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TINJAUAN PELAKSANAAN SIMRS MENGGUNAKAN METODE PIECES DI KLINIK UTAMA JANTUNG HASNA MEDIKA MAJALENGKA TAHUN 2026 Dinda Epa Siti Faizah; Nadia Rizki Pratami
Jurnal Mahasiswa Ilmu Kesehatan Vol. 4 No. 3 (2026): Jurnal Mahasiswa Ilmu Kesehatan
Publisher : STIKes Ibnu Sina Ajibarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59841/jumkes.v4i3.3980

Abstract

The implementation of the Hospital Management Information System (HMIS) plays an important role in supporting the digital transformation of healthcare services. However, its implementation still faces several challenges, making system evaluation essential to assess its effectiveness. This study aimed to review the implementation of the Hamis Hospital Management Information System (HMIS) using the PIECES framework (Performance, Information, Economics, Control, Efficiency, and Service) at Klinik Utama Jantung Hasna Medika Majalengka in 2026. This study employed a descriptive qualitative approach. Data were collected through in-depth interviews and documentation involving 10 informants selected using purposive sampling, consisting of a physician, a nurse, a registration officer, an emergency department officer, the head of the medical records unit, an admission officer, a laboratory officer, a pharmacy officer, a nutrition officer, and an information technology officer. The findings indicated that the implementation of the HMIS had generally performed well across all PIECES dimensions. The system improved service delivery, accelerated work processes, generated accurate information, enhanced operational efficiency, ensured data security, and improved the overall quality of healthcare services. Nevertheless, several obstacles remained, including network disruptions, system maintenance, server performance issues, and occasional data entry errors that affected service delivery. In conclusion, the implementation of the Hamis HMIS has effectively supported healthcare services; however, further improvements are required in infrastructure, system security, and human resource capacity. It is recommended that the clinic enhance network quality and server performance, conduct regular system security evaluations and data validation, provide continuous user training, and periodically assess user satisfaction to optimize HMIS implementation.
Hubungan Edukasi Pelayanan BPJS Terhadap Tingkat Pemahaman Pasien Gawat Darurat di Rumah Sakit Muhammadiyah Bandung Trianti Abelia Nurjanah; Nadia Rizki Pratami
Jurnal Mahasiswa Ilmu Kesehatan Vol. 4 No. 3 (2026): Jurnal Mahasiswa Ilmu Kesehatan
Publisher : STIKes Ibnu Sina Ajibarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59841/jumkes.v4i3.4106

Abstract

BPJS service provision in the Emergency Department (ED) requires patients to have a good understanding of the system to ensure a smooth service process; however, some patients still lack an understanding of BPJS service procedures. This study aimed to determine the impact of BPJS service education on the level of understanding among emergency patients at Muhammadiyah Hospital Bandung. A quantitative method with a cross-sectional approach was employed. The study sample consisted of 81 respondents selected using accidental sampling. Data were collected via questionnaires and analyzed using univariate and Chi-Square tests. The results indicated that the majority of respondents rated the BPJS service education as inadequate (53.1%) and also demonstrated an inadequate level of understanding (53.1%). The Chi-Square test yielded a p-value of 0.021 (p < 0.05), signifying a significant relationship between BPJS service education and patient understanding. Improved BPJS service education leads to better patient understanding of BPJS services in the ED.
Analisis Implementasi Rekam Medis Elektronik Terhadap Mutu Pelayanan Rawat Jalan Dirumah Sakit X Bulan Juni 2026: Analysis of Electronic Medical Record Implementation on Outpatient Service Quality at Hospital X, June 2026 Cyndi Adelia; Nadia Rizki Pratami
Barongko: Jurnal Ilmu Kesehatan Vol 5 No 1 (2026): Barongko : Jurnal Ilmu Kesehatan (November)
Publisher : Asosiasi Guru dan Dosen Seluruh Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59585/bajik.v5i1.1727

