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FAKTOR-FAKTOR PENYEBAB KETIDAKLENGKAPAN PENGINPUTAN KODIFIKASI PADA KASUS RAWAT JALAN DI RSUD RAJA AHMAD TABIB MENGGUNAKAN METODE DIAGRAM FISHBONE Mulyana; Masriani Situmorang; Rahmawati
JOURNAL OF SUSTAINABLE COMMUNITY SERVICE Vol. 4 No. 1 (2023): DECEMBER
Publisher : Transpublika Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55047/jscs.v4i1.520

Abstract

Community service at Raja Ahmad Tabib Regional General Hospital from August 14 to August 26, 2023 aims to improve the efficiency and accuracy of inputting outpatient data. This activity focused on socialization to health workers to better understand the constraints in the Raja Ahmad Tabib Regional General Hospital Management System Application. The results of observations and interviews showed several factors causing the problem. First, the number of coder personnel has not met the standard, causing data entry to be not optimal. Second, SOPs related to inputting outpatient data need to be more specific so that the process is more uniform. The literature study also shows the need for integration of information management systems to facilitate staff, but there is a gap between INA-CBGs and SIMRS at Raja Ahmad Tabib Hospital. Another problem is related to the incomplete medical record files of BPJS patients, where accident information is less specific. Emergency department assessments and history taking also did not always reflect the details of the accident. Financial constraints are the main obstacle, limiting the addition of personnel and updating the information management system which still uses a desktop. With limited budgets, resolving issues related to staffing, methods, and system integration is difficult. Special attention is needed to ensure that outpatient information management becomes more efficient and accurate.
THE BENEFITS OF ELDERLY GYMNASTICS ON CHOLESTEROL LEVELS AT KAWAN SEIRING POSYANDU IN BAMBU KUNING VILLAGE, WORKING AREA OF PUSKESMAS REJOSARI Sherly Mutiara; Masriani Situmorang; Marian Tonis; Inka Desla Claudyana
JOURNAL OF SUSTAINABLE COMMUNITY SERVICE Vol. 4 No. 3 (2024): JUNE
Publisher : Transpublika Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55047/jscs.v4i3.668

Abstract

Elderly gymnastics is a series of regular, directed, and planned movements performed with the aim of enhancing the functional abilities of the body. Regular elderly gymnastics can lower blood cholesterol levels in the elderly. If cholesterol levels decrease, it is highly beneficial for the body as it can reduce the risk of cardiovascular diseases. The objective of this community service implementation is to lower cholesterol levels among the elderly at the Kawan Seiring Posyandu in the Bambu Kuning Village within the working area of Puskesmas Rejosari in 2024. The method of community service implementation involves providing education and active physical activities through elderly gymnastics. There were 10 elderly participants in this community service activity. The results of this service activity show differences in cholesterol levels before and after gymnastics among the elderly, as elderly gymnastics are highly beneficial for human health, including improving the function of the heart, lungs, and blood vessels.
PERBANDINGAN ANGKA PENDING KLAIM RAWAT JALAN BPJS KESEHATAN BERDASARKAN LIMA KATEGORI PENYEBAB UTAMA: TINJAUAN DATA TIGA BULAN TERAKHIR Mulyana; Masriani Situmorang; Nimas Esya Bayazid; Hanifah Cahyani; Dinda Farizha
Journal of Hospital Administration and Management (JHAM) Vol 7 No 1 (2026): Journal of Hospital Administration and Management (JHAM)
Publisher : LPPM Universitas Awal Bros

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54973/jham.v7i1.843

Abstract

Healthcare services through the National Health Insurance Program (JKN) require hospitals to manage the BPJS Kesehatan claims process accurately and timely, as delays or refunds can impact the continuity of hospital operations. One unit that plays a crucial role in this process is the Casemix Unit, which is responsible for grouping diagnoses and medical procedures and submitting claims based on BPJS Kesehatan regulations. This study aims to analyze the causes of the return of BPJS Kesehatan patient claim files for outpatient services at Awal Bros Gajah Mada Hospital. This study used a qualitative method with a descriptive approach, with Casemix Unit officers as the subjects and pending BPJS Kesehatan outpatient claim files as the objects. The results showed that of the 47,317 outpatient claim files from October–December 2024, 5,911 files (11.11%) were pending. The main causes of pending claims included incomplete required documents, inaccurate coding of diagnoses and medical procedures, problems with service episodes, and discrepancies between medical records and supporting examination results. The conclusion of this study indicates that completeness of files and accurate coding play a crucial role in the smooth processing of BPJS Kesehatan claims, necessitating increased coordination and accuracy in the outpatient claims management process.