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Hubungan Aspek Kualitas Pelayananidengan Kepuasan Pasien Rawat Jalan di Puskesmas Karanganyar Permatasari, Fauziah Kurnia; Sukmaningsih, Wahyu Ratri; Novratilova, Sinta
Journal Health Information Management Indonesian (JHIMI) Vol. 2 No. 2 (2023): Agustus (Journal Health Information Management Indonesian)
Publisher : Sekretariat Program Studi Sarjana Terapan Manajemen Informasi Kesehatan Politeknik Indonusa Surakarta.

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

Abstract

Puskesmas dalam memberikan sebuah pelayanan kesehatan harus yang berkualitas atau bermutu,salah satunya dengan memberikan fasilitas yang lengkap agar meningkatkan kepuasan serta kualitas hiduppasien atau pengguna pelayanan kesehatan. Tujuan dari penelitian yaitu mengetahui hubungan kualitaspelayanan kesehatan dengan kepuasan pasien rawat jalan di Puskesmas Karanganyar. Jenis penelitian inikuantitatif menggunakan metode analitik observasional. Sampel yang digunakan yaitu 100 pasien rawat jalan.Intrumen penelitian menggunakan kuesioner. Data dianalisis menggunakan uji statistik Chi Square dengan p-value ≤ 0,05. Hasil dari penelitian menunjukkan ada hubungan dimensi kehandalan (p-value=0,003), dimensibukti fisik (p-value = 0,004), dimensi jaminan (p-value = 0,004), dimensi empati (p-value = 0,002) dan dimensidaya tanggap (p-value = 0,002) dengan kepuasan pasien di Puskesmas Karanganyar
Perancangan Desain Antarmuka Aplikasi Pendaftaran Online Berbasis Mobile App Menggunakan Metode Goal-Directed Design di RSAU dr. Siswanto Setyawati, Sulis; Ricky, Agustinus Verry; Novratilova, Sinta
Journal Health Information Management Indonesian (JHIMI) Vol. 3 No. 2 (2024): Agustus (Journal Health Information Management Indonesian)
Publisher : Sekretariat Program Studi Sarjana Terapan Manajemen Informasi Kesehatan Politeknik Indonusa Surakarta.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46808/jhimi.v3i2.176

Abstract

Pada RSAU dr. Siswanto proses pendaftaran rawat jalan masih dilakukan secara manual dan paper based sehingga dokter dan perawat beresiko mengalami kekeliruan dalam mengisi data pasien. Sistem berbasis teknologi yang digunakan hanya whatsapp dan web dimana belum efektif dan kurang praktis. Oleh karena itu, penelitian ini bertujuan melakukan perancangan aplikais pendaftaran online berbasis mobile app. Metode pengumpulan data dilakukan dengan observasi, wawancara dan studi pustaka dengan analisis data secara deskriptif. Metode yang digunakan yaitu goal directed design. Hasil penelitian berhasil mengembangkan rancangan aplikasi yang disesuaikan dengan kebutuhan pengguna yaitu pada proses pendaftaran rawat jalan di RSAU dr. Siswanto. Aplikasi mobile yang dikembangkan mempermudah dalam kegiatan pendaftaran, memungkinkan pengguna menghemat dan mempersingkat waktu dalam menndapat kepastian dalam informasi layanan yang tersedia.  Hasil perancangan aplikasi mobile memiliki tampilan yang user friendly untuk berbagai kalangan usia sehingga mudah digunakan dan dipahami untuk mendapatkan layanan Kesehatan di RSAU dr Siswanto.
Analysis Of Registration Workforce Needs Based On The Wisn Method At Assalam Gemolong General Hospital Novratilova, Sinta; Pradista, Nur Adi Satriyo; Widiyanto , Wahyu Wijaya
Medicor : Journal of Health Informatics and Health Policy Vol. 2 No. 1 (2024): January 2024
Publisher : Indonesian Scientific Publication