Abstract

Latar Belakang: Implementasi Rekam Medis Elektronik (RME) merupakan bagian transformasi digital pelayanan kesehatan untuk meningkatkan efisiensi, efektivitas, dan mutu pelayanan rumah sakit, meski masih terkendala gangguan jaringan, sistem lambat, dan error. Metode: Penelitian ini menganalisis implementasi RME terhadap mutu pelayanan rawat jalan di Rumah Sakit X berdasarkan dimensi system quality dan user satisfaction pada Model DeLone dan McLean, menggunakan pendekatan kualitatif deskriptif. Data diperoleh melalui wawancara mendalam, observasi, dan dokumentasi terhadap 10 informan (petugas rekam medis, pendaftaran, dokter, perawat, Kepala Instalasi Rekam Medis, dan pengelola SIMRS/RME), dianalisis dengan model interaktif Miles, Huberman, dan Saldana. Penelitian dilaksanakan di Rumah Sakit X pada Juni 2026. Hasil: menunjukkan kualitas sistem RME mendukung pelayanan melalui kemudahan penggunaan, keamanan data, dan integrasi antarunit, meski masih ada kendala sistem lambat dan gangguan jaringan saat jam sibuk. Pengguna merasa puas karena RME mempermudah dokumentasi, mempercepat akses informasi pasien, dan meningkatkan efisiensi pelayanan. Optimalisasi infrastruktur dan kestabilan sistem masih diperlukan agar manfaat RME tercapai maksimal.
Evaluation Of Triage Form Distribution And Its Implications For Patient Data Confidentiality At Hospital X In 2026 Ayatulloh Nur Alam; Nadia Rizki Pratami
International Journal of Health Sciences Vol. 4 No. 3 (2026): IJHS : International Journal of Health Sciences
Publisher : Asosiasi Guru dan Dosen Seluruh Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59585/ijhs.v4i3.1698

Abstract

Patient data confidentiality may be compromised when the distribution of triage forms involves unauthorized individuals. A preliminary study at Hospital X found that triage forms and medical record files were still transported by patients' family members or relatives between the Emergency Department (ED) and the registration unit. This study aimed to evaluate the conformity of the triage-form distribution workflow with the hospital's Standard Operating Procedure (SOP) and to assess its implications for patient data confidentiality. A descriptive qualitative design was employed from June to July 2026 at the ED and registration/medical records unit. Nine informants who were directly involved in the distribution process were included using total sampling. Data were collected through interviews, direct observation, and review of the 2022 SOP for BPJS Emergency Patient Registration and were analyzed inductively through data reduction, display, and conclusion drawing. The findings showed that the SOP formally assigns medical record distribution to authorized staff; however, actual practice still involved patients' family members or relatives. Identified confidentiality risks included escorts who were not immediate family members, physical separation between the ED and registration area, temporary storage of forms in open areas, and the possibility of forms being lost or misplaced. The confidentiality risk was perceived to increase when the triage form became part of a complete medical record containing patient identity, diagnosis, and medical history. The study concludes that triage-form distribution at Hospital X in 2026 did not fully comply with the SOP and did not optimally safeguard patient data confidentiality. Implementation of Electronic Medical Records (EMR), stronger access control, and closer integration of registration and ED workflows are recommended.
Tinjauan Ketepatan Kodifikasi ICD-10 dalam Laporan RL 4.1 pada SIRS Versi 6.3 Nadia Rizki Pratami; Denya Rachmadhini
Jurnal Medika Nusantara Vol. 4 No. 4 (2026): : Jurnal Medika Nusantara
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/medika.v4i4.2853

Abstract

The accuracy of diagnosis coding is a crucial factor in producing accurate RL 4.1 reports as the basis for hospital morbidity information. However, the implementation of the Hospital Information System (SIRS) Version 6.3 still presents potential coding inaccuracies that may affect the quality of the reports. This study aimed to examine the accuracy of diagnosis coding in RL 4.1 reports generated through SIRS Version 6.3 at Santosa Hospital Bandung Central. This study employed a descriptive qualitative approach. Data were collected through observations of the coding process, in-depth interviews with coding staff regarding the challenges they encountered, and document reviews of medical records and RL 4.1 reports. The collected data included the conformity of diagnosis with ICD-10 codes, the data processing workflow, and factors influencing coding accuracy. Data were analysed using the qualitative analysis model proposed by Sugiyono (2022), which consists of data reduction, data display, and conclusion drawing. The findings revealed that diagnosis coding accuracy had not yet reached an optimal level, as evidenced by coding discrepancies, the selection of less specific ICD-10 codes, and factors related to coders competencies and system limitations. The study concludes that improving coders competencies, enhancing the quality of medical documentation, and optimising the hospital information system are essential to improve diagnosis coding accuracy and ensure the accuracy of RL 4.1 reports.
Analisis Faktor Pengelolaan Rekam Medis Elektronik Unit Pendaftaran Rawat Jalan dalam Peningkatan Kualitas Pelayanan Kesehatan di RS X Fina Agustina; Nadia Rizki Pratami
Jurnal Ilmu Kedokteran dan Kesehatan Indonesia Vol. 6 No. 3 (2026): Jurnal Ilmu Kedokteran dan Kesehatan Indonesia
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jikki.v6i3.13192

