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Optimalisasi Manajemen Penanganan Klaim Pending Pasien Bpjs Rawat Inap di Rumah Sakit Citra Husada Jember Tahun 2018 Alfiansyah, Gamasiano; Nuraini, Novita; Wijayanti, Rossalina Adi; Putri, Fitriana; Deharja, Atma; Santi, Maya Weka
Kesmas Indonesia: Jurnal Ilmiah Kesehatan Masyarakat Vol 11 No 1 (2019): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (87.268 KB) | DOI: 10.20884/1.ki.2019.11.1.1314

Abstract

Latar belakang: Perubahan paradigma pelayanan kesehatan harus disikapi oleh para pengelola rumah sakit. Peningkatan mutu dan patient safety menjadi faktor utama yang akan mempengaruhi peningkatan kinerja rumah sakit dalam era BPJS. Berdasarkan studi pendahuluan, ditemukan banyak formulir persyaratan klaim BPJS yang tidak lengkap dalam pengisiannya. Data menunjukkan masih ditemukan beberapa berkas klaim yang dikembalikan. Tujuan: melakukan optimalisasi manajemen dalam penanganan klaim pending melalui POAC. Metode: Penelitian ini merupakan penelitian kualitatif, dengan maksud menggali lebih dalam fungsi manajemen yang telah dilakukan. Penelitian dilakukan di Rumah Sakit Citra Husada Jember pada bulan Mei ? September 2018 dengan unit analisis adalah unit rekam medis di rumah sakit tersebut. Hasil: Proses penanganan claim pending berdasarkan aspek planning, organizing, actuating, dan controlling masih belum berjalan dengan baik. Hal tersebut diantaranya dikarenakan tidak adanya rincian pekerjaan dan job description, kurangnya motivasi dari pimpinan, dan tidak ada jadwal supervisi pimpinan yang jelas. Saran: Menyusun rencana kerja operasional dalam proses pengisian berkas persyaratan klaim BPJS, membuat susunan rincian pekerjaan dan job description dalam pengelolaan pengisian berkas persyaratan klaim BPJS rawat inap, menyusun SOP untuk memudahkan komunikasi antar petugas, dan menyusun jadwal supervisi pimpinan untuk mempermudah staf dalam melaporkan informasi yang harus dilaporkan. Kata kunci: Klaim Pending, BPJS, Manajemen
Disobedience in Medication and Opportunistic Infection as Lead Factors to HIV/AIDS Mortality at Kencong Public Health Center, Jember Santi, Maya Weka; Deharja, Atma; Rachmawati, Ervina
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 6, No 1: March 2021
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (496.095 KB) | DOI: 10.30604/jika.v6i1.440

