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All Journal Jurnal Manajemen Pendidikan Jurnal Kesehatan Medika Saintika Jurnal Manajemen Informasi dan Administrasi Kesehatan JURNAL PENDIDIKAN TAMBUSAI Hearty : Jurnal Kesehatan Masyarakat Indonesian of Health Information Management Journal (INOHIM) Health Sciences and Pharmacy Journal Jurnal Pendidikan dan Konseling PREPOTIF : Jurnal Kesehatan Masyarakat Jurnal Pengabdian Masyarakat Multidisiplin JOURNAL OF COMMUNITY MEDICINE AND PUBLIC HEALTH RESEARCH Jurnal Kesehatan Tambusai J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Natural Sciences Engineering and Technology Journal Archives of The Medicine and Case Reports COMSERVA: Jurnal Penelitian dan Pengabdian Masyarakat Indonesian Journal of Health Information Management (IJHIM) Jurnal Ilmiah Kesehatan Masyarakat Jurnal Sains dan Teknologi Sehat Rakyat: Jurnal Kesehatan Masyarakat Journal of Innovation Research and Knowledge Journal of Comprehensive Science Malcom: Indonesian Journal of Machine Learning and Computer Science Jurnal Sosial dan Sains Journal of Artificial Intelligence and Digital Business Student Scientific Creativity Journal Cerdika: Jurnal Ilmiah Indonesia Indonesian Journal of Health Information Management Services (IJHIMS) Jurnal An-Najat: Jurnal Ilmu Farmasi dan Kesehatan Jurnal Umum Pengabdian Masyarakat (JUPEMAS) Jurnal Medika Nusantara Inovasi Kesehatan Global Vitamin: Jurnal Ilmu Kesehatan Umum Jurnal Rekam Medic
Daniel Happy Putra
Fakultas Ilmu-ilmu Kesehatan, Program studi Rekam Medis dan Informasi Kesehatan, Universitas Esa Unggul.
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Tinjauan Penyebab Pengembalian Berkas Klaim Biaya Pelayanan Pasien Rawat Inap BPJS Kesehatan di Rumah Sakit Pelabuhan Jakarta Tahun 2022 Siti Rahmawati Handayani; Lily Widjaja; Daniel Happy Putra; Dina Sonia
SEHATMAS: Jurnal Ilmiah Kesehatan Masyarakat Vol. 2 No. 4 (2023): Oktober 2023
Publisher : Yayasan Literasi Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55123/sehatmas.v2i4.2617

Abstract

In the process of submitting a BPJS Health Claim, some requirements must be completed by the Health Facility. Of these requirements, the BPJS Health party will know that the claim submission can be paid or returned/delayed. This research was conducted to find out the reasons for returning the claim file for BPJS Kesehatan inpatient care at the Jakarta Harbor Hospital in 2022. The method in this study used descriptive research with a quantitative approach. The results of the study were 118 samples (6.7%) of 1,762 files, the highest returned cause was an inaccuracy in the coding of diagnoses/actions of 49 (42%), and the second highest was not fulfilling inpatient administration 18 (15%), other causes - others as much as 51 (43%). 3 factors from 5M are the cause of returning claim files, namely the human factor: casemix officers who are not diligent, lack of coder understanding/knowledge, and lack of accuracy in the filing department so that files are missed/left behind, machine: there is an upgrade to the latest version of the INA-application CBGs and V-Claim are also the Ministry of Health's newest program which requires TB patients to be inputted into the SITB application, Material: incomplete claim requirements files. While the money and method factors are not an obstacle or a cause for returning claim files. It is recommended to evaluate and re-socialize the reasons for returning BPJS Health claims so that the process of submitting BPJS Health claims is carried out properly and is 100% accepted.
Tinjauan Ketepatan Kode Diganosis Tuberkulosis Paru Pasien Rawat Jalan di Rumah Sakit SHL Pandeglang Rahelia Putri; Lily Widjaja; Dina Sonia; Daniel Happy Putra
SEHATMAS: Jurnal Ilmiah Kesehatan Masyarakat Vol. 3 No. 2 (2024): April 2024
Publisher : Yayasan Literasi Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55123/sehatmas.v3i2.3423

