumentasi. Instrumen penelitian menggunakan tabel pengolah data, pedoman wawancara, dan alat tulis.Hasil penelitian dari 77 pasien rawat inap pada kasus persalinan sectio caesarea yang diteliti penulis menemukan 4 pasien (5,20%) yang tarif INA-CBG’s melebihi tarif riil rumah sakit, dan 73 pasien (94,80%) yang tarif INA-CBG’s kurang dari tarif riil rumah sakit. Hal ini menunjukan bahwa selisih antara tarif riil rumah sakit dengan tarif INA-CBG’s tidak sedikit sehingga dapat merugikan bagi rumah sakit, maka rumah sakit harus melakukan pengendalian biaya dengan menerapkan standarisasi pelayanan agar biaya rumah sakit menjadi efisien dan mengurangi variasi dalam pelayanan sehingga biaya lebih mudah di prediksi serta pelayanan lebih terstandarisasi. Kesimpulan dan saran yang diberikan sebaiknya upaya pengendalian biaya dengan menerapkan standarisasi pelayanan dan melakukan evaluasi bulanan dengan pihak terkait baik dokter yang memberikan pelayanan atau seluruh PPA (Profesional Pemberi Asuhan) terhadap pasien rawat inap kasus persalinan sectio caesarea serta reward dan punishment terhadap pelaksanaan standarisasi pelayanan. Kata Kunci : Tarif riil rumah sakit, tarif INA-CBG’s, Persalinan, Sectio CaesareaKepustakaan: 56, 2004-2020
ANALISIS KELENGKAPAN PENGISIAN SURAT BUKTI PELAYANAN KESEHATAN PASIEN RAWAT JALAN GUNA MENUNJANG PROSES KLAIM DI RSUP DR HASAN SADIKIN BANDUNG Rizqy Dimas Monica
Jurnal TEDC Vol 14 No 1 (2020): Jurnal TEDC
Publisher : UPPM Politeknik TEDC Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (95.011 KB)

Abstract

Based on the results of the preliminary study conducted by the author in RSUP Dr Hasan Sadikin Bandung There are several issues of claim, one of which is the receipt of the letter of health care. The incompleteness of the letter of Health service evidence during January is 145 files. This method of research uses a descriptive research method with a quantitative approach. Observation data collection techniques, interviews, documentation studies. Research instruments use interview guidelines and stationery. The results of the author's research, that the central General Hospital Dr. Hasan Sadikin Bandung in the outpatient service unit there are 145 files of incomplete health service evidence and even some do not contain, the absence is in the signature and the name of the doctor also the patient, and there is no diagnostic writing on the sheet. Therefore, the medical record officer is impeded in the process of recording the diagnosis and data input in the INA-CBGs, because it must return the SCPC to the relevant party to be filled and equipped first before finally returned to the medical officer to do the claim. So that the process of claim is not yet running optimally.
ANALISIS KEBUTUHAN SUMBER DAYA MANUSIA DI INSTALASI REKAM MEDIS BERDASARKAN TEORI WORKLOAD INDICATORS OF STAFF NEED (WISN) GUNA MENUNJANG EFEKTIVITAS KERJA DI RUMAH SAKIT TNI AU DR. M. SALAMUN BANDUNG Rizqy Dimas Monica; Encep Hada
Jurnal TEDC Vol 16 No 2 (2022): JURNAL TEDC
Publisher : UPPM Politeknik TEDC Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (344.231 KB)

