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All Journal Jurnal Kesehatan Komunitas Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda (JIPIKI) Jurnal Ilmiah Pengabdian Kepada Masyarakat COVID-19 : Journal of Health, Medical Records and Pharmacy
Siti Permata Sari Lubis
Universitas Imelda Medan
Chemistry Computer Science & IT Economics, Econometrics & Finance Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health

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SOSIALISASI SISTEM PENYIMPANAN REKAM MEDIS DI UPT PUSKESMAS PADANG BULAN SELAYANG II TAHUN 2022 Esraida Simanjuntak; Mei Sryendang; Siti Permata Sari Lubis; Zulham Andi Ritonga; Ani Soraya
Jurnal Ilmiah Pengabdian Kepada Masyarakat (Ji-SOMBA) Vol. 2 No. 1 (2022): Jurnal Ilmiah Pengabdian Kepada Masyarakat (Ji-SOMBA)
Publisher : Universitas Imelda Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (505.948 KB) | DOI: 10.52943/ji-somba.v2i1.1161

Abstract

Puskesmas merupakan salah satu sarana pelayanan kesehatan masyarakat, dimana dalam pelayanan tersebut terdapat pelayanan rekam medis. Pelyanan rekam medis merupakan adalah kegiatan menjaga, memelihara dan melayani rekam medis baik secara manual maupun elektronik sampai menyajikan informasi kesehatan di Puskesmas. Puskesmas PB Selayang II belum melaksanakan sistem penyimpanan rekam medis dikarenakan puskesmas tersebut hanya melayani pasien rawat jalan. Tujuan dari kegiatan ini adalah untuk membuat SOP sistem penyimpanan rekam medis, menerapkan sistem penyimpanan rekam medis dan tracer di puskesmas. Metode yang digunakan adalah project based learning. Hasil dari pengabdian ini adalah bertambahnya pengetahuan petugas rekam medis mengenai sistem penyimpanan rekam medis dan tracer. Pembuatan SOP dan tracer di UPT puskesmas PB Selayanng II. Pengabdian ini berhasil dilaksanakan berkat kerjasama yang baik antara tim pelaksana, mahasiswa, petugas puskesmas dan kepala UPT Puskesmas PB Selayang II serta Dinas Kesehatan Kota Medan.
Overview of Pending and Dispute Events in the Health BPJS Claiming Process for Inpatients at Imelda Hospital, Medan, Indonesia in 2022 valentina valentina; Esraida Simanjuntak; Siti Permata Sari Lubis; Linfia Isti Zenika Hulu
Jurnal Kesehatan Komunitas Vol 9 No 2 (2023): Jurnal Kesehatan Komunitas
Publisher : LPPM Hang Tuah Pekanbaru

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25311/keskom.Vol9.Iss2.1397

Abstract

Health insurance is a guarantee in the form of health protection so that participants obtain health care benefits and protection in meeting basic health needs that are given to everyone who has paid contributions or whose contributions are paid by the government. The purpose of this study is to describe the implementation of the BPJS (Social Security Administering Agency) Health claim system for inpatients at Imelda Workers' Hospital in Indonesia. This type of research is qualitative with a case study approach. The method used is observation and direct interviews to the field. The subjects used in this study were all pending and disputed medical record claim files for inpatients and in March 2022 as many as 94 claim files. The informants used in this study were 3 BPJS Health claims officers. Based on the results of the study, the implementation of inpatient BPJS Health claims is in accordance with regulations and SOPs at Imelda Indonesian Workers Hospital in Medan, the obstacles in the claiming process are facilities and networks that often have problems. The claim officer will scan the inpatient file and insert it into the hard disk and send it to BPJS Kesehatan. The hospitalization files that were claimed and submitted in March 2022 were 420 files, of which 326 files were received (78%) and 94 files were rejected (pending claims) (22%). There were also 27 disputed claim files in March 2022 (29%), after the submission of pending claims was made by Imelda Indonesian Workers Hospital in Medan.
Factors Affecting Medical Record Service Quality Activities at Puskesmas Bestari Siti Permata Sari Lubis
COVID-19 : Journal of Health, Medical Records and Pharmacy Vol. 1 No. 02 (2024): COVID-19 : Journal of Health, Medical Records and Pharmacy
Publisher : CV. Devitara