Abstract

In coding activities, medical recorders and health information are needed who master how to give disease codes according to ICD-10 and actions according to ICD-9 CM so that the resulting code has accuracy according to the diagnosis or action given. One of the most frequently used coding accuracy is accuracy in coding for Pulmonary Tuberculosis. One of the important things is how to describe the accuracy of the Outpatient Pulmonary Tuberculosis diagnosis code at SHL Pandeglang Hospital. This study was shown to determine the accuracy of the diagnosis code for Outpatient Pulmonary Tuberculosis at SHL Pandeglang Hospital. This research method uses a descriptive method with a quantitative approach. The sample of this study was taken by saturated sampling technique. Data were taken using interviews and observations. The results of the study of 122 medical records obtained accuracy of 93 (76.2%) files and inaccuracy of 29 (23.8%) files. Based on the identification of factors causing the inaccuracy of the diagnosis code, there are 4 factors, namely the man factor: occurs due to the lack of accuracy of the coder in coding, the workload of the coder, and the lack of training for coders with non-RMIK backgrounds. Material factors: the unavailability of the Medical Dictionary (Dictionary of Medical Terminology) and the absence of an abbreviated list of diagnoses (standard). Machine factors: damage to the computer, software hangs, and computers that are too old. Method factor: incomplete SPO diagnosis coding.
Perencanaan Kegiatan Retensi Rekam Medis di Rumah Sakit Islam Jakarta Pondok Kopi Diva Angelita; Puteri Fannya; Deasy Rosmala Dewi; Daniel Happy Putra
SEHATMAS: Jurnal Ilmiah Kesehatan Masyarakat Vol. 3 No. 3 (2024): Juli 2024
Publisher : Yayasan Literasi Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55123/sehatmas.v3i3.3931

Abstract

Medical record retention (shrinkage) is the reduction of archives through the process of sorting documents 5 years after the patient dies or the last date of treatment. This study aims to plan medical record retention activities at RSIJ Pondok Kopi to overcome the problem of file accumulation, improve the efficiency of medical record management, and support better health services. This study uses a qualitative descriptive method and is sourced from 4 informants consisting of the head of medical records and medical record officers, in attracting informants using purposive sampling techniques. In the initial observation, the Jakarta Islamic Hospital Pondok Kopi has not resumed retention of medical records for the last 4 years due to hospital policies regarding service priorities. The results of this study indicate that RSIJ Pondok Kopi already has adequate retention SOPs, but has not retained medical records since 2020. This has resulted in the accumulation of medical record files in the storage room. Based on the results of the study, it can be concluded that RSIJ Pondok Kopi needs to immediately implement medical record retention to overcome the problem of file accumulation. The retention activity plan was made as input for retention so that it can overcome the problems in the medical record unit due to not having medical record retention.
Tinjauan Lama Waktu Tunggu Pelayanan Pasien Rawat Jalan Poli Jantung di Rumah Sakit Angkatan Laut Marinir Cilandak Tahun 2022 Fingky Rizki Wulandari; Puteri Fannya; Deasy Rosmala Dewi; Daniel Happy Putra
Student Scientific Creativity Journal Vol. 1 No. 4 (2023): Juli : Student Scientific Creativity Journal
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/sscj-amik.v1i4.1548

