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All Journal LINK Journal of Health Policy and Management Jurnal Peduli Masyarakat Infokes : Jurnal Ilmiah Rekam Medis dan Informasi Kesehatan Proceedings of the International Conference on Nursing and Health Sciences Jurnal Pelayanan dan Pengabdian Masyarakat Indonesia Proceeding of International Conference Health, Science And Technology (ICOHETECH) Prosiding Seminar Informasi Kesehatan Nasional Jurnal Sains dan Kesehatan
Yeni Tri Utami
Universitas Duta Bangsa Surakarta
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Patient Characteristics, Financing Type, Accreditation Status, and Quality of Health Services at Community Health Center, Surakarta Utami, Yeni Tri; Tamtomo, Didik; Sulaeman, Endang Sutisna
Journal of Health Policy and Management Vol 2, No 1 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (407.292 KB)

Abstract

Background: An indicator of quality health service is the extent of patient expectation fulfilment. Perceived quality of health services may be influenced by various factors such as patient socio-demographic factors, financing type, and accreditation status. As statistics have shown, the number of patient visits at Surakarta Community Health Center has been decresing for the last few years. This study aimed to determine the associations between patient characteristics, financing type, accreditation status, and the quality of  health services at community health center.Subjects and Method: This was a quantitative study with cross-sectional design. It was conducted at Community Health Center, Surakarta, Central Java, from May to July 2017. A sample of 120 patients were selected for this study from 2 Community Health Centers selected at random from all 17 Community Health Centers existing in Surakarta. The independent variables were patient characteristics, financing type, and accreditation status of the Community Health Centers selected. The dependent variable was quality of health service. The data were collected using a set of questionnaire and  analyzed using multiple logistic regression.Results: Quality of service was negatively associated with patient education (OR = 0.27 ; 95% CI = 0.08 to 0.90; p = 0.033), being employed (OR = 0.15 ; 95% CI= 0.04 to 0.48; p = 0.002), higher patient income (OR = 0.28 ; 95% CI= 0.08 to 0.94; p = 0.039), being insured (OR = 3.06 ; 95% CI= 0.81 to 11.52; p = 0.099), and higher accreditation status of Community Health Care (OR = 2.96 ; 95% CI= 1.03-8.50; p = 0.044).Conclusion: Quality of service at Community Health Care is negatively associated with patient education, being employed, higher patient income, being insured, and higher accreditation status.Keywords: patient characteristic, financing type, accreditation status, quality of servicesCorrespondence: Yeni Tri Utami. Masters Program in Public Health, Sebelas Maret University, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: yenie_03@yahoo.co.id. Mobile: +6285642339053.Journal of Health Policy and Management (2017), 2(1): 79-90https://doi.org/10.26911/thejhpm.2017.02.01.07 
HUBUNGAN PENGETAHUAN CODER DENGAN KEAKURATAN KODE DIAGNOSIS PASIEN RAWAT INAP JAMINAN KESEHATAN MASYARAKAT BERDASARKAN ICD-10 DI RSUD SIMO BOYOLALI Yeni Tri Utami
Jurnal Infokes Vol 5 No 1 (2015): FEBRUARI 2015
Publisher : Universitas Duta Bangsa Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47701/infokes.v5i1.90

Abstract

Tenaga rekam medis (coder) adalah tenaga rekam medis sebagai seorang pemberi kode bertanggung jawab atas keakuratan kode dari suatu diagnosis yang sudah ditetapkan (Depkes, 2006). Pengetahuan akan tata cara koding serta ketentuan-ketentuan dalam ICD-10 (International Statistical Classification of Diseases and Related Health Problem Tenth Revision) akan membuat coder dapat menentukan kode dengan lebih akurat.    Penelitian ini bertujuan untuk mendeskripsikanpengetahuancoder, mendeskripsikankeakuratankode diagnosis, dan menganalisishubungan pengetahuan coder dengan keakuratan kode diagnosis pasien rawat inap jamkesmas berdasarkan ICD-10 di RSUD Simo Boyolali.    Metode yang digunakan dalam penelitian ini adalah analitik dengan pendekatan cross sectional. Jumlah sampel yang digunakan 7 responden dan 93 DRM. Instrument yang digunakan adalah kuesioner, pedoman wawancara, pedoman observasi, lembar analisis keakuratan dan ICD-10. Analisis data dengan menggunakan uji statistik Chi square α = 0,05.    Hasil dari penelitian ini berdasarkan uji statistik Chi square hubungan antara pengetahuan coder dengan keakuratan kode diagnosis didapat hasil ρ value 0,030 maka Ho ditolak dan Ha diterima. Hal ini menunjukkan bahwa ada hubungan antara pengetahuan coder dengan keakuratan kode diagnosis pasien rawat inap jamkesmas berdasarkan ICD-10 di RSUD Simo Boyolali.Kata kunci    :Pengetahuan Coder, Keakuratan kode, Rawat inap jamkesmas
HUBUNGAN KONSISTENSI PENULISAN DIAGNOSIS UTAMA PADA LEMBAR RM 1 DAN RESUME KELUAR DENGAN AKURASI PEMILIHAN KODE PADA KASUS PERSALINAN DI RSUD KOTA SURAKARTA Yeni Tri Utami
Jurnal Infokes Vol 7 No 1 (2017): Volume I, Nomor 1, Februari 2017
Publisher : Universitas Duta Bangsa Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47701/infokes.v7i1.169

