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Tinjauan Ketepatan Kode Diganosis Tuberkulosis Paru Pasien Rawat Jalan di Rumah Sakit SHL Pandeglang Rahelia Putri; Lily Widjaja; Dina Sonia; Daniel Happy Putra
SEHATMAS: Jurnal Ilmiah Kesehatan Masyarakat Vol. 3 No. 2 (2024): April 2024
Publisher : Yayasan Literasi Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55123/sehatmas.v3i2.3423

Abstract

In coding activities, medical recorders and health information are needed who master how to give disease codes according to ICD-10 and actions according to ICD-9 CM so that the resulting code has accuracy according to the diagnosis or action given. One of the most frequently used coding accuracy is accuracy in coding for Pulmonary Tuberculosis. One of the important things is how to describe the accuracy of the Outpatient Pulmonary Tuberculosis diagnosis code at SHL Pandeglang Hospital. This study was shown to determine the accuracy of the diagnosis code for Outpatient Pulmonary Tuberculosis at SHL Pandeglang Hospital. This research method uses a descriptive method with a quantitative approach. The sample of this study was taken by saturated sampling technique. Data were taken using interviews and observations. The results of the study of 122 medical records obtained accuracy of 93 (76.2%) files and inaccuracy of 29 (23.8%) files. Based on the identification of factors causing the inaccuracy of the diagnosis code, there are 4 factors, namely the man factor: occurs due to the lack of accuracy of the coder in coding, the workload of the coder, and the lack of training for coders with non-RMIK backgrounds. Material factors: the unavailability of the Medical Dictionary (Dictionary of Medical Terminology) and the absence of an abbreviated list of diagnoses (standard). Machine factors: damage to the computer, software hangs, and computers that are too old. Method factor: incomplete SPO diagnosis coding.
Analisis Faktor Keterlambatan Pengembalian Rekam Medis Rawat Inap Di Rumah Sakit (Literature Review) Risma Sisni Fadilla; Puteri Fannya; Noor Yulia; Lily Widjaja
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 1 No. 3 (2024): Juli : Vitalitas Medis : Jurnal Kesehatan dan Kedokteran
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/vimed.v1i3.556

Abstract

Prompt return of patient medical records is an important step in the health records processing workflow. Speed is the key to meeting quality processing standards. The hospital sets a deadline for returning medical records within 2x24 hours after the patient is discharged. Delays can be caused by various factors, which are classified under the 5M management elements: man, materials, machines, methods, and money. The aim of this research is to identify aspects that are the root of the problem in delays in the process of returning medical records to the hospital. The methodology used is a literature review, with analysis of 17 journal articles from the Google Scholar database. The study results showed that human factors such as staff shortages, incomplete doctor signatures, and inadequate staff educational qualifications were the main causes of delays. Material factors often result in incomplete documents. The machine factor is related to the significant distance between the inpatient department and the medical records department. Meanwhile, the method factor, namely SPO socialization has not been carried out and the implementation of job descriptions has not been maximized.
Hubungan Kualitas Layanan Elektronik dan Kualitas Informasi Aplikasi Halodoc Terhadap Kepuasan pada Pengguna Fadia Eka Septiawati; Puteri Fannya; M. Fuad Iqbal; Lily Widjaja
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 1 No. 4 (2024): Oktober : Vitalitas Medis : Jurnal Kesehatan dan Kedokteran
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/vimed.v1i4.803

Abstract

User satisfaction with the Halodoc application is measured by meeting user needs. The halodoc application is a health application which has many features and uses, one of which is that patients can chat and communicate with specialist doctors who are experienced in their respective fields. This research aims to determine the relationship between the quality of electronic services and the quality of the Halodoc application information on user satisfaction. Researchers also use the DeLone and McLean information system success model by taking several necessary variables. The samples used by researchers were users of the halodoc application or had used the halodoc application. The data collection instrument uses a questionnaire where the questionnaire is distributed digitally. The questionnaire is distributed in December 2023 - January 2024. Hypothesis testing is carried out by examining the relationship between electronic service quality and information quality on user satisfaction using the Chi-Square test, the research results show that service quality electronics and information quality have a relationship with user satisfaction.
Factors for Selection of Medical Records and Health Information Study Programs for New Students at Universitas Esa Unggul, Jakarta, Indonesia Dewi, Sisilia Kartika; Nanda Aula Rumana; Dina Sonia; Lily Widjaja
Arkus Vol. 10 No. 1 (2024): Arkus
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/arkus.v10i1.406

