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Audit Rekam Medis dalam Upaya Peningkatan Kualitas Pengisian Rekam Medis di RSUD Sleman Sugeng; Dian Herawati; Salim, Marko Ferdian
Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda (JIPIKI) Vol. 9 No. 1 (2024): Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda Edisi Februari
Publisher : Akademi Perekam dan Informasi Kesehatan Imelda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jipiki.v9i1.1402

Abstract

A hospital is a health service institution that provides complete individual health services for inpatient, outpatient, and emergency care. Hospitals as health service providers are required to maintain medical records. The administration of medical records for each hospital refers to the Regulation of the Minister of Health of the Republic of Indonesia. A medical record audit is needed to determine the completeness of data in medical records both in quantity and quality. The purpose of this study was to determine the medical record audit at RSUD Sleman. The type of research used is analytic observational with a cross-sectional study design. This research was conducted at RSUD Sleman, Special Region of Yogyakarta. The research was done from April to October 2022, during a period of 7 months. Simple random sampling was used to collect data from 94 medical records. The audit of 94 samples of medical records resulted in the following findings: completeness, patient identity 100%, professional identity in providing care 99.01%, date and time 70.21%, initial assessment 90.42%, subjective examination 98.84%, objective examination 66.01%, management plan 91.49%, clinical pathology examination 58.51%, radiological examination 75.53%, primary diagnosis 100%, secondary diagnosis 100%, and general agreement 100%. The lowest percentage of 58.51% was obtained for incomplete data.
ANALISIS FAKTOR PENGHAMBAT PELEPASAN INFORMASI KEPADA PIHAK KETIGA DI RUMAH SAKIT BHAYANGKARA LUMAJANG Wulandari, Dina Tsani; Salim, Marko Ferdian; Nugraha, Bagus Setyadi; Hartati, Oky Susiana; Muldyanti, Watik
Jurnal Informasi Kesehatan Indonesia (JIKI) Vol 9 No 1 (2023): Jurnal Informasi Kesehatan Indonesia
Publisher : Politeknik Kesehatan Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jiki.v9i1.3841

Abstract

Latar Belakang: Peningkatan mutu dan efisiensi pelayanan rumah sakit melalui sensus harian rawat inap memerlukan implementasi sistem informasi kesehatan (SIK) yang baik. RSUD Muntilan telah memiliki modul Sensus Harian Rawat Inap (SHRI) dalam SIK, tetapi pelaksanaannya masih dilakukan secara manual, menyebabkan masalah ketidakakuratan data. Oleh karena itu, penelitian ini bertujuan menganalisis faktor-faktor penghambat implementasi SIK dalam kegiatan SHRI di RSUD Muntilan. Subjek dan Metode: Jenis penelitian ini yaitu penelitian kualitatif dan menggunakan rancangan penelitian studi kasus. Sampel yang diambil mencakup masing-masing satu orang petugas admin bangsal dan petugas pelaporan yang dipilih secara acak dari populasi yang terdiri dari tujuh orang petugas admin bangsal dan dua orang petugas pelaporan. Metode pengumpulan data yang digunakan yaitu observasi, studi dokumentasi, dan wawancara. Hasil: Faktor yang menjadi penghambat implementasi SIK adalah faktor man meliputi kurangnya petugas admin bangsal, money yaitu tidak adanya anggaran untuk pelatihan/sosialisasi dan penambahan petugas admin bangsal, method yaitu tidak adanya SOP sensus harian rawat inap secara elektronik, material yaitu data tempat tidur dan tanggal masuk yang tidak akurat. Kesimpulan: Faktor-faktor yang menjadi penyebab tidak digunakannya SIK dalam kegiatan sensus harian rawat inap adalah faktor man, money, method, dan material
ANALISIS KESIAPAN BRIDGING SIMRS DAN V-CLAIM DI RUMAH SAKIT PRATAMA KOTA YOGYAKARTA Salim, Marko Ferdian; Syakira, Imtinan Nasywa; Putri, Edvy Permata; Janah, Friska Miftachul
Jurnal Informasi Kesehatan Indonesia (JIKI) Vol 9 No 1 (2023): Jurnal Informasi Kesehatan Indonesia
Publisher : Politeknik Kesehatan Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jiki.v9i1.3661