Abstract

Patient is a person who, directly or indirectly, consults a doctor or medical service about a health problem in order to receive the medical care the patient needs. After registering, patients need to wait until they get health services from the intended poly. The waiting time is understood as the time required from the arrival of the patient to the moment when the specialist performs the service. This study aims to review the length of waiting time for cardiac outpatient services at the Cilandak Marine Marine Hospital in 2022 using a quantitative approach with descriptive research methods, namely conducting direct interviews with outpatients and directly reviewing the length of waiting time for patients. 74 patient samples, there were 23 patients (31.08%) whose waiting time was appropriate or below the minimum service standard of waiting time (≤60 minutes), while for 51 patients (68.92%) the waiting time did not meet the minimum service standard of time. waiting time (>60 minutes), with an average patient waiting time of 96 minutes. The fastest waiting time for patients is 41 minutes, while the longest waiting time for patients is 173 minutes. Factors that cause long waiting times for outpatients are the inadequate number of medical record officers and medical personnel, the number of patients who come at the same time, causing queues at the registration counter and queues at the poly, doctors' practice hours are quite at odds with registration hours at the counter, negligence of the patient when registering, not carrying a medical card, not carrying the necessary documents, and not the patient concerned who registers, and the number of medical personnel and officers is not sufficient.
Tinjauan Penyebab Klaim Pending Pasien Badan Penyelenggara Jaminan Sosial (BPJS) Rawat Inap di RSUD Kembangan Jakarta Barat Iman Harapan Jaya Zalukhu; Deasy Rosmala Dewi; Daniel Happy Putra
Vitamin : Jurnal ilmu Kesehatan Umum Vol. 2 No. 3 (2024): July : Jurnal ilmu Kesehatan Umum
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/vitamin.v2i3.437

Abstract

Financing activities at Kembangan Regional Hospital are dominated by BPJS Health Participants, when submitting claim from patients participating in BPJS Health, there are still delays in submitting claim which will have an impact on hospital operational activities. The aim of this research was to determine the causes of Pending Claims that accurred at Kembangan Regional Hospital. This study used a descriptive method with a mix method approach. The BPJS Health claim procedure for inpatient services at Kembangan Hospital is in accordance with the exiting Standar Operating Procedures. The data used are pending claim files originating from inpatient treatment in November 2022- Jaunary 2023. The research result found 941 inpatient claim files and 84 pending claim files. The cause of pending claim were classified into 7, Conformity between surgical procedures was 22 (26%), inaccuracy in administrative verification and SEP suitability in inputting data into INA-CBGs was 19 (23%), coding determined by the coder was not unbundled by 17 (20%), INA-CBG codes was 9 (!1%), DPJP daognostic code matching 6 (7%), Hospital code conformity 6 (7%), and finally redmissions for the same disease coding 5 (6%). Based on the 5M identification, there are factors, namely the man factor: because the claim file was not accepted by BPJS Health due to coding. The coding given by the hospital to the hospital to the BPJS was not appropriate. Material: supporting files which arrived late on the specified day. Meanwhille, the 3 other factors, namely the money machine and methid, were not obstacles or causes fot the return of the claim files. It is recommended to reevaluate and socialize the reasoms fpr returning BPJS Health claims so that the BPJS Health claim submission process is carried out well and accepted.
Tinjauan Sistem Pendaftaran Rawat Jalan di Puskesmas Kelurahan Klender Tahun 2023 Rizky Alfiansyah; Puteri Fannya; Daniel Happy Putra; Laela Indawati
Vitamin : Jurnal ilmu Kesehatan Umum Vol. 2 No. 4 (2024): October : Jurnal ilmu Kesehatan Umum
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/vitamin.v2i4.768

Abstract

Puskesmas is a functional health organization as well as a center for community health development. The Klender urban health center currently uses an online registration system and offline registration. This study aims to determine the online and offline outpatient registration system at the Klender Village Community Health Center in 2023. This research is a qualitative research. In this study, researchers directly observed the process of outpatient registration. Retrieval of research data is done by observation and interviews with registration officers. The results of the study found that online registration uses the Jaksehat application, patients do not need to come to the health center to register, patients come to the health center to validate queue numbers to the polyclinic only. Calling patients who register online is prioritized with a system of calling queue numbers 1-5, 11-15 and so on. Offline registration is done by having patients come directly to the puskesmas and queue to register. For calling patients, register offline after patients register online with queue numbers 6-10, 16-15, etc. The problems found in registration were the separate queues for patients who registered online and offline and there was a mismatch in calling patients according to the serial number of the queue. The conclusion in this study is that online registration of outpatients uses the Jaksehat application and offline registration is carried out using the system used by the puskesmas. It is expected that the puskesmas will separate the queues of patients who have registered online with patients who have registered offline.
Motivasi Belajar Mahasiswa Program Studi Rekam Medis Pasca Pandemi Sevilla, Flavia; Rumana, Nanda Aula; Sonia, Dina; Putra, Daniel Happy
Indonesian of Health Information Management Journal (INOHIM) Vol 12, No 2 (2024): INOHIM
Publisher : Lembaga Penerbitan Universitas Esa Unggul