Abstract

Berdasarkan hasil studi pendahuluan, wawancara dan observasi sebelumnya yang dilakukan penulis terdapat 18 orang petugas instalasi rekam medis, beberapa bagian dari kegiatan rekam medis terdapat petugas yang merangkap pekerjaan seperti pada bagian coding, assembling dan analisis menjadi bagian pendaftaran sehingga mengakibatkan pekerjaan yang diterima petugas mengalami penumpukan sampai 10 berkas rekam medis (0,1%). Metode penelitian yang digunakan adalah metode deskriptif pendekatan kuantitatif. Teknik pengumpulan data yang digunakan yaitu wawancara tidak berstruktur, observasi dan studi dokumentasi. Hasil penelitian perhitungan sumber daya manusia berdasarkan teori WISN pada bagian pendaftaran rawat jalan dan rawat inap dibutuhkan sebanyak 8 orang sedangkan jumlah petugas yang tersedia hanya 2 orang sehingga perlu penambahan sebanyak 6 orang, untuk bagian yang lainnya seperti case mix rawat jalan dan rawat inap membutuhkan 1 orang telah terpenuhi, assembling, analisis membutuhkan 1 orang telah terpenuhi, coding 1 orang telah terpenuhi dan bagian filling 6 orang telah terpenuhi. Sebaiknya dalam rapat evaluasi pelayanan yang dilaksanakan 1 kali dalam sebulan membahas mengenai sumber daya manusia agar tidak adanya sumber daya manusia yang merangkap pekerjaan dan menimbulkan penumpukan pekerjaan serta memonitoring dan melakukan evaluasi rutin agar setiap permasalahan yang terjadi bisa diantisipasi dan diselesaikan dengan baik.
Expert System of Facial Skin Type Diagnosis and Skincare Recommendation Based on Certainty Factor Dadan Saepul Ramdan; Castaka Agus Sugianto; Rizqy Dimas Monica
Journal of Applied Intelligent System Vol 7, No 3 (2022): Journal of Applied Intelligent System
Publisher : Universitas Dian Nuswantoro and IndoCEISS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33633/jais.v7i3.7150

Abstract

Facial treatment is an important need for everyone because the first sight of meeting someone is to see their face. Generally, facial skin type is just normal skin. However, several factors such as the environment, air, food, facial hygiene, and so on can affect the type of human facial skin. In this experiment, there were 5 types of facial skin, namely normal skin, dry skin, oily skin, combination skin, and sensitive skin. With the existence of various skin types, it makes some people confused in determining the type of facial skin. This also affects the selection of skincare or facial care according to the indications of each facial skin. Therefore an expert system was created to diagnose facial skin types. An expert system is a man-made system that is used to solve problems like an expert with knowledge from human to computer, although it does not give 100% absolute results, but expert systems are still helpful.
TINJAUAN FAKTOR PENYEBAB TERJADINYA DUPLIKASI REKAM MEDIS GUNA MENUNJANG KUALITAS PELAYANAN DI BAGIAN FILLING RSUD BANDUNG KIWARI Encep Hada; Rizqy Dimas Monica; Feby Alin Aliana
Jurnal TEDC Vol 17 No 3 (2023): JURNAL TEDC
Publisher : UPPM Politeknik TEDC Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70428/tedc.v17i3.746

Abstract

The results of a preliminary study at the Bandung Regional General Hospital Kiwari in the March – December 2022 Service found 78 duplicated medical records unsustainable medical record Data and inefficient resources are prone to duplication of medical records so that it can hinder the service process in the filling section. The purposeof this study is to determine the factors that cause duplication of medical records in order to support the quality of Service in the filling of hospitals in Bandung Kiwari.The research method used is a descriptive method with a qualitative approach. Data collection techniques with observation, literature studies and documentation. Instruments in the study using interview guidelines, recording equipment, stationery, Cheklist sheet.The results ofthe implementation of medical record storage using centralization and numbering of medical records using the unit system (unit numbering system) but for the implementation process is not good enough. Factors causing duplication of medical records in hospitals in Bandung Kiwari is the lack of communication between officers, limited inventory of medical records document folder and medical records of patients who were not found. The effort made by the hospital is to increase the accuracy of the officers through the training of checking back on the expedition SIMRS, and if the medical record is not found then a temporary file is made. It is recommended that communication be improved for coordination and improving the knowledge of employees whose qualifications are not suitable through formal and non-formal education.
ANALISIS PENDING KLAIM BPJS GUNA MENUNJANG KELANCARAN KLAIM JKN DI RSAU LANUD SULAIMAN BANDUNG Intan Pujilestari; Rizqy Dimas Monica; Rina Indriyani
Jurnal TEDC Vol 17 No 3 (2023): JURNAL TEDC
Publisher : UPPM Politeknik TEDC Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70428/tedc.v17i3.743

