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All Journal Jurnal Manajemen Pendidikan Window of Health : Jurnal Kesehatan Jurnal Manajemen Informasi dan Administrasi Kesehatan Journal of Multidisciplinary Academic 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 Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda (JIPIKI) Jurnal Health Sains Jurnal Kesehatan Tambusai Jurnal Ilmiah Wahana Pendidikan Nusantara Hasana Journal Archives of The Medicine and Case Reports Arkus COMSERVA: Jurnal Penelitian dan Pengabdian Masyarakat Indonesian Journal of Health Information Management (IJHIM) Jurnal Ilmiah Kesehatan Masyarakat Sehat Rakyat: Jurnal Kesehatan Masyarakat Journal of Innovation Research and Knowledge Jurnal Rumpun Ilmu Kesehatan Jurnal Sosial dan Sains Journal of Hospital Management Cerdika: Jurnal Ilmiah Indonesia MEDICORDHIF Jurnal Rekam Medis Journal of Educational Innovation and Public Health Jurnal Medika Nusantara Vitamedica: Jurnal Rumpun Kesehatan Umum Vitalitas Medis : Jurnal Kesehatan Dan Kedokteran Vitamin: Jurnal Ilmu Kesehatan Umum Obat: Jurnal Riset Ilmu Farmasi dan Kesehatan Jurnal Rekam Medic
Widjaja, Lily
Universitas Esa Unggul
Religion Agriculture, Biological Sciences & Forestry Humanities Astronomy Computer Science & IT Dentistry Economics, Econometrics & Finance Education Engineering Environmental Science Health Professions Industrial & Manufacturing Engineering Law, Crime, Criminology & Criminal Justice Library & Information Science Medicine & Pharmacology Nursing Physics Public Health Social Sciences Veterinary Other

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Analysis Of The Quality Of Services and Physical Facilities Of The Hospital On Word Of Mouth With Patient Experience As An Intervening Variable At Mekar Sari Hospital Dani Sagitha; Natsir Nugroho; Lily Widjaja
OBAT: Jurnal Riset Ilmu Farmasi dan Kesehatan Vol. 2 No. 2 (2024): March : OBAT: Jurnal Riset Ilmu Farmasi dan Kesehatan
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/obat.v2i2.304

Abstract

This research is aimed at analyzing the influence of service quality and physical facilities on WoM (Word of Mouth) with Patient Experience as an intervening variable at Mekar Sari Hospital. The research method used in this research is a correlational quantitative research type with a cross-sectional research design approach by looking at the influence of service quality and physical facilities on WoM with satisfaction as an intervening variable.The sampling technique used purposive sampling, namely a sampling technique using the criteria of internal medicine inpatients at Mekar Sari Hospital. The research sample involved 110 respondents. Path analysis is used as a WoM model analysis tool with patient experience as an intervening variable.The results of this study found a joint positive influence of service quality and physical facilities on WoM with patient experience as an intervening variable. The quality of service and physical facilities have a positive influence on both patient experience and WoM.
Tinjauan Lama Waktu Pendistribusian Rekam Medis Rawat Jalan di Rumah Sakit Umum Bhakti Asih Pratiwi, Adinda; Widjaja, Lily; Muniroh, Muniroh; Putra, Daniel Happy
Cerdika: Jurnal Ilmiah Indonesia Vol. 2 No. 4 (2022): Cerdika: Jurnal Ilmiah Indonesia
Publisher : Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/cerdika.v2i4.362

Abstract

Medical record is written or recorded information regarding identity, history taking, physical determination, laboratory, diagnosis of all medical services and actions provided to patients and treatment, whether inpatient, outpatient or receiving emergency services. Distribution in the health sector, especially medical records, has the meaning of a process of distributing medical records to each polyclinic addressed by the patient according to the medical record number. Minimum Service Standards (SPM) are provisions regarding the type and quality of basic services in the speed of providing medical records, the standard time for providing medical records for outpatient services is 10 minutes. This research was conducted at Bhakti Asih Hospital located at Jalan Raden Saleh No. 10, Karang Tengah, Tangerang City, Banten 15157. The purpose of this study was to determine the length of time for the distribution of outpatient medical records at Bhakti Asih General Hospital. This type of research uses descriptive quantitative methods. Data collection techniques used are observation and interviews. In this study, the population was all outpatient medical records in the period June 2021 with a sample of 96 outpatient medical records, using the Incidental/Convenience sampling technique. The results of this study can be seen that 52 medical records (54.16%) have met the SOP 10 minutes, while 44 medical records (45.83%) have not met the SOP 10 minutes. The time of calculating the distribution of outpatient medical records with 96 samples for 10 days with a total time of 984 minutes obtained an average time of distribution of outpatient medical records of 10.25 minutes.
Tinjauan Kebutuhan Rak Penyimpanan Rekam Medis di RSUD Bangka Selatan Ferina, Ferina; Muniroh, Muniroh; Putra, Daniel Happy; Widjaja, Lily
Cerdika: Jurnal Ilmiah Indonesia Vol. 2 No. 4 (2022): Cerdika: Jurnal Ilmiah Indonesia
Publisher : Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/cerdika.v2i4.373