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47007/inohim.v12i2.584

Abstract

AbstractMotivation is a movement within a person, one of which is learning. High motivation will create good results, too. This research aims to determine the description of learning motivation in students of the Medical Records and Health Information study program at Esa Unggul University in the post-pandemic period through six indicators, namely intrinsic, extrinsic, task value, learning control, self-efficacy, and anxiety. This research uses a descriptive method with a quantitative approach. The research sample consisted of 82 students from three different classes. The results of this research show that based on intrinsic indicators 75.2%, extrinsic 81.4%, task value 76.5%, learning control 76.5%, self-efficacy 80.3%, and anxiety 73.4%), the results obtained that post-pandemic medical records students' learning motivation was 51.2% high motivation and 48.8% low motivation.Keyword: medical record students, learning motivation, MSLQ  AbstrakMotivasi merupakan gerakan dalam diri seseorang salah satunya dalam belajar. Motivasi yang tinggi akan menciptakan hasil yang baik juga. Tujuan penelitian ini untuk mengetahui gambaran motivasi belajar pada mahasiswa Rekam Medis dan Informasi Kesehatan Universitas Esa Unggul di pasca pandemi melalui enam indikator yakni intrinsik, ekstrinsik, nilai tugas, pengendalian pembelajaran, efikasi diri, dan kecemasan. Penelitian ini memakai metode deskriptif kuantitatif. Sampel penelitian ini berjumlah 82 mahasiswa dengan tiga angkatan berbeda. Hasil penelitian ini menunjukkan berdasarkan indikator intrinsik 75,2%, ekstrinsik 81,4%, nilai tugas 76,5%, pengendalian pembelajaran 76,5%, efikasi diri 80,3%, dan kecemasan 73,4%, sehingga didapatkan hasil bahwa motivasi belajar mahasiswa rekam medis di pasca pandemi 51,2% motivasi tinggi dan 48,8% motivasi rendah.Kata Kunci: mahasiswa rekam medis, motivasi belajar, MSLQ
Manfaat Komunikasi Kesehatan Dalam Penggunaan Aplikasi Instagram : Literature Review Syarif, Hilwa; Yulia, Noor; Sonia, Dina; Happy Putra, Daniel
Jurnal Manajemen Informasi dan Administrasi Kesehatan Vol. 7 No. 2 (2024): JMIAK
Publisher : Program Studi D3 Rekam Medis dan Informasi Kesehatan

