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Pujilestari, Intan
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TINJAUAN KETIDAKLENGKAPAN PENGISIAN ASESMEN AWAL MEDIS RAWAT INAP PASIEN BEDAH GUNA MENUNJANG KUALITAS INFORMASI REKAM MEDIS DI RSUD AL IHSAN PROVINSI JAWA BARAT Monica, Rizqy Dimas; Pujilestari, Intan; Nopiyanti, Sabila
Jurnal TEDC Vol 17 No 3 (2023): JURNAL TEDC
Publisher : UPPM Politeknik TEDC Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70428/tedc.v17i3.744

Abstract

The importance of the completeness of filling in the Initial Medical Assessment is one indicator of the quality of information in the medical record file, which according to Kepmenkes 129 / Menkes / SK / II / 2008 states that the completeness of filling in medical record files must be filled in 24 hours after completion of medical services in the hospital is 100%. Based on the results of preliminary studies conducted, the authors took a sample of medical record files of surgical patients in February as many as 30 files, out of 30 files there were 20 files (66.66%) of the patient's initial medical assessment form that had not been completely filled in. The purpose of this study was to determine the completeness of filling out the initial medical assessment of surgical patient hospitalization. The research method used is descriptive method with quantitative approach. The population in this study was the initial medical assessment form for inpatient surgical patients in November-January 2023 at Al Ihsan Hospital, West Java Province, totaling 209 files. The sample taken from the population was 68 samples. The data collection techniques used were observation, interview, and documentation. The results of the research conducted by the author, showed that of the 68 samples of initial medical assessment sheets in November-January 2023, namely for the completeness of filling out the initial medical assessment in the patient identification variable of 50 files (74%). The variable of filling in reports / important notes amounted to 35 files (51%). Author authentication variable of 55 files (81%). The variable of good and correct recording was 67 files (98%) and the average completeness of filling out the initial medical assessment form for inpatient surgical patients in November-January 2023 was 76%.
EVALUASI FAKTOR PENYEBAB PENGEMBALIAN KLAIM BPJS PASIEN RAWAT INAP DENGAN OPTIMALISASI PROFITABILITAS RUMAH SAKIT DI RSUD CIKALONG WETAN Pujilestari, Intan; Fajriani, Gina; Gunawan, Edih
Jurnal TEDC Vol 19 No 2 (2025): JURNAL TEDC
Publisher : UPPM Politeknik TEDC Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70428/tedc.v19i2.1254

Abstract

This concerns the return of claim files from the Social Security Administering Body (BPJS) to the hospital. Problems were found in the Participant Eligibility Letter (SEP) for inpatient care, which was not issued by the BPJS. There was a delay in the issuance or claiming of the SEP by the BPJS from January to April 2023. The research method used was a descriptive method with a quantitative approach. The population consisted of all BPJS inpatient claim files from the last three months at Cikalongwetan Regional General Hospital, totaling 251 files. The sampling technique used was total sampling, with 251 samples. Data collection techniques included observation, interviews, and documentation studies. Data processing techniques were editing and tabulation. Research instruments included stationery, a stopwatch, interview guidelines, a calculator, and a checklist sheet. The research results indicate that Cikalongwetan Regional General Hospital does not yet have written Standard Operating Procedures (SOPs) regarding the implementation of BPJS claims. From the sample data of returned inpatient BPJS claims, totaling 251 files from May to July 2024, in May, the criterion for illegible doctor's handwriting was 98 (36.6%). Therefore, the author suggests regular training and education for medical staff and routine supervision to ensure compliance with Standard Operating Procedures (SOPs).
TINJAUAN TATA RUANG PENYIMPANAN BERKAS REKAM MEDIS BERDASARKAN ASPEK ERGONOMI GUNA MENUNJANG KELANCARAN PELAYANAN DI RSAU LANUD SULAIMAN BANDUNG Pujilestari, Intan; Monica, Rizqi Dimas; Ainunnisa, Reza
Jurnal TEDC Vol 17 No 1 (2023): JURNAL TEDC
Publisher : UPPM Politeknik TEDC Bandung

