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Tinjauan Penyebab Terjadinya Misfile Dokumen Rekam Medis Rawat Jalan Di RSUD Kabupaten Jombang Tahun 2020 Krisnita Dwi Jayanti; Ratna Frenty Nurkhalim; Ninda Mulya Ike Ardila; Budi Pranoto; Indra Setyawan; Indah Susilowati
Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda Vol. 7 No. 2 (2022): 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.v7i2.950

Abstract

Medical record outpatient and emergency must be accompanied and completed after service to patiens the same day. This study aims to find out the factors that cause misfile from the management aspects of man, method, machine, and material in Jombang District Hospital. This research is descriptive qualitative with a case study approach. The sample in this study were 11 officers. Data collection techniques used are questionnaires and observation sheets. The results showed that in the man element, it was found that the problem of the absence of medical record officers with a background in medical record education where it is also a trigger for misfile in the filing room, the absence of training for medical record officers due to the lack of programs related to medical record training in Jombang District Hospital, and officers have never been rewarded in any form such as praise or incentives and penalties to be motivated to work better. In the method element found the problem of the absence of the implementation of medical record documents investigation activities every day periodically by officers to prevent the occurrence of misfile. On the machine element found problems of not using tracer and outguide. In the material element found the problem is that the color code in Jombang District Hospital is not applied in its entirety because of the lack of importance of color coding officers to prevent misfiles. It can be suggested that leaders should provide rewards and punishments, participate in training, make policies related to DRM investigation activities, tracer implementation, and color coding on DRM covers.
Hubungan Tingkat Pendidikan Masyarakat Terhadap Motivasi Perawatan Gigi Pada Masa Pandemi Virus SARS-Cov-2 di Puskesmas Tegalombo Kabupaten Pacitan Manampin Sahat Siahaan; Alief Marhaini Tanzil; Anisa Ramadhani Kusuma; Eko Prasetyo; Ninda Mulya Ike Ardila
Jurnal Sintesis: Penelitian Sains, Terapan dan Analisisnya Vol 3 No 2 (2022): Desember 2022
Publisher : Fakultas Sains, Teknologi, dan Analsisi Institut ilmu Kesehatan Bhakti Wiyata

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56399/jst.v3i2.60

Abstract

OVERVIEW OF SERVICE ADMINISTRATION CONDITIONS BPJS OUTCOME PATIENTS AT X JOMBANG HOSPITAL Indah Susilowati; Bela Maulidiah Ishak; Ninda Mulya Ike Ardilla; Nurhadi
Jurnal Kesehatan Mahardika Vol. 9 No. 1 (2022): Jurnal Kesehatan Mahardika
Publisher : LPPM ITEKES Mahardika

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54867/jkm.v9i1.90

Abstract

The administrative requirements for registration of outpatients specifically for BPJS users, must be brought in full when visiting a hospital for a health check. The problem is from the number of 8 patients who visited the hospital including 2 patients who did not bring a control letter, 2 patients did not bring a photocopy of their ID card, 3 patients did not bring a photocopy of BPJS, and 1 patient came who had not been scheduled for control. The purpose of this study was to determine the suitability of the administrative requirements for outpatient registration of BPJS users at Hospital X Jombang. Descriptive research method with a cross sectional approach, the variables are policy regulations, standard operating procedures, administrative completeness of patient registration. The population of BPJS outpatients is 26,654, the sample is 30 by quota sampling and 1 respondent is the Head of Medical Records. As a result, policies and standard operating procedures have been implemented, administrative compliance is not complete, such as a control letter (20%), photocopy of ID card (56.7%), and photocopy of BPJS (53.3%). The conclusion is that the implementation of the outpatient registration procedure for BPJS users at Hospital X Jombang is not in accordance with the rules, because the patient administration requirements are not complete. This can cause the waiting time for the destination poly to be longer and hamper the service process at the patient registration area and cancel BPJS claims at the hospital. Suggestions for making information facilities related to completeness for outpatient registration requirements.
KEAKURATAN KODIFIKASI DIAGNOSIS DAN TINDAKAN PENYAKIT BATU PADA SISTEM PERKEMIHAN DI RSUD KABUPATEN KEDIRI TAHUN 2022 Nurhadi Nurhadi; Andra Dwitama Hidayat; Ninda Mulya Ike Ardila; Komala Anggraeni; Krisnita Dwi Jayanti; Maria Sulistyaningsih
Jenggala : Jurnal Riset Pengembangan dan Pelayanan Kesehatan Vol 2 No 2 (2023): DESEMBER 2023
Publisher : Fakultas Teknologi dan Manajemen Kesehatan

