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All Journal Indonesian of Health Information Management Journal (INOHIM) Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda (JIPIKI) Indonesian Journal of Health Information Management Services (IJHIMS)
Nungky Nurkasih Kendrastuti
Program Studi Manajemen Informasi Kesehatan, Universitas Esa Unggul
Computer Science & IT Decision Sciences, Operations Research & Management Health Professions Public Health Social Sciences

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Evaluasi Penyelenggaraan Rekam Medis dalam Pemenuhan Standar Akreditasi di Puskesmas Kedaung Barat Kabupaten Tangerang Nungky Nurkasih Kendrastuti; Muhammad Fahmi Nursyabani
Indonesian of Health Information Management Journal (INOHIM) Vol 11, No 1 (2023): INOHIM
Publisher : Lembaga Penerbitan Universitas Esa Unggul

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47007/inohim.v11i1.508

Abstract

Abstract Implementation of medical record services based on accreditation standards would improve the quality and safety of patients at Public Health Center . Public Health Center accreditation must be carried out so that the optimization of its functions could run optimally, both in terms of service performance and the resources used. Objectives clicking this study was to evaluate the implementation of medical records service in meeting the standard 8.4 at chapter IV accreditation standard at Kedaung Barat Public Health Center, Tangerang District. This standard had 4 criterias and 13 assessment elements. This research was a quantitative research with descriptive methods. The population of this study were all medical record files that were available at the time of the study. The data source is primary adn secondary data with a total sample of 30 taken by simple random sampling. The results of the study were 3 elements of assessment that were fully achieved (23.1%), 3 elements of assessment were partially achieved (23.1%) and 7 elements of assessment that were not achieved (53.8%). The total score obtained was 45 out of 130 (34.6%). Conclusion: the implementation of medical records based on the accreditation standard of 8.4 in Kedaung Public Health Cente has only been partially fulfilled, and needs to be improved until 100% fulfillmentKeyword: Medical Records, Public Health Center, Accreditation StandardsAbstrakPelayanan rekam medis berdasarkan standar akreditasi akan meningkatkan mutu dan keselamatan pasien di puskesmas. Akreditasi puskesmas wajib dijalankan agar optimalisasi fungsi puskesmas dapat berjalan secara optimal, baik dari kinerja pelayanan maupuan sumber daya yang digunakan. Tujuan penelitian ini adalah melakukan evaluasi penyelenggaraan rekam medis berdasarkan standar akreditasi bab IV standar 8.4 di Puskesmas Kedaung Barat Kabupaten Tangerang. Standar ini memiliki 4 kriteria dan 13 elemen penilaian Jenis penelitian ini adalah penelitian kuantitatif dengan metode deskriptif. Populasi penelitian ini adalah seluruh berkas rekam medis yang ada saat waktu penelitian. Sumber data merupakan data primer dan sekunder dengan jumlah sampel 30 yang diambil dengan cara simple random sampling. Hasil dari penelitian ini adalah terdapat 3 elemen penliaian yang tercapai penuh (23,1%), 3 elemen penilaian tercapai sebagian (23,1%) dan 7 elemen penilaian yang tidak tercapai (53,8%). Total skor yang didapat adalah 45 dari 130 (34,6%). Kesimpulan: penyelenggaraan rekam medis berdasarkan standar akreditasi 8.4 di Puskesmas Kedaung baru terpenuhi sebagian, dan perlu ditingkatkan lagi agar terpenuhi 100%.Kata Kunci: Rekam medis, Puskesmas, Standar akreditasi
Indikator Mutu Prioritas Unit Pelayanan Pendaftaran di RSU Bethesda Serukam Rubina, Tirzhana Jean; Kendrastuti, Nungky Nurkasih; Hosizah, Hosizah; Mieke Nurmalasari
Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda (JIPIKI) Vol. 10 No. 2 (2025): 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.v10i2.1928

