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Analisis Kepuasan Dengan Metode CSI dan IPA Terhadap Pelayanan Penyediaan Rekam Medis Rawat Jalan Di RS. Dr Soetarto Yogyakarta Zakharias Kurnia Purbobinuko; Riska Wurianing
Indonesian of Health Information Management Journal (INOHIM) Vol 8, No 2 (2020): INOHIM
Publisher : Lembaga Penerbitan Universitas Esa Unggul

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47007/inohim.v8i2.220

AbstractBased on the hospital minimum service standards, the time limit for distributing outpatient medical record is ≤10 minutes. In fact, it is often time for outpatient medical record distribution to exceed this time limit. This study seeks to assess the satisfaction level of doctors and nurses for the provision of outpatient medical record at dr Soetarto Hospital Yogyakarta. A descriptive method used with a quantitative approach; the research design used was cross sectional. The sampling technique was saturated samples. The independent variables, namely five quality dimensions, including reliability, responsiveness, certainty, empathy and appearance. The dependent variable is the level of satisfaction of doctors and nurses. Furthermore, CSI (Customer Satisfaction Index) and IPA (Importance Performance Analysis) were carried out. The study results indicate the CSI in of the five dimensions of quality; reliability:75.53%, responsiveness: 77.03%, assurance: 78.25%, empathy: 80.68%, tangible: 77.83%. Based on the CSI score, the five dimensions are included in the criteria: satisfaction with service. The highest level of satisfaction in the empathy dimension (80.68%) was the attention or concern of medical record officers to doctors and nurses regarding the outpatient medical record provision. The lowest level of satisfaction on the reliability dimension (75.53%) namely the ability of medical record officers to provide reliable and accurate outpatient medical record. Quadrant I (top priority for improvement) include speed of medical record officers in providing medical record files, mastery of medical record management, and responsiveness or ability of officers to respond to complaints from doctors and nurses.Keywords: satisfaction level, provision of medical rcord, CSI, IPAAbstrakBerdasarkan standar pelayanan minimal rumah sakit, mengacu Kepmenkes RI tahun 2008, batas minimal waktu pendistribusian rekam medis rawat jalan adalah ≤10 menit. Kenyataannya sering kali lamanya pendistribusian rekam medis rawat jalan lebih dari batas minimal ini. Tujuan penelitian ini adalah mengkaji tingkat kepuasan dokter dan perawat terkait pelayanan penyediaan rekam medis rawat jalan di RS dr Soetarto Yogyakarta. Metode deskriptif digunakan dengan pendekatan kuantitatif, cross sectional sebagai rancangan penelitian yang digunakan. Pengambilan sampel menggunakan total populasi. Variabel bebas yaitu 5 dimensi kualitas meliputi; keandalan, ketanggapan, kepastian, empati dan penampilan. Tingkat kepuasan dokter dan perawat merupakan variabel terikat dari penelitian ini. Selanjutnya dilakukan analisis CSI (Customer Satisfaction Index) dan IPA (Importance Performance Analysis). Hasil penelitian ini menunjukkan Customer Satisfaction Index ditinjau dari kelima dimensi kulaitas; realibility: 75,53%, responsiveness: 77,03%, assurance: 78,25%, empathy: 80,68%, tangible: 77,83%. Berdasar nilai CSI kelima dimensi masuk dalam kriteria: kepuasan terhadap pelayanan. Kesimpulannya adalah tingkat kepuasan tertinggi pada dimensi empathy (80,68%) meliputi; perhatian atau kepedulian petugas rekam medis kepada dokter dan perawat terkait penyediaan rekam medis rawat jalan. Tingkat kepuasan terendah pada dimensi reliability (75,53%) meliputi kemampuan petugas rekam medis untuk menyediakan rekam medis rawat jalan secara terpercaya dan akurat. Hal-hal yang menjadi prioritas utama untuk diperbaiki terletak di kuadran I meliputi; kecepatan petugas rekam medis untuk menyediakan rekam medis rawat jalan, penguasaan manajemen rekam medis rawat jalan, serta sikap tanggap atau kemampuan petugas dalam merespon keluhan dari dokter dan perawat.Kata Kunci: tingkat kepuasan, penyediaan rekam medis, CSI, IPA

