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All Journal Jurnal Manajemen Informasi Kesehatan Indonesia (JMIKI) Indonesian of Health Information Management Journal (INOHIM) Health Sciences and Pharmacy Journal Surya Medika: Jurnal Ilmiah Ilmu Keperawatan dan Ilmu Kesehatan Masyarakat Bali Medika Jurnal Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda (JIPIKI) Jurnal Sistem Informasi dan Sistem Komputer Jurnal Ilmu Komputer dan Teknologi (IKOMTI) Jurnal Pengabdian Mandiri Jurnal Pengabdian Masyarakat Permata Indonesia Smart Techno (Smart Technology, Informatic and Technopreneurship) Jurnal Yoga Dan Kesehatan Jurnal Kesehatan Terpadu JURNAL KESEHATAN, SAINS, DAN TEKNOLOGI (JAKASAKTI) International Journal of Health, Engineering and Technology Multidisciplinary Indonesian Center Journal Jurnal Rekam Medic
Made Wahyu Aditya Arta
STIKES Wira Medika Bali
Religion Agriculture, Biological Sciences & Forestry Humanities Astronomy Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Chemistry Computer Science & IT Control & Systems Engineering Dentistry Earth & Planetary Sciences Education Electrical & Electronics Engineering Engineering Environmental Science Health Professions Immunology & microbiology Industrial & Manufacturing Engineering Languange, Linguistic, Communication & Media Mechanical Engineering Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary Other

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PENCEGAHAN STUNTING MELALUI PEMBERDAYAAN KELUARGA DALAM POLA ASUH NUTRISI PADA 1000 HARI PERTAMA KEHIDUPAN: Pencegahan Stunting Melalui Pemberdayaan Keluarga Dalam Pola Asuh Nutrisi Pada 1000 Hari Pertama Kehidupan Di Banjar Punduh Kulit Desa Peguyangan Kaja Denpasar Ayu Mirayanti, Ni Ketut; Nova Dilisca , Ni Luh; Putra Pradnyantara, I Gusti Agung Ngurah; Wahyu Aditya, Made
Jurnal Pengabdian Masyarakat Permata Indonesia Vol 7 No 2 (2024): Volume 7 Nomor 2, Oktober 2024
Publisher : Permata Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59737/jpmpi.v7i2.312

Abstract

Pengabdian kepada masyarakat merupakan pelaksanaan pengamalan ilmu pengetahuan, teknologi dan seni budaya langsung pada masyarakat. Upaya Pencegahan Stunting Melalui Pemberdayaan Keluarga Dalam Pola Asuh Nutrisi Pada 1000 Hari Pertama Kehidupanmerupakan upaya untuk meningkatkan derajat kesehatan masyarakat. Upaya untuk meningkatkan status gizi harus dimulai sedini mungkin, tepatnya dimulai dari masa kehidupan janin atau Periode 1000 HPK. Status gizi pada 1000 HPK akan mempengaruhikualitas kesehatan, intelektual, dan produktivitas balita pada masa yang akan datang. Ibu dan bayi memerlukan gizi yang cukup dan berkualitas untuk menjamin status gizi dan status kesehatan (kemampuan motorik, sosial, dan kognitif), kemampuan belajar dan produktivitas balita. Pencegahan stunting harus kita mulai dari unit terkecil dari masyarakat yaitu keluarga. Upaya yang dilakukan yaitu dengan diteksi dini kejadian stunting dan juga pemberian informasi kesehatan dan simulasi pemberian pola asuh nutrisi pada 1000 hari pertama kehidupan.Kegiatan ini akan dilaksanakan selama 3 hari Di Banjar Punduh Kulit Desa Peguyangan Kaja Denpasar.
GAMBARAN PENERAPAN DAN KELENGKAPAN PENGISIAN REKAM MEDIS ELEKTRONIK RAWAT JALAN DI RUMAH SAKIT TK.II UDAYANA DENPASAR Suriawan, I Gde Agus Hendra; Devhy, Ni Luh Putu; Aditya, Made Wahyu
Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda (JIPIKI) Vol. 10 No. 1 (2025): Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda Edisi Februari
Publisher : Akademi Perekam dan Informasi Kesehatan Imelda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jipiki.v10i1.1500