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

Abstract

Penataan ruang penyimpanan yang baik dibutuhkan untuk memudahkan pekerjaan petugas. Penataan ruang penyimpanan harus dilakukan berdasarkan aspek ergonomi. Berdasarkan studi pendahuluan di RSAU Lanud Sulaiman ada beberapa temuan masalah selama penulis melakukan penelitian yaitu jarak antar rak terlalu berdekatan, penerangan yang kurang, tidak adanya ventilasi, dan keamanan pintu ruang penyimpanan berkas rekam medis yang tidak ada. Tujuan penelitian ini bertujuan untuk meninjau aspek ergonomi tata ruang penyimpanan rekam medis di RSAU Lanud Sulaiman. Metode penelitian ini menggunakan metode kualitatif dengan menggunakan pendekatan deskriptif. Teknik pengumpulan data pada penelitian ini dengan metode observasi dan wawancara. Hasil penelitian menunjukkan tata ruang penyimpanan berkas rekam medis di RSAU Lanud Sulaiman sudah baik tetapi ada beberapa yang kurang optimal yaitu pencahayaan yang masih kurang, suhu di siang hari melebihi temperatur yang ideal, tidak adanya ventilasi udara, pintu penyimpanan berkas rekam medis belum ada pengamanan sehingga orang tidak berwenang bisa masuk kedalam ruangan, dan jarak antar rak terbuka masih berdekatan sehingga petugas penyimpanan rekam medis masih kesulitan saat mengambil dan menyimpan berkas rekam medis karena jarak antar rak yang begitu sempit. Hasil penelitian yang telah dilakukan bahwa tata ruang penyimpanan berkas rekam medis di RSAU Lanud Sulaiman kurang ergonomi karena ditemukannya prosedur yang kurang sesuai dengan ketentuannya sehingga mempengaruhi dalam kelancaran pelayanan. Penulis menyarankan dilakukan penataan rak yang lebih baik maupun pergagantian rak-rak memakai Roll O’pack dan pihak rumah sakit menambahkan fasilitas yang dibutuhkan agar pegawai bekerja secara optimal. Kata kunci: aspek ergonomi; tata ruang; penyimpanan rekam medis
PERANCANGAN SISTEM INFORMASI TEMPAT TIDUR BERBASIS WEB DI RUMAH SAKIT TNI. AU. DR. M. SALAMUN Pujilestari, Intan; Albaar, Sy Nur Qamaria; Anggreini, Novita Lestari
Jurnal TEDC Vol 17 No 2 (2023): JURNAL TEDC
Publisher : UPPM Politeknik TEDC Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70428/tedc.v17i2.703

Abstract

Penyelenggaraan pelayanan kesehatan secara paripurna, rumah sakit membutuhkan suatu sistem informasi yang akurat dan handal serta cukup memadai untuk meningkatkan pelayanan kepada pasien serta lingkungan yang terkait lainnya. Petugas Rekam Medik khususnya pada bagian pendaftran rawat inap harus berkomunikasi dl uke ruang rawat inap terlebih dahulu melalui media telepon untuk bertanya ada tidaknya status kamar yang kosong ketika ada pasien yang harus segera dirawat inap. Sehingga dapat mempengaruhi mutu pelayan di rumah sakit dimana pasien harus menunggu lagi untuk menerima informasi ketersediaan ruangan atau tempat tidur. Tujuan dari penelitian ini adalah untuk membangun sistem informasi ketersediaan tempat tidur rawat inap di Rumah Sakit TNI. AU. Dr. M. Salamun. Metode pengerjaan sistemnya menggunakan metode waterfall dan di uji menggunakan Black Box Testing atau disebut Behavioral Testing dan User Acceptance Test (UAT). Hasil penelitian dan pengujian yang telah dilakukan untuk sistem informasi tempat tidur ini, diketahui 80% pengguna merasa sistem ini baik untuk digunakan, 9% pengguna merasa aplikasi ini sudah sangat baik, 9% lagi merasa aplikasi ini cukup baik, 1% merasa kurang baik, 1% lagi merasa sangat kurang baik. Proses pengecekan ketersediaan tempat tidur di rumah sakit TNI. AU. Dr. M. Salamun saat ini masih menggunakan media telepon untuk mengetahui status kamar yang kosong, dan perancangan sistem informasi tempat tidur di rumah sakit ini dibuat dalam bentuk web agar mudah diakses oleh petugas bahkan oleh masyarakat.
TINJAUAN KELENGKAPAN KODE DIAGNOSA PADA JURNAL PASIEN RAWAT INAP TAHUN 2020 GUNA MENUNJANG PELAPORAN RL 4A DI RUMAH SAKIT TK II DUSTIRA Monica, Rizqy Dimas; Pujilestari, Intan; Rahayu, Ayu Hendrati; Ginting, Gerinata
Jurnal TEDC Vol 17 No 2 (2023): JURNAL TEDC
Publisher : UPPM Politeknik TEDC Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70428/tedc.v17i2.707