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61978/medicor.v2i1.89

Abstract

There are 8 officers at the registration section of the Assalam Gemolong General Hospital. Activities in one shift not only serve the registration of RJ, RI and IGD patients but also find and retrieve medical record documents to the filing rack, after that officers still submit medical record documents to the polyclinic and ER. On Mondays, Tuesdays, Thursdays and Saturdays many patients go to Assalam Gemolong General Hospital for treatment, so that the registration officer has difficulty in patient registration services. As a result, patient queues will pile up because there are only 3 registration counters. The method used is the WISN method with available working time stages, workload standards, allowance standards and labor requirements. The research sample was 8 registration officers. Research instruments in the form of observation guidelines, interview guidelines, stopwatches, calculators, stationery. The results showed that the available working time was the morning shift for registration of RJ, RI and IGD 117,600 minutes, the afternoon shift for registration of RJ, RI and IGD 100,800 minutes and the night shift for registration of the IGD and RI 194,700 minutes for hospitalization. The registration officer's work unit consists of 3 high school graduates and 5 medical record graduates. The standard workload of registration for morning shifts is RJ and IGD 10,556.55 minutes/year and registration for RI 7,829.56 minutes/year, registration for evening shifts for RJ and IGD is 9,048.47 minutes/year and registration for RI 6,711.05 minutes/year and registration for night IGD shifts 17,447.55 minutes/year and RI Registration 12,962.71 minutes/year. The standard allowance for the morning shift is 1.146, the day shift is 1.4 and the night shift is 0.23. The need for labor requires additional registration personnel on the afternoon shift as many as 1 officer from 3 existing officers.
Analysis of risk factors for incomplete inpatient medical records using the fishbone method Ernawati, Ernawati; Novratilova, Sinta
Science Midwifery Vol 13 No 1 (2025): April: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i1.1861

Abstract

Incomplete inpatient medical summaries remain a persistent issue that affects administrative processes and the quality of patient data. This study aimed to analyze the completeness and contributing factors of incomplete inpatient medical summaries using the Fishbone Method (Ishikawa Diagram). A qualitative descriptive approach was employed, with data collected through observations, interviews, and document reviews of 99 inpatient medical summaries, selected using Slovin’s formula with a 10% margin of error. The study involved medical record officers and healthcare professionals, selected through purposive sampling. Data analysis followed the qualitative descriptive method, including data reduction, data presentation, conclusion drawing, and triangulation. The findings identified five primary factors contributing to incomplete medical summaries: Man (low compliance among healthcare professionals), Method (suboptimal Standard Operating Procedures), Machine (ineffective hospital information systems), Money (insufficient investment in training), and Material (medical records not yet fully electronic). The study recommends medical staff training, SOP optimization, and the implementation of an electronic medical record system with a required lock feature to ensure complete documentation of inpatient medical summaries.
Analysis of factors causing duplicate medical record numbers in the electronic medical record system at Hermina Opi Jakabaring Hospital Banyuasin Regency Waskito, Hendri; Novratilova, Sinta
Science Midwifery Vol 13 No 2 (2025): June: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i2.1995

Abstract

Along with the implementation of electronic medical records at Hermina Opi Jakabaring Hospital, various challenges have emerged in its implementation, one of which is the occurrence of duplicate medical record numbers. Duplication of medical record numbers is when a patient has two or more numbers in the medical record system. The purpose of this study was to determine the factors causing duplication of medical record numbers in electronic medical records. This research method is a descriptive qualitative method. Data were collected from 10 health workers through data collection with observation and interviews. Data were analyzed using the Fishbone method which includes five aspects, namely humans (man), equipment (machine), procedures (method), materials (material) budget (money), the results of the study showed that the biggest obstacle in the HR aspect was the lack of understanding and knowledge of officers about SOP, the unavailability of a medical card printing machine, SIMRS which does not yet have a NIK-based verification feature or a patient data duplication detection system, and the unavailability of a budget provided for the procurement of a medical card printing machine. This study provides strategic recommendations in overcoming duplication of medical record numbers so that it can improve the quality of service to patients.
Analisis Efisiensi Waktu Tunggu dan Kenyamanan terhadap Kepuasan Pasien: Studi di Puskesmas Sukakarya Kota Sukabumi Nuraeni, Silvi; Novratilova, Sinta
Indonesian of Health Information Management Journal (INOHIM) Vol 13, No 1 (2025): INOHIM
Publisher : Lembaga Penerbitan Universitas Esa Unggul