Abstract

Complete medical record files can facilitate other health workers in providing patient care or treatment, and can be used as, a useful source of information for hospital management in determining the evaluation and development of health aservices. The impact of incomplete medical records is delays in the process of filing insurance claims and delays in the orderly administration process. The purpose of this study was to determine the completeness of filling out the Outpatient Electronic Medical Record at Tk.II Udayana Hospital Denpasar. The research method used is quantitative descriptive with a sample of 95 electronic medical records from July to September 2022 using the simple random samplingOmethod. The resultsashowed that 95 (100%) filled out identification completeness and 0 (0%) incomplete, 92 (96.8%) important report filling completeness and 3 (3.2%) incomplete filling, 69 (72.6%) authentication filling completeness) and 26 (27.4%) incomplete, 71 (74.7%) complete correct documentation and 24 (25.3%) incomplete. It can be concluded from the four analyses, the highest completeness of filling out outpatient RME at Tk. II Udayana Hospital Denpasar is found in important identification and reports. Based on the research above, the researchers suggest that hospitals should conduct socialization regarding the completeness of filling in RME to all health workers who are responsible for filling out electronic medical Records.
Pemberdayaan Remaja Dalam Pencegahan Faktor Resiko Stunting Sejak Dini Ni Ketut Ayu Mirayanti; Putra Pradnyantara, I Gusti Agung Ngurah; Ni Luh Nova Dilisca; Wahyu Aditya, Made; Cahya Sari, Lia
Jurnal Pengabdian Masyarakat Permata Indonesia Vol 5 No 2 (2025): Volume 5, Nomor 2, Oktober 2025
Publisher : Permata Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59737/jpmpi.v5i2.356

Abstract

Stunting is a chronic nutritional problem that affects physical growth, cognitive development, and the productivity of future generations. Prevention efforts need to be carried out upstream, including among adolescents who will become future parents. This community service program aimed to empower adolescents in preventing stunting risk factors through knowledge enhancement, nutrition education, and health screening. The program was implemented at Bali Dewata Health Vocational School in June 2025, involving five lecturers and two students from STIKES Wira Medika Bali. The activities included coordination with the school and primary health center, pretest, health education sessions, health screening (blood pressure measurement and medical history), distribution of educational booklets, and a posttest to evaluate knowledge improvement. A total of 61 students participated in the program. The results showed a significant increase in knowledge about stunting prevention, with the proportion of students in the “good” category rising from 50.8% to 88.5%. Health screening also revealed a small number of students with anemia, a condition that may contribute to future stunting in their offspring. This program highlights the crucial role of adolescents as agents of change in stunting prevention through healthy lifestyles, balanced nutrition, and peer education. With the active involvement of schools, health centers, and students, the program successfully improved adolescent awareness of stunting issues and produced outputs in the form of scientific publication and educational media. Continuous monitoring is planned to ensure program sustainability.
BRIDGING DOCUMENTATION GAPS IN ELECTRONIC MEDICAL RECORDS: AN ANALYSIS OF INCOMPLETE MEDICAL ASSESSMENTS AND THEIR CONSEQUENCES FOR INA-CBGS REIMBUREMENT Ika Setya Purwanti; Made Wahyu Aditya
Multidisciplinary Indonesian Center Journal (MICJO) Vol. 2 No. 4 (2025): Vol. 2 No. 4 Edisi Oktober 2025
Publisher : PT. Jurnal Center Indonesia Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62567/micjo.v2i4.1475

Abstract

Electronic Medical Records (EMR) are designed to improve service quality, documentation accuracy, and administrative efficiency, including reimbursement through the Indonesian Case-Based Groups (INA-CBGs). However, incomplete medical assessments remain a challenge, potentially leading to service gaps and reduced hospital claims. This qualitative descriptive study was conducted at Dharma Yadnya General Hospital, Denpasar, which has fully implemented EMR since 2024. Data were obtained through in-depth interviews with five informants: two medical record officers, the head of the emergency nursing unit, the head of the inpatient nursing unit, and the head of the medical record department. Data analysis used the 3M framework: Man, Method, and Material. From the Man aspect, heavy workloads of doctors and the lack of administrative support staff often caused delays and incomplete documentation. From the Method aspect, although Standard Operating Procedures (SOPs) and system reminders existed, monitoring relied mainly on manual follow-ups via WhatsApp groups, limiting effectiveness. From the Material aspect, the EMR system was user-friendly and supported by weekly vendor maintenance, but occasional network disruptions and insufficient administrative staff still hampered real-time documentation. Incomplete medical assessments in EMR directly affect INA-CBGs claims, especially when comorbidities, complications, or procedures are not recorded, resulting in under-coding and reduced reimbursement. Strengthening human resources, enforcing SOPs, and improving system support are essential to ensure documentation completeness, service quality, and financial sustainability
Analisis Financial Losses Akibat Under-reporting Kasus Tuberkulosis di Klinik Swasta Kota Denpasar: Pendekatan Economic Burden dari Perspektif Provider Putra, Gede Wirabuana; Farmani, Putu Eka; Aditya, Made Wahyu; Putri, Putu Chrisdayanti Suada
Indonesian of Health Information Management Journal (INOHIM) Vol 13, No 2 (2025): INOHIM
Publisher : Lembaga Penerbitan Universitas Esa Unggul

