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All Journal International conference on Information Technology and Business (ICITB) Kesmas Indonesia: Jurnal Ilmiah Kesehatan Masyarakat INTENSIF: Jurnal Ilmiah Penelitian dan Penerapan Teknologi Sistem Informasi Journal of Public Health for Tropical and Coastal Region Journal of Public Health Research and Community Health Development (JPH RECODE) Jurnal Aisyah : Jurnal Ilmu Kesehatan J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan International Journal of Health and Information System (IJHIS) International Journal of Healthcare and Information Technology
Deharja, Atma
Jurusan Kesehatan, Politeknik Negeri Jember
Computer Science & IT Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Health Professions Library & Information Science Medicine & Pharmacology Nursing Public Health Veterinary

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Development Of Mobile Applications For Healthcare Consultation Ayuninghemi, Ratih; Deharja, Atma
Prosiding International conference on Information Technology and Business (ICITB) 2017: INTERNATIONAL CONFERENCE ON INFORMATION TECHNOLOGY AND BUSINESS (ICITB) 3
Publisher : Prosiding International conference on Information Technology and Business (ICITB)

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

Abstract

This paper discusses mobile applications developed as communication and consultation mediums between doctors and patients. E-Consul  has several features including a patient registration feature with a time limit to consult a physician, meaning that there is an expiry date on the account being used. For patients, they do not need to see a doctor in practice, but directly consulted bias when want to discuss related treatments. For doctors with this application the patient can not afford the time and distance to consult a doctor. Keywords : Mobile Application, Healthcare, and Consultation  
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.
Implementation of Risk Factor Detection System Using k-NN Method to Reduce Maternal Mortality Rate at Sumbersari Primary Health Centre Prakoso, Bakhtiyar Hadi; Yunus, Muhammad; Rahagiyanto, Angga; Vestine, Veronika; Suyoso, Gandu Eko Julianto; Deharja, Atma
International Journal of Health and Information System Vol. 2 No. 3 (2025): January
Publisher : Indonesian Journal Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47134/ijhis.v2i3.49

Abstract

The Maternal Mortality Rate has become a major issue for the Indonesian government as it can be used to measure the reproductive health level of a country. In 2023, the maternal mortality rate in Jember Regency was recorded at 150 per 100,000 live births. Sumbersari Primary Heath Centre is one of Primary Health in Jember, located in the city. Still had cases of maternal mortality, with two recorded cases The Jember Regency government has implemented various interventions, including the implementation of integrated antenatal care (ANC), the preparation of emergency obstetric and neonatal management guidelines, and collaboration with educational institutions to support pregnant women, strengthen maternal and neonatal referrals, and enhance the PONED and PONEK maternity teams. In line with these programs, there is a need for synergy in utilizing information technology to support the Jember government’s efforts to reduce maternal mortality rates through the creation of an early detection system to predict maternal deaths. This research will develop an early detection system for maternal mortality using the KNN method. The attributes used include gestational age, weight, haemoglobin, blood pressure A, blood pressure B, facial swelling, stillbirth, breech birth, bleeding during pregnancy, hydramnios, post-term pregnancy, transverse presentation, preeclampsia/eclampsia, anaemia, tuberculosis, malaria, and heart failure. The system development will utilize the prototype method. The test results show that the system can be used to predict maternal mortality with an accuracy
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.
Integrated Electronic Medical Record Design With Nutritional Screening System at NCC’s Teaching Factory Deharja, Atma; Yunus, Muhammad; Suryana, Arinda Lironika
International Journal of Health and Information System Vol. 1 No. 3 (2024): January
Publisher : Indonesian Journal Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47134/ijhis.v1i3.28

Abstract

One of Politeknik Negeri Jember's Teaching Factories (TEFA) that offers community nutrition services is the Nutrition Care Centre (NCC). The design of electronic medical records (EMRs) for continuous care patients, especially those with non-communicable diseases, is being studied in order to meet the ever-increasing needs of health care, assist patients who require continuous care, and improve the way that modern medical technology serves humans. The Waterfall framework concept is used in the research process, and an electronic medical record system is designed in accordance with the goals and the overall architecture of the system. Black-box testing and white-box testing are then conducted to evaluate the features, dependability, and stability of the designed electronic medical record system. Furthermore, when combined with other research findings, the design's viability is demonstrated. It is evident that the electronic medical record system created for the study's patients who require ongoing care is entirely workable. As electronic medical records continue to develop, there will be more opportunities to research and enhance this system, which will benefit patients and hospitals alike in the long run.
Perbandingan Kinerja Algoritma KNN-DT-RF-SVM untuk Deteksi Dini Risiko Kematian Ibu Rahagiyanto, Angga; Prakoso, Bakhtiyar Hadi; Yunus, Muhammad; Vestine, Veronika; Suyoso, Gandu Eko Juliato; Deharja, Atma
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 6 No 2 (2025): March
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v6i2.5658