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47007/inohim.v13i1.662

Abstract

AbstractCommunity Health Centers (Puskesmas) play a vital role in providing primary healthcare services. Patient satisfaction serves as a key indicator of service quality, often linked to waiting time efficiency and facility comfort. However, scientific evidence regarding these relationships remains varied. This study aimed to analyze the relationship between waiting time efficiency and facility comfort with patient satisfaction at UPTD Puskesmas Sukakarya, Sukabumi City. A quantitative approach with a cross-sectional design was employed. The sample consisted of 111 patients selected through incidental sampling. Data were collected using a Guttman scale-based questionnaire and analyzed using the Chi-Square test to assess the relationship between the independent variables (waiting time efficiency and facility comfort) and the dependent variable (patient satisfaction). The results showed no significant relationship between waiting time efficiency and patient satisfaction (p = 0.965), nor between facility comfort and patient satisfaction (p = 0.384). These findings suggest that waiting time and facility comfort do not significantly influence patient satisfaction. Other factors such as healthcare staff interaction, information transparency, and administrative efficiency may play a more dominant role in shaping patient perceptions of healthcare services. Therefore, enhancing communication and service quality from medical personnel should be prioritized to improve overall patient satisfaction.Keyword: patient satisfaction, waiting time, facility comfort, healthcare service, Chi-Square testAbstrakPusat Kesehatan Masyarakat (Puskesmas) memiliki peran penting dalam memberikan pelayanan kesehatan primer kepada masyarakat. Kepuasan pasien merupakan indikator utama dalam menilai kualitas layanan, yang sering diasosiasikan dengan efisiensi waktu tunggu dan kenyamanan fasilitas. Namun, hubungan antara faktor-faktor tersebut dengan kepuasan pasien masih menunjukkan hasil yang beragam. Penelitian ini bertujuan untuk menganalisis hubungan antara efisiensi waktu tunggu dan kenyamanan fasilitas dengan kepuasan pasien di UPTD Puskesmas Sukakarya, Kota Sukabumi. Penelitian ini menggunakan pendekatan kuantitatif dengan desain potong lintang (cross-sectional). Sampel terdiri dari 111 pasien yang dipilih melalui metode incidental sampling. Data dikumpulkan menggunakan kuesioner berbasis Skala Guttman dan dianalisis menggunakan uji Chi-Square untuk melihat hubungan antara variabel independen dan variabel dependen. Hasil analisis menunjukkan tidak terdapat hubungan yang signifikan antara efisiensi waktu tunggu dengan kepuasan pasien (p = 0,965) maupun antara kenyamanan fasilitas dengan kepuasan pasien (p = 0,384). Dengan demikian, efisiensi waktu tunggu dan kenyamanan fasilitas tidak berpengaruh secara signifikan terhadap kepuasan pasien. Temuan ini mengindikasikan bahwa faktor lain seperti kualitas komunikasi tenaga medis, transparansi informasi, dan efisiensi administrasi kemungkinan memiliki pengaruh lebih besar terhadap persepsi pasien terhadap layanan. Oleh karena itu, peningkatan aspek komunikasi dan kualitas interaksi antara tenaga medis dan pasien perlu menjadi prioritas dalam upaya meningkatkan kepuasan layanan.Kata Kunci: kepuasan pasien, waktu tunggu, kenyamanan fasilitas, layanan kesehatan
Evaluasi Implementasi Permintaan Rekam Medis Operasi Elektif Menggunakan Metode Technology Acceptance Model Rismawan Wisnu Aji; Sinta Novratilova
Sehat Rakyat: Jurnal Kesehatan Masyarakat Vol. 4 No. 2 (2025): Mei 2025
Publisher : Yayasan Pendidikan Penelitian Pengabdian Algero