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47007/inohim.v13i2.741

Abstract

Abstract Tuberculosis under-reporting in private healthcare facilities creates substantial economic burden that has not been systematically quantified in Indonesia, despite private sector handling 47% of TB cases in Denpasar with discrepancy rate reaching 29.1% between Tuberculosis Information System (SITB) and BPJS Healthcare P-Care. This study aimed to analyze and quantify financial losses due to TB under-reporting in Denpasar private clinics using economic burden approach from provider perspective. Descriptive quantitative study with single case study design and mixed-method approach was conducted at Klinik Pratama Karya Prima during August-December 2025. Data collection included comprehensive economic surveys, in-depth interviews with 5 key informants, SITB data extraction (2022-2024), financial document audits, and 16-hour time-motion study observation. Bottom-up costing analysis was applied to calculate cost components including direct medical costs, direct non-medical costs, indirect costs, and hidden costs. The study revealed significant financial losses of Rp 1,419,500 per unreported TB suspected case, with total annual cost of Rp 1,510,000 while revenue only Rp 90,500 per case (16.7-fold gap). Main cost components included diagnostic examinations (52%), hidden costs (19.9%), and staff time allocation (18.2%). Projection for 147 private clinics in Denpasar reached Rp 17.42 billion annually with estimated 3,260 TB cases systematically unreported. The massive gap between capitation payment system and actual cost requirements demonstrates fundamental misalignment justifying urgent investment in integrated reporting systems and improved incentive mechanisms to optimize TB program economic efficiency in private sector. Abstrak Under-reporting tuberkulosis di fasilitas kesehatan swasta menimbulkan beban ekonomi substansial yang belum dikuantifikasi secara sistematis di Indonesia, padahal sektor swasta menangani 47% kasus TB di Kota Denpasar dengan discrepancy rate mencapai 29,1% antara Sistem Informasi Tuberkulosis (SITB) dan P-Care BPJS Kesehatan. Penelitian ini bertujuan menganalisis dan mengkuantifikasi kerugian finansial akibat under-reporting kasus TB di klinik swasta Kota Denpasar menggunakan pendekatan economic burden dari perspektif provider. Penelitian deskriptif kuantitatif dengan rancangan studi kasus tunggal dan pendekatan mixed-method dilaksanakan di Klinik Pratama Karya Prima periode Agustus-Desember 2025. Pengumpulan data meliputi survei ekonomi komprehensif, wawancara mendalam dengan 5 narasumber kunci, ekstraksi data SITB (2022-2024), audit dokumen keuangan, dan time-motion study selama 16 jam observasi. Analisis bottom-up costing diterapkan untuk menghitung komponen biaya meliputi direct medical costs, direct non-medical costs, indirect costs, dan hidden costs. Penelitian mengungkap kerugian finansial signifikan sebesar Rp 1.419.500 per kasus terduga TB yang tidak dilaporkan, dengan total biaya tahunan Rp 1.510.000 sementara pendapatan hanya Rp 90.500 per kasus (kesenjangan 16,7 kali lipat). Komponen biaya utama meliputi pemeriksaan diagnostik (52%), biaya tersembunyi (19,9%), dan alokasi waktu staf (18,2%). Proyeksi untuk 147 klinik swasta di Denpasar mencapai Rp 17,42 miliar per tahun dengan estimasi 3.260 kasus TB tidak dilaporkan secara sistematis. Kesenjangan massive antara sistem pembiayaan kapitasi dengan kebutuhan biaya aktual menunjukkan ketidaksesuaian mendasar yang membenarkan investasi mendesak dalam sistem pelaporan terintegrasi dan mekanisme insentif yang diperbaiki untuk mengoptimalkan efisiensi ekonomi program TB di sektor swasta.
PENGUATAN LITERASI KESEHATAN REMAJA TENTANG BAHAYA KONSUMSI ALKOHOL MELALUI PENDEKATAN INTERAKTIF, TEKNIK PENGELOLAAN DAN PEMERIKSAAN ALKOHOL URINE, SERTA EDUKASI REKAM MEDIS BERBASIS APLIKASI Ni Luh Nova Dilisca Dwi Putri; Ni Ketut Ayu Mirayanti; Made Wahyu Aditya; Agung Ngurah Putra Pradnyantara; Lia Cahya Sari
JURNAL PENGABDIAN MANDIRI Vol. 5 No. 1 (2026): Januari 2026
Publisher : Bajang Institute

