Article Per Year (5 Year)
p-Index From 2020 - 2025
2.062
P-Index
This Author published in this journals
All Journal Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda (JIPIKI) Jurnal Kesehatan Tambusai Jurnal Media Informatika Jurnal Pengabdian Masyarakat (ABDIRA) Jurnal EduHealth Jurnal ABDIMAS Budi Darma Jurnal Ilmiah Pengabdian Kepada Masyarakat Aspirasi : Publikasi Hasil Pengabdian dan Kegiatan Masyarakat Jurnal Perilaku Kesehatan Terpadu COVID-19 : Journal of Health, Medical Records and Pharmacy
Theresia Hutasoit
Unknown Affiliation
Aerospace Engineering Agriculture, Biological Sciences & Forestry Humanities Automotive Engineering Chemistry Civil Engineering, Building, Construction & Architecture Computer Science & IT Control & Systems Engineering Decision Sciences, Operations Research & Management Dentistry Earth & Planetary Sciences Economics, Econometrics & Finance Education Electrical & Electronics Engineering Engineering Environmental Science Health Professions Immunology & microbiology Industrial & Manufacturing Engineering Languange, Linguistic, Communication & Media Materials Science & Nanotechnology Mathematics Mechanical Engineering Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary Other

Published : 13 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Found 13 Documents
Search

 1   2 
Factors Causing Claims Not Eligible to Pay Covid-19 Patients at the Imelda Workers General Hospital Indonesia in 2021 Theresia Hutasoit; Callis Dewi Pancarani
Jurnal EduHealth Vol. 14 No. 02 (2023): Periode April-June, 2023
Publisher : Sean Institute

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

Abstract

Hospitals that provide Covid-19 services can apply for reimbursement of service fees to the Ministry of Health. However, if a discrepancy is found in the administration or service, the claim can be declared unfit to pay which can have an impact on reimbursement of the costs of services that have been provided to the patient. Claims that are not eligible to pay are claims that have been verified by the hospital but do not meet the provisions of both administration and service so that they cannot be paid. The purpose of this study was to find out the factors that caused claims that were not eligible to pay for Covid-19 patients at Imelda Workers Indonesia Hospital in 2022. This type of research was qualitative with a population of 18 claims and the sampling technique used was saturated sampling. The research instruments used were interview guidelines and checklist sheets. The method of data collection is done by observation and interviews. The results of the study obtained that the claim files of Covid-19 inpatients for the period June to September were 286 claims and the number of claims that were not eligible to pay was 18 claims. The factors that cause claims that are not eligible to pay are the criteria for Covid-19 patients not in accordance with the provisions, comorbid diagnoses that are not in accordance with the provisions, incomplete claim documents, supporting examinations that are not in accordance with the provisions and delays in claiming. The main cause of claims that are not eligible to pay for Covid-19 patients at Imelda Worker Indonesia Hospital is the delay in claims that have passed the date determined by the Ministry of Health. It is recommended that you pay more attention and be careful with the due date that has been determined by the Ministry of Health, so that there is no claim delay.
HUBUNGAN KETIDAKTEPATAN KODE DIAGNOSA PASIEN RAWAT INAP DENGAN PENDING KLAIM INA-CBG’s DI RSUD SULTAN SULAIMAN SERDANG BEDAGAI Mei Sryendang Sitorus; Esraida Simanjuntak; Erlindai Erlindai; Theresia Hutasoit; Putri Metha Amelya Lumbantoruan
Jurnal Kesehatan Tambusai Vol. 4 No. 4 (2023): DESEMBER 2023
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v4i4.21495

