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All Journal jurnal abdimas saintika Indonesian Journal of Health Information Management Services (IJHIMS) Jurnal Rekam Medis dan Informasi Kesehatan Indonesia Miracle Get Journal
Yulfa Yulia
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Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Health Professions Nursing Public Health Social Sciences Veterinary

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PENERAPAN SISTEM INFORMASI MANAJEMEN PUSKESMAS (SIM-PUS) PADA UNIT REKAM MEDIS DAN INFORMASI KESEHATAN DI PUSKESMAS LUBUK BUAYA KOTA PADANG Deni Maisa Putra; Dicho Zhurhriano Yasli; Oktamianiza Oktamianiza; Devid Leonard; Yulfa Yulia
Jurnal Abdimas Saintika Vol 2, No 2 (2020): November Jurnal Abdimas Saintika
Publisher : Stikes Syedza Saintika Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30633/jas.v2i2.824

Abstract

Sistem rujukan yang terdapat pada puskesmas menggunakan sebuah sistem informasi yang biasa dinamakan SIMPUS. Sistem Informasi Manajemen Puskesmas merupakan suatu tatanan atau peralatan yang menyediakan informasi untuk membantu proses manajemen puskesmas dalam mencapai sasaran kegiatannya (Depkes RI, 1997). Sistem informasi di Puskesmas banyak dikembangkan untuk mengatasi permasalahan sepertinya pengimputan data Rekam Medis sebagai sumber data primer yang digunakan untuk mengolah data asuhan medis menjadi statistik kesehatan. Oleh karena itu seorang perekam medis dituntut untuk bisa mengelola data yang ada sehingga menghasilkan sebuah informasi. Sistem informasi merupakan sarana untuk menyediakan informasi yang berguna dalam pengambilan keputusan organisasi dan menambah pengetahuan sehingga dapat mengurangi ketidak pastian bagi para pemakai informasi (Deni Maisa Putra & Dila Vadriasmi, 2020). Tahap PKM diawali dengan penjajakan dan studi pendahuluan dalam rangka pengumpulan data, permohonan izin lahan, dan kesepakatan terkait MOU yang akan dibahas. Persiapan kegiatan PKM dalam bentuk pembekalan ilmu pengetahuan, praktek terhadap penerapan SIMPUS yang ada di Puskesmas setelah mendapatkan izin dari Dinas Kesehatan Kota Padang, pelaksanaan PKM dilaksanakan selama 3 hari (15, 16, 17 Agustus 2019). Kegiatan PKM ini diharapkan dapat menghasilkan peningkatan pengetahuan dan bisa memberikan kontribusi terhadap petugas rekam medis untuk melih meningkatkan skill dalam penerapan SIMPUS.Kata kunci : SIMPUS, Rekam Medis, Puskesmas
TINJAUAN KETIDAKLENGKAPAN PENGISIAN FORMULIR RINGKASAN MASUK DAN KELUAR REKAM MEDIS RAWAT INAP PADA PENYAKIT HIPERTENSI DI RSUD LUBUK BASUNG Yulfa Yulia; Oktamianiza Oktamianiza; Dian Sari; Kalasta Ayunda Putri; Vitratul Ilahi; Gopinda Deska Putra
Jurnal Rekam Medis dan Informasi Kesehatan Indonesia Vol. 1 No. 2 (2022): Jurnal Rekam Medis dan Informasi Kesehatan Indonesia
Publisher : program studi Rekam Medis dan Infomasi Kesehatan ITSK RS dr Soepraoen Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/jurmiki.v1i2.12