Abstract

Acquired Immunodeficiency Syndrome (AIDS) is defined as a set of symptoms due to decreased immunity caused by the Human Immunodeficiency Virus (HIV). One of the sub-district in Jember which has the highest HIV/AIDS mortality is Kencong with the death number was 55.88% by January-July 2019. The purpose of this research was to analyze related factors to HIV/AIDS mortality at Kencong Public Health Center. Data were collected from HIV/AIDS patients’ medical record documents with 51 samples consisting of 17 samples from the case group and 34 samples from the control group. Analysis data conducted by Chi-Square test using a case-control approach. The results showed that there was a correlation between disobedience in medication and HIV/AIDS patients’ mortality, with p=0,000 and risk of death at 15,682 times OR (Odds Ratio). Likewise, there was a correlation between the patients’ opportunistic infection and the HIV/AIDS patients’ mortality, with p=0,004 and risk of death at 5,958 times OR. However, the variables of sex, age and level of education did not have any correlation with HIV/AIDS patients’ mortality. Kencong Public Health Office should encourage HIV/AIDS patients to improve medication adherence so can reduce the chance of opportunistic infections. Abstrak: Acquired Immunodeficiency Syndrome (AIDS) didefinisikan sebagai sekumpulan gejala akibat penurunan kekebalan yang disebabkan oleh Human Immunodeficiency Virus (HIV). Salah satu kecamatan di Kabupaten Jember yang memiliki angka kematian HIV / AIDS tertinggi adalah Kencong dengan angka kematian 55,88% pada Januari-Juli 2019. Tujuan penelitian ini adalah menganalisis faktor-faktor yang berhubungan dengan kematian HIV / AIDS di Puskesmas Kencong. Pengumpulan data dilakukan dari dokumen rekam medis pasien HIV / AIDS dengan 51 sampel yang terdiri dari 17 sampel dari kelompok kasus dan 34 sampel dari kelompok kontrol. Analisis data dilakukan dengan uji Chi-Square dengan menggunakan pendekatan case-control. Hasil penelitian menunjukkan bahwa ada hubungan ketidakpatuhan dalam pengobatan dengan kematian pasien HIV / AIDS, dengan p = 0,000 dan risiko kematian sebesar 15.682 kali OR (Odds Ratio). Demikian juga terdapat hubungan antara infeksi oportunistik pasien dengan kematian pasien HIV / AIDS, dengan p = 0,004 dan risiko kematian sebesar 5,958 kali OR. Namun variabel jenis kelamin, usia dan tingkat pendidikan tidak memiliki korelasi apapun dengan angka kematian penderita HIV / AIDS. Dinas Kesehatan Kencong harus mendorong pasien HIV / AIDS untuk meningkatkan kepatuhan minum obat sehingga dapat mengurangi kemungkinan terjadinya infeksi oportunistik.
LITERATURE REVIEW: STAFF PERFORMANCE FACTORS RELATED TO INCOMPLETE MEDICAL RECORD DOCUMENTS IN PUBLIC HEALTH CENTER Wijayanti, Rossalina Adi; Lestari, Melia Sinta; Deharja, Atma; Santi, Maya Weka
Journal of Public Health Research and Community Health Development Vol. 7 No. 2 (2024): March
Publisher : Fakultas Ilmu Kesehatan, Kedokteran dan Ilmu Alam (FIKKIA), Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jphrecode.v7i2.30241

Abstract

Background: Patient medical records are records relating to the patient's identity, diagnosis, action, and to the treatment that has been given to the patient. Thus, medical records must be protected from damage, but damage to medical records is still found in every hospital. Purpose: This study attempts to investigate the causes of damage to hospital medical record materials. Methods: this is literature review, and the research was obtained from google scholar and the portal garuda, using full text articles. The measured results were factors that cause damage to medical record documents. Results: The main factor were still officers with a low level of education, namely high school graduates. This has an impact on filing officers to be not disciplined in maintaining medical record documents, and the absence of implementation of training related to management and storage management in the filing section. The machine factor was that there was no medical record rack available in accordance with the number of medical record documents. The method factor was that there was no SOP for maintaining medical records. The material factor was the raw material for the map using thin paper. The media factor, namely the storage space, has not been avoided from the dangers of water, fire, and biological damage. Conclusion: Based on 5M factors, the factors that have the highest influence on damage to medical record documents are the elements of people, machine, and material. While the factor that causes the least damage to medical record documents is the method.
Design of Food Ordering Application in Teaching Factory Nutrition Care Center in Supporting Zero Stunting Santi, Maya Weka; Husin, Husin; Rachmawati, Ervina
International Journal of Healthcare and Information Technology Vol. 2 No. 1 (2024): July
Publisher : P3M Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/ijhitech.v2i1.4577

Abstract

Jember Regency was in the spotlight because the prevalence of stunted toddlers has reached the highest rank in East Java with a figure of 34.9% in 2022. Teaching Factory Nutrition Care Center (NCC) has nutritional catering services with Managed Health Meal and Kids Meal packages. However, the ordering process was still done via telephone or chat from social media groups. The research objective was to generate the online application for ordering food at the Teaching Factory NCC to accelerate zero stunting program. It used waterfall method contains of system investigation, system analysis, system design, system implementation, and system maintenance. Meanwhile, this article limited to system design. The results showed that NCC Food facilitates clients/ patients to order nutritious food online according to nutritional adequacy rate needs, particularly for stunted toddlers.
Capacity Building Kader Posyandu Melalui Digitalisasi dan Creative Health Berbasis Ketahanan Pangan Lokal dan Inovasi Produk Ternak sebagai Percepatan Zero Stunting di Posyandu Melati, Kab. Probolinggo Santi, Maya Weka; Firgiyanto , Refa; Syahniar , Theo Mahiseta; Andriani, Mira
DHARMA RAFLESIA Vol 22 No 2 (2024): DESEMBER (ACCREDITED SINTA 5)
Publisher : Universitas Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33369/dr.v22i2.38080