Abstract

Kode diagnosis berperan penting sebagai dasar penetapan biaya pelayanan kesehatan dan pengambilan kebijakan sehingga harus dijamin kualitasnya. Ketidaktepatan kode berdampak pada kualitas kode yang berpengaruh dalam keakuratan dan kekonsistenan kode diagnosaSurvei awal yang dilakukan di RSUD Sultan Sulaiman menunjukkan ketidaklengkapan hasil pemeriksaan tes diagnostik, ketidaklengkapan dan ketidaktepatan pengisian rekam medis, dan ketidaksesuaian omit code yang menyebabkan pending klaim INA-CBG’s. Populasi penelitian ini 156 berkas klaim pasien peserta BPJS dan sampel sebanyak 61 dengan menggunakan rumus slovin. Dari 61 berkas klaim, 25 (41.0%) berkas klaim yang tidak disetujui (pending klaim) dan 36 (59.0%) yang disetujui. Desain penelitian ini adalah deskriptif kuantitatif dengan pendekatan cross section, analisis data menggunakan uji Chi-Square. Hasil penelitian menunjukkan adanya hubungan ketidaktepatan kode diagnosa dengan pending klaim. Ketidaklengkapan hasil pemeriksaan tes diagnostik, kategori tidak lengkap yang tidak disetujui sebanyak 17 (65.3%) dan kategori lengkap yang tidak disetujui sebanyak 8 (22.8%) berkas. Ketidaklengkapan dan ketidaktepatan pengisian rekam medis, pada kategori tidak lengkap/tidak tepat yang tidak disetujui sebanyak 16 (69.5%) dan 9 (23.6%) berkas. Ketidaksesuaian omit code, kategori tidak sesuai yang tidak disetujui sebanyak 17 (68.0%) dan kategori sesuai yang tidak disetujui sebanyak 8 (22.2%) berkas. Saran yang diajukan yaitu masih diperlukan sosialisasi terkait SOP pengkodingan; pihak manajemen perlu mengadakan pertemuan antara dokter, koder, dan tim verifikasi; sebaiknya koder mengikuti petunjuk omit code berdasarkan kaidah koding di ICD-10.
SOSIALISASI KESESUAIAN PELAYANAN REKAM MEDIS DENGAN STANDAR AKREDITASI PUSKESMAS TAHUN 2023 DI PUSKESMAS PASAR MERAH MEDAN Sitorus, Mei Sryendang; Erlindai, Erlindai; Hutasoit, Theresia; Christy, Johanna; Lase , Kristalina
Jurnal Ilmiah Pengabdian Kepada Masyarakat (Ji-SOMBA) Vol. 3 No. 2 (2024): Jurnal Ilmiah Pengabdian Kepada Masyarakat (Ji-SOMBA)
Publisher : Universitas Imelda Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/ji-somba.v3i2.1676

Abstract

Akreditasi merupakan salah satu bentuk kebijakan yang dikeluarkan oleh pemerintah pusat. Implementasinya dilaksanakan sesuai dengan Permenkes RI No. 34/2022 yang menyebutkan bahwa akreditasi adalah pengakuan terhadap mutu pelayanan puskesmas, klinik, Labkes, unit transfusi darah, praktik mandiri dokter, dan praktik mandiri dokter gigi setelah dilakukan penilaian (Permenkes RI, 2022). Hasil akhir yang diharapkan dari pelaksanaan akreditasi yaitu untuk menjamin pelayanan kesehatan berkualitas. Adapun standar akreditasi yang terbaru sesuai dengan Kepmenkes RI No. HK.01.07/MENKES/165/2023 tentang Pemenuhan Standar Akreditasi Puskesmas (Kepmenkes RI, 2023).Data yang diperoleh mayoritas puskesmas masih menggunakan Standar Akreditasi SIAP 2019. Tujuan pengabdian melaksanakan sosialisasi perubahan standar akreditasi dan menganalisa kembali kesesuaian pelayanan rekam medis dengan standar Akreditasi terbaru.Kegiatan pengabdian dilakukan dengan mensosialisasikan Standar Akreditasi Puskesmas terbaru. Sosialisasi diberikan kepada staf rekam medis dan petugas administrasi yang berperan dalam pelayanan rekam medis serta pengunjung yang dilaksanakan dengan mengaplikasikan metode presentasi materi dan tanya jawab. Peserta sosialisasi adalah petugas rekam medis dan petugas administrasi 7 orang dan pengunjung sebanyak 11 orang. Kegiatan yang dilaksanakan adalah pemaparan materi, analisis kesesuaian pelayanan rekam medis, sosialisasi kembali SOP yang ada untuk memenuhi elemen penilaian akreditasi dan memberikan masukan untuk pembaharuan SOP. Hasil pelaksanaan kegiatan ini diharapkan meningkatnya pengetahuan petugas puskesmas tentang pentingnya akreditasi dalam peningkatan mutu puskesmas serta regulasi dan sarana prasarana yang diperlukan dalam pemenuhan standar tersebut. Kegiatan ini terlaksana dengan baik karena dukungan dari semua tim pelaksana, Kepala Puskemas dan seluruh petugas puskesmas khususnya pegawai rekam medis Puskesmas Pasar Merah Medan.
Perancangan Sistem Informasi Pendaftaran Pasien Menggunakan Bahasa Pemrograman Visual Basic Pada Puskesmas Pelabuhan Sambas Sibolga Nengsih, Yeyi Gusla; Sitorus, Mei Sryendang; Hutasoit, Theresia; Tanjung, Hizraini
Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda (JIPIKI) Vol. 9 No. 1 (2024): Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda Edisi Februari
Publisher : Akademi Perekam dan Informasi Kesehatan Imelda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jipiki.v9i1.1540