Abstract

Background: Hospital Information System (SIMRS) and Virtual Claim (V-Claim) are information systems used by hospitals in providing services. However, the different systems between SIMRS and V-Claim will have an impact on the effectiveness and efficiency of patient services, for example the patient registration process. Yogyakarta City Primary Hospital is conducting bridging between SIMRS and V-Claim so it is necessary to know the readiness level of the bridging system.Subjects and Method: This research method used a mixed methods with an exploratory design at the Yogyakarta City Primary Hospital in June-August 2022. This research was started with qualitative research and then continued with quantitative. Collecting data using interview techniques, observation, and questionnaires.Results: The SIMRS and V-Claim bridging systems have been successfully implemented at Yogyakarta Pratama Hospital with the support of man, money, machine, material, and method aspects that are well integrated with each other. The TRL measurement results show that the level of readiness for implementing the bridging system at the Yogyakarta City Pratama Hospital is at level 8.Conclusion: The SIMRS and V-Claim bridging systems have been successfully implemented at Yogyakarta Primary Hospital. Improving the Yogyakarta Pratama Hospital IT team to make repairs and improvements to TRL indicators that have not reached the maximum up to TRL level 9.
PENGEMBANGAN SISTEM INFORMASI SURVEILANS PROGRAM KESEHATAN IBU DAN ANAK BERBASIS DHIS2 (DISTRICT HEALTH INFORMATION SOFTWARE 2) Salim, Marko Ferdian; Syairaji, M.; Ningtyas, Annisa Maulida; Pratama, Rio Aditya
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 10, No 2 (2022): EDITION JULY 2022
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33366/jc.v10i2.2480

Abstract

Indonesia masih menetapkan bahwa masalah kesehatan ibu dan anak (KIA) sebagai program prioritas yang harus diselesaikan karena angka kematian ibu (AKI) dan angka kematian bayi (AKB) belum memenuhi standar indikator. Sistem surveilans KIA belum terintegrasi sehingga data dan informasi yang dihasilkan juga belum bisa dimanfaatkan secara maksimal untuk mendukung pengambilan keputusan terhadap masalah KIA. Tujuan penelitian ini yaitu merancang dan mengembangkan sistem informasi surveilans program KIA berbasis DHIS 2. Jenis penelitian adalah action research dengan mengikuti langkah-langkah protoyping dalam mengembangkan sistem informasi surveilans program KIA berbasis DHIS 2 (District Health Information Software 2). Penelitian dilaksanakan pada bulan Agustus 2019 - Februari 2020 di Puskesmas Kabupaten Kulon Progo. Subjek penelitian ini yaitu Petugas KIA Puskesmas sebanyak 6 orang yang ditentukan berdasarkan purposive sampling. Objek penelitian ini adalah sistem informasi surveilans KIA. Prototipe sistem informasi surveilans program KIA berbasis DHIS 2 telah melalui tahap identifikasi kebutuhan, desain sistem, implementasi, dan pengujian. Hasil uji coba sistem membuktikan bahwa pengguna dapat menerima sistem tersebut dan sistem berjalan dengan baik. Sistem informasi surveilans program KIA berbasis DHIS 2 sudah berhasil dikembangkan dan diterima oleh pengguna. Oleh karena itu, pihak puskesmas disarankan agar mengimplementasikan sistem ini dalam kegiatan surveilans KIA.
User Satisfaction Analysis of Digital Government Services at Health Center: Analisis Kepuasan Pengguna terhadap Layanan Pemerintahan Digital di Pusat Kesehatan Inayah, Asti Nur; Salim, Marko Ferdian; Santoso, Dian Budi
Procedia of Engineering and Life Science Vol. 9 (2025): Proceedings of the 2025 Annual Meeting of APTIRMIKI
Publisher : Universitas Muhammadiyah Sidoarjo

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

Abstract

Public health facilities in Bantul Regency have implemented the Digital Government Service (DGS) since 2019 to support healthcare activities. However, its implementation has not been fully optimal, and several challenges remain. User satisfaction is an important indicator of the successful adoption of health information systems. This study aimed to assess user satisfaction with DGS using the End User Computing Satisfaction (EUCS) model across five dimensions: content, accuracy, format, ease of use, and timeliness. A quantitative cross-sectional design was employed with 104 respondents selected through multistage random sampling. Data were collected using questionnaires and observations and analyzed through univariate, bivariate, and multivariate approaches. Most DGS users were female (88%), aged 26–35 years (35%), had diploma-level education (53%), and worked as midwives (24%). Overall, user satisfaction was categorized as “satisfied,” with an average score above 3.401 across the five EUCS dimensions. Regression analysis indicated that all EUCS dimensions had a positive and significant effect on user satisfaction (p < 0.05), and the simultaneous F-test confirmed that all independent variables collectively influenced the dependent variable (p < 2.2e-16). In conclusion, DGS users in Bantul Regency reported a satisfactory level of system use, and all EUCS dimensions were significantly associated with user satisfaction, with independent variables collectively contributing to overall satisfaction.