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All Journal Jurnal Rekam Medis dan Informasi Kesehatan Jurnal Informasi Kesehatan Indonesia (JIKI) KREATIF: Jurnal Pengabdian Masyarakat Nusantara Indonesian Journal of Health Insurance and Medical Records (IJHIMR)
Eiska Rohmania Zein
Poltekkes Kemenkes Malang
Economics, Econometrics & Finance Education Engineering Health Professions Law, Crime, Criminology & Criminal Justice Nursing Public Health

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Evaluasi Penerapan Aspek 5M Dalam Penggunaan Tracer di Unit Penyimpanan Rekam Medis RSIA Husada Bunda Malang Nor Mauizzatun Indah F; Eiska Rohmania Zein
Jurnal Rekam Medis dan Informasi Kesehatan Vol 6, No 1 (2023): MARET 2023
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jrmik.v6i1.9621

Abstract

Tracer is an outguide when medical record documents are borrowed or taken by health workers in health services. Tracers at RSIA Husada Bunda is still not appropriate, seen in terms of the design of the marker slip which does not include the destination poly and the use of tracers is still done manually. This study aims to evaluate the use of tracers based on 5M aspects in the medical record unit of RSIA Husada Bunda. This research was conducted using a descriptive qualitative method with instruments in the form of observations and interviews conducted to the head of medical records and medical records officers in the storage section. The results of this study show that in the Man aspect there are discrepancies related to HR criteria in the medical records unit. In the Material aspect, the tracer uses semihard materials, while the use of the tracer refers to a special method, namely the SOP. The application of the tracer in terms of Machine still uses a written manual. In supporting all activities in the medical records unit, it is supported by Money (budget funds) and some are allocated for training activities and seminars. Overall, the use of tracers in the medical records unit of RSIA Husada Bunda has been relatively effective but still needs a stage of improvement in several aspects. Improvements related to the use of tracers can be in the form of updates to tracer materials, redesign of marker slips, and maximizing the use of machines in operational activities using tracers.
Pemanfaatan Video Edukasi dan Pelatihan Canva untuk Mendukung Kesehatan Anak Panti Asuhan Avid Wijaya; Prima Soultoni Akbar; Eiska Rohmania Zein
KREATIF: Jurnal Pengabdian Masyarakat Nusantara Vol. 5 No. 4 (2025): Jurnal Pengabdian Masyarakat Nusantara
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/kreatif.v5i4.8394

Abstract

The Al-Ikhlas Orphanage, located in Sidorahayu Village, Malang, faces challenges related to low levels of health education and limited awareness of non-communicable diseases (NCDs) among the children. These issues stem from restricted resources and inadequate access to relevant health information.This community service program aims to enhance the children’s health knowledge, digital literacy, and awareness of NCDs. The implementation methods include developing educational video content tailored to the children’s level of understanding, conducting training on video creation using the Canva application and promoting healthy lifestyle practices, as well as evaluating the program through satisfaction surveys, interviews, and skill assessments.The targeted outcomes include improved knowledge among orphanage children about NCD prevention, acquisition of basic skills in educational video production, documentation of the activities in video format, and publication of a scientific article in a national journal.The results demonstrate an increase in the children’s understanding of the importance of NCD prevention, enhanced practical skills in producing educational videos using Canva (including template selection, addition of text, images, and audio, as well as video export), and greater motivation and enthusiasm among participants to independently create health-related educational content.
Pengaruh Video Animasi Tentang Hak Dan Kewajiban Terhadap Tingkat Pemahaman Pasien Di Puskesmas Pandanwangi Kota Malang Eiska Rohmania Zein; Fayza Firdaus Tsania
Indonesian Journal of Health Insurance and Medical Records (IJHIMR) Vol. 1 No. 1 (2024): Indonesian Journal of Health Insurance and Medical Records (IJHIMR)
Publisher : Kementerian Kesehatan Poltekkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/ijhimr.v1i1.4313

Abstract

Patient rights and obligations are important things that patients need to know to ensure a smooth patient service process at the Puskesmas. The aim of this research is to determine the level of patient understanding between before and after the implementation of the animated video about rights and obligations at the Pandanwangi Health Center, Malang City. This research method uses analytical quantitative research methods. The sample in this study was 33 outpatients at the Pandaan Community Health Center. The research was conducted in January-February 2023. Patients were given an animated video regarding information on their rights and obligations at the Pandanwangi Community Health Center. Increased knowledge was measured using a questionnaire before and after watching the video. The data analysis technique in this research is the Paired Sample T Test statistical test technique which is used to determine the difference in the patient's level of understanding before and after being given the animated video. The results of statistical tests show that there is a difference in the average value of patient understanding between before and after being given an animated video about the rights and obligations of patients at the Pandanwangi Community Health Center, Malang City.
Analisis Faktor-Faktor Yang Memengaruhi Ketidakakuratan Kode Diagnosis Penyakit Di Ruang Rawat Inap Rumah Sakit TNI AD Bhirawa Bhakti Kota Malang Isnaini Qoriatul Fadhilah; Ni Luh Putu Komala; Eiska Rohmania Zein
Indonesian Journal of Health Insurance and Medical Records (IJHIMR) Vol. 2 No. 1 (2025): Indonesian Journal of Health Insurance and Medical Records (IJHIMR)
Publisher : Kementerian Kesehatan Poltekkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/ijhimr.v2i1.5288

