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Hubungan Kondisi Institusional dengan Niat Petugas untuk Menggunakan Rekam Medis Elektronik di Rumah Sakit X Adinda Mentari Nursya’bani; Daniel Happy Putra; Dina Sonia; Muhammad Fuad Iqbal
An-Najat Vol. 2 No. 3 (2024): AGUSTUS - An-Najat: Jurnal Ilmu Farmasi dan Kesehatan
Publisher : STIKes Ibnu Sina Ajibarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59841/an-najat.v2i3.1625

Abstract

The implementation of electronic medical record (EMR) in institutions that are ready will have a positive impact on its execution. Institutional readiness should be comprehensively assessed across various aspects, including human resources. Users are a key factor in determining the success of an information system. User feedback can serve as a consideration to maximize EMR implementation. However, this can sometimes be unpredictable due to numerous influencing factors, including institutional conditions. To explore the relationship between institutional conditions and the intention of healthcare providers to use EMR, a quantitative inferential study with a cross-sectional design was conducted at Hospital X. The study population consisted of 129 healthcare providers, with 91 data points processed as samples. Data were analysed using univariate and bivariate analyses with the Chi-Square test. Among the 91 analysed data points, institutional conditions were categorized as good (56%), intention to use EMR was high (56%), and use behaviour was high (82,4%). There was a significant relationship between institutional conditions and healthcare providers’ intention to use EMR, with a p-value of 0,001 < 0,05 and an Odds Ratio of 4,908.
Analisis Perancangan Sistem Anjungan Pendaftaran Mandiri Untuk Pemilihan Dokter dan Waktu Pelayanan di Rumah Sakit: Literature Review Nerissa Adha Andrania; Daniel Happy Putra; Noor Yulia; Adi Widodo
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.v2i4.2304

Abstract

Self-Registration Patient is a health service facility related to registration independently by patients who are provided by the machine. The purpose of this study is to identify what the user/patient needs and also to analyze the design for the doctor's appointment in hospitals. The method used a literature review approach through a database of Google Scholar obtained by 6 national-based journals, while Google Patent obtained 4 international-based patents. The results are related to the process of basic needs that will be used by users/patients such as QR Barcodes; touch screen monitors; Numpad and mouse; speakers; receipt printing machine; SEP paper printing; and CPU. The design supported by distribution model system such as; Entity-Relationship Diagram (ERD); Data Flow Chart (DFD); Use Case Diagram (UCD); flow chart, and interface design. In conclusion, the research could help the hospital's needs and also the patients, including knowing the latest status of patients, making appointments according by intended polyclinic, doctors, and time visits based on doctor's time schedule. It is also could print SEP as well as the pharmacy queue number receipt after being examined. The system is also expected to reduce long queues at the Outpatient Registration Place (TPPRJ), especially for BPJS Insurance users.
Analisis Kualitatif Konsistensi Pencatatan Rekam Medis Rawat Inap Kasus Penyakit Dalam di Rumah Sakit Pelabuhan Jakarta Putri Nurindahsari; Dina Sonia; Lily Widjaja; Daniel Happy Putra
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.v2i4.2352

Abstract

Qualitative analysis is an activity that examines the filling of medical records for inconsistent and incomplete contents, which indicates that the medical records are inaccurate and incomplete. The purpose of this study was to find out a qualitative analysis of the reliability of recording medical records of inpatient cases of internal medicine for the year 2022. This type of research uses a descriptive method with a quantitative approach and data collection by observation and interviews. Of the 99 medical records, the results obtained were 96% consistent and 4% inconsistent. And the results of the 4 subcomponents include: At the time of admission, namely the consistency of the initial assessment of nurses and inpatient doctors, the results were 98% consistent. On the subcomponent during hospitalization, namely the consistency of progress notes between doctors and nurses, obtaining results of 99% consistency, Consistency of Doctor's Instructions with delivery notes the drug gets 93% consistent results, when going home, namely the consistency of the doctor's return summary and the nurse gets 94% consistency results. Of the 4 sub-components that have the highest consistency, the consistency between the doctor's and nurse's developmental records obtains 99% consistent results. While the lowest was the consistency of the Doctor's Instructions with a record of drug administration obtaining 93% consistent results. The conclusion is that the qualitative analysis of medical record recording is not 100% consistent. It is recommended that the Jakarta Harbor Hospital make standard operating procedures and implement related qualitative analysis of medical records.
Ketepatan Kodifikasi Penyebab Dasa Kematian pada Resume Medis di RSKD Duren Sawit Tahun 2022 Rosa Patricia; Deasy Rosmala Dewi; Puteri Fannya; Daniel Happy Putra
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.v2i4.2545