Abstract

Medical record is a collection of facts or evidence of the patient's condition, past and current medical history and treatment written by the health professional who provides services to the patient. Medical records require sufficient storage shelves and storage space is needed to maintain confidentiality, avoid damage and make it easier for officers to retrieve and return medical records in the long term. If the medical record storage is adequate and meets the standards to support maximum patient care, it is necessary to adjust the need for medical record storage racks at the South Bangka Hospital. The purpose of this study was to determine the need for medical record storage racks for the next 5 years at RSUD South Bangka. This type of research uses a descriptive method with a quantitative approach. Data collection techniques used are observation and interviews. The results of this study are the number of medical record storage racks in the South Bangka Hospital currently amounts to 17 shelves and the South Bangka Hospital currently has a medical record storage area of 25m². It is recommended that the South Bangka Hospital need to provide 49 storage shelves for the next 5 (five) years so that the shelf needs can be met and can accommodate all medical records and it is hoped that the hospital will add an area of medical record room with an additional area of 11.96m² to adjust the addition of medical record racks.
Tinjauan Ketepatan Pengodean Diagnosis Penyebab Dasar Kematian pada Pasien Diabetes Mellitus di RSU UKI Jakarta Nurmalasari, Dinda; Widjaja, Lily; Rosmala Dewi, Deasy; Indawati, Laela
Cerdika: Jurnal Ilmiah Indonesia Vol. 2 No. 4 (2022): Cerdika: Jurnal Ilmiah Indonesia
Publisher : Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/cerdika.v2i4.374

Abstract

Determination is a precaution and the accuracy of disease codes can be easily identified into correct and incorrect codes, Correct codes are adjusted in ICD-10 then incorrect codes are inappropriate codes in ICD-0. The cause of death was hospital reporting. The uncertainty of the diagnostic code consists of 5m (man, money, method, machine, material) based on the interview of the coding officer that the precision of the cause of death in the diabetes mellitus diabetes is not optimum because of poor doctors' writing, the use of abbreviations in the diagnosis, the lack of human resources in rmic education, no charge in coding, The method of conducting a death certificate from the medical certificate form is the cause of death at the point of immediate cause, the cause between and the underlying cause and the absence of a specialized chamber. Hence, the authors conducted a study on the correctness of the causes of death in diabetes patients mellitus according to the icd-10. The purpose of this study was to understand the precision of the diagnosis of the causes of death in the diabetes patient mellitus in Jakarta general hospital. Based on a study of the 72 medical records of patients dying of the precision of the cause of death in diabetes patients mellitus in Jakarta general in 2017-2020.
Tinjauan Kebutuhan Rak Penyimpanan Rekam Medis di Rumah Sakit Annisa Bogor Tahun 2022 Salsabila, Annisa Nur; Viatiningsih, Wiwik; Widjaja, Lily; Indawati, Laela
Cerdika: Jurnal Ilmiah Indonesia Vol. 2 No. 7 (2022): Cerdika: Jurnal Ilmiah Indonesia
Publisher : Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/cerdika.v2i7.436

Abstract

Hospital is a health service institution by providing outpatient and inpatient services. Each hospital also has an obligation to have a Medical Record Unit. Medical records are files that contain records or documents such as patient identities, results of diagnoses, actions, and treatments as well as services that have been provided to patients. In the context of administering medical records, health service facilities are required to provide the necessary facilities. One of them is a medical record storage rack to store medical records. Based on the results of research at the Medical Record Unit of the Annisa Hospital, Bogor, it was found that the medical record storage rack was inadequate and some medical records were piled on the floor, making it difficult for officers to find medical records when needed and services at the polyclinic became hampered. The purpose of this study was to determine the need for medical record storage racks for the next 5 years at Annisa Hospital Bogor in 2022. The study was conducted using a quantitative descriptive method, using a non-random sampling method with saturated sampling technique. From the results of the study, the Annisa Bogor Hospital still lacks medical record storage rack facilities which currently have 12 wooden shelves and 3 Roll O'packs, an additional rack of 9 Roll O'packs is needed. The storage area at Annisa Hospital Bogor is sufficient because the area needed for the next 5 years is 61.3 m2. Meanwhile, the current room area is 120 m2 combined with the medical record officer's workspace.
Literature Review Ketepatan Pengodean ICD-10 External Cause di Rumah Sakit Harahap, Maulidiah Rizki; Indawati, Laela; Widjaja, Lily
Cerdika: Jurnal Ilmiah Indonesia Vol. 2 No. 9 (2022): Cerdika: Jurnal Ilmiah Indonesia
Publisher : Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/cerdika.v2i9.445