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

Abstract

Latar Belakang : Batu saluran kemih menempati urutan ketiga terbanyak di bidang urologi. Tingkat prevalensi untuk batu saluran kemih bervariasi berdasarkan Riskesdas tahun 2013, Jawa Timur berdasarkan diagnosis sebesar 0,7%. Keakuratan dalam kode diagnosis mempengaruhi kualitas data yang dihasilkan dan tingkat validitas. Tujuan : mengetahui keakuratan Kodifikasi diagnosis dan tindakan penyakit batu pada sistem perkemihan di RSUD Kabupaten Kediri Tahun 2022. Metode : penelitian deskriptif dengan pendekatan Retrospective Study. Subjek penelitian adalah dokumen rekam medis pasien dengan kasus diagnosis dan tindakan penyakit batu dengan populasi 106 dokumen dan sampel 50 dokumen. Teknik sampling yang digunakan adalah Purposive sampling dengan kriteria Inkusi dan Ekslusi. Teknik pengumpulan data menggunakan lembar observasi dan wawancara. Hasil : penelitian menunjukan untuk kebijakan Kodifikasi dan SPO tentang pemberian kode diagnosis dan tindakan sudah ada, dan untuk keakuratan kode diagnosis dan tindakan ditemukan terdapat 48 dokumen (96%) yang akurat dan 2 dokumen (4%) yang tidak akurat, jika dianalogikan dengan indikator ketepatan sudah tepat dan disebut terbaik. Simpulan dan Saran : dari penelitian yaitu kebijakan rekam medis dan SPO koding sudah ada dan sesuai hanya memerlukan pembenahan SPO yang sesuai dengan 9 langkah pengkodean menurut Hatta(2014), keakuratan Kodifikasi diagnosis dan tindakan sudah tepat dan disebut terbaik dengan indikator kinerja kerja yaitu dengan presentase 96%.
Legal Responsibility in Handling Medical Cases: Assessing Health Insurance Policies in Indonesia Ninda Mulya Ike Ardilla; Indah Susilowati
Ipso Jure Vol. 2 No. 2 (2025): Ipso Jure - March
Publisher : PT. Anagata Sembagi Education

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62872/63vstb03

Abstract

The increase in medical dispute cases in Indonesia reflects the disparity between patient expectations of health services and the standards applied by medical personnel. The main factors causing disputes include medical negligence, lack of informed consent, and limited transparency in the treatment process. Regulations such as Law No. 29 of 2004 on Medical Practice and Law No. 36 of 2009 on Health have regulated the responsibilities of medical personnel, but their implementation still faces challenges. On the other hand, national health insurance schemes such as BPJS Kesehatan also face obstacles in ensuring a balance of legal protection for patients and medical personnel. The INA-CBGs payment system often does not reflect the complexity of medical cases, thus impacting the quality of health services. The inconsistency of regulations between Law No. 40 of 2014 on Insurance and Law No. 36 of 2009 on Health also causes legal uncertainty in the resolution of medical disputes. This study uses normative juridical methods with legislative, conceptual, and case approaches to analyze related regulations and legal practices. The results of the study show the need for policy reforms that balance economic efficiency and legal protection. With the strengthening of regulations, transparency, and fairer dispute resolution mechanisms, it is hoped that the health law system in Indonesia can run more effectively and fairly.