Abstract

Electronic Medical Records (EMR) are part of the digital transformation of healthcare services aimed at improving effectiveness, efficiency, and overall service quality. This study seeks to analyze the factors hindering EMR management in outpatient registration using the 5M approach (Man, Money, Material, Machine, and Method). Employing a qualitative descriptive design, data were collected through interviews, observations, and documentation to capture a comprehensive picture of the challenges faced. The findings revealed obstacles related to limited human resources, inadequate facilities and infrastructure, inconsistent SOP implementation, incomplete data entry, and insufficient funding. These barriers collectively reduce the effectiveness of EMR management and negatively impact healthcare service quality. The study emphasizes the importance of strengthening human resource competencies, upgrading facilities, ensuring consistent SOP application, improving data completeness, and securing sustainable financial support. Addressing these aspects will enhance EMR utilization, support better patient care, and contribute to the long-term success of digital healthcare transformation.
HUBUNGAN PERSEPSI PRIVASI INFORMASI REKAM MEDIS DENGAN KEPERCAYAAN MASYARAKAT PENGGUNA LAYANAN KESEHATAN RSUD WELAS ASIH Akhirul Ramadhani Nugraha; Nadia Rizki Pratami
INFOKOM (Informatika & Komputer) Vol. 14 No. 1 (2026): JURNAL INFOKOM JUNI 2026
Publisher : POLITEKNIK PIKSI GANESHA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56689/infokom.v14i1.3038

Abstract

Healthcare services are an important community need that should be supported by a quality healthcare system, including the protection of medical record information privacy. Good privacy protection has the potential to be an important aspect in building trust in healthcare services. This study aimed to describe perceptions of medical record information privacy, describe public trust among healthcare service users, and analyze the relationship between perceptions of medical record information privacy and public trust among healthcare service users at RSUD Welas Asih. This quantitative study used a correlational design involving 97 respondents selected through purposive sampling. Data were collected using a four-point Likert-scale questionnaire that met validity and reliability requirements, then analyzed using univariate and bivariate analysis with the Spearman Rank test. The results showed that 53.6% of respondents had good perceptions of medical record information privacy, while 88.7% were categorized as trusting the healthcare services provided. A positive and significant relationship was found between the two variables (r = 0.641, p < 0.001). These results indicate that better perceptions of medical record information privacy are associated with higher public trust.
Tinjauan Pelaksanaan Rekam Medis Elektronik Terhadap Pelayanan Pendaftaran Rawat Jalan di RSJ Islam Klender Syiffa Fitri; Nadia Rizki Pratami
An-Najat Vol. 4 No. 1 (2026): Februari: 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.v4i1.4301

Abstract

Electronic Medical Records (EMR) are part of digital transformation in healthcare services that support effective and efficient patient data management. RSJ Islam Klender has implemented EMR in outpatient registration services since 2023. This study aimed to describe the implementation and identify the obstacles of EMR in outpatient registration at RSJ Islam Klender. This study used a qualitative descriptive method with a case study design. Four informants were selected purposively, consisting of the Head of Medical Records, an outpatient registration officer, and two medical record officers. Data were collected through in-depth interviews, observation, and documentation and analyzed through data reduction, data presentation, and conclusion drawing. The results showed that EMR was used for patient registration, searching existing patient data, and entering new patient data. The obstacles included internet network disruptions, system maintenance or updates, and the need to improve staff competency. When the system was unavailable, officers recorded patient data manually and entered it into the EMR after the system returned to normal. It can be concluded that EMR implementation has been running, but improvements are still needed in network infrastructure, system management, and staff competency.