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

Abstract

Teknologi kesehatan adalah suatu bentuk alat, produk atau metode yang digunakan untuk mengedukasi, pencegahan, dan penanganan permasalahan kesehatan. Aplikasi instagram merupakan media sosial berbasis foto dan video, instagram termasuk salah satu aplikasiang populer dengan pengguna terbanyak di dunia. Pada aplikasi instagram terdapat banyak sekali fitur yang sangat berguna dan dapat diakses oleh siapa saja tanpa melihat usia. Dengan kemajuan teknologi saat ini masyarakat dapat melihat dan menerima informasi kesehatan melalui sosial media instagram. Tujuan penelitian ini dilakukan untuk melihat manfaat komunikasi kesehatan dalam penggunaan aplikasi instagram. Metode penelitian menggunakan systematic literature review dengan pendekatan metode PICO mengenai penyebaran informasi kesehatan melalui media sosial instagram dan manfaat dalam penggunaan aplikasi instagram. Hasil penelitian menggunakan 12 jurnal literature review didapatkan bahwa penyebaran informasi kesehatan melalui media sosial instagram dikatakan cukup efektif karena memudahkan masyarakat dalam menerima dan memahami isi dan pesan komunikasi yang telah disampaikan tersebut dengan adanya bantuan dari fitur share, tagging, dan komentar sehingga followers juga dapat menyebarkan informasi yang sudah disampaikan tersebut. Kesimpulan di era teknologi digital saat ini komunikasi kesehatan dalam penggunaan aplikasi instagram sangat memungkinkan bagi para professional kesehatan dalam menyampaikan informasi kesehatan secara lebih mudah, cepat, efektif serta memudahkan masyarakat dalam menerima informasi kesehatan dengan melalui teknologi digital yaitu aplikasi instagram.
Analisis Kuantitatif Rekam Medis Elektronik Pasien Rawat Jalan di Puskesmas Tambora Tarisa Maharani; Dina Sonia; Muhammad Fuad Iqbal; Daniel Happy Putra
Jurnal Manajemen Informasi dan Administrasi Kesehatan Vol. 7 No. 2 (2024): JMIAK
Publisher : Program Studi D3 Rekam Medis dan Informasi Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32585/jmiak.v7i2.5789

Abstract

Puskesmas harus menjaga mutu pelayanan dengan menyediakan rekam medis elektronik lengkap yang kualitasnya dijaga melalui analisis kuantitatif. Penelitian ini bertujuan untuk mengetahui kelengkapan pengisian rekam medis elektronik di Puskesmas Tambora dengan metode kuantitatif deskriptif yang menggunakan sampel 99 rekam medis dari total 14.823 kunjungan rawat jalan bulan April 2024. Dari hasil penelitian yang dilakukan oleh peneliti didapatkan informasi bahwa Puskesmas Tambora sudah memiliki SOP tentang kelengkapan rekam medis elektronik yang berjudul “SOP Penilaian Capaian Indikator Mutu Kelengkapan dan Ketepatan Isi Rekam Medis”. Hasil analisis kuantitatif rekam medis elektronik pasien rawat jalan di Puskesmas Tambora pada bulan April 2024 menunjukkan bahwa persentase kelengkapan mencapai 97,83%. Persentase kelengkapan tertinggi terdapat pada komponen kelengkapan e-form yang penting sebesar 99,83%, sedangkan persentase kelengkapan terendah terdapat pada komponen pendokumentasian yang baik sebesar 95%. Saran untuk penelitian ini yaitu petugas pendaftaran diharapkan lebih teliti dengan menceklis kolom verifikasi untuk memastikan kelengkapan data. Selain itu, sosialisasi kembali kepada PPA (Profesional Pemberi Asuhan) terkait pentingnya kelengkapan rekam medis elektronik dan follow up secara rutin.
Analisis ketepatan kode hipertensi pasien BPJS rawat jalan berdasarkan ICD-10 di RS Bhakti Mulia Febriyani, Madinah; Iqbal, Muhammad Fuad; Putra, Daniel Happy; Sonia, Dina
Health Sciences and Pharmacy Journal Vol. 9 No. 1 (2025)
Publisher : STIKes Surya Global Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32504/hspj.v9i1.1220