Abstract

Kabupaten Probolinggo menempati posisi kedua tertinggi kabupaten/kota pada masalah stunting di Jawa Timur sebesar 15,71% (9.840 balita) tahun 2022. Rangkaian program yang dilaksanakan pada kegiatan pengabdian kepada masyarakat diterapkan melalui 4 (empat) tahapan kegiatan, yaitu (1) Persiapan, (2) Sosialisasi, (3) Pelaksanaan kegiatan, (4) Monitoring dan Evaluasi. Berdasarkan kuesioner pretest dan postest, hasil menunjukkan bahwa sebagian besar kader Posyandu merasa terbantu dengan adanya sistem e-Posyandu. Sistem ini mendukung deteksi dini kejadian stunting pada balita di Posyandu Melati, Desa Kamal Kuning. Kader sangat senang karena memiliki pengetahuan dan kemampuan untuk membuat produk PMT berbahan dasar kelor yang berprotein tinggi, seperti yoghurt, puding, dan nugget ayam kelor. Selain itu, mereka juga memahami bagaimana cara melakukan budidaya tanaman dengan media aquaponik. Evaluasi dilakukan untuk menjadi rujukan dalam merencanakan keberlanjutan kerja sama antara tim pengabdian dan pihak mitra Posyandu Melati agar seluruh hasil kegiatan pengabdian dapat dikelola dan memberikan manfaat yang optimal.
Ketidaklengkapan Pengisian Informed Consent di Rumah Sakit Alfiansyah, Gamasiano; Jonathan, Wicaksono; Santi, Maya Weka; Ardiantor, Efri Tri; Swari, Selvia Juwita; Mudiono, Demiawan Rachmatta Putro
Jenggala : Jurnal Riset Pengembangan dan Pelayanan Kesehatan Vol 3 No 2 (2024): DESEMBER 2024
Publisher : Fakultas Teknologi dan Manajemen Kesehatan

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

Abstract

Rumah sakit X merupakan rumah sakit di provinsi Jawa Timur yang masih mengalami ketidaklengkapan pengisian formulir informed consent. Hasil studi pendahuluan menemukan sebanyak 94 formulir belum diisi dengan lengkap. Penelitian ini bertujuan untuk menganalisis faktor penyebab ketidaklengkapan pengisian formulir informed consent. Penelitian ini merupakan penelitian kualitatif. Data dikumpulkan melalui wawancara mendalam kepada 2 dokter, 2 perawat, kepala rekam medis, dan 2 staff rekam medis. Selain itu, data juga dikumpulkan dengan observasi, dan dokumentasi. Data dianalisis dengan melakukan reduksi data, penyajian data, dan penarikan kesimpulan. Hasil penelitian menunjukkan bahwa ketidaklengkapan pengisian informed consent disebabkan oleh motivational factor karena belum adanya pemberian reward dan punishment, opportunity factor karena kurangnya sosialisasi SOP dan kurangnya jumlah SDM, dan ability factor disebabkan oleh kurangnya pengetahuan, kurangnya pelatihan, dan masa kerja. Rumah Sakit X disarankan untuk membuat regulasi mengenai pemberian reward dan punishment, menambah jumlah SDM khususnya di unit rekam medis, dan melakukan sosialisasi SOP secara berkala kepada petugas yang bertanggungjawab dalam pengisian informed consent.
Hubungan Individu, Organisasi, Psikologis Petugas Terhadap Keterlambatan Pengembalian Rekam Medis Rawat Inap Vestine, Veronika; Purbaningrum, Ajeng; Santi, Maya Weka; Ardianto, Efri Tri
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 5 No 2 (2024): March
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v5i2.5472

Abstract

The return of medical records is the process of returning patient medical records to the medical records department after being used in healthcare services. In 2023, it was found that 42% of inpatient medical records were returned on time but were incomplete, while 32% were delayed for more than 2 x 24 hours. The aim of this study is to analyze the relationship between individual, organizational, and psychological factors of staff and the delay in returning inpatient medical records at Al Huda Hospital, Banyuwangi. Data collection techniques include questionnaires and observation. The population consisted of 101 staff responsible for returning inpatient medical records, with a sample of 80 staff members. This study uses an analytical quantitative method with a cross-sectional approach and chi-square test. Bivariate analysis results showed no relationship between individual factors (knowledge) and organizational factors (leadership). However, there was a significant relationship with psychological factors (attitude) with a Sig. value of 0.001. The researcher suggests that the hospital conduct regular evaluations and provide socialization to staff regarding the return of inpatient medical records and improve staff skills and knowledge on the medical record return procedure.
File Security Design in Electronic Health Record (EHR) System with Triple DES Algorithm (3DES) at Jember Family Health Home Clinic Yunus, Muhammad; Sakkinah, Intan Sulistyaningrum; Rahmawati, Ulfa Emi; Deharja, Atma; Santi, Maya Weka
International Journal of Health and Information System Vol. 1 No. 1 (2023): May
Publisher : Indonesian Journal Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47134/ijhis.v1i1.2