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

Abstract

Factors that affect the quality of medical record services are human resources, facilities and infrastructure and policy monitoring and evaluation. The problem of this study is that there are less medical record officers, causing less fast service. The purpose of the study was to determine the factors that affect the quality of medical record service activities at Puskesmas Bestari. This type of research is a descriptive study where the population and sample are the same, namely 4 general practitioners, 3 dentists, 7 nurses and 2 medical record officers. This research collection technique is a field study technique, namely questionnaires, interviews and observations. The data analysis used in this study was univariate analysis. The results obtained were poor service quality by 12.5%, poor doctor human resources by 28.6%, poor nurse resources by 28.6%, good medical recorder resources by 66.6%, poor facilities and infrastructure by 20%, policy monitoring and evaluation by 40%. Based on these results, it can be concluded that the quality of medical record services, doctor human resources, nurse human resources, medical recorder human resources, facilities and infrastructure and policy monitoring and evaluation are still lacking, so it is expected that the Head of the Puskesmas will conduct training on the importance of the quality of medical record services in improving the performance of officers at the Puskesmas.
Hubungan Penggunaan Rekam Medis Elektronik (RME) dengan Kepuasan Petugas Kesehatan di RSU Imelda Pekerja Indonesia Esraida Simanjuntak; Mei Sryendang Sitorus; Siti Permata Sari Lubis; Geovani Arta Sihite
Jurnal Kesehatan Komunitas Vol 11 No 3 (2025): Jurnal Kesehatan Komunitas
Publisher : Universitas Hang Tuah Pekanbaru

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25311/keskom.Vol11.Iss3.2316

Abstract

The level of feeling experienced by patients as a result of the performance of the health services they receive after comparing it with their expectations is known as patient satisfaction. The purpose of this study was to illuminate how the satisfaction of health workers with the use of Electronic Medical Records (EMR) is poured into the dimensions of content, chimney, format, ease of use, and timeliness at RSU Imelda Buruh Indonesia Medan. Based on the criteria that have been set, this study uses a descriptive method with a quantitative approach. A total sample of 62 people was taken from the population. Observation sheets and questionnaires are research tools. This study found that the use of EMR on the variables of content, precision, ease of use, and timeliness is met with the satisfaction of health workers at RSU Imelda Buruh Indonesia. However, the variable format does not satisfy satisfaction, There is no relationship between the use of EMR in the format variable and the satisfaction of health workers at RSU Imelda Buruh Indonesia. It It is recommended that there are more detailed regulations regarding the use of RME so that the use of RME at the Imelda Buruh Indonesia Hospital can be maximized and that there is a need to re-socialize the regulations on the accuracy of filling in RM so that RM recording by PPA is more complete and accurate so that the quality of reports as RME output can be improved.
Kepatuhan Pelaksanaan Prosedur Pelayanan Rekam Medis Dilihat Dari Tanggung Jawab Petugas Di Rumah Sakit Advent Medan Siti Permata Sari Lubis; Enni Klarita Siburian; Bachtiyar Wahab; Welly Satria Dewi
Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda (JIPIKI) Vol. 11 No. 2 (2026): Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda Edisi Agustus
Publisher : Akademi Perekam dan Informasi Kesehatan Imelda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jipiki.v11i2.2338

Abstract

Work responsibility refers to how the behavior, attitude, and actions of staff relate to their jobs. Responsibility is a mandatory form of compliance with regulations and carrying out duties as they should be, when employees have found a meeting point between their work and what has been assigned by the company. The purpose of this research is to understand the work responsibilities of medical record staff concerning compliance with medical record service procedures at Advent Hospital. The research method used is descriptive with a qualitative approach. The data collection methods employed are interviews and observations, conducted in 2025, with a research subject consisting of 5 medical record staff, and the research object being the SOP for medical record services. The results of the research conducted indicate that the 5 medical record staff are responsible. Compliance with medical record services concerning several SOPs has been carried out according to procedures, while retention and destruction have not been implemented in accordance with the procedures outlined in the SOP. The conclusion is that the use of time at work, collaboration with others, and integrity or awareness are good, so the level of compliance of medical record staff at Advent Hospital Medan is that the medical record staff comply with their duties according to the existing SOP.
Co-Authors Ani Soraya Bachtiyar Wahab Enni Klarita Siburian Esraida Simanjuntak Geovani Arta Sihite Linfia Isti Zenika Hulu Mei Sryendang Mei Sryendang Sitorus valentina valentina Welly Satria Dewi Zulham Andi Ritonga