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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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An Analysis of the Causes of Delays in the Return of Outpatient Medical Records at Jambesari Public Health Center, Bondowoso Kiromah, Siska Ainul; Nuraini, Novita; Deharja, Atma; Sabran, Sabran
International Journal of Healthcare and Information Technology Vol. 2 No. 1 (2024): July
Publisher : P3M Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/ijhitech.v2i1.6156

Abstract

Timely return of medical records is essential for evaluating the quality of services at Community Health Centers (Puskesmas). In the second quarter of 2022, Puskesmas Jambesari in Bondowoso experienced a significant delay in the return of outpatient medical records. Of the 1,822 expected files, 1,443 (approximately 80%) were returned late, resulting in frequent misfiling due to improper storage. The prolonged absence of these records was a major contributing factor to the issue. This study aims to analyze the underlying causes of delays in returning outpatient medical records at Puskesmas Jambesari by examining the seven elements of the 7M framework: manpower, money, materials, machines, methods, motivation, and media. Employing a qualitative research approach, data were collected through interviews, observations, documentation, and brainstorming sessions. The findings reveal several systemic issues: front desk staff lacked awareness of return deadlines; training for relevant personnel was insufficient; the use of tracers and phone communication was minimal; expedition books were not optimally utilized; no specific Standard Operating Procedure (SOP) existed for record return; motivational incentives were absent; the physical storage space for records was inadequate; and no budget proposal had been prepared to support improvements. Notably, the absence of a clear SOP further exacerbated the problem.
Pengembangan dan Implementasi E-Posyandu dalam Deteksi Dini Faktor Risiko Kematian Ibu, Bayi dan Stunting Santi, Maya Weka; Yunus, Muhammad; Rachmawati, Ervina; Deharja, Atma
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No 1: March, 2022
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1551.089 KB) | DOI: 10.30604/jika.v7i1.653

Abstract

The main activity of Posyandu is to improve the health status of maternals and infants in accordance with the goals of the Sustainable Development Goals (SDGs). However, based on the Convergence Report on the Prevention of Stunting at the Village Level against the Household Target of 1.000 HPK in 2019, Kemuning Lor Village has 8 children aged 0-23 months who are at risk of stunting (25%) and indicated stunting (37.5%). The registration and reporting health status of maternals and infants at the Posyandu Dusun Darungan, Kemuning Lor Village, Jember is still done manually, making writing difficult to read. Information technology-based E-Posyandu information systems can facilitate early detection of the risk of maternal, infant mortality and stunting. The method used to develop the E-Posyandu information system is the System Development Life Cycle (SDLC) with the Waterfall model. The results showed that E-Posyandu made it easier for cadres to input, report and store data on the health status of maternals, infants and toddlers, also perform early detection of maternal, infant mortality and stunting. Early detection of pregnant women with LILA less than 23.5 cm will show red colour and lack of nutrition information. Meanwhile, early detection in infants/toddlers can be seen from the Zscore TB/PB per Age in red for stunting and Zscore BB per Age in red for malnutrition. Complete data filling by cadres at the E-Posyandu is required so that early detection of maternal, infant mortality and stunting can run well.  Abstrak: Kegiatan utama Posyandu adalah meningkatkan status kesehatan ibu dan bayi sesuai dengan tujuanSustainable Development Goals (SDG’s). Namun, berdasarkan Laporan Konvergensi Pencegahan Stunting Tingkat Desa terhadap Sasaran Rumah Tangga 1.000 HPK tahun 2019, Desa Kemuning Lor memiliki 8 anak usia 0-23 bulan berada pada risiko stunting (25%) dan terindikasi stunting (37,5%).Pencatatan dan pelaporan status kesehatan ibu dan bayi di Posyandu Dusun Darungan, Desa Kemuning Lor, Jember masih dilakukan manual, sehingga membuat tulisan sulit terbaca. Sistem informasi E-Posyandu berbasis teknologi informasi dapat memfasilitasi deteksi dini risiko kematian ibu, bayi dan kejadian stunting. Metode yang digunakan untuk mengembangkan sistem informasi E-Posyandu yaitu System Development Life Cycle (SDLC) dengan model Waterfall.Hasil penelitian didapatkan E-Posyandu memudahkan kader menginput, melaporkan dan menyimpan data status kesehatan ibu, bayi dan balita serta melakukan deteksi dini kematian ibu, bayi dan stunting. Deteksi dini pada ibu hamil dengan LILA kurang dari 23,5 cm akan terlihat berwarna merah dan keterangan gizi kurang. Sedangkan deteksi dini pada bayi/ balita dilihat dari Zscore TB/PB per Umur warna merah untuk stunting dan Zscore BB per Umur warna merah untuk gizi kurang. Pengisian data yang lengkap oleh kader pada E-Posyandu diperlukan agar deteksi dini kematian ibu, bayi dan stunting dapat berjalan baik.
Electronic Health Records (EHR) Usability and User Experience Evaluation: A Case Study Yunus, Muhammad; Sakkinah, Intan Sulistyaningrum; Rahmawati, Ulfa Emi; Deharja, Atma; Santi, Maya Weka
INTENSIF: Jurnal Ilmiah Penelitian dan Penerapan Teknologi Sistem Informasi Vol 7 No 2 (2023): August 2023
Publisher : Universitas Nusantara PGRI Kediri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29407/intensif.v7i2.19090

