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All Journal Jurnal Untuk Masyarakat Sehat (JUKMAS) PELS (Procedia of Engineering and Life Science) Indonesian Journal of Health Information Management Services (IJHIMS) SMART : Jurnal Teknologi Informasi dan Komputer
Agusianita, Agusianita
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Automotive Engineering Civil Engineering, Building, Construction & Architecture Computer Science & IT Control & Systems Engineering Decision Sciences, Operations Research & Management Electrical & Electronics Engineering Engineering Health Professions Languange, Linguistic, Communication & Media Library & Information Science Nursing Public Health Social Sciences

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Overview of the Accuracy of Inpatient Dyspepsia Diagnosis Codes Based on ICD-10 at Hospital X Bengkulu City: Gambaran Keakuratan Kode Diagnosis Dyspepsia Rawat Inap Berdasarkan ICD-10 di Rumah Sakit X Kota Bengkulu Putri, Liza; Agusianita, Agusianita; Khairunnisa, Alfi
Procedia of Engineering and Life Science Vol. 7 (2025): Prosiding Seminar Nasional dan Rakernas PORMIKI X
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/pels.v7i0.2097

Abstract

Problem of Coding activities for disease diagnosis are very important during medical record services in hospital installations. To get the correct coding, the activities carried out look at the medical resume, admission and discharge summary and supporting sheet where the coding is carried out by the medical record staff, who is responsible for the accuracy of the Dyspepsia code. If coding is not carried out accurately, it will result in errors in disease recording indexes and procedures, inaccurate report information data and inaccurate INA-CBG rates. Objective for Known description of the accuracy of inpatient dysspecia diagnosis codes based on ICD-10 at Rafflesia Hospital, Bengkulu City. Method:This type of research is descriptive observational through direct observation of the population and a sample of 57 medical record files with a diagnosis of dyspepsia cases. The data used in this research is secondary data which was processed univariately. Results of the 57, the majority, namely 36(63,1%) of the dyspepsia diagnosis codes in the medical record files were accurate and 21 (36,9%) of the dyspepsia diagnosis codes in the medical record files were inaccurate. The completeness of the recording files was 36 files (63,1%), the completeness of the incomplete recording files was 31 files (36.9%). Suggestion: Coders should refer to ICD-10 in assigning codes and attend training to deepen their understanding of the implementation of classification and codification.
EDUKASI PETUGAS TERKAIT KETEPATAN KODE DIAGNOSA OBTETRI DALAM MENDUKUNG KELANCARAN KLAIM BPJS DI RS.X Heltiani, Nofri; Budiarti, Anggia; Agusianita, Agusianita
Indonesian Journal of Health Information Management Services Vol. 5 No. 1 (2025): Indonesian Journal of Health Information Management Services (IJHIMS)
Publisher : APTIRMIKI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33560/ijhims.v5i1.131

Abstract

Ketepatan kode tindakan memiliki peran penting dalam mendukung kelancaran klaim dan menjadi dasar disetujuinya penagihan biaya oleh BPJS kepada Rumah Sakit, namun berkas klaim kasus obstetric RS.X Kota Bengkulu selalu mengalami pending setiap kali pengajuan klaim BPJS yang disebabkan mayoritas kode diagnosa tidak tepat. Hal ini disebabkan informasi koding (berkaitan dengan tindakan dan kode yang diinputkan tidak sesuai dengan aturan koding pada Surat Edaran BPJS Kesehatan 2023 dan Berita Acara Kesepakatan ketika verifikasi klaim oleh verifikator BPJS Kesehatan, yang berdampak terlambatnya proses pembayaran klaim sehingga menyebabkan kerugian material bagi Rumah Sakit. Kegiatan Pengabdian Kepada Masyarakat ini bertujuan memberikan edukasi kepada petugas terkait pentingnya ketepatan kode diagnose obstetri dalam mendukung kelancaran klaim BPJS. Kegiatan ini menggunakan metode sosialisasi dan diskusi interaktif melalui tiga tahapan, yaitu tahap persiapan, tahap pelaksanan dan tahap monitoring evaluasi dengan sasaran petugas casemix sebanyak 8 orang. Dari hasil evaluasi, diketahui bahwa pengetahuan petugas casmix sebelum dan sesudah diberikan sosialisasi meningkat menjadi 70%, dimana sebelum diberikan edukasi, rerata pretest sebesar 56 dan setelah diberikan edukasi rerata nilai posttest menjadi 95. Kegiatan ini dilakukan sebagai upaya meningkatkan kemampuan petugas casemix dalam melakukan identifikasi penyebab tidak tepatnya kode diagnosa obstetri berdasarkan ICD 10 dan ICD-9CM serta INA-CBG’s.
Analisis Pelayanan Perawat Terhadap Kepuasan Pasien JKN Rawat Inap di Rumah Sakit Rafflesia Agusianita, Agusianita; Nuru, Hasanuddin; Metasari, Des
Jurnal Untuk Masyarakat Sehat (JUKMAS) Vol 7, No 1 (2023): Jurnal Untuk Masyarakat Sehat (JUKMAS)
Publisher : LPPM Universitas Respati Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52643/jukmas.v7i1.2939