Abstract

Berdasarkan studi pendahuluan yang dilakukan oleh penulis pada bulan Februari 2021, diambil dari sampel bulan Januari 2020 sebanyak 3.729 pasien dirawat inap dengan ketidaklengkapan kode diagnosa sebanyak 67 berkas dengan persentase 1,8%, ketidakakuratan kode diagnosa sebanyak 10 berkas dengan persentase 0,3%, dan ketidaktepatan waktu pelaporan sebanyak 67 berkas dengan persentase 1,8%. Tujuan penelitian ini adalah untuk mengetahui kelengkapan kode diagnosa pada jurnal pasien rawat inap tahun 2020 guna menunjang pelaporan rl 4a di Rumah Sakit TK II Dustira. Metode penelitian yang digunakan penulis adalah metode deskriptif dengan pendekatan kuantitatif. Hasil penelitian penulis dari sampel bulan Januari s/d Desember 2020 dengan total 23.006 sampel pasien rawat inap dengan jumlah hari perawatan sebanyak 89.800 hari. Dengan kelengkapan kode diagnosa pasien rawat inap yang terisi lengkap sebanyak 98%, keakuratan kode diagnosa pasien rawat inap sebanyak 99,85%, dan ketepatan waktu pelaporan pasien rawat inap sebanyak 98%, sehingga ketidaklengkapan kode diagnosa mempengaruhi ketepatan waktu pelaporan rl 4a pasien rawat inap tahun 2020. Kesimpulan dari penulis yaitu ketidaklengkapan kode diagnosa, ketidakakuratan kode diagnosa mempengaruhi ketepatan waktu pelaporan rl 4a pasein rawat inap tahun 2020, dimana masih terdapat ketidaklengkapan kode diagnosa mencapai diangka 500 berkas rekam medis. Kata kunci : Kelengkapan, Pelaporan RL 4a, Rawat Inap, Kode Diagnosa
TINJAUAN DESAIN TRACER BERKAS REKAM MEDIS DALAM MENCEGAH KEJADIAN MISSFILE GUNA MENUNJANG KELANCARAN PELAYANAN DI RSAU LANUD SULAIMAN BANDUNG Monica, Rizqy Dimas; Rahmatika, Shabila Rizky; Pujilestari, Intan; Trianto, Wowo; Nulhakim, Luqman
Jurnal TEDC Vol 18 No 2 (2024): JURNAL TEDC
Publisher : UPPM Politeknik TEDC Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70428/tedc.v18i2.832

Abstract

The results of the Preliminary Study when searching for medical record documents there were missfile incidents of 10 medical record documents, with 4 medical record files in March, 3 medical record files in April, and 3 medical record files in May. This is because the storage room at Sulaiman Air Force Air Force Base is still a mess The research method used is descriptive method with a qualitative approach. The subjects in this study were medical record officers, the object of this study was the procedure for using medical record file tracers. Data collection techniques used are observation, interviews, and documentation. The results of the research conducted by the author, show that the data for taking medical record files in March were 150 medical record files, the occurrence of missfiles was 4 medical record files due to an error in the sequence of numbers and file storage errors, in April there were 120 medical record files, 3 medical record files due to errors in the order of numbers, reading errors, and mistaking numbers, while in May there were 100 medical record files with missifles as many as 3 medical record files due to sequence errors and file storage errors. The tracer used is 10.5 x 32 cm in size, yellow and orange. The constraints on using a tracer to prevent missfile incidents are the time factor, the accuracy factor, the expedition book and the storage rack. Efforts were made to overcome the problem of using a tracer in preventing missfile incidents, namely if the medical record file is not found, the storage officer will create a medical record file to replace the missing medical record file.
TINJAUAN ALUR PROSEDUR PELAYANAN PASIEN RAWAT JALAN PESERTA BPJS GUNA MENINGKATKAN KUALITAS PELAYANAN KESEHATAN DI RSUD BANDUNG KIWARI Pujilestari, Intan; Monica, Rizqy Dimas; Ratiana, Widia
Jurnal TEDC Vol 18 No 1 (2024): JURNAL TEDC
Publisher : UPPM Politeknik TEDC Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70428/tedc.v18i1.785

