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Occurrences of Dengue Fever, Dengue Hemorrhagic Fever, Dengue Shock Syndrome, Severe Dengue, Dengue Warning Signs in Bandung City: An Spatial Study Based on Moran Index Firmansyah, Yura Witsqa; Parulian, Adi Anggoro; Kristiawan, Hedie; Prasaja, Bhisma Jaya
Lontara Journal of Health Science and Technology Vol. 5 No. 2 (2024): Ilmu dan Teknologi Kesehatan
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat Politeknik Muhammadiyah Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53861/lontarariset.v5i2.495

Abstract

Dengue cases is a tropical disease transmitted by Aedes aegypti and Aedes albopictus mosquitoes, which has become an international health issue in recent decades. The purpose of this study is to determine the autocorrelation and distribution patterns of Dengue Fever (DF), Dengue Hemorrhagic Fever (DHF), Dengue Shock Syndrome (DSS), Severe Dengue (SD), and Dengue Warning Signs (DWS) in the operational area of Hospital X. This study is classified as correlational, with a retrospective cohort design, utilizing patient medical records from January 2 to May 15, 2024. The total sample consists of 1,698 records, collected through purposive sampling, with the criteria being patient medical records diagnosed with DF, DHF, DSS, SD, and DWS during 2024. The z-score indicates that clustered distribution patterns occur in DF cases (z-score 5.07) and DHF cases (z-score 9.85). Random distribution patterns occur in DSS cases (z-score 0.86), SD cases (z-score -0.35), and DWS cases (z-score -0.15). The hypothesis that shows autocorrelation (p-value 0.000) is that the occurrence of DF in one location correlates with DF occurrences in surrounding locations, and the occurrence of DHF in one location correlates (p-value 0.000) with DHF occurrences in surrounding locations
Assesment Sistem Informasi Manajemen Rekam Medis pada Klaim Rawat Jalan BPJS dengan Health Metric Network Kristiawan, Hedie; Parulian, Adi Anggoro; Firmansyah, Yura Witsqa; Prasaja, Bhisma Jaya
Lontara Journal of Health Science and Technology Vol. 6 No. 1 (2025): Januari-Juni 2025
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat Politeknik Muhammadiyah Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53861/lontarariset.v6i1.522

Abstract

Health information systems are a priority in supporting Universal Health Coverage (UHC). Yet 65% of WHO member states face challenges in health information system integration, causing losses of up to $300 billion per year. In Indonesia, 35% of BPJS claims are delayed due to incomplete documentation. This study aims to evaluate the Medical Record Management Information System (SIMRM) at West Bandung Private Hospital using the Health Metric Network (HMN) framework. The mix method design was used with a total sampling of 22 medical record staff. Data was collected through questionnaires, interviews and observations. The results show that SIMRM is in the category of "there is but inadequate" with a percentage of 59%. The evaluation showed weaknesses in the completeness of documentation and the accuracy of the diagnostic code. So it can be concluded that even though SIMRM helps speed up the documentation process, improvements are still needed in system integration and staff training to increase the effectiveness of outpatient BPJS claims, so that it can improve the quality of health services.
Peningkatan pengetahuan tentang SNOMED-CT dan ICD-10 bagi tenaga perekam medis dan informasi kesehatan Firmansyah, Yura Witsqa; Parulian, Adi Anggoro; Kristiawan, Hedie; Prasaja, Bhisma Jaya; Mandels, Ruddy Johannes; Weningsih, Imelda Retna
SELAPARANG: Jurnal Pengabdian Masyarakat Berkemajuan Vol 8, No 4 (2024): December
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jpmb.v8i4.27137