Abstract

The patient information system at the community health center is an information system that has activities such as queuing, registration and medical records. Registration services that are still manual make registration ineffective and inefficient. Officers needed a lot of time to search for documents and take notes and there was a buildup of patient queues at the registration unit. Apart from that, the manual system for making reports is not effective, so to improve registration services for patients, a health center information system is needed that is able to provide good and fast service to patients. The aim of this research is to design a registration information system application to assist registration officers in providing patient registration services. Data collection methods consist of observation methods, interview methods and documentation methods. This research approach is the SDLC (System Development Life Cycle) approach, which is a cycle used in creating or developing information systems that aims to solve problems effectively. The results obtained from this research are the design of a patient registration information system using the Visual Basic programming language. The results of the interface display from the design of the Sambas Port Health Center information system are login form, main menu form, user menu, patient registration form, patient data search menu, queue menu and patient data report menu. The conclusions obtained by this information system design can help officers in the registration unit at the Community Health Center to be more effective and efficient.
Sosialisasi Perancangan Redesain MAP Rekam Medis di Puskesmas Bestari Theresia Hutasoit; Mei Sryendang Sitorus
ASPIRASI : Publikasi Hasil Pengabdian dan Kegiatan Masyarakat Vol. 1 No. 6 (2023): November : ASPIRASI : Publikasi Hasil Pengabdian dan Kegiatan Masyarakat
Publisher : Asosiasi Periset Bahasa Sastra Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/aspirasi.v1i6.50

Abstract

A medical record folder is a thick paper cover that unites all of a patient's sheets so that they become one complete history, protects the medical record files inside so that they are not easily damaged and makes it easier to store, search and transfer medical record files (Heltiani, 2020). Designing a medical record folder has physical aspects, anatomical aspects and content aspects. The physical aspect consists of materials: Ivory paper, the shape resembles a rectangular book, there are folds to increase the capacity to store medical record forms accompanied by color coding. Anatomical aspects include the Header, which contains the logo, name, address and telephone number, Introduction, Instructions, which contains confidential information from the medical record folder, Body contains the Name and Medical Record Number. Register Number and Year of Visit, Font using Time New Roman, form title size 40, patient identity and year of visit size 12, while Arial font size 14 is used for instructions, Ruler has a ruler on the medical record folder to limit the heading and body of the map, Border there is a border in the medical record folder. Content aspects include the identity of the health service facility, the identity of the name of the health service facility, the patient's name, the medical record number, the year of the last visit and the row available in the year of the last visit in the medical record folder. Socialization is given to medical record officers using discussion, lecture and question and answer methods. It is hoped that the results of this socialization will be for the Bestari Community Health Center to redesign the medical record folder which refers to three aspects, namely: anatomical aspects, physical aspects and content aspects so that the medical record forms are not damaged or scattered.
Penggunaan Aplikasi Excel Sebagai Aplikasi Pembantu SIMRS Gos Dalam Pencatatan Dan Pelaporan Di Rumah Sakit TNI AU Soewondo RSAU Dr. Abdul Malik Sitorus, Mei Sryendang; Simanjuntak, Esraida; Lubis, Siti Permata Sari; Hutasoit, Theresia; Sihite, Geovani Arta; Harefa, Calvin Natana Eli; Yani, Fitri
Jurnal ABDIMAS Budi Darma Vol 5, No 1 (2024): Agustus 2024
Publisher : Universitas Budi Darma

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30865/pengabdian.v5i1.8329

Abstract

The Hospital Management Information System (SIMRS) is a vital component in hospital operations to ensure the efficiency of recording and reporting medical and administrative data. This research aims to analyze the use of the Microsoft Excel application as an auxiliary application in supporting SIMRS Gos at the Soewondo TNI AU Hospital RSAU Dr. Abdul Malik. The use of Excel aims to increase the speed and accuracy of recording and reporting hospital data which has not been fully accommodated by SIMRS Gos. The research method used is a qualitative descriptive approach with interviews and direct observation of hospital officers involved in the recording and reporting process. The research results show that the Excel application provides flexibility in processing data, but requires increased integration with SIMRS to minimize data input errors and duplication of work. The recommendation from this research is further development of SIMRS so that it can accommodate the functions currently carried out by Excel, in order to increase work efficiency and data accuracy in hospitals
Faktor - Faktor Yang Mempengaruhi Ketepatan Koding Congestive Heart Failure (CHF) Pasien Rawat Inap di RSU Imelda Pekerja Indonesia Medan Tahun 2023 Hutasoit, Theresia; Sitorus, Mei Sryendang; Simanjuntak, Esraida; Valentina, Valentina
Jurnal Media Informatika Vol. 5 No. 2 (2024): Jurnal Media Informatika
Publisher : Jurnal Media Informatika