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

Abstract

Konsumsi minuman beralkohol di kalangan remaja merupakan permasalahan kesehatan masyarakat berpotensi menimbulkan dampak kesehatan dan sosial. Rendahnya pengetahuan mengenai bahaya konsumsi alkohol serta minimnya pemahaman tentang deteksi alkohol dan pencatatan hasil pemeriksaan kesehatan menjadi faktor pemdorong perlunya upaya edukatif yang terstruktur. Kegiatan pengabdian kepada masyarakat ini bertujuan meningkatkan pengetahuan dan kewaspadaan remaja terhadap bahaya konsumsi alkohol, memperkenalkan tata cara pengelolaan spesimen urine untuk pemeriksaan kandungan alkohol, serta meningkatkan pemahaman tentang pencatatan rekam medis elektronik di lingkungan sekolah. Kegiatan dilaksanakan pada siswa kelas X melalui penyampaian materi, diskusi, simulasi, serta evaluasi. Hasil kegiatan menunjukkan seluruh peserta menyatakan pentingnya penyuluhan bahaya alkohol. Evaluasi post-test menunjukkan peningkatan tingkat pengetahuan siswa tentang bahaya konsumsi alkohol dengan kategori baik sebesar 91%. Pemahaman siswa mengenai pengelolaan spesimen urine dan pemeriksaan alkohol secara kualitatif berada pada kategori baik sebesar 87%. Peningkatan pengetahuan juga terjadi pada aspek pencatatan rekam medis elektronik dengan kategori baik sebesar 90%. Kegiatan ini terbukti efektif dalam meningkatkan pengetahuan, wawasan, dan pemahaman remaja mengenai bahaya alkohol, deteksi alkohol melalui urine, serta pentingnya pencatatan kesehatan yang baik. Pengabdian masyarakat ini diharapkan dapat menjadi langkah preventif dalam upaya peningkatan kualitas kesehatan masyarakat melalui pemberdayaan remaja sebagai agen perubahan di lingkungan sekolah dan Masyarakat.
Edukasi Kerahasiaan Rekam Medis Sebagai Upaya Peningkatan Mutu Pelayanan Kesehatan Dan Pencegahan Stunting Pada Siswa SMK Kesehatan Putra Pradnyantara, I Gusti Agung Ngurah; Ni Ketut Ayu Mirayanti; Luh Nova Dilisca Dwi Putri, Ni; Wahyu Aditya, Made; Cahya Sari, Lia
Jurnal Pengabdian Masyarakat Permata Indonesia Vol 6 No 1 (2026): Volume 6, Nomor 1 , April 2026
Publisher : Permata Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59737/jpmpi.v6i1.384

Abstract

Medical record confidentiality is a fundamental component of healthcare services that ensures patient data protection and strengthens public trust in healthcare institutions. In the era of digital health transformation, awareness and understanding of data security among future health workers remain essential, particularly in supporting stunting prevention programs that rely on accurate and protected health data. This community service activity aimed to improve participants’ knowledge and awareness regarding the importance of medical record confidentiality. The program was conducted through preparatory activities, interactive educational sessions, and evaluation using pre-test and post-test methods. The results demonstrated an increase in participants’ knowledge, as indicated by higher post-test scores compared to pre-test results, along with active engagement during the sessions. The outputs of this activity included educational materials, activity documentation, and planned scientific publication. This program contributes to promoting safe, ethical, and data-driven healthcare services while supporting stunting prevention efforts. Keywords: medical record confidentiality, health services, data security, community service, stunting prevention.
The 5M Approach to Analyse RME Downtime Factors in the Registration and Admission Unit at Udayana Type II Military Hospital, Denpasar Ni Wayan Sriluna Astari; Made Wahyu Aditya; A.A Gde Oka Widana
JURNAL KESEHATAN, SAINS, DAN TEKNOLOGI (JAKASAKTI) Vol. 5 No. 1 (2026): JURNAL KESEHATAN, SAINS, DAN TEKNOLOGI (JAKASAKTI)
Publisher : LPPM Universitas Dhyana Pura