Abstract

University is one of the educational facilities in order to equip oneself with the knowledge and skills needed to face the future. There are several factors that underlie prospective students in determining the major they want to enter at university. This study aimed to describe the factors for selecting a medical records and health information study program for new students at Universitas Esa Unggul, Jakarta, Indonesia. This research is a descriptive observational study. The inclusion criteria for this research were new students from the Universitas Esa Unggul medical records program class of 2023 who were willing to take part in this research process. The research subjects were carried out using proportional random sampling techniques. A total of 129 students participated in this research. Data collection was carried out using a questionnaire. The study results showed that most of the students were teenagers (58.1%) and women (67.4%) and chose the regular program (76.7%). The highest factors influencing new students' decisions are accreditation (university image) (90.31%) and employment availability (89.73%), while the lowest is the interest factor, namely the dream of becoming a medical recorder (76.16%). In conclusion, the study program image factor (accreditation) is the underlying factor in selecting a medical records and health information study program for new students at Universitas Esa Unggul, Jakarta, Indonesia.
Analisis Kebutuhan Perekam Medis dan Informasi Kesehatan dengan Metode Analisis Beban Kerja Kesehatan di Puskesmas Tambora Muhamad Fazriyansah; Lily Widjaja; Laela Indawati; Muhammad Rezal
Jurnal Manajemen Informasi dan Administrasi Kesehatan Vol. 7 No. 2 (2024): JMIAK
Publisher : Program Studi D3 Rekam Medis dan Informasi Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32585/jmiak.v7i2.5751

Abstract

Observasi awal di Puskesmas Tambora ditemukan dari 15 petugas, hanya satu yang berpendidikan rekam medis, menyebabkan beban kerja berat dan pengelolaan rekam medis tidak optimal. Penelitian ini bertujuan untuk memberikan gambaran hasil analisis kebutuhan perekam medis dan informasi kesehatan di Puskesmas Tambora dengan metode deskriptif kuantitatif yang menggunakan sampel jenuh dari total 15 petugas di unit rekam medis. Dari hasil penelitian yang dilakukan oleh peneliti didapatkan informasi bahwa Puskesmas Tambora memiliki SOP terkait perencanaan kebutuhan SDMK berdasarkan Permenkes No. 33 Tahun 2015. Hasil perhitungan kebutuhan perekam medis dan informasi kesehatan dengan metode analisis beban kerja kesehatan menunjukkan Puskesmas Tambora membutuhkan 16 petugas rekam medis, namun saat ini hanya ada 15 petugas, sehingga kekurangan 1 orang. Saran untuk penelitian ini yaitu dilakukannya penyesuaian jumlah perekam medis dan informasi kesehatan sesuai beban kerja dengan cara 4 orang pelaksana pendaftaran 24 jam lulusan SMA diberikan beasiswa untuk sekolah pendidikan DIII-RMIK di perguruan tinggi yang menyelenggarakan kelas karyawan dan merekrut 1 orang lulusan DIII-RMIK untuk memenuhi kekurangan 5 orang perekam medis dan informasi kesehatan (Manajemen pengelolaan rekam medis). Selain itu, 1 orang pelaksana pendaftaran BPJS lulusan SMA yang berlebih dapat dipindahkan ke bagian pendaftaran pasien yang kekurangan 1 orang petugas lulusan SMA.
Analisis Kepuasan Pasien Pengguna Pembayaran QRIS di Pelayanan Rawat Jalan RSUD Koja Surlialy, Dewi; Widjaja, Lily; Fannya, Puteri; Yulia, Noor
Surya Medika: Jurnal Ilmiah Ilmu Keperawatan dan Ilmu Kesehatan Masyarakat Vol. 20 No. 2 (2025)
Publisher : STIKes Surya Global Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32504/sm.v20i2.1156