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

Abstract

Code accuracy is very necessary so that the information generated from diagnoses and medical actions is correct. The accuracy in providing diagnostic codes and medical actions is influenced by coding officers who determine the code based on data in medical records. Coding officers need to attend training related to procedures for determining the right and accurate code. The initial survey at RSU Imelda Pekerja Indonesia Medan found that from 62 medical records of CHF patients in January – March 2023, as many as 29 files (40.3%) did not have the correct diagnosis code. The purpose of this study was to determine the factors that affect the accuracy of coding Congestive Heart Failure (CHF) inpatients at RSU Imelda Pekerja Indonesia Medan. The research method used is descriptive research with a quantitative approach. Data collection by observation method by directly observing what factors affect the accuracy of coding Congestive Heart Failure (CHF) hospitalized patients. The results of the Chi-Square test analysis found that the officer's characteristics affect the accuracy of coding with a P-Value value of 0.011<0.05 for the officer's level of knowledge, a P-Value value of 0.009<0.05 for coding training that has been attended and a P-Value value of 0.000<0.05 for the length of service of the officer. The completeness of the assessment does not affect the accuracy of coding with a P-Value value of >0.05 but the completeness of diagnostic examinations and medical resumes affects the accuracy of coding with a value P-Value 0.002<0.05 and P-Value 0.015<0.05
FAKTOR – FAKTOR YANG MEMPENGARUHI KEAKURATAN KODE PENYAKIT KANKER PAYUDARA BERDASARKAN ICD 10 DI RSU HAJI MEDAAN TAHUN 2023 Hutasoit, Theresia; Simanjuntak, Marta; Sihite , Geovani Arta; Sarlina , Eti
Jurnal Kesehatan Tambusai Vol. 6 No. 2 (2025): JUNI 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v6i2.45112

Abstract

Salah satu penyebab ketidakakuratan koding kanker payudara yaitu faktor man (manusia) dimana tidak lengkapnya resume medis, pemeriksaan penunjang dan dokter kurang spesifik dalam menentukan diagnosa pada letak kanker payudara, sehingga mempengaruhi keakuratan koding. Metode penelitian ini adalah deskriptif kualitatif, teknik pengumpulan data dengan cara wawancara dan observasi. Jumlah sampel yang digunakan sebanyak 125 dokumen rekam medis kanker payudara pasien rawat inap dan jumlah informan sebanyak 3 orang petugas koding. Hasil yang diperoleh saat penelitian ini dengan karakteristik informan petugas koding dengan latar belakang pendidikan 1 orang D-III Perekam dan Informasi Kesehatan dan 2 orang memiliki latar belakang pendidikan Sarjana Kedokteran. Data distribusi keakuratan penulisan kode diagnose dari 125 rekam medis ada sebanyak 106 rekam medis (84,5%) penulisan diagnosa tidak akurat dan 19 rekam medis (15,5%) penulisan diagnosa sudah akurat. Faktor-faktor yang mempengaruhi keakuratan kode seperti Man (manusia) yaitu tulisan dokter tidak terbaca dan pemeriksaan penunjang seperti hasil PA lama keluar, material (bahan) ketidaklengkapan pengisian berkas rekam medis dan hasil pemeriksaan penunjang lama keluar, method (metode) masih ditemukan petugas yang kurang memahami SPO serta perlu dilakukan monitoring dan evaluasi agar tidak terjadi kesalahan dalam proses klasifikasi dan kodefikasi diagnosa pasien, dan mechine (mesin) gangguan jaringan komputer dan permasalahan eror tidak mempengaruhi keakuratan kode namun perlu dilakukan upgrade processor dan perbaikan jaringan secara berkala. Perlunya diberikan pelatihan kepada petugas koding terkait menentukan kode khususnya kanker payudara sesuai dengan panduan agar dapat melengkapi pemeriksaan penunjang sehingga menghasilkan kode yang akurat dan tepat.
FAKTOR-FAKTOR PENYEBAB KETERLAMBATAN PENGIRIMAN LAPORAN RL-4A PADA APLIKASI SIRS ONLINE DI RS ARTHA MEDICA BINJAI TAHUN 2024 Daeli, Cosmas Samuel; Sitorus, Mei Sryendang; Hutasoit, Theresia; Valentina, Valentina; Hulu, Mery Windhy Kristina
Jurnal Kesehatan Tambusai Vol. 6 No. 2 (2025): JUNI 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v6i2.46056

