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All Journal Jurnal Manajemen Informasi Kesehatan Indonesia (JMIKI) J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan MAHESA : Malahayati Health Student Journal PELS (Procedia of Engineering and Life Science) Jurnal Edukasi Pengabdian Masyarakat: EDUABDIMAS Indonesian Journal of Electronics, Electromedical Engineering, and Medical Informatics
Nadi, Danu Tirta
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Religion Humanities Computer Science & IT Control & Systems Engineering Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Electrical & Electronics Engineering Engineering Environmental Science Health Professions Materials Science & Nanotechnology Nursing Public Health

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Ketidaksesuaian Kode Diagnosis ICD-10 Pada Pending Klaim Bpjs Rawat Jalan Di Rsud Krt. Setjonegoro Wonosobo Nurul Afifah; Nadi, Danu Tirta; Sari, Arum Astika
Jurnal Manajemen Informasi Kesehatan Indonesia (JMIKI) Vol 12 No 2 (2024)
Publisher : Asosiasi Perguruan Tinggi Rekam Medis dan Informasi Kesehatan Indonesia- APTIRMIKI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33560/jmiki.v12i2.626

Abstract

Klaim BPJS Kesehatan adalah pengajuan biaya perawatan pasien peserta BPJS oleh pihak rumah sakit kepada pihak BPJS Kesehatan yang dilakukan setiap bulannya. Setelah itu BPJS Kesehatan akan melakukan persetujuan klaim dan melakukan pembayaran untuk berkas yang layak, namun untuk berkas yang mengalami pending klaim harus dikembalikan ke rumah sakit untuk diperiksa kembali. Pending klaim pada rawat jalan di RSUD KRT. Setjonegoro Wonosobo terjadi karena berbagai faktor, salah satunya karena adanya perbedaan kode diagnosis ICD-10 antara rumah sakit dengan verifikator BPJS berkas pending klaim memerlukan koreksi kembali terutama pada kode diagnosis. Penelitian ini bertujuan mendeskripsikan permasalahan pending klaim karena ketidaksesuaian kode diagnosis pada ICD-10.Penelitian ini menggunakan pendekatan deskriptif kualitatif dengan lokasi penelitian di RSUD KRT. Sejonegoro Wonosobo pada bulan Juni. Hasilnya adalah adanya perbedaan konsep penentuan diagnosis antara petugas koder dengan verifikator BPJS, kode diagnosis yang dibuat koder belum sesuai dengan keputusan diagnosis verifikator BPJS. Adanya perbedaan persepsi antara koder dan verifikator BPJS terkait penegakan diagnosis koder harus selalu mengacu pada Peraturan Menteri Kesehatan Nomor 76 Tahun 2016 tentang Pedoman Indonesian Case Base Groups (INA-CBG).
Visualisasi Spasial Kunjungan Pasien Rumah Sakit Menggunakan Sistem Informasi Geografis Rindiyani, Fadillah Dea; Fauzi, Harry; Nadi, Danu Tirta; Hakim, Agya Osadawedya; Aeni, Yomi Nur
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 6 No 3 (2025): June
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v6i3.5866

Abstract

Patient visit data at Bandung Paru Hospital is still managed conventionally, without integration with Geographic Information System (GIS) technology. This study aimed to develop and utilize GIS to visualize patient visits, supporting spatial data-based decision-making. A descriptive method was used, with the research population consisting of all patient visits to paru Hospital in 2024. The sample included outpatient and emergency patients selected through purposive sampling. Secondary data were taken from outpatient and emergency visit records, processed, and displayed in thematic maps using color gradients from green to red to indicate visit intensity, from low to high. The results showed that GIS can provide a spatial overview of patient visit distribution, helped identify visit patterns, and supported strategic planning such as improving facilities and services. Paru Hospital is encouraged to adopt GIS for spatial-based visualization of patient visit data, as it allows the data to be presented in interactive maps, offering clearer insights into the geographic distribution of patients.
EDUKASI PERAN PEMERIKSAAN RADIOGRAFI THORAKS SEBAGAI UPAYA SKRINING KESEHATAN MASYARAKAT DESA BANTERAN Susanto, Fani; Basuki, Samudra Prihatin Hendra; Badharudin, Abid Yanuar; Nadi, Danu Tirta; Ammar, Hanif Dwi; Muaziz, Agil Abdul
Jurnal Edukasi Pengabdian Masyarakat Vol 4 No 3 (2025): JULI 2025
Publisher : FIP UNIRA MALANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36636/eduabdimas.v4i3.7022