Abstract

AbstrakPenggunaan SNOMED-CT dan ICD-10 bagi tenaga perekam medis dan informasi kesehatan dalam pengkodean penyakit menjadi tantangan bagi tenaga perekam medis dan informasi Kesehatan (PMIK) menimbulkan tantangan baru. Program ini dirancang sebagai solusi atas masalah yang dihadapi oleh tenaga PMIK dalam menjalankan tugasnya. Tujuan pengabdian masyarakat ini adalah untuk meningkatkan pemahaman terkait tantangan dan manfaat penggunaan SNOMED-CT dan ICD-10 bagi tenaga perekam medis dan informasi kesehatan, serta memberikan kompetensi tambahan yang diharapkan bisa dicapai melalui kegiatan ini. Pengabdian masyarakat dilakukan melalui metode ceramah yang dilanjutkan dengan diskusi kasus. Acara ini dilaksanakan pada hari Sabtu, 28 September 2024, di Hotel Zest Sukajadi, Kota Bandung. Kegiatan ini dihadiri oleh 280 peserta, dengan 37 peserta mengikuti secara langsung, yakni mahasiswa tingkat 3 program rekam medis dan informasi kesehatan Universitas Santo Borromeus tahun ajaran 2023/2024, serta 243 peserta mengikuti secara daring, terdiri dari tenaga perekam medis dan informasi kesehatan yang tersebar di berbagai daerah. Berdasarkan hasil pengukuran, nilai rata-rata pengetahuan sebelum kegiatan pengabdian adalah 73,35 dan meningkat menjadi 91,36 (24,55%) setelah program. Implementasi SNOMED-CT sebagai pengganti ICD-10 memerlukan berbagai pertimbangan, termasuk kesiapan sumber daya manusia, kesiapan organisasi layanan kesehatan, dan teknologi yang mendukung penerapan SNOMED-CT. Kata kunci: ICD-10; kodifikasi penyakit; perekam medis dan informasi kesehatan; SNOMED-CT. AbstractUsing SNOMED-CT and ICD-10 for medical recorders and health information workers in disease coding has created new challenges. This program is designed as a solution to the problems faced by PMIK personnel in carrying out their duties. The purpose of this community service is to increase understanding of the challenges and benefits of using SNOMED-CT and ICD-10 for medical recorders and health information workers and provide additional competencies that are expected to be achieved through this activity. The community service was conducted through a lecture method followed by a case discussion. This event was held on Saturday, September 28, 2024, at Zest Hotel Sukajadi, Bandung City. This activity was attended by 280 participants, with 37 participants participating in person, namely 3rd-year students of the medical records and health information program at Santo Borromeus University in the 2023/2024 academic year, and 243 participants participating online, consisting of medical recorders and health information workers spread across various regions. Based on the measurement results, the average knowledge score before the intervention was 73.35 and increased to 91.36 after the intervention. Implementing SNOMED-CT as a replacement for ICD-10 requires various considerations, including the readiness of human resources, the preparedness of health service organizations, and the technology that supports the implementation of SNOMED-CT. Keywords: ICD-10; disease codification; medical recorder and health information; SNOMED-CT.
Faktor-Faktor yang Berhubungan dengan Selisih Tarif Kasus Demam Berdarah Dengue Prasaja, Bhisma Jaya; Utomo, Yoga; Firmansyah, Yura Witsqa
Lontara Journal of Health Science and Technology Vol. 6 No. 2 (2025): Juli-Desember 2025
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat Politeknik Muhammadiyah Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53861/lontarariset.v6i2.573

Abstract

Dengue Hemorrhagic Fever (DHF) is an infectious disease caused by the Dengue virus and transmitted through the bite of the Aedes aegypti mosquito. The Bandung City Health Office said that this year as of April 26, 2024, the cumulative number of DHF cases in Bandung City exceeded 3,025 cases. This study aims to identify the factors associated between INA-CBGs tariffs and the actual treatment costs of Dengue Fever (DHF) patients at Hospital X Bandung. A correlation research method with a retrospective approach was used to analyze secondary data of JKN claims in 2023. The population in this study were patients who underwent inpatient treatment in 2023 at Hospital X Bandung with a diagnosis of Dengue Fever (DHF) with diagnosis code A91, totaling 906 medical record files. Samples were selected based on the criteria of medical record files with a primary diagnosis of Dengue Fever (DHF) and medical record files with JKN tariff setting. The results showed that length of stay (p < 0.001), medical procedures (p 0.018), and severity (p < 0.036) of illness significantly contributed to the tariff gap. This tariff gap has implications for the hospital's financial loss and potential reduction in service quality. Based on these findings, it is recommended to review the INA-CBGs tariff structure, develop clinical pathways, stricter management of treatment classes, and improve cooperation between hospitals and BPJS Kesehatan.