Abstract

Electronic Health Record (EHR) is an electronic version of a patient's medical history maintained by a health care service from time to time. The hacking of medical record data by irresponsible parties is a security threat to the EHR system, including the EHR system belonging to the Jember Family Health Home Clinic which is not equipped with a file security system. This research was conducted by designing file security on the EHR system with the Triple DES (3DES) algorithm using UML (Unified Modeling Language) diagrams. The Triple DES (3DES) algorithm was chosen because it is considered secure in securing files. The results of this study are the design of adding file security with 3DES to the EHR system to help maintain the confidentiality of vital medical record data. Further research can be done by building a file security system using 3DES according to the design that has been made.
Electronic Health Records Design in the Nutrition Care Center of Teaching Factory at Politeknik Negeri Jember, Indonesia Deharja, Atma; Yunus, Muhammad; Santi, Maya Weka
International Journal of Health and Information System Vol. 1 No. 1 (2023): May
Publisher : Indonesian Journal Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47134/ijhis.v1i1.6

Abstract

The Nutrition Care Center (NCC) is one of the teaching factories (TEFA) at Politeknik Negeri Jember that provides community nutrition services. Preliminary data collection found that the factory did not have complete health database of their staff so that nutritionists find it difficult to screen for non-communicable disease risk factors. In this study, the use of Electronic Health Record (EHR) equipped with Clinical Decision Support System (CDSS) was incorporated to record, retrieve, archive, and update patients and other medical records in the NCC. This system provides easier health record management for the nutritionist team at the NCC TEFA Politeknik Negeri Jember. Medical records help them conduct screening on non-communicable disease (NCD) risk factors and make clinical decision support for doctors/counselors which have missions to reduce NCD cases in the productive age. This study used a waterfall method model and collected data through a literature review, observation, and interviews. The results produced an application of a clinic database management in which all data and information could be integrated well to improve the quality of services and facilitate data storage and access. This study concludes that the EHRs generates quick and accurate information to support operations and decision-making in the NCC.
Penerapan Teknologi Silase Pakan Komplit Guna Memperbaiki Manajemen Pakan di CV An-Kim Indo Farm dan Faris Jaya Farm Syahniar, Theo Mahiseta; Andriani, Mira; Nurkholis, Nurkholis; Firgiyanto, Refa; Riskiawan, Hendra Yufit; Santi, Maya Weka
Journal of Community Development Vol. 6 No. 1 (2025): August
Publisher : Indonesian Journal Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47134/comdev.v6i1.1443

Abstract

Sheep farming in Indonesia is generally still carried out conventionally to semi-intensively, and there is also minimal support for the sheep farming business being run. Livestock partners from CV An-Kim Indo Farm and Faris Jaya Farm are partners who still run sheep farming businesses by relying on the availability of green fodder in the form of field grass and rice straw as their main feed. Both of these feed ingredients have low nutritional quality. The level of sheep productivity is maintained if the feed contains a minimum of PK 10.90-12.70%, and TDN 55-60%. This factor causes the sheep of partner farmers to not be able to produce optimally. In fact, other feed sources besides field grass are widely available around partner farms and can be used as alternative feed, for example various agricultural waste. However, the low knowledge and skills of farmers in identifying and processing alternative feeds cause the nutritional needs of sheep not to be met and affect their productivity. The solution to this problem is to conduct socialization regarding increasing the nutritional value of animal feed through the manufacture of complete feed using alternative feed raw materials from agricultural waste. Complete feed silage innovation is a practical solution to overcome the availability of fresh feed for partner sheep farmers at CV An-Kim Indo Farm and Faris Jaya Farm. This silage saves labor and time, reduces dependence on field grass, its application is expected to improve feed management, save time and energy for farmers, and increase efficiency.