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All Journal Jurnal Rekam Medik & Manajemen Informasi Kesehatan (RAMMIK)
Aminuddin Sholeh
Universitas STMIK Pamitran
Dentistry Health Professions Medicine & Pharmacology Public Health Veterinary

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Analisis Kelengkapan Pengisian Ringkasan Pulang Terhadap Kelancaran Klaim Badan Penyelenggaraan Jaminan Sosial Kesehatan di Rumah Sakit PTPN VIII Subang Aminuddin Sholeh
Jurnal Rekam Medik & Manajemen Informasi Kesehatan Vol. 2 No. 1 (2023): April
Publisher : Indonesian Journal Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47134/rmik.v2i1.30

Abstract

One of the existing forms of one of the medical records is a discharge..sumaary containing the patient's clinical data. The purpose of this study is to identify the completeness of filling out the discharge summary sheet of the medical record of the patient of the BPJS hospital in the PTPN VIII Subang hospital in 2021. This type of study is a descriptive quantitative study. Randomized Sampling Technique The population of this study is a summary extract from the medical record of patient. The sample in this study is 84 discharge forms of a patient, the results showed the completeness of filling in the patient's identification by date of birth by 95% and by gender equal to 78%. The completeness of completion of the important report for the obsolete element is 79%, and for the input of the diagnostic element - 67%. The completeness of authentication for the item Date of completion is 72%, and for the item "Doctor's..name" - 87%. Correct documentation of bug fixes is 99%, and records are clear and readable at 82%. The effect of the completeness of the repayment summary on BPJS claims is current 39% and not smooth 61%.
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