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All Journal Journal of Educational Innovation and Public Health Quantum Wellness : Jurnal Ilmu Kesehatan
Amika Rois
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Dentistry Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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Tinjauan Penggunaan Sistem Pendaftaran Online Pasien Rawat Jalan di Rumah Sakit Advent Bandar Lampung Berdasarkan Unsur 5M Miftahurrohmah Nur Azizah; Supriyanto Supriyanto; Amika Rois
Journal of Educational Innovation and Public Health Vol. 2 No. 4 (2024): Oktober : Journal of Educational Innovation and Public Health
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/innovation.v2i4.3231

Abstract

In this era of globalization, technological progress is growing very rapidly, one of which is in the health sector. The development of various technologies makes it easier in the health sector, one of which is in the registration section. Bandar Lampung Adventist Hospital is one of the hospitals that utilizes technological advances using the Mobile JKN application. To achieve the goal of using the online registration system, 5 elements of management or management facilities are needed, namely: man, money, material, machine, and method. The purpose of this study was to review the use of an outpatient online registration system at the Adventist Hospital in Bandar Lampung. This research was conducted with quantitative descriptive methods, data collection instruments using observations and checklist sheets. From the observation that the man element in the use of the online registration system is not appropriate, this is seen from the HR in charge of the registration section is not a PMIK and of course does not have a medical record STR, the money element in the use of the online registration system is in accordance with this in terms of the budget for the use of an online registration system, the material element is also in accordance with this in terms of several machines used such as the presence of stable WiFi, queue card printing machines, computers, telephones, and televisions that are used as monitors, the machine elements are in accordance with this in terms of their presence an adequate WiFi network in the running system and a registration application system in the form of the Mobile JKN application. And the elements of the method are also in accordance with this in terms of the SOP for online outpatient registration and the registration procedure that is already running.
Faktor-Faktor yang Berhubungan dengan Proses Klaim BPJS Kesehatan pada Pasien Sectio Caesaria di Rumah Sakit Umum Daerah Pakuhaji Amelia Oktapiyani; Elza Fransisca; Amika Rois
Quantum Wellness : Jurnal Ilmu Kesehatan Vol. 1 No. 3 (2024): September: Quantum Wellness : Jurnal Ilmu Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/quwell.v1i3.741

Abstract

The social assurance program in Indonesia is formed by legal organization called Badan Penyelenggara Jaminan Sosial (BPJS) which is expected to provide appropriate health facilities for the middle low community. One of the diagnoses and surgery claimed by BPJS Kesehatan is sectio caesar where the caesar section has been increased significantly year by year, but there so many factors that effect the claim process before submitted to the BPJS. The purpose of this research is to find out what the factors that related to the submitting medical record for BPJS claims and how many files are returned from the casemix section to the BPJS claim process for sectio caesar patients at Pakuhaji Public Hospital. The sample of this study is 97 medical records of sectio Caesar patient that will be proceed for the BPJS claim. This study used a quantitative cross-sectional approach. This study found that incomplete medical record doucment and incorrect codes. And the result of this study is the completeness of the file and the accuracy of the code had a significant relation with the claim process, meanwhile the file collection at Pakuhaji Public Hospital hasn’t relation with the claim process because the results were constant. From the result, will be better if Pakuhaji Public Hospital provides the socialization, training for medical records officer and cross-checking medical records file completeness and code accuracy before being submitted to casemix so that in the future it will facilitate the claim process.
Co-Authors Amelia Oktapiyani Elza Fransisca Miftahurrohmah Nur Azizah Supriyanto Supriyanto