Abstract

Maternal Mortality Rate (MMR) in Indonesia remains a significant health issue, with data indicating a mortality rate far exceeding the Sustainable Development Goals (SDGs) target. This study aimed to explore and compare the performance of K-Nearest Neighbors (KNN), Decision Tree (DT), Random Forest (RF), and Support Vector Machine (SVM) algorithms in detecting maternal mortality risk. Using a medical dataset of pregnant women from Sumbersari Community Health Center, models were developed to classify three pregnancy risk categories: low risk (KRR), high risk (KRT), and very high risk (KRST). Model evaluation was conducted based on accuracy, precision, recall, and F1-score metrics. The results showed that the Random Forest algorithm achieved the highest performance with an accuracy of 76.7%, followed by Decision Tree and SVM with 70%, while KNN had the lowest accuracy at 50%. The main challenge encountered was data imbalance in the classification of very high-risk cases. This study suggests the use of data balancing methods such as SMOTE and additional data augmentation to enhance model performance. These findings can serve as a foundation for Puskesmas to implement machine learning-based early detection systems to reduce maternal mortality rates.
Factors Contributing to Incomplete of Manual and Electronic Medical Record (EMR) Entries in Hospital Nasution, Nurlia Susanti; Alfiansyah, Gamasiano; Deharja, Atma; Suyoso, Gandu Eko Julianto
Journal of Public Health for Tropical and Coastal Region Vol 8, No 1 (2025): Journal of Public Health for Tropical and Coastal Region
Publisher : Faculty of Public Health, Universitas Diponegoro, Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jphtcr.v8i1.25860

Abstract

Introduction: A complete medical record is defined as one that is fully completed by Healthcare Professionals (HCPs) within ≤ 24 hours after the patient is discharged. In the third quarter of 2022, X Regional Hospital recorded the highest percentage of incomplete inpatient medical records in October, totaling 465 incomplete records (32.68%). This study aims to analyze the factors contributing to the incompleteness of inpatient medical record documentation at the hospital using Lawrence Green's behavioral theory, focusing on predisposing, enabling, and reinforcing factors.Methods: This qualitative study employed data collection techniques such as observation, documentation, and interviews to nine informants, comprising one head of the medical records department, four attending physicians, three nurses, and one head of the inpatient ward. The data were analyzed through data reduction, data presentation, and conclusion drawing, followed by providing improvement recommendations.Results: The findings indicate predisposing factors include limited staff knowledge about medical record documentation. Enabling factors involve an insufficient number of computers, incomplete training attendance, and unawareness of Standard Operating Procedures (SOP) on medical record completeness. Reinforcing factors include the absence of punishment for non-compliance.Conclusion: Improvement efforts include conducting regular socialization, monitoring, and evaluation of SOP implementation for medical record completeness; proposing additional computers; organizing seminars and training on medical record documentation for medical record staff and HCPs; and implementing a reward and punishment system to enhance HCP performance in completing inpatient medical records.
Co-Authors Alfiansyah, Gamasiano Angelina, Alvia Irin Ardianto, Efri Tri Esti, Dyah Eriyaning Esti, Dyah Eriyaning Irfiah, Irfiah Kiromah, Siska Ainul Lestari, Melia Sinta Maemunah Maemunah maya weka santi, maya weka Moh Sabran Sabran Mudiono, Demiawan Rachmatta Putro Muhammad Yunus Muhammad Yunus Nasution, Nurlia Susanti Nuraini, Novita Prakoso, Bakhtiyar Hadi Putri, Fitriana Rachmawati, Ervina Rahagiyanto, Angga Rahmawati, Ulfa Emi Ratih Ayuninghemi, Ratih Rohman, Nonik Aisyah Sakkinah, Intan Sulistyaningrum Suryana, Arinda Lironika Suyoso, Gandu Eko Julianto Suyoso, Gandu Eko Juliato Swari, Selvia Juwita Swari, Selvia Juwita Vestine, Veronika Wijayanti, Rossalina Adi