Nurhasanah Nasution
Medical Record Science Study Program, Apikes Iris Padang, Padang, Indonesia

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Socialization the Importance of Completing the Completeness of Mental Care CPPT in Hb Saanin Hospital Nurhasanah Nasution; Sayati Mandia
ABDIMAS: Jurnal Pengabdian Masyarakat Vol. 7 No. 3 (2024): ABDIMAS UMTAS: Jurnal Pengabdian Kepada Masyarakat
Publisher : LPPM Universitas Muhammadiyah Tasikmalaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35568/abdimas.v7i3.4885

Abstract

One effort to improve the quality of medical record documentation is through quantitative analysis. Quantitative analysis of medical record documents includes identification, recording, reporting, and authentication review. Medical record documentation supports achieving one of the Minimum Service Standards (SPM) for medical records, namely the completeness of filling in medical records 100%. One of the important completeness of medical record files is CPPT, Integrated records support medical team coordination. All members of Professional Care Providers (PPA), such as doctors, nurses, and related experts, can access the same information. This facilitates better communication and collaboration in decision-making regarding patient care. The incomplete filling out of the CPPT has made the staff interested in conducting outreach regarding the completeness of the CPPT at RJ. HB Saanin. The activity is planned to be carried out over two days at RSJ HB Saanin in March 2023. The activity method is socializing the proper procedures for completing the CPPT to Professional Care Providers (PPA).  The implementation of community service is related to the importance of filling out CPPT at RSJ. Prof. HB. Saanin went well and smoothly. The material provided includes Basic concepts of CPPT, the Purpose of filling out the CPPT, Benefits of filling out CPPT, and Steps to fill out the CPPT. In general, PKM activities ran smoothly and well, the activity was attended by 16 participants consisting of the PKM Team, hospital leaders, and staff consisting of doctors, nurses, and medical records officers. The activities were carried out on time, the training participants were enthusiastic about the activities as evidenced by the increasing scores on the post-test.
Socialization and Workshop of Coding Based on ICD-10 and ICD-9 Cm Regulations at Mental Hospital Prof Hb Saanin Padang Sayati Mandia; Nurhasanah Nasution
ABDIMAS: Jurnal Pengabdian Masyarakat Vol. 7 No. 3 (2024): ABDIMAS UMTAS: Jurnal Pengabdian Kepada Masyarakat
Publisher : LPPM Universitas Muhammadiyah Tasikmalaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35568/abdimas.v7i3.4899

Abstract

Coding based on ICD-10 is assigning codes using letters and numbers representing data components to ensure code accuracy. In coding patient medical actions/procedures, coders use ICD-9 CM rules to assign medical action codes to the patient's resume sheet. The application of coding is used to index disease records, input for medical diagnosis reporting systems, facilitate the process of storing and retrieving data related to diagnosis, characteristics of patients and service providers, basic ingredients in grouping DRGs (diagnostic-related groups) for service fee payment billing systems, national and international reporting morbidity and mortality, tabulation of health service data for the evaluation process of medical service planning, analysis of health service financing, as well as for epidemiological and clinical research. Mental Hospital, Prof HB Saanin Padang is a mental hospital under the government of West Sumatra. To improve the quality of medical recorders and avoid losses in insurance financing claims, the service will carry out Community Service (PKM) activities. This service aims to provide socialization and training on coding diagnoses and actions based on ICD-10 and ICD-9 CM regulations. The PKM activity is a development program where the service team carries out outreach regarding regulations for coding diagnoses and actions based on ICD-10 and ICD-9 CM. Then the team will carry out follow-up activities in the form of ICD-10 and ICD-9 CM coding practices with partners. The partner in this community service activity is the Prof HB Saanin Padang Mental Hospital (RSJ). Based on the topics, several activities consist of socialization of regulations ICD 10 and ICD-9 CM and workshop study case based on ICD 10 and ICD-9 CM regulations. This activity has been done on Mei 07, 2024. Results showed there is increasing knowledge about regulation ICD 10 and ICD-9 CM based on pre-test and post-test results.