Abstract

Ketepatan kode diagnosis sangat bergantung pada informasi yang ditulis dan diverifikasi oleh dokter dan petugas medis. Ketidakakuratan dalam pengodean diagnosis dapat berdampak serius terhadap kualitas pelaporan rumah sakit, khususnya pada laporan RL4B, yaitu laporan yang mencatat 10 besar penyakit terbanyak yang diderita pasien rawat inap berdasarkan klasifikasi ICD-10. Laporan RL4B ini merupakan bagian dari sistem pelaporan rutin rumah sakit kepada Kementerian Kesehatan dan digunakan sebagai salah satu indikator utama dalam menilai kinerja rumah sakit. Selain itu, data dalam RL4B sangat penting dalam penyusunan kebijakan kesehatan, perencanaan program pelayanan, serta pengalokasian sumber daya kesehatan di tingkat nasional. Tujuan penelitian ini untuk mengetahui ketepatan pengodean diagnosis penyakit hipertensi pasien rawat jalan berdasarkan ICD-10 di Rumah Sakit Bhakti Mulia. Penelitian ini menggunakan metode deskriptif dengan pendekatan kuantitatif. Sampel diambil menggunakan teknik simple random sampling atau purposive sampling, yaitu rekam medis pasien rawat jalan yang terdiagnosis hipertensi. Besar sampel dihitung menggunakan rumus Slovin dan diperoleh sebanyak 86 rekam medis sebagai sampel. Hasil penelitian menunjukkan bahwa sebanyak 53 rekam medis (62%) memiliki ketepatan dalam penentuan kode diagnosis hipertensi, sedangkan 33 rekam medis (38%) tidak tepat. Ketidaktepatan tersebut terutama terjadi pada pemberian kode gabungan (kombinasi) dan pengurutan kode diagnosis. Oleh karena itu, disarankan agar petugas coder rawat jalan meningkatkan ketepatan dalam pengodean diagnosis. Pelatihan berkala mengenai penggunaan ICD-10, khususnya terkait penerapan kode gabungan, direkomendasikan sebagai upaya perbaikan.
Co-Authors Abdul Rokim Abdurrasyid Adham, Yunan Adi Widodo Adi Widodo Adinda Mentari Nursya’bani Adinda Pratiwi Agustin, Rosalia Aliyani Aliyani Alvina Amalia Anas Fajry Rhomadon Angela Marsiana Siki Anggi Alpiyani Athirah Iwani Rahman Avianta, Nur Azizah Syaputri Bagas Saputra Bangga Agung Satrya Betji Nadiana Bissilisin Brigita Natalia Br Surbakti Cindi Trisa Olivia Cindy Adelia Dede Lisda Nurjanah Dede Lisda Nurjanah Dewi, Deasy Rosmala Dila Yuliandini Dina Munadiatu Dina Sonia Diva Angelita Dyah Melisa Setianingrum Elsa Nindia Safitri Faiha, Hana Fannya, Puteri Fannya, Putery Farid Alvito Fatkhurohman, Mohammad Fajri Febriyani, Madinah Ferina Ferina Fingky Rizki Wulandari Galuh Patricia Arda Tama Gita Sugiarti Hana Faiha Hardi Arissaputra Iman Harapan Jaya Zalukhu Indawati, Laela Indrawati, Laela Iqbal, Muhammad Fuad Ivonia Kenahin Bahi Kesit Ivanali Manullang, Febe Cristiani Mei Nur Khasanah Muhamad Endra Suriatno Muhammad Caisar Ramadhan Muniroh, Muniroh Muthiah Munawarah Mutia Motik Nanda Aula Rumana Nazira Nur Amalia Nerissa Adha Andrania Nicki Nugrahaningtyas Nindia Septa Tiana Novia Nurhikmah Sari Noviandi Noviandi Nuraini Diah Noviati Nurasiyah Nurmayantih Paryati Paryati Puteri Fanya Putri Fannya Putri Nurindahsari Rahelia Putri Rahmawati, Rena Maulina Regina Yulianti T. S Rizky Alfiansyah Roi Piter Serhalawan Rosa Patricia Rosita, Annida Ulfiar Salsabila Putri Cahyani Salsabillah Zahrah Hayati Sansy Dua Lestari Setiawan Irwansyah Sevilla, Flavia Shania Salsabillah Shania Salsabillah Silfa Haniasti Siti Rahmawati Handayani Sri Mulya Syarif, Hilwa Syifa Erintan Tantri Wilananda Tarisa Maharani Tryandi Rohmadoni Universitas Esa Unggul Usman, Nadia Salim Bin Widjaja, Lily Windiana Mega Sukmawati Wini Wini Wiranata, Tyansa Eka Sampoerna Wiwik Viatningsih Yasinta Rosalia Menna Yoga Septian Bayu Ariyanto Yulia, Noor