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54259/sehatrakyat.v4i2.4391

Abstract

The implementation of the Electronic Medical Record (EMR) system is essential for improving the efficiency of healthcare services. The use of applications in healthcare services, such as the application for providing elective surgery medical record files at the NTB Provincial General Hospital, still faces challenges in its usage. This study aims to evaluate the implementation of elective surgery medical record requests using the Technology Acceptance Model (TAM), which includes aspects of perceived ease of use, perceived usefulness, attitude toward use, behavioral intention, and actual use. This research uses a qualitative method, with data collected through observations and interviews with four informants who regularly use this application. The results show that the perceived ease of use of the application remains low, with many users feeling inexperienced and lacking understanding of how to operate it. On the other hand, perceived usefulness indicates that the application is effective in improving work time efficiency and productivity. Users' attitudes toward the application are considered fairly positive, although there are still obstacles that hinder full acceptance in accordance with the Technology Acceptance Model (TAM). Users’ behavioral intention toward the application is relatively high. The actual use of the application shows that medical record officers use it routinely. Despite technical issues, they remain proactive in seeking solutions for using the system.
Evaluasi Penggunaan Aplikasi Mobile Jaminan Kesehatan Nasional (MJKN) Pada Pendaftaran Rawat Jalan Menggunakan Metode TAM Nurjayanti, Ratih; Novratilova, Sinta
JURNAL KESEHATAN TROPIS INDONESIA Vol. 3 No. 3 (2025): Jurnal Kesehatan Tropis Indonesia
Publisher : PT. LARPA JAYA PUBLISHER

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63265/jkti.v3i3.112

Abstract

Rumah sakit PKU Muhammadiyah Gombong sudah menerapkan Rekam Medis Elektronik (RME) sejak 20 Desember 2024, salah satu unit yang telah menerapkan sistem RME adalah bagian rawat jalan. Dalam penerapannya, RME ini kurang berjalan dengan baik. Hal ini karena masalah yang sering terjadi dari sistem koneksi internet yang kadang lambat dan kesempurnaan menu yang perlu dikaji secara mendalam. Penelitian ini bertujuan untuk memahami dan menganalisis penerapan Rekam Medis Elektronik Rawat Jalan di RS PKU Muhammadiyah Gombong dari aspek Performance, Informasi, Economic, Control, Effeciency dan Service guna memastikan bahwa sistem beroperasi secara efektif dan efisien dalam mendukung peningkatan mutu pelayanan Rawat Jalan. Metode penelitian yang diterapkan adalah deskriptif kualitatif, dengan pengumpulan data melalui wawancara dan observasi berdasarkan aspek PIECES (Performance, Information, Economy, Control, Efficiency, Service). Hasil penelitian menunjukkan bahwa penerapan RME di RS PKU Muhammadiyah Gombong dapat meningkatkan mutu pelayanan rawat jalan, terutama dalam mengurangi waktu tunggu pasien. Berdasarkan aspek Performance terkendala ketidakstabilan internet, terutama saat jumlah pasien yang berkunjung meningkat. Berdasarkan aspek Information perlu penyempurnaan pada menu dokter dan farmasi. Berdasarkan Aspek Economy, Control, Efficiency, Service saat ini sudah berjalan dengan baik.
Analysis of the inaccuracy of the prosedure code for outpatient BPJS patients in 2024 at Dr. Harjono S. Hospital, Ponorogo Regency Anggraini, Ivana Salsabila Myrilla; Novratilova, Sinta
Science Midwifery Vol 13 No 3 (2025): August: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i3.2019

Abstract

The implementation of the Indonesian Case Based Groups (INA-CBG) system is a crucial instrument in the National Health Insurance (JKN) program for the payment of health service claims at advanced referral health facilities (FKRTL). The success of this system depends heavily on the accuracy of the codification of the diagnosis (ICD-10) and the action/procedure (ICD-9-CM) which is a representation of the service output. Code accuracy is not only essential for the collection of claim costs, but also plays an important role in nursing care, improving service quality, and analyzing morbidity-mortality data. A preliminary study at Dr. Harjono S. Ponorogo Hospital in January-February 2025 found 12 outpatient claim files (cardiac and neurological polys) in the June-August 2024 period with inaccuracies in the code of procedure, including 10 files that were not coded and 2 files that were incorrectly coded. Furthermore, initial observations through interviews with internal verifiers indicated the absence of a Standard Operating Procedure (SPO) for coding BPJS patients and the absence of coding evaluations from internal parties and hospital management. Based on these problems, this study aims to analyze the factors that cause the inaccuracy of the procedure code of outpatient BPJS patients at Dr. Harjono S. Hospital, Ponorogo Regency.
Quantitative analysis the completeness of electronic medical summaries for inpatient pediatric at Karya Medika Bantar Gebang Hospital Khodijah, Siti; Novratilova, Sinta
Science Midwifery Vol 13 No 3 (2025): August: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i3.2058