Abstract

Improving patient quality and safety (PMKP) is a key component in ensuring hospital service quality. One measurement tool used is the quality indicator, which includes the National Quality Indicator (INM), Priority Unit Quality Indicator (IMPU), and Hospital Priority Quality Indicator (IMPRS). The Registration Unit at the Medical Records Installation of Bethesda Serukam General Hospital plays a strategic role in supporting PMKP implementation. However, the unit still requires service improvements to promote systematic quality enhancement. This study aims to design a suitable priority quality indicator for the Registration Unit. A descriptive qualitative method was used, with data collected through interviews, observation, scoring, and Focus Group Discussions (FGD). The study was conducted from November to December 2024 at Bethesda Serukam General Hospital, located at Jalan Raya Singkawang–Bengkayang KM.49, Pasti Jaya Samalantan, Desa Suka Maju, Kecamatan Sungai Betung, Kabupaten Bengkayang, Kalimantan Barat. The results identified the completeness of patient identity data in the Electronic Medical Record (EMR) as the priority quality indicator. This was selected because it met the most criteria, although the current completeness rate is still low (50%). Establishing this indicator is expected to improve service quality, patient safety, and foster a culture of quality at Bethesda Serukam General Hospital.
BIMBINGAN TEKNIS VISUALISASI DATA KLAIM INA-CBG’S UNTUK PMIK DI RSIJ PONDOK KOPI Nurmalasari, Mieke; Muchlis, Husni Abdul; Qomarania, Witri Zuama; Iqbal, Muhammad Fuad; Kendrastuti, Nungky Nurkasih; Maryati, Yati; Simanjuntak, Herliani Florentina; Aruni, Amelia; Rachmadiany, Syalaisha Nuraini; Arman, Akhmad Tri; Rhinaldi, Steven
Indonesian Journal of Health Information Management Services Vol. 6 No. 1 (2026): Indonesian Journal of Health Information Management Services (IJHIMS)
Publisher : APTIRMIKI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33560/ijhims.v6i1.159

Abstract

Visualisasi data klaim INA-CBG’s memiliki peran strategis dalam meningkatkan efisiensi dan kualitas pelayanan rumah sakit. Unit Rekam Medis dan Informasi Kesehatan (RMIK) RSIJ Pondok Kopi menghadapi keterbatasan kompetensi dalam mengolah dan memvisualisasikan data klaim secara analitis. Tujuan bimbingan teknis ini meningkatkan kompetensi Perekam Medis dan Informasi Kesehatan (PMIK) dalam mengolah dan memvisualisasikan data klaim INA-CBG’s menggunakan Tableau Public untuk mendukung pengambilan keputusan berbasis data. Kegiatan dilaksanakan pada tanggal 12 November 2025 dengan metode pelatihan sistem yang meliputi sosialisasi, pretest, penyajian materi, praktik langsung dalam pembuatan visualisasi data, pengumpulan, dan evaluasi. Sebanyak 14 peserta dari unit Pelatihan, Rekam Medis, Casemix, dan perawat melakukan pelatihan selama 120 menit. Hasil dari kegiatan peserta mampu membuat berbagai jenis visualisasi (pie chart, bar chart, boxplot, dan interactive dashboard) dengan penilaian nilai rata-rata dari 52 (pretest) hingga 73 (evaluasi akhir), menghasilkan penilaian kepuasan sebesar 40,4%. Kegiatan yang dilaksanakan telah meningkatkan kompetensi PMIK dalam visualisasi data klaim INA-CBG’s dan mendorong terbentuknya budaya kerja berbasis data di rumah sakit.
Co-Authors Arman, Akhmad Tri Aruni, Amelia Hosizah Hosizah Husni Abdul Muchlis Iqbal, Muhammad Fuad Muhammad Fahmi Nursyabani Nurmalasari, Mieke Rachmadiany, Syalaisha Nuraini Rhinaldi, Steven Rubina, Tirzhana Jean Simanjuntak, Herliani Florentina Witri Zuama Qomarania Yati Maryati