Upaya Meningkatkan Kepatuhan Profesional Pemberi Asuhan Pasien Dalam Dokumentasi Rekam Medis Zakharias Kurnia Purbobinuko; Ratna Prahesti; Kori Puspita Ningsih
Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda Vol. 6 No. 2 (2021): 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.v6i2.607

Adanya tuntutan rumah sakit untuk menjamin kelengkapan rekam medis, perlu didukung dengan upaya rumah sakit melalui suatu regulasi dan edukasi kepada para PPA dalam proses pendokumentasian rekam medis. Lebih lanjut bahwa paradigma faktor manusia, dalam hal ini adalah PPA dalam menjaga kualitas rekam medis cukup berpengaruh langsung dalam keselamatan pasien. Tujuan dari penelitian ini adalah mengeksplorasi upaya rumah sakit dalam meningkatkan kepatuhan PPA pada dokumentasi rekam medis Penelitian ini merupakan penelitian deskriptif dengan pendekatan kualitatif. Rancangan penelitian menggunakan metode cross sectional. Penelitian ini dilaksanakan di RSUD Panembahan Senopati Bantul. Hasil penelitian menunjuukan RSUD Panembahan Senopati Bantul telah berupaya meningkatkan kepatuhan PPA dengan menetapkan regulasi berupa Pedoman Pelayanan Rekam Medis dan SPO Pengisian Rekam Medis. Upaya dari aspek material dilakukan dengan menyediakan formulir rekam medis berbahan kertas ukuran A4 berat 80 gram berbentuk persegi panjang dengan beberapa warna sesuai kebutuhan pengguna dan diberikan nomor formulir rekam medis. RSUD Panembahan Senopati Bantul telah melakukan penilaian kinerja setiap tahun sekali di akhir tahun, akan tetapi penilai kinerja berkaitan dengan kepatuhan PPA dalam dokumentasi rekam medis belum tertuang dalam SKP. Dalam upaya meningkatkan kepatuhan PPA dalam dokumentasi rekam medis, maka Tim KMKP menetapkan angka ketidaklengkapan assesmen awal medis dalam 24 jam pada pasien rawat inap melalui Instalasi Gawat Darurat (IGD) sebagai indikator mutu prioritas di RSUD Panembahan Senopati Bantul. Sebaiknya dalam upaya meningkatkan motivasi, budaya kerja dan kepatuhan PPA dalam dokumentasi medis, maka RSUD Panembahan Senopati Bantul dapat menerapkan reward dan punishment, sehingga tercapai kepuasan kerja karyawan

Tinjauan Pelaksanaan Informed Concent Pemeriksaan Kontras Colon in Loop di Instalasi Radiologi RSUD Kota Yogyakarta Zhazha Sulistya Nengrum; Eniyati Eniyati; Zakharias KP; Ika Fitria A
Jurnal Indonesia Sehat Vol. 1 No. 03 (2022): JURINSE, Desember 2022
Publisher : SAMODRA ILMU: Lembaga Penelitian, Penerbitan, dan Jurnal Ilmiah

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (338.896 KB)

Background: Medical records play a major role in improving the quality of medical services in hospitals. In the patient’s medical record section, there are several sheets, one of which is the Informed Consent sheet. Informed consent plays a major role for service providing medical facilities, because on the sheet it can create an agreement on health actions. Meanwhile, in the implementation of informed consent there are still discrepancies in its implementation. Purpose: To determine the implementation of informed consent for colon in loop contrast examination at the radiology installation of the Yogyakarta City Hospital. Method: This research was used the descriptive research methods using a qualitatif approach that is in depth interviews. Result: The results showed that the implementation of informed consent at the Yogyakarta City Hospital was not in accordance with the rules, namely in the implementation of informed consent there were still some that were carried out orally. Items in the delivery of informed consent include, at least include the patient’s diagnosis, the action to be given, the procedur for action, action, and actions and alternative actions. Overall, the completeness of the informed consent was not comprehensive and precise. Conclusion: The implementation of informed consent has not been carried out properly and there are still incomplete and correct sheets. It is recommended to the officer who is responsible for filing out the sheet.