Abstract

The increase in BPJS patients at Bandung Kiwari Hospital is something that needs to be considered in their services, the inhibiting factors are employees who still cannot correct computer system errors, officers still rely on IT employees to justify them, so the registration service process becomes hampered and late due to waiting for the team Different IT floors, apart from that there are still employees who are lacking in conveying information to patients. The purpose of this study was to find out how the flow of procedures for outpatient registration services for BPJS users in order to improve the quality of health services at Bandung Kiwari Hospital. The research method used is descriptive method with a qualitative approach with the subject, namely the registration officer, and the object, namely the BPJS registration flow. Data collection techniques are by interview, observation and documentation study. The research instrument uses stationery, stop watch, and interview guidelines. Based on the Hospital SPO for outpatient registration of BPJS participants, it is explained that employees must greet, but employees are still normal to receive patients, and officers are still not reliable enough to correct computer system errors, besides that hospitals are lacking in conveying information to patients so there are still patients lack information for BPJS registration which must register with predetermined conditions. The author suggests that the Hospital provide facilities that new patients can see regarding the requirements for registering to use BPJS and provide motivation to employees regarding empathy for patients.
ANALISIS PENDING KLAIM BPJS GUNA MENUNJANG KELANCARAN KLAIM JKN DI RSAU LANUD SULAIMAN BANDUNG Pujilestari, Intan; Monica, Rizqy Dimas; Indriyani, Rina
Jurnal TEDC Vol 17 No 3 (2023): JURNAL TEDC
Publisher : UPPM Politeknik TEDC Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70428/tedc.v17i3.743

Abstract

Health services as a sub-component of the national health system that have direct contact with the community. In order to realize good and quality health services, the government is responsible for the implementation of public health insurance through the National Health Insurance through claims pending or delayed claims from the BPJS to the hospital. In July to September there were pending claims of 68 out of 1912 files resulting in delays in payment of Rp. 83,561,200. The purpose of this study is to find out the pending BPJS claims to support the smooth running of JKN claims at the Sulaiman Air Force Hospital in Bandung. The research method used is descriptive method with a quantitative approach. Data collection techniques used are observation, interviews and documentation studies. The population in this study is the pending BPJS claim files for 2021, with a sample of 211 outpatient pending files and 80 inpatient files. The sampling technique is saturated sampling. The results of the author's research, there is no written SOP regarding the implementation of claims at the hospital. The sample of pending BPJS claim data on outpatient care was 211 (3%) from 7016 files and inpatient care was 80 (10.16%) from 787 files. The occurrence of pending claims will affect the smoothness of the conformity of the payment amount submitted to the JKN. The average suitability of payment of outpatient claims was 96.8% and 89.84% for inpatient care. The cause of pending is due to coding, medical, and administrative factors. The author's conclusions and suggestions are that there is no written SOP regarding the implementation of claims, it is better to make a procedure for implementing claims in writing. Pending claims occur due to incomplete claim requirements so that they can hinder the smooth payment of claims submitted. It is better to conduct socialization and regular meetings to all relevant parties regarding claim procedures and claim settlement.
ANALISIS KELENGKAPAN FORMULIR INFORMED CONSENT PADA KASUS BEDAH UMUM GUNA MENUNJANG KUALITAS PELAYANAN DI RS BHAYANGKARA TK.II SARTIKA ASIH BANDUNG Pujilestari, Intan; Nabila, Sri; Monica, Rizqi Dimas; Hada, Encep; Rohaeni, Neni
Jurnal TEDC Vol 18 No 2 (2024): JURNAL TEDC
Publisher : UPPM Politeknik TEDC Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70428/tedc.v18i2.833