Abstract

Incomplete documentation of pediatric inpatient electronic medical records at Karya Medika Bantar Gebang Hospital affects the quality of medical recordkeeping. A preliminary study revealed completeness rates of 100% for identification, 70% for important reports, 65% for accurate documentation, and 85% for authentication. This study aimed to analyze the factors contributing to these deficiencies. A qualitative descriptive method was applied, involving one medical record officer, two pediatric ward supervisors, and one triangulation informant. The research covered 764 pediatric inpatient electronic medical records from January to June 2025, with a random sample of 88 records determined using the Slovin formula. The results identified five contributing factors: human (incomplete entries by physicians), machine (unstable internet connection), money (no training budget), method (absence of standard operating procedures), and material (lack of tools for completeness analysis). The highest incompleteness occurred in accurate documentation and important reports. In conclusion, the study emphasizes the need to implement a reward and punishment system, provide backup modems, allocate budgets for staff training, establish SOPs in accordance with regulations, and utilize checklists as an evaluation tool.
Co-Authors A'idah Haniyah Sary A'idah Haniyah Sary Adelia Inggrid Putri Maharani Adhitya Wahyu Kurniawan Adi Prabowo Adi Reza Saputra Adinda Nur Aini Affifah Cahya Febriasari Afrodita Putri Alesca Agnes Mbangi Bangar Agustyarum Pradiska Budi Aldi Juli Saputra Alfonsa Dortiana Barbarado Manno Amalia Putri Ramadhani Amalia Sepnesia Andhira Deswita Maharani Anggraini, Ivana Salsabila Myrilla Aries Widiyoko Aulia Febiyanti Aulia Rahmawati AVIF, ADNAN Azalia Tjandra Dewi Bunga Elka Setianingsih Christina Ika Permatasari Clara Indah Ayu Meilan Dessyana Dwi Astuti Dian Nur Afifah Dwi Rena Aulia Edha Paramitha Sari Ernawati Ernawati Fauziah Kurnia Permatasari Febiana Devi Ariyani Frestiany Regina Putri Ghorizatus Nur Suci Arnoviantika Hadri, Cecilia Hanik Pratiwi Agustiana Indah Julianti Indi Amelia Pertiwi Intan Hanifa Joao Manuel Correia Ximenes Junisha Ekaputri Tangkilisan Kalyanita Kurniasari, septiana Vivi Lutfiah Suci Rahmawati Marita Nurul Azizah Marlia Dwiyanti Martina Novandini Hetwid Benge Mei Endang Palupi Mei Puspitasari Moh Dwi Fadel Yunus Muhammad Junaid Farrukh Muhammad Kholilullah Munawwarah Munawwarah Nadia Deswita Putri Nadia Marsha Karinda Nadia Nurhasanah Nenny Oktarina Nina Arifah Novia nur adi satriyo pradista Nur Endah Dewi Maharani Nuraeni, Silvi Nurjayanti, Ratih Nurlita Fauziah Octa Setyani Permatasari, Fauziah Kurnia Pradista, Nur Adi Satriyo Prayoga, Dina Ayu Putri Ratna Putri, Amable Firliana Raihan Dicky Ardiansyah Ranita Prahesthika Afvitanury Rendi Setiyawan Valentino Resia Perwirani Ricky, Agustinus Verry Rina Wulandari Rismawan Wisnu Aji Rissandanu Santosa Rizka Licia Romie Salmana Nabiila Faiz Putra Salsa Billa Karin Setyawati, Sulis Siti Khodijah Siti Slasaini Ahluljanah Ahluljanah Sri Suparti Sri Suparti Sri Wulandari Sursiyah Sursiyah Syaiful Galih Ramadhani Thessa Nur Auliya Tiyas Mei Lany Tri Respati Utaminingsih Wachidatin Nichlatul Ni Mah Wahyu Ratri Sukmaningsih Waskito, Hendri Wicaksono, Aliansi Widiyanto , Wahyu Wijaya Widiyanto, Wahyu Wijaya Yayuk Intan Agustina Zakiya Murni Setyawati