Abstract

Pembuatan laporan rumah sakit menggunakan aplikasi yang disebut dengan SIRS Online dan setiap rumah sakit wajib untuk melaksanakannya. Formulir RL4a adalah formulir untuk data keadaan morbiditas pasien rawat inap yang merupakan formulir rekapitulasi dari jumlah pasien keluar Rumah Sakit (hidup dan mati) untuk periode tahunan. 2. Data dikumpulkan dari tanggal 1 Januari sampai dengan 31 Desember setiap tahunnya. Tujuan penelitian Untuk mengetahui faktor-faktor penyebab keterlambatan pengiriman laporan RL-4a pada aplikasi SIRS Online di RS Artha Medica Binjai. Mengidentifikasi faktor-faktor penyebab keterlambatan pengiriman laporan RL-4a pada aplikasi SIRS Online di RS Artha Medica Binjai. Untuk Mengetahui pengaruh keterlambatan laporan pada Rekapitulasi Laporan 4A Rawat Inap dalam pelaksanaan pengiriman laporan RL4A di RS Artha Medica Binjai. Pendekatan yang digunakan dalam penelitian ini adalah pendekatan kualitatif. Pendekatan kualitatif adalah suatu prosedur penelitian yang menghasilkan data deskriptif berupa kata-kata tertulis atau lisan orang-orang dan perilaku yang dapat diamati. Dalam hasil penelitian diperoleh unsur manajemen 5M man, Machine, material Method, dan Money. Adapun faktor yang menyebabkan keterlambatan pengiriman laporan RL 4a di Rumah Sakit Artha Medica Binjai antara lain kurangnya ketersediaan data sehingga pelaporan menjadi tertunda namun untuk sarana dan prasarana sudah di RSU Artha Medica sudah mencukupi.
Sosialisasi Identifikasi Manajemen Risiko dalam Penyelenggaraan Rekam Medis Elektronik di UPT Puskesmas Pulo Brayan Sitorus, Mei Sryendang; Simanjuntak, Marta; Daeli, Cosmas Samuel; Hutasoit, Theresia; Erlindai, Erlindai; Sihite, Geovani Arta
Jurnal Pengabdian Masyarakat (ABDIRA) Vol 5, No 3 (2025): Abdira, Juli
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/abdira.v5i3.722

Abstract

Electronic Medical Records are medical records created using an electronic system intended for organizing Medical Records (Permenkes RI, 2022. Health centers are required to have and organize medical records for every patient who receives services (Permenkes RI, 2008). Integrated risk management is the process of identifying, analyzing, evaluating and managing all potential risks and is applied to all units or activities starting from the preparation of strategic plans, program and budget implementation, accountability and monitoring evaluation and reporting (Permenkes RI, 2019). In the Pulo Brayan Health Center Medical Records Unit, factors that influence risk were found, namely: physical, biological, psychological, chemical, and ergonomic factors. Activities were carried out by socializing the Management of Risk Management and SOP for Risk Management in the Medical Records Unit and revisions. Continued with risk identification and assessment. The results of the physical factors showed that medical record officers had the potential to experience eye fatigue due to exposure to computer radiation which can be overcome by using anti-radiation to reduce the risk. Psychological factors include increased emotions due to network disruptions, overcome by increasing network capacity and maintenance. Ergonomic factors Muscle tension is overcome by using a more ergonomic work chair.
Co-Authors Begum Suroyo, Razia Callis Dewi Pancarani Christy, Johanna Cosmas Samuel Daeli Erlindai Erlindai Erlindai, Erlindai Esraida Simanjuntak Fitri Yani Fitriani, Arifah Devi Gusla Nengsih, Yeyi Harefa, Calvin Natana Eli Hulu, Mery Windhy Kristina Lase , Kristalina Lubis, Siti Permata Sari Mei Sryendang Sitorus Mei Sryendang Sitorus Putri Metha Amelya Lumbantoruan Sarlina , Eti Sihite , Geovani Arta Sihite, Geovani Arta Simanjuntak, Esraida Simanjuntak, Marta Sitorus, Mei Sryendang Syahputri, Melati Adila Tanjung, Hizraini Valentina Valentina, Valentina