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Abstract

Downtime in the Electronic Medical Records (EMR) system at Udayana Level II Military Hospital has reduced the effectiveness of outpatient services. System disruptions in the registration and admission units have led to long queues and increased the risk of medical errors.  This study aims to analyze the causes of this downtime using the 5M management approach (Man, Money, Material, Machine, Method). A descriptive qualitative method was employed. Data were collected through direct observation and in-depth interviews with key informants in the relevant units. Interview guidelines were used as instruments to explore operational constraints in each of the 5M elements. The results revealed that downtime was caused by limited digital competencies of staff (Man), outdated computer specifications (Machine), and network disruptions due to adverse weather conditions (Material). Additionally, inefficient manual transition workflows (Method) and bureaucratic obstacles in the implementation of the IT budget (Money) were identified as critical contributing factors contributing to the disruptions. That the dominant factors causing downtime lie in the Man, Machine, and Material aspects, supported by the Method and Money factors; therefore, integrated improvements are needed to enhance system reliability and service quality. It is recommended that management streamline the bureaucracy surrounding equipment repairs, upgrade hardware, provide UPS systems, and offer self-mitigation training to staff to ensure uninterrupted service.
EVALUATION OF DIGITAL HEALTH INFORMATION SYSTEMS IN THE MANAGEMENT OF MEDICAL RECORDS WITH HOT-FIT METHOD IN GENERAL HOSPITALS DHARMA YADNYA Gusti Ayu Dhea yutrisna; I Gusti Agung Ngurah Putra Pradnyantara; Made Wahyu Aditya
JURNAL KESEHATAN, SAINS, DAN TEKNOLOGI (JAKASAKTI) Vol. 5 No. 1 (2026): JURNAL KESEHATAN, SAINS, DAN TEKNOLOGI (JAKASAKTI)
Publisher : LPPM Universitas Dhyana Pura

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

Abstract

The implementation of a digital health information system in improving the quality of hospital services, especially in the management of electronic medical records (ERM). Although it has been implemented, various obstacles are still found such as system disruptions, delays in data input, and limited user capabilities. Therefore, this study is aimed evaluate the digital health information system in medical record management using the HOT-Fit method at Dharma Yadnya General Hospital. The study method used is a qualitative descriptive study with a case study approach. Data collection was carried out through in-depth interviews. The number of Participants is 25 informants the EMR system. Out of those participants, 7 key informants were selected using a purposive sampling technique based on certain criteria, namely officers who were directly involved and had experience in using the system. The selection of informants was carried out until data saturation was achieved (data saturation), observation, and documentation of several informants involved in using the system. Data analysis was carried out by referring to the HOT-Fit model components, namely human, organizational, technological, and net benefit aspects. The results of the study showed that from the human aspect, users felt the system helped their work. From an organizational perspective, management and policy support are in place, but monitoring and evaluation are not yet optimal. From a technological perspective, the system is considered quite good, but technical challenges such as errors and downtime persist. The conclusion of this study is that the implementation of the digital health information system at Dharma Yadnya General Hospital has been quite successful, but not optimal in several HOT-Fit aspects. Improved human resource training, strengthened organizational support, and improved technological infrastructure are needed to optimize the system's benefits.
Co-Authors a Dwi Putri, Ni Luh Nova Dilisca A.A Gde Oka Widana Adiputra, I Made Sudarma Ayu Mirayanti, Ni Ketut Farmani, Putu Eka Gede Wirabuana Putra Gristiari, Ni Made Piar Gusti Ayu Dhea yutrisna I Gede Aris Gunadi I Gusti Agung Ngurah Putra Pradnyantara I Km. Wahyu Yuda Arimika I Made Ardha Premana Mitha I Made Edy Listartha I Nyoman Kuta Susila I Nyoman Sukajaya Ika Setya Purwanti Jayanti, Pande Komang Astami Ketut Ayu Mirayanti , Ni Ketut Ayu Mirayanti, Ni Luh Nova Dilisca Dwi Putri, Ni Luh Nova Dilisca, Ni Ni Ketut Ayu Mirayanti Ni Luh Nova Dilisca Ni Luh Putu Devhy Ni Luh Putu Devhy, Ni Luh Putu NI MADE PIAR GRISTIARI Ni Nyoman Novia Marheni Ni Wayan Sriluna Astari Nova Dilisca , Ni Luh Nurul Faidah Pandini, Putu Kanaya Aning Parwata, Made Mahesa Adi Putri, Ni Luh Nova Dilisca Dwi Putri, Putu Chrisdayanti Suada Sang Made Baskara Dinata Sari, Lia Cahya Suriawan, I Gde Agus Hendra