Abstract

Health services as a sub-component of the national health system that have direct contact with the community. In order to realize good and quality health services, the government is responsible for the implementation of public health insurance through the National Health Insurance through claims pending or delayed claims from the BPJS to the hospital. In July to September there were pending claims of 68 out of 1912 files resulting in delays in payment of Rp. 83,561,200. The purpose of this study is to find out the pending BPJS claims to support the smooth running of JKN claims at the Sulaiman Air Force Hospital in Bandung. The research method used is descriptive method with a quantitative approach. Data collection techniques used are observation, interviews and documentation studies. The population in this study is the pending BPJS claim files for 2021, with a sample of 211 outpatient pending files and 80 inpatient files. The sampling technique is saturated sampling. The results of the author's research, there is no written SOP regarding the implementation of claims at the hospital. The sample of pending BPJS claim data on outpatient care was 211 (3%) from 7016 files and inpatient care was 80 (10.16%) from 787 files. The occurrence of pending claims will affect the smoothness of the conformity of the payment amount submitted to the JKN. The average suitability of payment of outpatient claims was 96.8% and 89.84% for inpatient care. The cause of pending is due to coding, medical, and administrative factors. The author's conclusions and suggestions are that there is no written SOP regarding the implementation of claims, it is better to make a procedure for implementing claims in writing. Pending claims occur due to incomplete claim requirements so that they can hinder the smooth payment of claims submitted. It is better to conduct socialization and regular meetings to all relevant parties regarding claim procedures and claim settlement.
TINJAUAN KETIDAKLENGKAPAN PENGISIAN ASESMEN AWAL MEDIS RAWAT INAP PASIEN BEDAH GUNA MENUNJANG KUALITAS INFORMASI REKAM MEDIS DI RSUD AL IHSAN PROVINSI JAWA BARAT Rizqy Dimas Monica; Intan Pujilestari; Sabila Nopiyanti
Jurnal TEDC Vol 17 No 3 (2023): JURNAL TEDC
Publisher : UPPM Politeknik TEDC Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70428/tedc.v17i3.744

Abstract

The importance of the completeness of filling in the Initial Medical Assessment is one indicator of the quality of information in the medical record file, which according to Kepmenkes 129 / Menkes / SK / II / 2008 states that the completeness of filling in medical record files must be filled in 24 hours after completion of medical services in the hospital is 100%. Based on the results of preliminary studies conducted, the authors took a sample of medical record files of surgical patients in February as many as 30 files, out of 30 files there were 20 files (66.66%) of the patient's initial medical assessment form that had not been completely filled in. The purpose of this study was to determine the completeness of filling out the initial medical assessment of surgical patient hospitalization. The research method used is descriptive method with quantitative approach. The population in this study was the initial medical assessment form for inpatient surgical patients in November-January 2023 at Al Ihsan Hospital, West Java Province, totaling 209 files. The sample taken from the population was 68 samples. The data collection techniques used were observation, interview, and documentation. The results of the research conducted by the author, showed that of the 68 samples of initial medical assessment sheets in November-January 2023, namely for the completeness of filling out the initial medical assessment in the patient identification variable of 50 files (74%). The variable of filling in reports / important notes amounted to 35 files (51%). Author authentication variable of 55 files (81%). The variable of good and correct recording was 67 files (98%) and the average completeness of filling out the initial medical assessment form for inpatient surgical patients in November-January 2023 was 76%.
TINJAUAN PELAKSANAAN SISTEM PENYIMPANAN REKAM MEDIS RAWAT JALAN GUNA MENUNJANG MUTU PELAYANAN DI RUMAH SAKIT UMUM PINDAD BANDUNG Rizqy Dimas Monica; Intan Pujilestari; Hasna Khoenunisa
Jurnal TEDC Vol 17 No 1 (2023): JURNAL TEDC
Publisher : UPPM Politeknik TEDC Bandung

