Claim Missing Document
Check
Articles

Found 16 Documents
Search

Review Of Completeness Of Medical Records Related To The Settlement Of Health Insurance Claims To Improve The Quality Of Services At RSIA Artha Mahinrus Johanna Christy; Marta Simanjuntak; Nila Sari; Nurzia Raihana
Jurnal EduHealth Vol. 14 No. 02 (2023): Periode April-June, 2023
Publisher : Sean Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (179.706 KB)

Abstract

Medical Records are facts related to the patient's condition, medical history, treatment, past, and currently written by a health professional who provides good services. The purpose of this study was to determine the completeness of medical record files related to insurance claims in order to improve hospital services. The type of research used by the researcher is the type of quantitative research, which is a research method based on the philosophy of positivism. The sample in this research is part of the inpatient medical record file at RSIA Artha Mahinrus. So the number of samples in this study were 51 medical record files. The completeness of inpatient medical record files, 92% complete files and 8% incomplete files, of 51 medical record files. The percentage of completeness of the contents of the medical resume for making incomplete claims, namely data entry and exit dates is 2%, supporting examination is 4%, and action is 2%. The recording of medical records in this study can be categorized as good, because currently the completeness of the medical record files reaches 92%, it can be stated that the quality of medical record services is good.
Sosialisasi Redesain Map Rekam Medis Di Puskesmas Medan Johor Mei Sryendang Sitorus; Yeyi Gusla Nengsih; Nila Sari; Erlindai; Puput Melati Hutauruk; Marta Simanjuntak; Johanna Christy
Educativo: Jurnal Pendidikan Vol 2 No 2 (2023): Zadama: Jurnal Pengabdian Masyarakat
Publisher : PT. Marosk Zada Cemerlang

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

Abstract

Tujuan dari pengabdian kepada masyarakat ini adalah untuk mendesain ulang map rekam medis ditinjau dari aspek anatomi, fisik dan isi, serta batas-batas bentuk antar bentuk anggota keluarga (ayah, ibu dan anak) di Puskesmas Medan Johor. Berdasarkan hasil observasi yang dilakukan diketahui bahwa map rekam medis yang digunakan saat ini di Puskesmas Medan Johor perlu dilakukan redesain. Hal ini juga sesuai dengan hasil konsultasi dan wawancara yang dilakukan dengan petugas rekam medis, bahwa “Untuk desain yang sekarang sudah lumayan bagus, namun dari segi bahan dan bentuk map yang berbentuk amplop menyulitkan petugas dalam kegiatan pelayanan kepada pasien terutama pada saat pendaftaran pasien, jadi ketika membuka map kami sering salah ambil formulir pasien yang akan berobat sehingga hasil dari kegiatan pengabdian masyarakat ini adalah sebuah produk berupa map (folder) rekam medis di Puskesmas Medan Johor. Metode pengabdian kepada masyarakat yang digunakan adalah pendidikan masyarakat, konsultasi, dan difusi iptek. Kegiatan pengabdian ini dilakukan selama 4 bulan. Hasil dari kegiatan pengabdian masyarakat ini adalah sebuah produk berupa map (folder) rekam medis di Puskesmas Medan Johor.
Sosialisasi Map Rekam Medis Di Puskesmas Medan Johor Mei Sryendang Sitorus; Yeyi Gusla Nengsih; Nila Sari; Erlindai Erlindai; Puput Melati Hutauruk; Marta Simanjuntak; Johanna Christy
Educativo: Jurnal Pendidikan Vol 2 No 1 (2023): Zadama: Jurnal Pengabdian Masyarakat
Publisher : PT. Marosk Zada Cemerlang

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

Abstract

Tujuan dari pengabdian kepada masyarakat ini adalah untuk mendesain ulang map rekam medis ditinjau dari aspek anatomi (dari segi heading, introduction, instruction, body dan close) fisik (warna, bahan, ukuran dan bentuk), dan aspek isi (kelengkapan butir data, terminology, singkatan, symbol) di Puskesmas Medan Medan Johor. Berdasarkan hasil wawancara diketahui bahwa dari aspek isi, pada formulir rekam medis pasien rawat jalan lembar kolom belum sesuai sehingga dalam pengisian sering melewati batas kolom. Dari aspek anatomi, bagian nomor rekam medis dan nama pasien belum tercantum pada setiap lembar dokumen rekam medis. Nomor halaman atau kode formulir juga belum tercantum dalam setiap formulir rekam medis. Apabila formulir rekam medis tersebut hilang akan mengakibatkan formulir tidak dapat diketahui. Sebagai solusi dari permasalahan di atas, maka penyajian desain formulir baru sangat tepat untuk mengatasi permasalahan tersebut. Metode pengabdian kepada masyarakat yang digunakan adalah pendidikan masyarakat dan konsultasi. Kegiatan pengabdian ini dilakukan selama 1 bulan. Hasil dari kegiatan pengabdian masyarakat ini adalah sebuah produk berupa map (folder) rekam medis di Puskesmas Medan Medan Johor.
Factors Influencing Stunting among Children Aged 0–59 Months Nila Sari; Johanna Christy
Indonesian Journal of Global Health Research Vol 7 No 4 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i4.6572