Analisis Kuantitatif dan Kualitatif Dokumen Rekam Medis Pasien Bersalin di Klinik Pratama Aisyiyah Siti Khotijah Salam Magelang Eniyati Eniyati; Zakharias KP; Lily Yulaikhah; Ratna Prahesti
Jurnal Indonesia Sehat Vol. 2 No. 1 (2023): JURINSE, April 2023
Publisher : SAMODRA ILMU: Lembaga Penelitian, Penerbitan, dan Jurnal Ilmiah

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Background: The implementation of health services cannot be carried out properly without good medical record documentation as well. The medical record unit is one of the units that plays an important role from registration to recording the patient's disease history. Medical records are the most important aspect in the hospital management process in medical services. Quality assurance is an effort to periodically review various conditions that affect services, monitor services, and trace the output produced, so that various deficiencies and causes of deficiencies can be known and improvement efforts can be made to further improve the level of health and welfare. Quantitative and qualitative analysis is part of this effort. Purpose: quantitatively and qualitatively analyze medical record documents of maternity patients at the Aisyiyah Siti Khatijah Salam Magelang primary clinic. Result: Based on the results of quantitative observation/analysis, the average total completeness of maternity patient medical records was 93.01%, and did not meet the standards that should be 100%, the Delinguent Medical Record (DMR) had the highest incompleteness, which was in January 2021 at 50%. there were no incompleteness (0%) in April, May and September 2021. The results of the qualitative analysis are completeness of 90%. Conclusion: The average completeness in the medical record of maternity patients is 93.01%, and has not met the standard that should be 100%, the Delinguent Medical Record (DMR) has the highest incompleteness, which is in January 2021 at 50%. The results of the qualitative analysis are completeness of 90%.

Tingkat Kepuasan Pasien Pengguna Sistem Pendaftaran Rawat Jalan Berbasis Online Menggunakan Metode EUCS di Rumah Sakit Nur Hidayah Bantul Yogyakarta Etika Sulistiana; Zakharias Kurnia Purbobinuko; Tika Sari Dewi
Jurnal Indonesia Sehat Vol. 3 No. 1 (2024): JURINSE, April 2024
Publisher : SAMODRA ILMU: Lembaga Penelitian, Penerbitan, dan Jurnal Ilmiah

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Background: The online registration system at Nur Hidayah Hospital Bantul still finds problems related to application errors, there are problems when uploading KTPs for registering new patients, and at Nur Hidayah Hospital Bantul there has not been a satisfaction survey of users of the online-based outpatient registration system. Objectives: To determine the description of patient satisfaction using the online-based outpatient registration system using the EUCS (End User Computing Satisfaction) method. Research method: this research is quantitative descriptive research using a cross-sectional approach. The tool used to collect primary data in this research was the EUCS questionnaire. The sample in this study amounted to 96 accidental sampling. Research Results: the results of the descriptive analysis showed that the majority of respondents were satisfied. The results of the univariate analysis regarding the satisfaction of patients using the online-based outpatient registration system have the majority of satisfaction index interpretation scores that fall into the range of 61-80% in the satisfied category. Conclusion: online registration has a high level of satisfaction in terms of Content, Accuracy, Format, Ease of Use and Timeliness. The recommended suggestion is for developers to pay more attention to the format and reports produced by the online registration system so that they are easier to understand and comprehend.

