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Implementasi Rekam Medis Elektronik Nugroho, Nuzul Yuda; Lesmana, Tedy Chandra; Febriani, Heni
Jurnal Rekam Medic Vol 8, No 2 (2025): Edisi Agustus
Publisher : LPPM Institut Kesehatan Helvetia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33085/.v8i2.6661

Abstract

Latar belakang : Berdasarkan Peraturan Menteri Kesehatan Nomor 24 Tahun 2022 yang membahas terkait rekam medis, di mana paling lambat pada tanggal 31 Desember 2023 semua fasilitas kesehatan diwajibkan untuk mengimplementasikan Rekam Medis Elektronik (RME). Berdasarkan hasil studi pendahuluan, belum semua Puskesmas di Kabupaten Sleman menyelenggarakan RME meskipun telah mengimplementasikan SIMPUS. Tujuan penelitian : Mengetahui implementasi RME dilihat dari unsur 5M (men, method, money, machine, material) di Sepuluh Puskesmas Kabupaten Sleman Metode : Jenis penelitian deskriptif dengan pendekatan kualitatif. Subjek penelitian meliputi penanggung jawab SIK Dinas Kesehatan Sleman, perekam medis puskesmas/ tenaga medis pada puskesmas serta pengembang aplikasi SIMPUS. Hasil : Unsur men dalam Implementasi RME di Sepuluh Puskesmas Kabupaten Sleman, komitmen petugas dalam implementasi RME sudah baik, pelatihan sudah dilaksanakan pada awal implementasi RME, kendala dalam implementasi RME belum ada Tenaga TI di puskesmas. Unsur methode sudah terdapat Surat Keputusan Penanggung Jawab Rekam Medis dan SOP Rekam Medis namun SOP terkait dengan back up data RME belum ada. Unsur machine, perangkat keras yang digunakan sudah cukup mendukung impelementasi RME namun perangkat back up data RME belum ada di puskesmas maupun di dinas kesehatan. Unsur money pembiayaan dari puskesmas digunakan dalam pemenuhan sarana, prasarana implementasi RME sedangkan pembiayaan pengembangan dan pemeliharaan aplikasi dilaksanakan oleh dinas kesehatan. Unsur material, hambatan dalam implementasi RME karena kendala jaringan sehingga aplikasi RME tidak dapat diakses, modul rawat inap untuk perawat belum sesuai. Interoperabilitas aplikasi sudah dapat terintegrasi dengan BPJS dan SatuSehat namun pengiriman data RME ke SatuSehat belum sesuai dengan ketentuan. Kesimpulan : Berdasarkan unsur 5 M implementasi RME di sepuluh puskesmas dapat berjalan dengan baik meskipun terdapat beberapa kendala yang dihadapi.
PHENETIC DIVERSITY OF CELLULASE-PRODUCING BACTERIA FROM WANA TIRTA KULON PROGO MANGROVE FOREST Febriani, Heni; Octavia, Bernadeta; Zulaika, Enny
Indonesian Journal of Bioscience (IJOBI) Vol. 1 No. 1 (2023): Indonesian Journal of Bioscience (IJOBI)
Publisher : Universitas Negeri Yogyakarta in collaboration with Perhimpunan Biologi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21831/ijobi.v1i1.114

Abstract

Mangrove is an ecosystem that have important value for the environment and are a source of cellulase-producing microorganism biomass. The purpose of this study was to determine the characteristics and types, as well as the highest cellulase enzyme activity from cellulase-producing bacteria found in Wana Tirta Mangrove Forest, Jangkaran, Kulon Progo. This research is a descriptive-exploratory research. Sampling in the form of litter, mud and water was carried out in the Wana Tirta Kulon Mangrove Forest which was divided into 3 plots. This sample is then isolated on selective media in the form of Carboxymethyl cellulose (CMC) In order to grow cellulolytic bacteria. The bacteria obtained are then purified and phenetic characterization. The data obtained were used to classify the bacterial isolates using MVSP identification software (Multivariate Statistical Package) 3.1 with UPGMA clustering algorithm (Unweight Pair Group Method With Arithmatic Averages) then the result is presented in the form of a dendogram. Result Research shows as many as 17 isolates of cellulolytic bacteria were obtained. There were 4 bacterial isolates from litter samples, 1 bacterial isolate from water samples and 12 bacterial isolates from mud samples. After being made in the form of a dendogram, 19 bacterial clusters were obtained. A total of 6 bacterial isolates had a similarity index of ≥ 72% against Bacillus pumilus namely isolates S1A 2, S2A, AL 3, AP 3, AP 6 and AP 17, 4 bacterial isolates have a similarity index of ≥ 70% to Bacillus stearothermophyllus namely AP 22, AP 24, AP 25, and AP 26 isolates. As well as 7 bacterial isolates have a similarity index of ≥ 77% against Streptomyces Sp. namely isolates S1A 1, S3B, AP 8, AP 9, AP 14, AP 20 and AP 27.The highest cellulase enzyme activity occurred in AP 14 bacterial isolate of 286.72 U / ml.
Modifikasi Biopori sebagai Optimalisasi Laju Infiltrasi Air Hujan dan Dampak bagi Pengomposan Bahan Organik Subagiyono, Subagiyono; Febriani, Heni
Jurnal Kesehatan Lingkungan Mandiri Vol 2 No 1 (2023): Jurnal Kesehatan Lingkungan Mandiri, Volume 2 No.1 November 2023
Publisher : Jurusan Kesehatan Lingkungan Poltekkes Kemenkes Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33761/jklm.v2i2.1226

Abstract

Accelerated development. housing on hard land, expanding house plots, filling in new land from wetlands, and changing residences into shops or offices. This causes a decrease in the capacity and carrying capacity of the environment on the earth's surface. The aim of this research is to determine the type of organic material in the biopore media which has a significant influence on the rate of water infiltration into the soil. The type of research is Quasi-experimental, with a post test only design using the Experimental Perspective Cohort method. Observations were carried out repeatedly according to the time required during the organic material degradation process in the biopores then analyzed using the true triangle experiment, namely by analyzing the components in the modified biopore media. The data that has been collected in this research is then analyzed using quantitative descriptive analysis by describing the data through the Oneway Anova Variance Test with a degree of confidence of 0.05. The research results show that the modified biopori instrument with organic vegetable material in it can maintain the rate of water infiltration into the soil. The fastest average rate of water infiltration into the soil was found in the modified biopore instrument with vegetable organic material, namely 191.16 mm/minute. The results of analysis on organic materials show teak leaves with a value of sig.0.011, vegetables with a value of sig. 0.022, straw obtained a sig value. 0.002, and paper with a sig value. 0.111. The type of vegetable organic material in the modified biopore instrument is more effective and faster in returning the rate of water infiltration into the soil to normal.