Abstract

Latar Belakang: Kepuasan adalah perasaan senang atau kecewa yang timbul setelah membandingkan kinerja atau hasil yang dirasakan dengan harapan. Tingkat kepuasan pasien sangat penting untuk menilai kualitas layanan dan memastikan kelangsungan serta peningkatan layanan rumah sakit. Penelitian ini bertujuan untuk memahami alur transaksi menggunakan metode QRIS (Quick Response Indonesia Standard), karakteristik pasien yang menggunakan transaksi QRIS, dan kepuasan pasien yang menggunakan transaksi pembayaran QRIS di layanan rawat jalan Rumah Sakit Umum Koja menggunakan metode EUCS (End-User Computing Satisfaction).Metode: Data yang digunakan dalam penelitian ini merupakan data primer yang dikumpulkan dari 106 responden. Teknik sampling dalam penelitian ini adalah sampling non-probabilitas, khususnya sampling acak. Hasil: Hasil penelitian menunjukkan bahwa alur transaksi pembayaran di Rumah Sakit Umum Koja sangat prospektif. Karakteristik pasien yang menggunakan metode QRIS didominasi oleh usia 26-35 tahun, perempuan, dengan pendidikan sarjana atau D4, bekerja sebagai karyawan swasta, dan memiliki pendapatan rata-rata lebih dari Rp. 4.901.798. Tingkat kepuasan pasien dalam layanan rawat jalan Rumah Sakit Umum Koja menunjukkan bahwa 59,4% pasien puas dengan aspek konten 59,4%; aspek akurasi 84,9%; aspek format 67,9%; aspek kemudahan penggunaan; dan 50,9% dengan aspek ketepatan waktu. Kesimpulan: Secara keseluruhan, hasil menunjukkan bahwa sebagian besar pasien puas dengan penggunaan metode QRIS di Rumah Sakit Umum Koja, dengan persentase kepuasan sebesar 86,8%.
Evaluasi Aplikasi Medinfras pada Rawat Inap RSAJ Jakarta Utara Menggunakan TAM Saarah Salsabila Putri Yadita; Rezal, Muhammad; Widjaja, Lily; Indawati, Laela
Surya Medika: Jurnal Ilmiah Ilmu Keperawatan dan Ilmu Kesehatan Masyarakat Vol. 20 No. 2 (2025)
Publisher : STIKes Surya Global Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32504/sm.v20i2.1167

Abstract

Latar Belakang: Evaluasi ini bertujuan untuk menilai seberapa efektif pengembangan aplikasi Medinfras di lingkungan rawat inap dapat berfungsi dalam organisasi pelaksana. Studi ini bertujuan untuk mengevaluasi penerapan aplikasi Medinfras dalam perawatan rawat inap dengan menggunakan Model Penerimaan Teknologi di Rumah Sakit Atma Jaya, Jakarta Utara. Metode: Metode yang digunakan dalam evaluasi ini Technology Acceptance Model (TAM) yaitu merupakan teori sistem informasi untuk mensimulasikan bagaimana pengguna bisa menerima dan memanfaatkan teknologi yang telah di sediakan. Evaluasi RME mempertimbangkan tiga aspek yaitu aspek kebermanfaatan, aspek kemudahan, dan aspek minat, sehingga akan mendapakan hasil yang objektif. Hasil: Hasil penelitian menunjukkan bahwa sebagian besar responden menilai aplikasi Medinfras bermanfaat dan mudah digunakan, terutama pada aspek kelengkapan informasi (85,9%) dan kemudahan pengoperasian (85,9%). Namun, fleksibilitas aplikasi masih menjadi kendala, serta sebagian kecil responden (3,1%) menilai informasi belum selalu up to date. Kesimpulan: Evaluasi penerapan terhadap penggunaan aplikasi Medinfras pada rawat inap memberikan manfaat bagi petugas meliputi peningkatan produktifitas dalam melakukan pekerjaan, memudahkan pekerjaan petugas yang meliputi fitur-fitur dalam aplikasi ini tidak asing saat dicoba, kemudahan dalam pengoperasian dan kemudahan dalam memahami fungsi sistem, membantu melakukan pekerjaan petugas dan memberikan kenyamanan terhadap penggunaan.
HUBUNGAN KEMAMPUAN AKADEMIK MAHASISWA REKAM MEDIS DENGAN HASIL BELAJAR PADA MAHASISWA TINGKAT AKHIR Wiranata, Tyansa Eka Sampoerna; Rumana, Nanda Aula; Widjaja, Lily; Putra, Daniel Happy
Jurnal Manajemen Pendidikan Vol. 9 No. 2 (2024): JURNAL MANAJEMEN PENDIDIKAN
Publisher : STKIP Pesisir Selatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34125/jmp.v9i2.343