Abstract

Health is a very important basic need for everyone. The results of the preliminary study carried out, took a sample of 10 files of informed consent forms from general surgery patients in January. Of the 10 files, there were 7 incomplete informed consent forms (70%). This study aims to determine the completeness of the informed consent form in general surgery cases to support service quality. The research method used is a descriptive method with a quantitative approach. The population in this study was the informed consent form for surgical operations in November-January 2023, namely 351. The samples taken from the population were 78 samples. The sampling technique is incidental sampling. The data collection techniques used were observation, interviews and documentation. The results of the research carried out show that of the 78 samples of informed consent sheets in November-January 2023, namely for completeness in filling out informed consent on patient identification variables, 77 files (98%). Important reporting variables amounted to 64 files (43%). The authentication and identification variables of the person in charge amounted to 66 files (85%). Meanwhile, the good and correct recording variable was 76 files (98%). The completeness results of filling out the informed consent form in the patient's medical record file for surgical operations in November-January 2023 are not 100% complete
HUBUNGAN KEPUASAN KERJA DAN KINERJA KARYAWAN DI BAGIAN PENDAFTARAN RAWAT JALAN RUMAH SAKIT UMUM DAERAH BANDUNG KIWARI Rohaeni, Neni; Monica, Rizqy Dimas; Rachmawati, Gina Siti; Pujilestari, Intan
Jurnal TEDC Vol 18 No 1 (2024): JURNAL TEDC
Publisher : UPPM Politeknik TEDC Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70428/tedc.v18i1.781

Abstract

Hasil observasi di bagian pendaftaran RSUD Bandung Kiwari, terdapat petugas merangkap pekerjaan di luar tugas pendaftaran, dan karyawan pada shift siang tidak cukup melakukan tugas pendaftaran ketika volume pekerjaan banyak kondisi tersebut menyebabkan masalah ketidakpuasan kerja yang berefek kepada kinerja karyawan. Tujuan penelitian ini untuk mengetahui Hubungan Kepuasan Kerja dengan Kinerja Karyawan Pendaftaran di Bagian Pendaftaran Rawat Jalan RSUD Bandung Kiwari. Metode penelitian yang digunakan adalah metode mixed methods dengan pendekatan kuantitatif dan kualitatif. Teknik pengumpulan data dengan observasi, wawancara, kuesioner, studi kepustakaan. Teknik pengolahan data yaitu editing, coding, prosessing, cleaning. Sampel dalam penelitian ini berjumlah 19 orang responden petugas rekam medis di bagian pendaftaran rawat jalan. Data dianalisis secara univariat dan bivariat menggunakan analisis chi square. Proses perhitungan menggunakan program IBM SPSS Statistics 29. Hasil penelitian berdasarkan uji chi square menunjukkan bahwa terdapat hubungan yang signifikan antara kepuasan kerja dengan kinerja karyawan pendaftaran rawat jalan. Berdasarkan hasil uji chi square di peroleh nilai p=0,000 (p value <0,05). Ini termasuk hubungan yang memadai dengan arah positif yang bahwasanya semakin banyak kebahagiaan kerja, semakin tinggi kinerjanya. Penulis menyarankan pihak Rumah Sakit bisa mempertahankan kepuasan kerja serta kinerja petugas rekam medis, melengkapi sarana dan prasarana seperti menambahkan loket dan petugas pendaftaran rawat jalan pada shift pagi. Kata kunci : Kepuasan Kerja, Kinerja, Petugas Rekam Medis
Co-Authors Agustin, Neng Rosy Junia Ainunnisa, Reza Albaar, Sy Nur Qamaria Darmawan , Dadang Dimas Monica, Rizqy Fajriani, Gina Gerinata Ginting Ginting , Gerinata Gunawan, Edih Hada, Encep Indriyani, Rina Luqman Nulhakim Monica, Rizqi Dimas Monica, Rizqy Dimas Nabila, Sri Neni Rohaeni Nopiyanti, Sabila Novita Lestari Anggreini Nulhakim, Lukman Putri, Alya Rachmawati, Gina Siti Rahayu , Ayu Hendrati Rahayu, Ayu Hendrati Rahmatika, Shabila Rizky Ratiana, Widia Salsabila, Rania Sentosa, Bagus SUHARTO Suharto Suharto Trianto, Wowo Zulva, Siti