Pelatihan Redesain Sistem Penjajaran Rekam Medis di Klinik Pratama Aisyiyah Siti Khotijah Salam Kabupaten Magelang Eniyati Eniyati; Kori Puspita Ningsih; Zakharias Kurnia Purbobinuko
JOURNAL OF PHILANTHROPY: The Journal of Community Service Vol. 1 No. 2 (2023): Journal of Philanthropy, July 2023
Publisher : Samodra Ilmu: Lembaga Penelitian, Penerbitan, dan Jurnal Ilmiah

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

Good medical record management will affect the quality of health services. A good medical record must be qualified: accurate, complete, contain clear data, contain new information data that shows the patient's current status, informative, and accountable. Medical record management greatly affects the quality of health services. Storage room (filing) where medical record documents are stored, because medical records are confidential and have legal aspects, physical security is the responsibility of health facilities Alignment is a form of medical record management that functions as a sequencing to put medical records on storage shelves so that they can be found again when needed by patients, medical personnel or other needs. The alignment used is like an alphabetic system or based on numerical systems such as the straight numerical system (straight Numerical System), middle number system (Middle Digit Filing System) and final number system (Terminal Digit Filing System). Aisyiyah Siti Khotijah Salam primary clinic Magelang Regency is a primary clinic with health workers consisting of general practitioners, specialists, midwives, nurses and administrative personnel. For medical recording personnel themselves, it is not adequate, so there are problems related to medical record management. In this community service activity, training was carried out related to the alignment of medical record files, previously participants were given material related to the alignment of medical records. The result of this study is the improvement of the alignment system at Pratama Aisyiyah Siti Khotijah Salam Magelang Clinic.

Risk Assessment in the Life Cycle of Electronic Medical Record System Development: Assasmen Risiko Dalam Siklus Hidup Pengembangan Sistem Rekam Medis Elektronik Ningsih, Kori Puspita; Santoso, Sugeng; Purbobinuko, Zakharias Kurnia; Dewi, Tika Sari; Murdiyanto, Aris Wahyu
Procedia of Engineering and Life Science Vol. 7 (2025): Prosiding Seminar Nasional dan Rakernas PORMIKI X
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/pels.v7i0.2184

The Indonesian government mandated PMK 24 of 2022 concerning Medical Records as a challenge for health service facilities in Indonesia to develop Electronic Medical Records (EMR). Risk management plays an important role in every stage of the system development life cycle (SDLC). Risk assessment is the first stage in the risk management method. This research aims to explore risks in RME development in an effort to determine risk mitigation for RME development in the SDLC framework. The results of this research show the identification of risks based on hardware, software, vulnerability to technological change, vulnerability to instability in technology supply, project failure,regulatory and compliance impact. These categories of risks are outlined in the SDLC framework including the initiation, development, implementation, maintenance and disposal phases. Next, probability and impact measurements are carried out, to analyze the level of risk with low, medium and high determinants. The existence of this risk level makes it easier for stakeholders to identify appropriate controls to reduce or eliminate risks during the risk mitigation process. The output of this research is presented in the form of a risk register. The conclusion of this research shows that risks in high determinants require mitigation efforts from the aspects of regulations, infrastructure and human resources.

Pelatihan Redesain Sistem Penjajaran Rekam Medis di Klinik Pratama Aisyiyah Siti Khotijah Salam Kabupaten Magelang Eniyati, Eniyati; Ningsih , Kori Puspita; Purbobinuko, Zakharias Kurnia
JOURNAL OF PHILANTHROPY: The Journal of Community Service Vol. 1 No. 2 (2023): Journal of Philanthropy, July 2023
Publisher : Samodra Ilmu: Lembaga Penelitian, Penerbitan, dan Jurnal Ilmiah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58353/jop.v1i2.118

Good medical record management will affect the quality of health services. A good medical record must be qualified: accurate, complete, contain clear data, contain new information data that shows the patient's current status, informative, and accountable. Medical record management greatly affects the quality of health services. Storage room (filing) where medical record documents are stored, because medical records are confidential and have legal aspects, physical security is the responsibility of health facilities Alignment is a form of medical record management that functions as a sequencing to put medical records on storage shelves so that they can be found again when needed by patients, medical personnel or other needs. The alignment used is like an alphabetic system or based on numerical systems such as the straight numerical system (straight Numerical System), middle number system (Middle Digit Filing System) and final number system (Terminal Digit Filing System). Aisyiyah Siti Khotijah Salam primary clinic Magelang Regency is a primary clinic with health workers consisting of general practitioners, specialists, midwives, nurses and administrative personnel. For medical recording personnel themselves, it is not adequate, so there are problems related to medical record management. In this community service activity, training was carried out related to the alignment of medical record files, previously participants were given material related to the alignment of medical records. The result of this study is the improvement of the alignment system at Pratama Aisyiyah Siti Khotijah Salam Magelang Clinic.