Abstract

Tenaga  medis sebagai  pemberi  pelayanan  utama  pada pasien  bertanggung  jawab  atas  kelengkapan dan  kebenaran  data,  khususnya  data  klinik,  yang  tercantum  dalam  dokumen  rekam  medis  seperti  halnya diagnosis  pasien.  Beberapa  hal  yang  dapat  menyulitkan  petugas  koding  antara  lain  penulisan  diagnosis tidak  lengkap dan  tidak  terbaca,  penulisan  diagnosis  tidak  konsisten,  penggunaan  singkatan  atau  istilah tidak  baku  sehingga  menyebabkan petugas  koding salah dalam  menetapkan  kode  diagnosis  utamanya. Akurasi  kode  diagnosis  utama  sangat  penting  karena  berkaitan  dengan  biaya  terutama  untuk  pasien dengan menggunakan jaminan kesehatan, apabila petugas koding salah dalam menetapkan kode diagnosis utama  dapat  menyebabkan  perbedaan  biaya  atau  bahwa  dapat  menyebabkan  rumah  sakit  mengalami kerugian. Tujuan : Penelitian ini bertujuan untuk mengetahui apakah ada hubungan konsistensi penulisan diagnosis utama pada  lembar  RM  1  dan  Resume  keluar  dengan  akurasi  pemilihan kode  pada  kasus persalinan  di  RSUD  Kota  Surakarta. Metode  : Metode  penelitian  menggunakan  Retrospektif  dengan Sampel  yang  digunakan  adalah  50  DRM  kasus  persalinan  dengan  teknik  secara  acak  sistematik  yang diambil pada bulan November 2016. Hasil : Tidak ada hubungan secara signifikan antara kekonsistensian penulisan  diagnosis  utama  pada lembar  RM  1  dan  Resume  keluar  dengan akurasi  pemilihan kode  pada kasus persalinan, diperoleh dari hasil perhitungan chi square nilai  sig 0,365 ( > 0.05). Kata Kunci: Konsistensi, Diagnosis utama, Akurasi kode
PENGARUH KARAKTERISTIK PASIEN TERHADAP KUALITAS PELAYANAN RAWAT JALAN DI UPTD PUSKESMAS PENUMPING SURAKARTA Yeni Tri Utami
Jurnal Infokes Vol 8 No 1 (2018)
Publisher : Universitas Duta Bangsa Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47701/infokes.v8i1.197