Abstract

This research aims to determine the relationship between student academic abilities and learning outcomes in final year students of the Medical Records and Health Information Study Program at one of the universities in Jakarta. The research method used is quantitative analysis using the independent T-test where researchers describe the relationship between students' academic abilities and learning outcomes. Based on the research results, it was found that the average age of students was 22 years with the majority of students being female, namely 77.8%. The description of academic ability is 88.9% good and 11.1% not good. The average learning outcome description is 3.51 with the largest learning outcome being 3.97 and the smallest being 2.66. Based on the research results, it was found that there was a significant relationship between learning outcomes and academic abilities (p-value <0.002). Where respondents whose academic abilities are good have a higher learning outcome score of 3.54 compared to respondents whose academic abilities are not good, namely 3.25. So, it can be seen that there is a quite significant correlation between academic ability and learning outcomes.
Tinjauan Ketepatan Kodefikasi Penyakit Hipertensi Pada Pasien Rawat Jalan di Klinik Pratama Satkes Denma Mabesal Lautsan, Christina; Satrya, Bangga Agung; Rumana, Nanda Aula; Widjaja, Lily
Jurnal Manajemen Informasi Kesehatan Indonesia (JMIKI) Vol 13 No 1 (2025)
Publisher : Asosiasi Perguruan Tinggi Rekam Medis dan Informasi Kesehatan Indonesia- APTIRMIKI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33560/jmiki.v13i1.827

Abstract

Menetapkan kode diagnosis penyakit dengan menggunakan pedoman klasifikasi internasional untuk mencatat dan mengelola informasi kesehatan yang dikenal sebagai kodefikasi penyakit. Dalam hal kodefikasi penyakit dengan sistem pendokumentasian yang akurat dinilai penting karena ini akan berdampak pada pengelolaan data pasien dan perencanaan dalam pelayanan. Metode deskriptif kuantitatif dipilih pada penelitian ini. Rekam medis elektronik pasien dipelayanan rawat jalan periode Januari sd Juni 2024 di Klinik Pratama Satkes Denma Mabesal dengan diagnosis hipertensi menjadi sampel yang akan diteliti dengan menggunakan pedoman ICD-10 edisi 2010. Peninjauan dilakukan terhadap penentuan kode diagnosis penyakit hipertensi, persentase keseluruhan kodefikasi penyakit, serta faktor yang menyebabkan dalam penetapan kode diagnosis pada penyakit hipertensi. Hasil penelitian menunjukkan bahwa dari 84 rekam medis pada pasien rawat jalan yang teridentifikasi, 15 rekam medis (17,86%) memiliki kode diagnosis hipertensi yang tepat sedangkan 69 rekam medis (82,14%) lainnya tidak tepat. Salah satu yang menyebabkan ketidaktepatan dalam penetapan kode diagnosis antara lain riwayat pendidikan yang tidak sesuai sehingga menyebabkan mereka tidak memahami prosedur yang tepat yang diperlukan dalam menetapkan kode diagnosis. Penelitian ini diharapkan dapat membantu Klinik Pratama Satkes Denma Mabesal meningkatkan ketepatan kodefikasi penyakit melalui pelatihan dan pemahaman yang lebih baik tentang sistem kodefikasi penyakit serta peningkatan kualitas rekam medis pasien.
Tinjauan Penerapan Rekam Medis Elektronik di Pendaftaran Rawat Jalan RSUD Balaraja Bella Safitri; Noor Yulia; Lily Widjaja; Bangga Agung Satrya
VitaMedica : Jurnal Rumpun Kesehatan Umum Vol. 3 No. 3 (2025): Juli : VitaMedica : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/vitamedica.v3i3.421