Abstract

External cause is classifying disease with cases of injury, poisoning, and accidents, from external causes. Therefore, medical officers must be competent in coding according to ICD-10 and are required to provide precise and accurate codes. The purpose of this study was to determine the percentage accuracy of the external cause ICD-10 coding and to find out the obstacles to the inaccuracy of external cause coding. using the literature review method. The results of a literature review of 12 journals related to the coding accuracy of ICD-10 external causes in several hospitals found that the highest percentage of code accuracy was 82% with the lowest percentage of code accuracy being 0%, while the highest percentage of coding inaccuracy was 100% and for the percentage of inaccuracy. the lowest code as much as 18 %. The 10 journals above use 5M elements, namely the obstacles that are often obtained from the Man factor which consists of coders who are not careful in determining the code, the competence of medical recorders needs to be honed, and lack of effective communication between coders and officers regarding the contents. medical records. It is recommended for coders who do not understand coding to conduct seminars to learn how to do good coding, so that the percentage of inaccuracies in the hospital is reduced to a lower level.
Tinjauan Ketepatan Kode Diagnosis Pada Kasus Bedah Pasien Rawat Inap di RSKD Duren Sawit Rahayu, Ririn; Indawati, Laela; Widjaja, Lily; Rumana, Nanda Aula
Cerdika: Jurnal Ilmiah Indonesia Vol. 2 No. 11 (2022): Cerdika: Jurnal Ilmiah Indonesia
Publisher : Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/cerdika.v2i11.455

Abstract

Based on Kenmenkes RI in 2014, it explains about coding which has the meaning as an activity of providing main diagnosis codes and secondary diagnoses in accordance with ICD-10 and providing procedure codes in accordance with ICD-9CM. Coding inaccuracies can affect the financing of health services, this study was conducted to see the accuracy of the main and secondary diagnosis codes of surgical cases of inpatients at Duren Sawit Hospital using descriptive research methods with a quantitative approach, namely writing aims to describe the results obtained on the accuracy of diagnosis codification. Informants in this study were inpatient coders at RSKD Duren Sawit, data collection in this study using interviews and observation methods. The results of this study indicate that the coding SPO uses the latest procedures based on an electronic system, the educational background of the coder at RSKD Duren Sawit has an important role in the quality of the correct code. The competence of the coder at RSKD Duren Sawit still has to undergo deeper learning, in the results of coding research on surgical cases of inpatients, it was found that the average dignosis code that had accuracy was 58 (63.74%) and 33 (36.26%) were inappropriate, and it was also found that the results of the accuracy of the secondary diagnosis were 84 (92.30%) and 7 (7.70%) were inappropriate. Based on the 4 characters, the inaccuracy occurred in the main diagnosis of the majority in the 4th character as many as 31 (34.7%). There are factors that become obstacles to the identification of 5M, namely the man factor, the lack of accuracy of doctors in inputting diagnoses and the lack of accuracy of officers in re-examining incorrect diagnosis codes and having to undergo learning related to coding more deeply for diagnosis coding officers who are not from academic graduates of medical records.
Analisis Ketepatan Kode Diagnosis Kasus Persalinan Secara Sectio Caesarea Di Rumah Sakit Pelabuhan Jakarta Anggraini, Adelia; Widjaja, Lily; Indawati, Laela; Rosmala Dewi , Deasy
Cerdika: Jurnal Ilmiah Indonesia Vol. 3 No. 1 (2023): Cerdika: Jurnal Ilmiah Indonesia
Publisher : Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/cerdika.v3i1.505