Abstract

Five major lung diseases are the leading causes of morbidity and mortality worldwide, lung and respiratory diseases are a serious global health problem. Global public health targets should prioritize lung health through health screening, which is an essential component in building a healthy society. Chest radiography is a medical screening procedure and assists in clinical diagnosis. The dominant community in Banteran Village, in particular, includes active smokers, mostly men and also have little understanding of the importance of health screening. The purpose of this activity is to educate about the importance of chest radiography in health screening procedures. The activity was carried out by assessing the level of community knowledge about health screening and the success of activities in the leadership cadres of the Muhammadiyah branch Banteran through counseling and lectures on the definition and role of chest radiography as a health screening effort. The results of this activity showed that everyone became more aware of the importance of chest radiography in health screening. With this activity, the community better understands the function of chest radiography as a health screening method and becomes more concerned about preventing disease by implementing a clean and healthy lifestyle.
Analysis Implementation of Hospital Management Information System (SIMRS) at Place of Inpatient Registration (TPPRI) Using The PIECES Method at The Ajibarang Government Hospital Afgani, Abu Sofyan Al; Indira, Zahrasita Nur; Nadi, Danu Tirta; Marini, Budiana
Indonesian Journal of Electronics, Electromedical Engineering, and Medical Informatics Vol. 6 No. 2 (2024): May
Publisher : Jurusan Teknik Elektromedik, Politeknik Kesehatan Kemenkes Surabaya, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/k1wbwp80

Abstract

Hospital Management Information System (SIMRS) is an information communication technology system that processes and integrates the entire process flow of hospital services in the form of a network of coordination, reporting and administrative procedures to obtain information precisely and accurately, and is part of the Health Information System. The implementation of SIMRS at the Ajibarang Regional General Hospital (RSUD) has been carried out since 2014 in almost all units, one of which is the Inpatient Registration Place (TPPRI). This study aims to improve the shortcomings of the system that has been made at SIMRS RSUD Ajibarang. The method used in this study is qualitative. The data collection method used in this study was using in-depth interviews. The data analysis method uses Performance, Information, Economy, Control, Efficiency, and Service (PIECES) which aims to obtain information related to the implementation of SIMRS at the Ajibarang Regional General Hospital. Based on the results of the SIMRS analysis in the TPPRI section, there are still obstacles in its implementation, both in terms of Performance, Information, Economy, Control, Efficiency, and Service. The results showed that there are still several problems, namely the presence of menus that are not functioning optimally, different TPPRI and TPPRJ SIMRS, inaccurate data, Human error, server down, and no warning if an error occurs. SIMRS has been running according to user needs, but cannot be separated from various problems, so it is necessary to improve and develop SIMRS through researcher recommendations so that SIMRS can maintain and improve the quality of service to patients. Based on the description of the problem, as there is no warning if an error occurs, the user will easily continue to input data on SIMRS so that errors are not detected that result in losses for hospitals and produce inaccurate data.
Optimizing Integrated Patient Progress Notes through the Application of Electronic Medical Record to Improve the Quality of Health Services: a Narrative Review Nadi, Danu Tirta; Fortunandha, Dhea Keyle
Procedia of Engineering and Life Science Vol. 6 (2024): The 3rd International Scientific Meeting on Health Information Management (3rd ISMoHI
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/pels.v6i1.1934

Abstract

Background: The completeness and accuracy of Integrated Patient Progress Notes (CPPT) are crucial for effective communication among healthcare professionals and safeguarding patient safety. However, Indonesian hospitals face significant challenges in achieving complete and accurate CPPTs, leading to risks such as medication errors. Objective: This study aims to identify the practices and challenges of CPPT in Indonesia through a narrative literature review and explore best practices from hospitals in various countries, focusing on the implementation of integrated patient progress note systems and the application of the Plan-Do-Study-Act (PDSA) quality improvement model. Method: The methodology used in this study is a narrative review concerning the usage, effectiveness, and issues faced by hospitals in implementing CPPT. Result: The narrative review reveals several barriers to CPPT completeness in Indonesia, including insufficient management commitment, limited healthcare personnel capacity, and inadequate infrastructure. An Ishikawa diagram was used to categorize these barriers. To address these issues, the study conducted benchmarking with international best practices, highlighting innovations such as the digitalization of CPPTs through Electronic Medical Records (EMR). Using the PDSA model, the study proposes a structured approach to digitalizing the CPPT process. The "Plan" phase identified key areas for improvement, the "Do" phase involved pilot implementation of digital CPPTs, the "Study" phase assessed the outcomes, and the "Act" phase provided recommendations for broader implementation. Conclusion: This study concludes that the digitalization of CPPTs is essential for improving patient safety and healthcare quality in Indonesia, aligning with national health regulations and international best practices.
Perbandingan Penerapan Electronic Medical Record Ditinjau dari Regulasi, Integrasi Sistem, Sistem Casemix, Fokus Pengolahan Emr dan Sop di RSUD Cilacap dan Hospital Sultan Abdul Aziz Shah Malaysia Ummah, Shofiatul; Yektiningtyastuti, Yektiningtyastuti; Nadi, Danu Tirta; Indira, Zahrasita Nur; Rahim, Norizanne Binti Abd; Pratama, Riskrisna Adi
MAHESA : Malahayati Health Student Journal Vol 6, No 5 (2026): Volume 6 Nomor 5 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i5.24819