Abstract

Stunting is a condition characterized by impaired growth and development in children under five, caused by chronic nutritional deficiencies, resulting in a child being too short for their age. Objective to identify the factors associated with the incidence of stunting among children under five in West Nias Regency. This study was an analytical observational research with a case-control design conducted in West Nias Regency. The sample consisted of 25 children under five in the case group and 25 children in the control group, selected using purposive sampling. Data were collected using questionnaire and analyzed using the Chi-square test, and cross-tabulation was employed to assess the strength of the association between variables by examining the Odds Ratio (OR) values. The study showed that energy adequacy (OR = 8.333; CI = 2.280–38.762), protein adequacy (OR = 8.000; CI = 1.839–38.175), maternal knowledge (OR = 8.000; CI = 1.839–38.175), maternal education (OR = 23.677; CI = 4.385–118.568), and family income (OR = 14.222; CI = 2.690–61.680) were identified as risk factors for stunting. In contrast, other variables in this study, including low birth weight (OR = 1.678; CI = 0.346–10.604), breastfeeding history (OR = 0.463; CI = 0.35–5.988), and maternal occupation (OR = 1.356; CI = 0.563–4.64), were not found to be significant risk factors for stunting. Inadequate energy and protein intake, limited maternal knowledge, low maternal education, and low family income are risk factors for stunting among children aged 0–59 months.
Sosialisasi Pemanfaatan Sistem Informasi Manajemen Rumah Sakit (SIMRS) terhadap Pengolahan Data pada Laporan Eksternal dan Internal di RSU Imelda Pekerja Indonesia Medan Tahun 2025 Mei Sryendang Sitorus; Valentina Valentina; John Barker Liem; Yanda Ardanta; Theresia Hutasoit; Cosmas Samuel Daeli; Ali Sabela Hasibuan; Zulham Andi Ritonga; Erlindai Erlindai; Johanna Christy
Jurnal Pengabdian Masyarakat (ABDIRA) Vol 6, No 2 (2026): Abdira, April
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/abdira.v6i2.1951

Abstract

Hospital Management Information System (HMIS) at Imelda Pekerja Indonesia General Hospital has been in place since 2015; however, the system has not yet been utilized as the primary source for data processing.Reporting staff sometimes still process data manually collected from each service unit.External reports are mandatory reports submitted by every hospital to the Health Office. Internal reports are used for the hospital’s internal purposes.The implementation method of this community service activity consisted of socialization on the utilization of SIRS for data processing, reviewing the Standard Operating Procedure (SOP) for Reporting and creating a checklist of data requirements for reports.The socialization was provided to all 16 medical record officers in the Medical Records Unit using discussion, lecture, and question-and-answer methods. The results of this activity are expected to improve the staff’s knowledge regarding the utilization of HMIS for data processing in reports at hospital.This activity was successfully carried out due to the cooperation and support of all implementing team members and hospital team.However, the common obstacles faced by staff include network and application disruptions, which hinder the data processing for hospital reporting. Therefore, improving network stability within the system is necessary to ensure that the reporting process can run more effectively and efficiently.
Gambaran Pemahaman Petugas Koder Mengenai Kodefikasi Penyakit Sistem Kardiovaskular Mengacu Pada ICD-10 Di RSU Imelda Pekerja Indonesia Tahun 2024 Theresia Hutasoit; Johanna Christy; Marta Simanjuntak; Erlindai Erlindai; Tri Kemala Suci Nasution
Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda (JIPIKI) Vol. 11 No. 2 (2026): 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.v11i2.2341

Abstract

Knowledge is the result of the act of knowing, occurring after an individual perceives a specific object through the human senses—namely sight, hearing, smell, taste, and touch. The majority of human knowledge is acquired through the eyes and ears. This study aims to determine the level of knowledge among medical coders regarding disease coding for the cardiovascular system based on ICD-10 at RSU Imelda Pekerja Indonesia in 2024. A qualitative research method with a descriptive approach was employed. The study involved five subjects (informants). Data collection techniques included observation and interviews guided by an interview protocol. Regarding educational background, all participating coders shared the same qualification: a Diploma III (D-III) in Medical Record and Health Information Management (RMIK). Coders with more than five years of experience demonstrated superior knowledge compared to those with less than five years of experience; this was particularly true for coders who had previously worked in registration and analysis departments, as their experience in the analysis section provided them with familiarity regarding the content of medical records. The study concludes that educational background does not directly influence coding accuracy at RSU Imelda Pekerja Indonesia, as all participating coders held the same educational qualification (D-III RMIK).