Abstract

Salah satu aspek terpenting dalam pelayanan rekam medis adalah kegiatan klasifikasi dan kodefikasi diagnosis serta tindakan. Dalam melakukan pemberian kode diagnosis pasien, petugas koding mengacu pada aturan ICD-10. Berdasarkan aturan ICD-10 kasus persalinan terdiri atas tiga komponen yaitu kondisi atau penyulit (O00-O99), metode persalinan (O80-O84), dan outcome of delivery (Z37.-) yang digunakan sebagai kode tambahan untuk mengetahui hasil persalinan. Tujuan dalam penelitian yaitu untuk mengetahui ketepatan kode diagnosis kasus persalinan secara sectio caeasrea di Rumah Sakit Pelabuhan Jakarta. Penelitian menggunakan analisis deskriptif dengan pendekatan kuantitatif. Dengan sampel sebanyak 70 rekam medis kasus persalinan secara sectio caesarea di Rumah Sakit Pelabuhan Jakarta. Pada penelitian ini didapati hasil komponen atau penyulit ibu dengan ketepatan 90% (63 RM), lalu metode persalinan dengan ketepatan 11,43% (8 RM).  Serta outcome of delivery  yang memiliki ketepatan 0% (70 RM). Berdasarkan hasil wawancara dan observasi terhadap kepala rekam medis dan koder bahwa ketepatan pengodean dapat dipengaruhi oleh faktor 5M (man, money, material, method, machine), yaitu ketelitian koder dalam melakukan pengodean, kejelasan pada tulisan dokter, serta tersedianya SPO yang memiliki catatan khusus mengenai pengodean kasus persalinan sehingga proses pengodean dapat terstruktur dengan baik.
Analisis Ketepatan Kode Diagnosis Penyakit Tuberkulosis Paru Pasien Rawat Inap Di RSIJ Cempaka Putih Gita, Elsa Chandra; Widjaja, Lily; Putra, Daniel Happy; Sonia, Dina
Jurnal Ilmiah Wahana Pendidikan Vol 10 No 7 (2024): Jurnal Ilmiah Wahana Pendidikan
Publisher : Peneliti.net

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/zenodo.11070313

Abstract

Dampak dari ketidakakuratan kode diagnosis adalah menurunnya kualitas pelayanan rumah sakit, pembayaran klaim tarif INA-CBG’s yang akan menghambat pembayaran, ketidakakuratan angka kesakitan, kematian, dan laporan statistik rumah sakit. Penelitian dilakukan di RSIJ Cempaka Putih. Tujuan dari penelitian ini adalah untuk mengidentifikasi SPO penyakit dan kode tindakan, menganalisis keakuratan kode diagnosis penyakit tuberkulosis paru pada pasien rawat inap, dan mengidentifikasi penyebab ketidakakuratan kode diagnosis penyakit tuberkulosis paru pada pasien rawat inap. Metode penelitian yang digunakan adalah metode deskriptif dengan pendekatan kuantitatif. Populasi berjumlah 658 rekam medis dengan sampel sebanyak 96 rekam medis. Sampel ditentukan dengan menggunakan rumus slovin. SPO untuk diagnosis dan pengkodean tindakan secara umum telah berjalan. Hasil penelitian menunjukkan terdapat 46 rekam medis (48%) dengan kode diagnosa benar, 25 rekam medis (26%) salah digit ke 3, 20 rekam medis (21%) salah digit ke 4, 5 rekam medis (5%) dengan digit ke-3 dan ke-4 yang salah. Faktor penyebab tidak akuratnya kode diagnosis terdapat pada faktor manusia, dalam hal ini pembuat kode tidak memperhatikan keakuratan catatan yang merinci keakuratan pengkodean pada ICD-10. Faktor materi, belum tersedianya alat coding seperti kamus kedokteran dan buku ICD-10. Faktor metode, SPO belum menjelaskan secara spesifik langkah-langkah cara coding.
TINJAUAN TAHAP-TAHAP PELAKSANAAN LAPORAN BULANAN DATA KESAKITAN (LB1) LITERATURE REVIEW Sabiladina, Khoirunnisa; -, Muniroh; Fannya, Puteri; Widjaja, Lily
Jurnal Manajemen Informasi dan Administrasi Kesehatan Vol. 4 No. 2 (2021): JMIAK
Publisher : Program Studi D3 Rekam Medis dan Informasi Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32585/jmiak.v4i2.1786

