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DIGITALIZATION TRAINING CHRONIC DISEASE PATIENT MEDICAL RECORD DOCUMENTS FOR HEALTH CENTERS Maula Ismail Mohammad; Yanto Haryanto
Jurnal Abdisci Vol 1 No 12 (2024): Vol 1 No 12 Tahun 2024
Publisher : Ann Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62885/abdisci.v1i12.481

Abstract

Digitization of medical record documents of patients with Diabetes Mellitus (DM) is switching media from manual (paper) to electronic using a scanner. When the implementation of electronic medical records is already running, the patient's previous medical records are not eliminated or forgotten because the content is important, including the patient's medical history. To support the control of DM disease, this patient's medical history may be needed again at any time to see the patient's previous health records that may be continuous. While the last patient's medical records were manually using paper, they are no longer by current technological developments. Digitization of medical record documents is a solution related to this. The digitization of medical record documents at the Puskesmas has not yet been implemented because there is no system associated with the digitization of medical record documents. From this explanation, the devotees are interested in participating in DM control by providing DRM digitization training for DM patients at the Health Center.
Gambaran Kepuasan Tenaga Kesehatan terhadap E-Puskesmas dengan Metode PIECES di Puskesmas Waruroyom Tahun 2026 Yuniya Maghfiroh; Yanto Haryanto; Bhakti Aryani; Fitria Dewi Rahmawati
Sehat Rakyat: Jurnal Kesehatan Masyarakat Vol. 5 No. 2 (2026): Mei 2026
Publisher : Yayasan Pendidikan Penelitian Pengabdian Algero

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54259/sehatrakyat.v5i2.7541

Abstract

Background: The Waruroyom Community Health Center has implemented the E-Puskesmas application as an information system to support recording, service data management, and health reporting. Initial observations revealed constraints such as network disruptions, suboptimal data input processes, and differences in users' ability to operate the system, which affected health workers' satisfaction. Methods: This research used a quantitative descriptive approach with a population of 47 health workers at Waruroyom Community Health Center, all of whom were included as samples (total sampling). Data were collected using a Likert scale questionnaire based on the six dimensions of the PIECES method. Results: All six PIECES dimensions fell within the satisfied category, with mean scores ranging from 3.83 to 4.10. The Information dimension obtained the highest mean (4.10), while the Performance dimension obtained the lowest mean (3.83). The highest satisfaction indicator across all dimensions was information accuracy (89.3%), while the lowest was the indicator of systems rarely experiencing errors (44.6%). Discussion: The strength of E-Puskesmas lies in its information quality, while technical stability remains a primary challenge. Conclusions: Health workers at Waruroyom Community Health Center are satisfied with E-Puskesmas in all six PIECES dimensions. Improvements are needed particularly in the Performance dimension, especially in minimizing system errors and strengthening technical support services.
The Use of Forward Chaining for Early Detection of Hepatitis B Risk Among Pregnant Women at Beber Community Health Center, Cirebon Regency Yanto Haryanto; Maula Ismail
Jurnal Kesehatan Budi Luhur: Jurnal Ilmu-Ilmu Kesehatan Masyarakat, Keperawatan, dan Kebidanan Vol. 19 No. 2 (2026): July 2026
Publisher : STIKes Budi Luhur Cimahi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62817/jkbl.v19i2.543

Abstract

Hepatitis B virus (HBV) infection remains a major public health problem in Indonesia, particularly among pregnant women, where delayed detection may increase the risk of mother-to-child transmission as well as serious complications such as cirrhosis and hepatocellular carcinoma. The high cost of laboratory testing may contribute to delays in diagnosis and treatment. This study aimed to design a web-based early detection system for hepatitis B in pregnant women using the Forward Chaining method. A mixed-methods approach with a Research and Development (R&D) design was employed to develop and evaluate the system. The developed system was tested on 30 respondents and achieved a 100% success rate in black-box testing. Validation results showed a sensitivity of 100%, specificity of 90%, positive predictive value (PPV) of 82%, negative predictive value (NPV) of 100%, and an accuracy of 93%, indicating good diagnostic performance. The developed system can assist in the early detection of hepatitis B among pregnant women and may support earlier identification of the risk of mother-to-child transmission in primary healthcare settings.
Factors Causing Pending BPJS Health Claims For Inpatient Services At Waled Regional Hospital In The Third Quarter Of 2025 Tiara Atika Tri Kamilah; Yanto Haryanto; Bhakti Aryani; Fitria Dewi Rahmawati
International Journal of Health Engineering and Technology Vol. 5 No. 1 (2026): IJHET MAY 2026
Publisher : CV. AFDIFAL MAJU BERKAH