Abstract

The implementation of Electronic Medical Records (EMR) is a digitalization innovation in medical data storage which aims to increase the efficiency of health services. At Balaraja Regional Hospital, the EMR system is implemented using the Hospital Information Management application (MIRSA). This study aims to evaluate the implementation of EMR in outpatient registration, identify the obstacles faced, and provide recommendations for improvement. The scope of the research includes an outpatient registration system that uses EMR. Descriptive research method with qualitative analysis, by means of observation and interviews with the main informant, the head of medical records and other informants, registration officers. The research results show that the implementation of EMR has increased service efficiency by speeding up the registration process and reducing manual recording errors. However, analysis using the Human, Organization, Technology, Net-Benefit (HOT-Fit) method revealed obstacles such as technological aspects and organizational support, as well as slow network constraints. The conclusion of this research is that although EMR provides benefits in increasing service efficiency, improvements are still needed in technological and management aspects. It is recommended that Balaraja Regional Hospital develop special SOPs for MIRSA, improve system maintenance, and provide regular training officers to improve the quality of health services.
Co-Authors -, Muniroh Adinda Pratiwi Alex Sander Alfi Shiddiq Syafrian Aliyani Aliyani Angelina Angelina Anggraini, Adelia Annisa Nur Salsabila Arip Budiana Azidah, Mega Puspita Bahlani Bangga Agung Satrya Bangun, Evi Vania Bangun, Gabriella Eviana Bayu Fajar Ilhami Bella Safitri Choirunisa Choirunisa Dani Sagitha Daniel Happy Putra Deasy Rosmala Dewi Deasy Rosmala Dewi Dewi, Deasy Rosmala Dewi, Sisilia Kartika Dian Nur Muslimah Dina Sonia Dwijayanti, Risma Mei Eka Widya Rita P. Fadia Eka Septiawati Fannya, Puteri Fauziah Irfany Ferina Ferina Ferina, Ferina Gabriella Eviana Bangun Gina Sonia Gita, Elsa Chandra Harahap, Maulidiah Rizki Hosizah Hosizah Ilham Abdurohman Indawati, Laela Intan Rusdiana Dewi Khoirunnisa Sabiladina Laela Indiawati Lautsan, Christina M. Fuad Iqbal Mega Puspita Azidah Muhamad Fazriyansah Muhammad Rezal Muniroh - Muniroh Muniroh Muniroh Muniroh Muniroh Muniroh Muniroh Muniroh Muniroh, Muniroh Natsir Nugroho Noor Yulia Noor Yulia Nurmalasari, Dinda Nurmalasari, Mieke Octa Rina Sari Pratiwi, Adinda Puspita, Kori Puteri Fannya Puteri Fannya Putri Nurindahsari Putri, Alifatul Aulia Sagita Rahayu, Ririn Rahelia Putri Ratna Indrawati Regina Yulianti T. S Rezal, Muhammad Risma Sisni Fadilla Rosmala Dewi , Deasy Rosmala Dewi, Deasy Saarah Salsabila Putri Yadita Sabiladina, Khoirunnisa Salsabila, Annisa Nur Sarah Khonsa Satrya, Bangga Agung Siti Rahmawati Handayani siti Widya Astuti, siti Suciyanti Suciyanti Suriyantoro, Suriyantoro Surlialy, Dewi Umi Khoirun Nisak Vania Rachma Putri Viatiningsih, Wiwik Wiranata, Tyansa Eka Sampoerna Wiwik Viatiningsih Yenni Syafitri Yulia, Noor