Abstract

Classification and codification of diagnoses are the most important aspects of medical record services. In coding there is accuracy and inaccuracy of diagnosis codes related to claims or costs. The coding of disease diagnoses at the Bhirawa Bhakti Hospital, there are still inaccuracies, so the aim of this research is to analyze the factors that influence the accuracy of inpatient disease diagnosis codes at the hospital. The type of this research is a mixed method with research instruments using checklist sheets, observation, and interview guidelines. This research was conducted at the Bhirawa Bhakti Army Hospital, Malang City. The population used in this research is medical records in quarter 3 of 2023, amounting to 625 files, with a sample calculated using the Slovin formula amounting to 86 files were taken randomly. Accuracy of the diagnosis code as the dependent variable and factors using 5M as the independent variable. Based on the research, completeness of files obtained is 88.4%, or 76 files, while the incompleteness of files is 11.6%, or 10 files. The accurate diagnosis coding results amount to 65.1%, or 56 files, while inaccurate diagnosis coding amounts to 34.9%, or 30 files. Based on interviews and observations with the head of the installation and codification officers, it is found that coding accuracy can be influenced by the 5M factors which include educational background (Man), implementation of codification guided by SPO not yet optimal (Method), absence of reward and punishment systems and there is an impact on the claim if an error occurs in the fourth and fifth characters (Money), legibility of doctor's handwriting and incomplete filing form (Material), and a system that is still transitioning to electronic (Machine). Training for improving coder qualifications, monitoring, along with evaluation, as well as a system of penalties and rewards to incentivize officers, would be preferred.
ANALISIS FAKTOR KETIDAKAKURATAN KODEFIKASI PENYAKIT PADA PASIEN RAWAT INAP DI RUMAH SAKIT WAVA HUSADA Eiska Rohmania Zein; Ainin Aliyah; Prima Soultoni Akbar
Jurnal Informasi Kesehatan Indonesia (JIKI) Vol. 12 No. 1 (2026): Jurnal Informasi Kesehatan Indonesia
Publisher : Politeknik Kesehatan Kemenkes Malang

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

Abstract

Pengkodean penyakit diperlukan untuk memberikan input pada sistem pelaporan diagnosis medis dan proses penyimpanan dan pengambilan data terkait diagnosa karakteristik pasien. Ketidakakuratan kodefikasi menyebabkan informasi yang dihasilkan memiliki tingkat validasi data yang rendah, yang tentunya dapat menyebabkan pelaporan yang tidak akurat, misalnya laporan kejadian dinamis dan laporan sepuluh besar penyakit. Penelitian ini bertujuan untuk menganalisis faktor-faktor penyebab ketidakakuratan kodefikasi penyakit pada pasien rawat inap di Rumah Sakit Wava Husada, menggunakan pendekatan kualitatif yang didukung data kuantitatif. Penelitian dilakukan terhadap 98 sampel rekam medis rawat inap periode Januari–Maret 2024, dengan analisis berdasarkan metode 5M (Man, Money, Material, Machine, dan Method). Hasil penelitian menunjukkan bahwa 75,51% kodefikasi penyakit dinyatakan akurat, sedangkan 24,49% tidak akurat. Ketidakakuratan kodefikasi terutama disebabkan oleh kesalahan pada digit keempat (50%), tidak adanya digit keempat (20,9%), dan kesalahan digit ketiga (12,5%). Faktor penyebab ketidakakuratan meliputi keterbatasan pelatihan petugas koder, diagnosis yang tidak terbaca, serta kurangnya konsistensi dalam penerapan pedoman ICD-10. Selain itu, sistem pendukung seperti SOP kodefikasi dan sarana pelatihan yang memadai juga masih perlu ditingkatkan. Penelitian ini menyarankan peningkatan kapasitas koder melalui pelatihan berkelanjutan, penyediaan alat bantu yang memadai, serta penerapan standar operasional prosedur yang lebih tegas. Diharapkan hasil penelitian ini dapat menjadi acuan untuk meningkatkan kualitas pengelolaan rekam medis di rumah sakit.
Co-Authors Ainin Aliyah Akbar, Prima Soultoni Avid Wijaya Chyntia Vicky Alvionita Fayza Firdaus Tsania Isnaini Qoriatul Fadhilah Ni Luh Putu Komala Nor Mauizzatun Indah F