Abstract

Coding accuracy, namely the process of conformity of the diagnosis code that has been set by the coding officer based on ICD-10 which greatly affects data reporting and administration. The basic cause of death is the course of any disease, sick condition, or injury that causes or causes the accident that causes death. The purpose of this study was to determine the accuracy of the underlying cause of death code based on the selection rule and the MMDS table in patients who died at the Duren Sawit Hospital in 2022. This study used a descriptive method with a quantitative approach which took 88 samples using a saturated sample technique by means of observation and interviews. The results of the study were obtained from 88 samples of the accuracy of the basic causeof death codes based on the general principle selection rule and rule 1 at the Duren Sawit RSKD found that 49 (56%) and 39 (44%) were incorrect. There are factors that affect the inaccuracy of using the 5M elements (Man, Money, Material, method, Machine), namely the man element because the coding officer's profession is not appropriate and less thorough and the elements of the general coding SPO method which are still being revised, do not use selection rules and MMDS tables. Suggestions that officers should be given socializationabout the selection rules and MMDS tables.
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.
Co-Authors Abdul Rokim Abdurrasyid Adham, Yunan Adi Widodo Adi Widodo Adi Widodo Adi Widodo Adi Widodo Adi Widodo Adinda Mentari Nursya’bani Adinda Pratiwi Afra, Rara Agustin, Rosalia Ahmad Rizky Aliyani Aliyani Alvina Amalia Anas Fajry Rhomadon Angela Marsiana Siki Anggi Alpiyani Athirah Iwani Rahman Avianta, Nur Azizah Syaputri Azidah, Mega Puspita Bagas Saputra Bangga Agung Satrya Bangun, Gabriella Eviana Betji Nadiana Bissilisin Brigita Natalia Br Surbakti Cindi Trisa Olivia Cindy Adelia Damanik, Denince Octavia Darmawan, Rifqi Helmi Debbie Friscilla Carolina Manalu Dede Lisda Nurjanah Dede Lisda Nurjanah Dewi, Deasy Rosmala Dila Yuliandini Dina Munadiatu Dina Sonia Dinda Fidia Ardiani Diva Angelita Dyah Melisa Setianingrum Edi Kurnianto Elsa Nindia Safitri Endah Wardani Faiha, Hana Fannya, Puteri Fannya, Putery Farid Alvito Fathul Baari Fatkhurohman, Mohammad Fajri Febriyani, Madinah Ferina Ferina Ferina, Ferina Fingky Rizki Wulandari Gabriella Eviana Bangun Galuh Patricia Arda Tama Gilang Dasa Dwi Mahendra Gita Sugiarti Gita, Elsa Chandra Haifa Pandhita Ayu Hairun Nisa Hambali, Naira Fazilanisa Hana Faiha Hardi Arissaputra Iman Harapan Jaya Zalukhu Indawati, Laela Indrawati, Laela Iqbal, Muhammad Fuad Ivonia Kenahin Bahi Kesit Ivanali Kevin Handynata Lasmaria Simorangkir Lily Widjaya Listania Aisyah Putri Maharami, Iradah Manalu, Debbie Friscilla Carolina Manullang, Febe Cristiani Mega Puspita Azidah Mei Nur Khasanah Melani Aulia Mufida Menna, Yasinta Rosalia Muhamad Endra Suriatno Muhammad Caisar Ramadhan Muniroh Muniroh Muniroh, Muniroh Muthiah Munawarah Mutia Motik Nabila Zahara Ramadan Nanda Aula Rumana Navry Nanda Aprilian Nazira Nur Amalia Nerissa Adha Andrania Nicki Nugrahaningtyas Nindia Safitri, Elsa Nindia Septa Tiana Novia Nurhikmah Sari Noviandi Noviandi Noviandi Noviandi, Noviandi Nuraini Diah Noviati Nurasiyah Nurmayantih Pangesti, Wulan Aprilia Paryati Paryati Piter Serhalawan, Roi Pratiwi, Adinda Puteri Fanya Putri Fannya Putri Nurindahsari Putri, Listania Aisyah Rabnah Rabnah Rahelia Putri Rahmat Hidayat Rahmawati, Rena Maulina Regina Yulianti T. S Rizky Alfiansyah Roi Piter Serhalawan ROKIM, ABDUL Rosa Patricia Rosita, Annida Ulfiar Salsabila Putri Cahyani Salsabillah Zahrah Hayati Salsabillah, Shania Sansy Dua Lestari Seastama, Komang Cyntia Noviari Setiawan Irwansyah Sevilla, Flavia Shania Salsabillah Shania Salsabillah Silfa Haniasti Simorangkir, Lasmaria Siti Rahmawati Handayani Sonaria Tambunan Sri Mulya Syarif, Hilwa Syifa Erintan Tantri Wilananda Tarisa Maharani Tryandi Rohmadoni Universitas Esa Unggul Usman, Nadia Salim Bin Viatningsih, Wiwik Widjaja, Lily Windiana Mega Sukmawati Wini Wini Wiranata, Tyansa Eka Sampoerna Wiwik Viatningsih Yasinta Rosalia Menna Yoga Septian Bayu Ariyanto Yulia, Noor Zalipa Wittri Zharifah, Naurah