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

Abstract

Abstrak Penyimpanan rekam medis dikatakan baik apabila ruangan dapat menjamin sistem penyimpanan dan pemeliharaan, Apabila data disimpan dengan baik dan benar maka dapat meningkatkan pelayanan kesehatan di rumah sakit tersebut. Berdasarkan studi pendahuluan penulis menemukan permasalahan pada pendistribusian danpenyimpanan yaitu ditemukan 2 berkas belum dikembalikan lebih dari 1x24 jam, 3 berkas rekam medis yang salah simpan, berkas rusak dari 1 rak kecil. Penelitian ini bertujuan untuk mengetahui tentang tinjauan pelaksanaan sistem penyimpanan rekam medis rawat jalan guna menunjang mutu pelayanan di rumah sakit umum pindad. Metode Penelitian yang digunakan adalah Kuantitatif pendekatan Deskriptif. Teknik pengumpulan data pada penelitian antara lain: Observasi, wawancara, dokumentasi, dan studi kepustakaan. Salah satu tolak ukur dalam meningkatkan mutu pelayanan adalah ketepatan waktu. Berdasarkan penelitian di Rumah Sakit Umum Pindad Bandung sudah mempunyai Standar Operasional Prosedur, namun pelaksanaanya belum memenuhi dengan standar yang telah ditetapkan oleh rumah sakit dalam sistem penjajaran menggunakan sistem semi terminal tidak sesuai dengan standar prosedur sistem terminal digit. Terdapat 6 berkas belum dikembalikan, 7 berkas salah simpan, 213 berkas rusak dari 1 rak kecil. Juga hasil rekapitulasi penyediaan rekam medis rawat jalan kurang dari 10 menit sebanyak 85 berkas dan yang lebih dari 10 menit sebanyak 14 berkas dan di peroleh rata-rata satu orang dalam penyediaan berkas yaitu ≥10 menit 30 detik , belum sesuai dengan standar yang telah ditentukan. Saran penulis adalah, pengembalian rawat jalan 1x24 jam setelah dilakukan pelayanan pasien, dilakukan sosialisasi kembali standar prosedur operasional, mengganti berkas yang rusak. Kata kunci : Penyimpanan, Rekam Medis, Mutu Pelayanan, Rawat Jalan
TINJAUAN KELENGKAPAN KODE DIAGNOSA PADA JURNAL PASIEN RAWAT INAP TAHUN 2020 GUNA MENUNJANG PELAPORAN RL 4A DI RUMAH SAKIT TK II DUSTIRA Rizqy Dimas Monica; Intan Pujilestari; Ayu Hendrati Rahayu; Gerinata Ginting
Jurnal TEDC Vol 17 No 2 (2023): JURNAL TEDC
Publisher : UPPM Politeknik TEDC Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70428/tedc.v17i2.707

Abstract

Berdasarkan studi pendahuluan yang dilakukan oleh penulis pada bulan Februari 2021, diambil dari sampel bulan Januari 2020 sebanyak 3.729 pasien dirawat inap dengan ketidaklengkapan kode diagnosa sebanyak 67 berkas dengan persentase 1,8%, ketidakakuratan kode diagnosa sebanyak 10 berkas dengan persentase 0,3%, dan ketidaktepatan waktu pelaporan sebanyak 67 berkas dengan persentase 1,8%. Tujuan penelitian ini adalah untuk mengetahui kelengkapan kode diagnosa pada jurnal pasien rawat inap tahun 2020 guna menunjang pelaporan rl 4a di Rumah Sakit TK II Dustira. Metode penelitian yang digunakan penulis adalah metode deskriptif dengan pendekatan kuantitatif. Hasil penelitian penulis dari sampel bulan Januari s/d Desember 2020 dengan total 23.006 sampel pasien rawat inap dengan jumlah hari perawatan sebanyak 89.800 hari. Dengan kelengkapan kode diagnosa pasien rawat inap yang terisi lengkap sebanyak 98%, keakuratan kode diagnosa pasien rawat inap sebanyak 99,85%, dan ketepatan waktu pelaporan pasien rawat inap sebanyak 98%, sehingga ketidaklengkapan kode diagnosa mempengaruhi ketepatan waktu pelaporan rl 4a pasien rawat inap tahun 2020. Kesimpulan dari penulis yaitu ketidaklengkapan kode diagnosa, ketidakakuratan kode diagnosa mempengaruhi ketepatan waktu pelaporan rl 4a pasein rawat inap tahun 2020, dimana masih terdapat ketidaklengkapan kode diagnosa mencapai diangka 500 berkas rekam medis. Kata kunci : Kelengkapan, Pelaporan RL 4a, Rawat Inap, Kode Diagnosa
Co-Authors Apriani Arshad Ayu Hendrati Ayu Hendrati Rahayu Dadan Saepul Ramdan Dini Rohmayani Encep Hada Encep Hada Fathia Mawar Firdaus Feby Alin Aliana Gerinata Ginting Gina Siti Rachmawati Hasna Khoenunisa Intan Puji Lestari Intan Pujilestari Intan Pujilestari Neni Rohaeni Rina Indriyani Sabila Nopiyanti Sugianto, Castaka Agus Widia Ratiana Yesti Suryati