Abstract

The increase in JKN participants has created a separate problem, especially for private hospitals. An increase in the number of patients that is disproportionate to the number of health workers will have a psychological impact on health workers which can reduce the quality of service, while service will determine the level of patient satisfaction and have an impact on the number of patients seeking treatment at the hospital. The purpose of this study was to determine Nurse Services on the satisfaction of inpatient JKN patients at Rafflesia Hospital. The method used is cross sectional research method. Data was collected by distributing questionnaires to 162 patients using a random sampling technique. The results of the univariate test analysis showed that 74 respondents (45.7%) had good nurse services, 65 respondents (40.1%) said it was quite good, while 23 respondents (14.2%) were not good enough. The results of the Bivariate analysis showed that there was a relationship between nurse service and patient satisfaction
Perancangan Perancangan Sistem Informasi Pendaftaran Pasien Rawat Jalan Online Pada Klinik Kirana Syaputra, Reka Dwi; Agusianita, Agusianita
SMART : Jurnal Teknologi Informasi dan Komputer Vol. 3 No. 1 (2024): January-June
Publisher : Gayaku Publisher

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

Abstract

Penelitian ini bertujuan untuk menentukan tujuan dan kebutuhan dari sistem informasi pendaftaran pasien rawat jalan online Klinik Kirana dengan menggunakan metode Waterfall. Tujuan khusus dari penelitian ini adalah untuk mengidentifikasi kebutuhan ide untuk sistem informasi ini dan untuk menentukan kebutuhan sistem informasi yang tepat untuk Klinik Kirana. Metode Waterfall dipilih karena menawarkan pendekatan yang terstruktur desain UML (Unified Bahasa Pemodelan) dan mudah digunakan untuk menyelesaikan sistem informasi. Dengan desain pemesanan ini sistem informasi dapat memberikan pelayanan yang maksimal kepada pelanggan dan meminimalkan kesalahan dalam pengolahan data. Itu Manfaat dari sistem informasi pemesanan ini diharapkan meningkatkan pelayanan kepada pelanggan dan mempermudah transaksi proses lebih cepat dan mudah. Salah satu masalah yang dihadapi dalam penelitian ini adalah bagaimana membuat sistem informasi yang dapat mempermudah proses pendaftaran pasien secara online, meningkatkan produktivitas, dan mengurangi kesalahan administrasi. Untuk memahami kebutuhan klinik dan pengguna, penelitian ini mengumpulkan data melalui observasi, wawancara, dan penelitian literatur. Hasil penelitian menunjukkan bahwa sistem informasi yang dibangun menggunakan metode Waterfall dapat memenuhi kebutuhan pendaftaran pasien secara online dengan fitur seperti pendaftaran mandiri, manajemen jadwal dokter, dan notifikasi otomatis. Diharapkan sistem ini akan meningkatkan kualitas pelayanan di Klinik Kirana dan memudahkan pasien untuk mendapatkan perawatan medis
SOSIALISASI KELENGKAPAN DAN KETEPATAN PEMERIKSAAN FISIK DAN PENUNJANG MEDIS MEMPENGARUHI KEAKURATAN KODE PNEUMONIA DI RS.BENGKULU Heltiani, Nofri; Agusianita, Agusianita; Khairunnisyah, Khairunnisyah
Indonesian Journal of Health Information Management Services Vol. 5 No. 2 (2025): Indonesian Journal of Health Information Management Services (IJHIMS)
Publisher : APTIRMIKI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33560/ijhims.v5i2.144

Abstract

Ministry of Health of the Republic of Indonesia Number HK.02.02/Menkes/514/2015 states that pneumonia is one of the diseases that often causes medical disputes due to disagreements between BPJSKesehatan and Advanced Health Facilities regarding medical issues that are not in accordance with the Clinical Practice Guidelines. This is due to incompleteness and inaccuracy of the results of physical examinations and medical support (thorax radiographs) recorded in the patient's medical record, so that the process of coding the diagnosis of pneumonia becomes inaccurate. This Community Service Activity aims to provide an overview to casemix officers about the effect of incompleteness and inaccuracy of medical information reviewed from the results of physical examinations and medical support on the accuracy of pneumonia diagnosis codes at Bengkulu Hospital. The method used is socialization and interactive discussion targeting the Head of Casemix and 9 casemix officers. The results of the evaluation through pretest and posttest showed an increase in knowledge and understanding of casemix officers before and after being given socialization by 61% with an average pretest of 56.00 and posttest to 90.00. This activity needs to be carried out as an effort to improve the quality of health services and increase the awareness and understanding of casemix officers regarding the importance of completeness and accuracy of physical examinations and medical support in supporting code accuracy.
Co-Authors Budiarti, Anggia Heltiani, Nofri Khairunnisa, Alfi Khairunnisyah, Khairunnisyah Metasari, Des Nuru, Hasanuddin Putri, Liza Reka Dwi Syaputra