Abstract

ABSTRACT Medical records are an essential component of healthcare services as they function to document the entire process of patient care. The development of information technology has encouraged the transformation of medical record management from manual paper-based systems to Electronic Medical Records (EMR), which are considered capable of improving service efficiency, facilitating faster access to patient information, and supporting healthcare financing and reporting systems. However, the implementation of EMR still varies across hospitals and countries due to differences in regulatory frameworks, technological infrastructure readiness, and institutional policies. This study aims to identify and compare the implementation of Electronic Medical Records (EMR) at RSUD Cilacap, Indonesia, and Hospital Sultan Abdul Aziz Shah (HSAAS), Malaysia, in terms of regulation, system integration, casemix system, EMR data processing focus, and Standard Operating Procedures (SOP). This research employed a qualitative descriptive method with a cross-sectional and comparative design. Data were collected through observation and document review as the primary sources, supported by interviews. The results show that RSUD Cilacap implements EMR based on national regulations using a one integrated platform system, integrates EMR with the INA-CBG’s casemix system, and utilizes EMR for both internal and external reporting with SOP management under the medical records unit. In contrast, HSAAS Malaysia implements EMR based on internal hospital policies using multiple platform systems, applies the MY-DRG casemix system which is not integrated with EMR, focuses EMR processing on internal reporting, and manages SOPs under the information technology unit. In conclusion, the implementation of EMR in both hospitals differs in terms of regulation, system integration, casemix system, EMR data processing focus, and Standard Operating Procedures. Keywords: Casemix, Comparative Study, Electronic Medical Record, Integrated System, Regulation. ABSTRAK Rekam medis merupakan komponen penting dalam pelayanan kesehatan karena berfungsi sebagai sarana pendokumentasian seluruh proses pelayanan pasien. Perkembangan teknologi informasi mendorong transformasi pengelolaan rekam medis dari sistem manual berbasis kertas menuju Electronic Medical Record (EMR) yang mampu meningkatkan efisiensi pelayanan, mempercepat akses informasi pasien, serta mendukung sistem pembiayaan dan pelaporan kesehatan. Namun, implementasi EMR masih menunjukkan variasi antar rumah sakit dan antar negara akibat perbedaan regulasi, kesiapan infrastruktur teknologi, serta kebijakan institusional. Penelitian ini bertujuan untuk mengetahui dan membandingkan penerapan EMR di RSUD Cilacap, Indonesia dan Hospital Sultan Abdul Aziz Shah (HSAAS) Malaysia yang ditinjau dari aspek regulasi, integrasi sistem, sistem casemix, fokus pengolahan EMR, dan Standar Operasional Prosedur (SOP). Penelitian ini menggunakan metode deskriptif kualitatif dengan rancangan cross-sectional dan desain komparatif. Data dikumpulkan melalui observasi dan studi dokumentasi sebagai sumber utama serta wawancara sebagai data pendukung. Hasil penelitian menunjukkan bahwa RSUD Cilacap menerapkan EMR berdasarkan regulasi nasional dengan sistem one integrated platform, sistem casemix INA-CBG’s yang terintegrasi dengan EMR, serta pemanfaatan EMR untuk pelaporan internal dan eksternal dengan pengelolaan SOP oleh unit rekam medis. Sementara itu, HSAAS Malaysia menerapkan EMR berdasarkan kebijakan internal rumah sakit dengan sistem multiple platform, sistem casemix MY-DRG yang belum terintegrasi dengan EMR, fokus pengolahan EMR pada pelaporan internal, serta pengelolaan SOP oleh unit teknologi informasi. Kesimpulannya, penerapan EMR di kedua rumah sakit menunjukkan perbedaan pada aspek regulasi, integrasi sistem, sistem casemix, fokus pengolahan EMR, dan SOP. Kata Kunci: Casemix, Electronic Medical Record, Integrasi Sistem, Regulasi, Studi Komparatif.
Co-Authors Abid Yanuar Badharudin Aeni, Yomi Nur Afgani, Abu Sofyan Al Ammar, Hanif Dwi Basuki, Samudra Prihatin Hendra Fortunandha, Dhea Keyle Hakim, Agya Osadawedya Harry Fauzi, Harry Marini, Budiana Muaziz, Agil Abdul Nurul Afifah Pratama, Riskrisna Adi Rahim, Norizanne Binti Abd Rindiyani, Fadillah Dea Sari, Arum Astika Susanto, Fani Ummah, Shofiatul Yektiningtyastuti Yektiningtyastuti Zahrasita Nur Indira