Abstract

The admission and discharge summary is a medical record form that is used to record a summary of the course of the disease from the time the patient entered the hospital until the patient was discharged. The research used is quantitative research with a descriptive approach. Data collection was carried out at Lubuk Basung Regional Hospital from 27 May to 1 July 2023 and the sample consisted of 88 entry and discharge summary forms from the medical records of patients suffering from hypertension. Research through observation with a checklist table. Computerization is used to process data and carry out univariate analysis. The research results showed that there were still incomplete filling out of the entry and discharge summary forms on patient identification items (40.9%), important patient reports (20.5%), patient authentication (12.5%), good record keeping (15.9%). ), and scribbled and clearly legible (17.05%). The results showed that the summary form for admission and discharge for hypertensive patients was still incomplete. In conclusion, this shows that the summary form for admission and discharge for hypertensive patients is still incomplete. It is recommended to carry out evaluations and reviews, as well as outreach and evaluation with doctors, nurses and other related personnel. It mainly deals with the quantitative analysis of incoming and outgoing summary forms.
SOSIALISASI KELENGKAPAN PENGISIAN DATA PENUNJANG MEDIS TERHADAP KEJADIAN PENDING KLAIM DI RST. REKSODIWIRYO PADANG 2023 Yulfa Yulia; Oktamianiza; Sari, Dian; Ayunda Putri, Kalasta; Ilahi, Vitratul; Permata Sari, Ayu
Indonesian Journal of Health Information Management Services Vol. 4 No. 2 (2024): Indonesian Journal of Health Information Management Services (IJHIMS)
Publisher : APTIRMIKI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33560/ijhims.v4i2.91

Abstract

Rumah Sakit TK. III Dr. Reksodiwiryo Padang masih terdapat pending klaim rawat inap salah satupermasalahnya adalah ketidaklengkapan data penunjang medis rekam medis rawat inap. Tujuan kegiatan inisosialisasi kelengkapan data penunjang medis terhadap kejadian pending klaim rawat inap di Rumah Sakit TK.III Dr. Reksodiwiryo Padang, dengan mengadakan sosialissai kepada tenaga kesehatan terhadap pengisiankelengkapan dari data penunjang medis. Pengabmas dilaksanakan selama 3 hari berturut-turut dengan melibatkan 5 (lima) orang mahasiswa untuk membantu dalam pelaksaan kegiatan kepada tenaga medis.Hasil data yang tidak lengkap menunjukkan dari 76 rekam medis rawat inap di dapatkan 40(52.6%) rekam medisyang tidak lengkap data penunjang medis dan 40 (52.6%) rekam medis yang tidak diterima oleh pihak BPJS.Disarankan petugas rekam medis lebih memperhatikan terkait kelengkapan formulir hasil penunjang medis yangharus diisi dan dilampirkan agar menunjang proses pengklaiman system INA-CBGs di rumah sakit.
Overview of Incompleteness of Filling Out Summary Forms of in- and Outpatient Medical Records on Hypertension in RSUD Lubuk Basung Yulfa Yulia; Dian Sari; Oktamianiza; Mila Sari; Vitratul Ilahi; Kalasta Ayunda; Gopinda Deska Putra
Miracle Journal Get Press Vol 1 No 2 (2024): May, 2024
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/mgj.v1i2.37

Abstract

The admission and discharge summary is a medical record form that is used to record a summary of the course of the disease from the time the patient entered the hospital until the patient was discharged. The research used is quantitative research with a descriptive approach. Data collection was carried out at Lubuk Basung Regional Hospital from 27 May to 1 July 2023., and the sample consisted of 88 entry and exit summary forms from the medical records of patients suffering from hypertension. Research through observation with a checklist table. Computerization is used to process data and carry out univariate analysis. The results of the study showed that there were still incomplete filling out of entry and exit forms on patient identification items (40.9%), important patient reports (20.5%), patient permission (12.5%), good record keeping (15.9%) . ), and scribbled and clearly legible (17.05%). The results showed that the summary of admissions and discharges for hypertensive patients was still incomplete. In conclusion, this shows that the summary of admissions and discharges for hypertensive patients is still incomplete. It is recommended to carry out evaluations and reviews, as well as outreach and evaluation with doctors, nurses and other related personnel. It mainly deals with quantitative analysis of incoming and outgoing summaries.
Co-Authors Ayu Permata Sari Ayunda Putri, Kalasta Devid Leonard Dian Sari Dicho Zhurhriano Yasli Gopinda Deska Putra Ilahi, Vitratul Kalasta Ayunda Kalasta Ayunda Putri Mila Sari Oktamianiza Oktamianiza Oktamianiza Putra, Deni Maisa Vitratul Ilahi