Abstract

Laporan Bulanan Data Kesakitan (LB1) adalah laporan bulanan yang berisikan pendistribusi kasus penyakit menurut kelompok umur serta kasus baru ataupun kasus lama di puskesmas. Dengan adanya data dan informasi yang diperoleh dari laporan bulanan data kesakitan, maka dinas kesehatan dapat melakukan perencanaan, pemantauan, dan evaluasi pelaksanaan kegiatan program yang ada di puskesmas. Data dan informasi di dalam laporan tersebut dapat bernilai apabila dilaksanakan secara tepat dan akurat. Selain itu, data dan informasi tersebut harus dapat dipertanggungjawabkan keakuratannya karena keputusan yang tepat waktu tidak akan berguna apabila keputusan tersebut tidak sesuai untuk menangani masalah kesehatan yang sedang terjadi. Penelitian ini bertujuan untuk mengetahui proses pelaksanaan laporan bulanan data kesakitan dengan menggunakan metode literature review. Berdasarkan hasil tinjauan literature review terhadap 4 jurnal terkait pelaksanaan laporan bulanan data kesakitan didapatkan proses pengumpulan LB1 bersumber dari register kunjungan pasien, buku register pelayanan dalam gedung dan luar gedung dan pelayanan puskesmas berupa berkas rekam medis sedangkan pustu berupa lembar nota pembayaran. Proses pengolahan LB1 dibuat secara komputerisasi dengan menggunakan microsoft excel dan masih terdapat pengolahan secara manual, Proses penyajian LB1 disajikan dalam bentuk tabel secara manual, tabel excel dan grafik excel, Proses pengiriman LB1 dalam bentuk soft copy dan hard copy tetapi masih terdapat puskesmas yang mengalami keterlambatan dalam pengiriman.
Co-Authors -, Muniroh Adelia Anggraini Adi Widodo Adil Hidayat Adinda Pratiwi Afra, Rara Alex Sander Alfi Shiddiq Syafrian Aliyani Aliyani Amirah Syafiqah Zahra Anas Fajry Rhomadon Angelina Angelina Anggraini, Adelia Annisa Nur Salsabila Arip Budiana Azhar Muttaqin Azhar Muttaqin Azidah, Mega Puspita Bahlani Bangga Agung Satrya Bangun, Evi Vania Bangun, Gabriella Eviana Bayu Fajar Ilhami Bella Safitri Choirunisa Choirunisa Dani Sagitha Daniel Happy Putra Della Rati Saputri della Dewi, Deasy Rosmala Dewi, Sisilia Kartika Dian Nur Muslimah Dina Sonia Dwi Chandrarika Putri Aulia Dwijayanti, Risma Mei Eka Widya Rita P. Endika Rachmad Fadia Eka Septiawati Fannya, Puteri Fauzan Habibilah Fauziah Irfany Ferina Ferina Ferina, Ferina Firmansye Ika Panggulu Fredrika Welhelmina Gabriella Eviana Bangun Gina Sonia Gita, Elsa Chandra Harahap, Maulidiah Rizki Hosizah Hosizah Ilham Abdurohman Indawati, Laela Intan Rusdiana Dewi Jeillia Jihan Swaradwibhagia Khoirunnisa Sabiladina Kusumapradja, Rokiah Laela Indiawati Lautsan, Christina M. Fuad Iqbal Maharami, Iradah Marzo, Roy Rillera Maulidiah Rizki Harahap Mega Puspita Azidah Menna, Yasinta Rosalia Muhamad Fazriyansah Muniroh - Muniroh Muniroh Muniroh Muniroh Muniroh Muniroh Muniroh Muniroh Muniroh Muniroh Muniroh Muniroh Muniroh, Muniroh Nanda Aula Rumana Natsir Nugroho Nindia Septa Tiana Noviandi Noviandi, Noviandi Nurmalasari, Dinda Nurmalasari, Mieke Octa Rina Sari Pratiwi, Adinda Puspita, Kori Putri Fannya Putri Nurindahsari Putri, Alifatul Aulia Sagita Rahayu, Ririn Rahelia Putri Rahmat Hidayat Rani Puspita Ningrum RATNA INDRAWATI Regina Yulianti T. S Rezal, Muhammad Rifda Ulfa Andini Ririn Rahayu Risma Sisni Fadilla Saarah Salsabila Putri Yadita Sabiladina, Khoirunnisa Salsabila, Annisa Nur Sarah Khonsa Sarah Khonsa Setiawan, Mohammad Yusuf Siswati Siti Rahmawati Handayani siti Widya Astuti, siti Sofi Romando Putri Suciyanti Suciyanti Suriyantoro, Suriyantoro Surlialy, Dewi Syafitri, Yenni Tantri Wilananda Tri Harti Maya Utami Uli Shalatiya uli Umi Khoirun Nisak Vania Rachma Putri Viatiningsih, Wiwik Wiranata, Tyansa Eka Sampoerna Yasinta Rosalia Menna Yenni Syafitri Yulia, Noor