Abstract

Manual medical record documents have a high risk of leakage and loss. This is because the storage is only in the cupboard. In Indonesia, Electronic Health Records (EHR) have been widely adopted. Clinics, the Rumah Keluarga Sehat Clinic located in Jember Regency. The implemented EHR is a complement to the manual medical record. To obtain a successful EHR implementation, it is necessary to evaluate the usability and user experience. Usability testing is an evaluation method that involves end users in the system development process. This study aims to evaluate the usability and user experience of the EHR developed at the Rumah Keluarga Sehat Clinic. Tests were carried out using the System Usability Scale (SUS) and User Experience Questionnaire (UEQ) instruments. Instruments were given to 7 respondents consisting of doctors, medical recorders, admins, and pharmacists at Rumah Keluarga Sehat Clinic, Jember. The results of the usability evaluation with SUS showed a score of 77.14 which indicated the Good category. And the UEQ results show above-average results on a scale (perspicuity and dependability), and excellent on 4 scales (attractiveness, efficiency, stimulation, and novelty). The results of the evaluation with 2 instruments show that the developed EHR has met the user's needs.
Analisis Faktor Penyebab Keterlambatan Pengembalian Rekam Medis Rawat Inap di Rumah Sakit X Sabran, Sabran; Angelina, Alvia Irin; Alfiansyah, Gamasiano; Mudiono, Demiawan Rachmatta Putro; Deharja, Atma
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 7 No 1 (2025): December
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v7i1.5909

Abstract

Delays in the return of inpatient medical records at Hospital X reached 25.01%, which is far below the required standard of 100% completion within 2×24 hours. This study aims to analyze the factors contributing to these delays using a qualitative approach. The main informants were medical record officers, and data were collected through interviews, observations, and documentation, with validity ensured through source and method triangulation. The findings show that predisposing factors include mismatched educational background, limited knowledge, and staff attitudes related to the completeness of signatures from attending physicians and nurses. Enabling factors involve the long distance between inpatient wards and the medical record unit, as well as the absence of elevator facilities for transporting records. Reinforcing factors include the lack of penalties for delayed returns and insufficient understanding of the physical form and standard operating procedures for medical record return. Improvement efforts include staff training, socialization of medical record completeness requirements, procurement of dedicated transport facilities for records, and regular revision and dissemination of standard operating procedures. The hospital is advised to strengthen monitoring, improve inter-unit coordination, provide efficient record transportation systems, and implement a reward and punishment mechanism to enhance the timeliness of inpatient medical record returns.
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