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55227/ijhet.v5i1.848

Abstract

Pending BPJS Kesehatan claims remain a significant obstacle to hospital financing as they can disrupt cash flow and service continuity. This study aims to analyze the factors causing pending BPJS Kesehatan claims for inpatient services at Waled Regional Hospital in the third quarter of 2025. The study used a descriptive quantitative design with a retrospective cross-sectional approach. The population and sample consisted of 908 pending claim files using a total sampling technique. The research instrument was a checklist, while data analysis was conducted descriptively using frequency distribution and percentages. The results showed that the most common cause of pending claims was the coding aspect at 41.9%, followed by the medical aspect at 35.0% and the administrative aspect at 23.1%. In the administrative aspect, the most dominant problem was the mismatch of care classes. In the medical aspect, the main cause was neonatal asphyxia that did not meet the TKMKB criteria. In the coding aspect, the most common problem was inaccurate diagnosis codes or those that needed to be adjusted to clinical data based on verification BPJS. In conclusion, pending claims at Waled Regional Hospital are multidimensional and interrelated, thus requiring strengthening clinical documentation, coding accuracy, and integrated administrative verification.
Tinjauan Pending Klaim BPJS Rawat Inap di RS X Cirebon Tahun 2024 Sisilia Dwi Maharani; Bhakti Aryani; Fitria Dewi Rahmawati; Yanto Haryanto
Jurnal Manajemen Informasi Kesehatan (Health Information Management) Vol. 10 No. 2 (2025): Health Information and Management
Publisher : Sekolah Tinggi Ilmu Kesehatan Sapta Bakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51851/jmis.v10i2.706

Abstract

Abstrak Latar Belakang: Permasalahan pending klaim BPJS Kesehatan masih menjadi tantangan utama yang dapat mengganggu stabilitas keuangan dan pelayanan rumah sakit. kondisi ini tidak hanya berdampak pada keterlambatan pembayaran, tetapi juga berpotensi menurunkan efisiensi operasional rumah sakit. Penelitian ini bertujuan untuk meninjau penyebab pending klaim BPJS rawat inap Triwulan III Tahun 2024 di RS X Cirebon, dengan fokus pada aspek koding, medis, dan administratif. Metode Penelitian: Penelitian ini menggunakan metode kuantitatif deskriptif dengan sampel sebanyak 93 dokumen pending klaim yang diperoleh melalui perhitungan menggunakan rumus Slovin dengan tingkat toleransi kesalahan 10% dari total 1.418 pending klaim. Data dikumpulkan melalui observasi dokumen klaim dan berita acara hasil verifikasi (BAHV) dari BPJS Kesehatan Hasil Penelitian: Hasil penelitian menunjukkan bahwa 54,83% pending klaim disebabkan oleh aspek koding, 24,73% oleh aspek administratif, dan 20,43% oleh aspek medis. Perubahan kode diagnosis primer menjadi penyumbang terbesar kasus pending klaim, diikuti oleh perubahan kode diagnosis sekunder dan tindakan medis. Sebagian besar kasus disebabkan oleh perbedaan persepsi antara koder rumah sakit dan verifikator BPJS, serta ketidaksesuaian dengan pedoman pengkodean yang berlaku. Simpulan: Penelitian ini menekankan pentingnya peningkatan akurasi pengkodean, kelengkapan dokumen medis, serta keselarasan pemahaman antara pihak rumah sakit dan BPJS. Diperlukan sosialisasi dan pelatihan secara berkala bagi koder serta verifikator internal terkait aturan kodifikasi yang mengacu pada pedoman klaim terbaru dan ketentuan pada ICD-10, sera menerapkan sistem reward dan punishment.