Tingkat Kepuasan Pasien Pengguna Sistem Pendaftaran Rawat Jalan Berbasis Online Menggunakan Metode EUCS di Rumah Sakit Nur Hidayah Bantul Yogyakarta Sulistiana, Etika; Purbobinuko, Zakharias Kurnia; Dewi, Tika Sari
Jurnal Indonesia Sehat Vol. 3 No. 1 (2024): JURINSE, April 2024
Publisher : SAMODRA ILMU: Lembaga Penelitian, Penerbitan, dan Jurnal Ilmiah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58353/jurinse.v3i1.208

Background: The online registration system at Nur Hidayah Hospital Bantul still finds problems related to application errors, there are problems when uploading KTPs for registering new patients, and at Nur Hidayah Hospital Bantul there has not been a satisfaction survey of users of the online-based outpatient registration system. Objectives: To determine the description of patient satisfaction using the online-based outpatient registration system using the EUCS (End User Computing Satisfaction) method. Research method: this research is quantitative descriptive research using a cross-sectional approach. The tool used to collect primary data in this research was the EUCS questionnaire. The sample in this study amounted to 96 accidental sampling. Research Results: the results of the descriptive analysis showed that the majority of respondents were satisfied. The results of the univariate analysis regarding the satisfaction of patients using the online-based outpatient registration system have the majority of satisfaction index interpretation scores that fall into the range of 61-80% in the satisfied category. Conclusion: online registration has a high level of satisfaction in terms of Content, Accuracy, Format, Ease of Use and Timeliness. The recommended suggestion is for developers to pay more attention to the format and reports produced by the online registration system so that they are easier to understand and comprehend.

Klakson: Innovation in the Development of a Barber Johnson Charting Calculator Based on an Early Warning System (EWS) Ningsih, Kori Puspita; Purbobinuko, Zakharias Kurnia; Pradipta, Dimas Andrenawan; Farhan, Ishlah Maulana; Rohmah, Kuny Lutfiyatur
Procedia of Engineering and Life Science Vol. 6 (2024): The 3rd International Scientific Meeting on Health Information Management (3rd ISMoHI
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/pels.v6i0.1960

Data on bed management in Indonesia is currently managed in an integrated manner by the Ministry of Health through the Integrated Referral System (SISRUTE) on the Satu Sehat website. Hospital bed management data can be presented in the Barber-Johnson Graph. The Barber Johnsons graph is a good tool. It makes it easier for managers to monitor the efficiency of bed use, because TOI (Turn Over Interval), LOS (Length Of Stay), BTO (Bed Turn Over), and BOR (Bed Occupation Rate) are presented in one graph. The problem currently faced by society is that the management of beds in healthcare facilities is not yet efficient and is still done manually. In some hospitals, they still describe the Barber-Johnson Chart in Microsoft Excel. Therefore, innovation is needed to develop the Barber-Johnson Graph Calculator application Johnson is based on an Early Warning System (EWS) called Klakson. The existence of efficient bed management will demonstrate quality service. This is certainly expected to impact improving public health in Indonesia. This research uses action research, with a qualitative data collection approach. Data analysis uses content analysis. The results of need identification show that hospitals, health centers, and clinics that provide inpatient care need a Klakson application based on the Early Warning System (EWS) in the form of notifications and sound to support early decisions. The results of the feasibility study show that users are accustomed to using computers, software, and hardware available to support the development of web-based information systems. Information system development using prototype methodology. The prototype test results using the Blackbock method show that the function/reaction is according to the actor, the system works well and can meet user needs. The development of the web-based Klakson application using prototype methodology stages has been tested in DIY clinics and shows that the system can meet user needs.

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