Abstract

Salah satu indikator utama untuk memantau kualitas pelayanan adalah terpenuhinya harapan pasien atas pelayanan yang diterimanya. Penilaian kualitas pelayanan oleh pasien dipengaruhi oleh beberapa aspek antara lain faktor demografi pasien. Dari data diketahui bahwa jumlah kunjungan pasien rawat jalan di puskesmas Penumping Surakarta saat ini dari tahun ke tahun mengalami penurunan sehingga peneliti ingin melakukan penelitian terhadap kualitas pelayanan yang diberikan kepada pasien. Tujuan dari penelitian ini untuk mengetahui adakah pengaruh karakteristik pasien terhadap penilaian kualitas pelayanan rawat jalan Puskesmas Penumping Surakarta. Desain penelitian ini menggunakan pendekatan kuantitatif dengan dengan pendekatan cross sectional. Penelitian ini dilakukan di Puskesmas Penumping Surakarta pada bulan Mei-Juli 2017.  Populasi dalam penelitian ini adalah pasien rawat jalan di Puskesmas Penumping Surakarta. Sampel dalam penelitian ini menggunakan metode Quota Sampling. Besar sampel adalah 60 subjek penelitian. Variabel independen penelitian ini meliputi karakteristik pasien sedangkan variabel dependen meliputi kualitas pelayanan. Data variabel independen dan dependen dikumpulkan menggunakan instrument kuesionar. Data yang telah dikumpulkan kemudian dianalisis menggunakan regresi logistik ganda dengan program IBM SPSS 22. Hasil statistik menunjukan penilaian kualitas pelayanan dipengaruhi oleh pendidikan pasien (OR = 0.17 ; CI (95%) = 0.04-0.69; p = 0.013), status pekerjaan (OR = 0.19 ; CI (95%) = 0.04-0.81; p = 0.025), dan penilaian kualitas pelayanan tidak dipengaruhi oleh jenis kelamin (p=0.736), umur (p= 0.573) dan pendapatan pasien (p = 0.843). Kesimpulan yang bisa diambil ialah penilaian kualitas pelayanan dipengaruhi oleh pendidikan pasien dan status pekerjaan, sedangkan jenis kelamin, umur dan pendapatan pasien tidak memengaruhi penilain terhadap kualitas pelayanan rawat jalan di Puskesmas Penumping Surakarta. Keywords: Karakteristik pasien, Rawat jalan, Kualitas pelayanan.       Abstract Background: An indicator of quality health service is the extent of patient expectation fulfilment. Perceived quality of health services may be influenced by various factors such as patient sociodemographic factors. As statistics have shown, the number of patient visits at Penumping Surakarta Community Health Center has been decresing for the last few years. This study aimed to determine the associations between patient characteristics and the quality of  health services at community health center.  Subjects and Method: This was a quantitative study with cross-sectional design. It was conducted at Penumping Community Health Center, Surakarta, Central Java, from May to July 2017. A sample of 60 patients. The independent variables were patient characteristics of the Community Health Centers selected. The dependent variable was quality of health service. The data were collected using a set of questionnaire and  analyzed using multiple logistic regression. Results: Quality of service was negatively associated with patient education (OR = 0.17 ; CI (95%) = 0.04-0.69; p = 0.013), being employed (OR = 0.19 ; CI (95%) = 0.04-0.81; p = 0.025). Quality of service was not associated with Sex (p=0.736), Age (p= 0.573) and Patient income (p = 0.843). Conclusion: Quality of service at Community Health Care is negatively associated with patient education, being employed and Quality of service was not associated with Sex, Age, and Patient income.Keywords: patient characteristic, outpatient, quality of services 
Perencanaan Kebutuhan Tempat Tidur Per Bangsal Berdasarkan Standar Depkes di RSUD Dr. Moewardi Tahun 2020-2022 Yeni Tri Utami; Nopita Cahyaningrum; Ihda Zahrotul Jannah
Jurnal Infokes Vol 11 No 1 (2021): Jurnal Ilmiah Rekam Medis dan Informatika Kesehatan
Publisher : Universitas Duta Bangsa Surakarta

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Abstract

RSUD Dr. Moewardi is a health service institution that provides inpatient services. Based on thepreliminary survey the number of patients has decreased, but there are still queues in some wards, this isnot in line with the data reported. So that there needs to be an evaluation for planning the need for a bedso as to achieve efficiency based on Department of health standards.This type of research is descriptive with a retrospective approach. The population in this study is thedaily census recapitulation report of inpatients per ward per month 2017-2019. The sample uses a totalsampling technique. The research method used was observation and interviews.There are still many BOR values in 2017-2019 that are not yet ideal. Wards with an increase in thenumber of treatment days in 2020-2022 are in Anggrek I, Flamboyan 6, Flamboyan 7, Flamboyan 8,Flamboyan 9, and Flamboyan 10 wards, while other wards have decreased. The wards that experiencedadditional needs for beds in 2020-2022 are Flamboyan 6, Flamboyan 7, Flamboyan 8, Flamboyan 9, andFlamboyan 10 wards.The conclusion of this study is that there are still many wards that do not meet the standard ofefficiency with the needs of the available beds. Suggestions should be made to reallocate the bed from theward which needs to be reduced so that it can be used in an additional ward, combining the ward with thesame non-infectious case which still has a low BOR value.
Kebutuhan Tenaga Kerja Bagian Filing Berdasarkan Metode ABK Kes di RSUD dr. Moewardi Nopita Cahyaningrum; Yeni Tri Utami; Eni Nur Rahmawati; Bayu Suryo Nagoro
Jurnal Infokes Vol 11 No 2 (2021): Jurnal Ilmiah Rekam Medis dan Informatika Kesehatan
Publisher : Universitas Duta Bangsa Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47701/infokes.v11i2.1295

Abstract

Healthcare Workload Analysis is a method of calculating human resource needs based on the workload carried out by each type of healthcare workers according to their main duties and functions. Dr. Moewardi Hospital is a type A hospital that has 7 medical record employees in the filing department and has an increasing trend of patient visits every year. As a result, the workload of employees has increased. This study aims to determine the need for workers in the filing section based on the Healthcare Workload Analysis method. This is descriptive research. Data collection methods employed in this study are observation and interview. The population of this study is all workers in the filing section. Total sampling technique is used to take the samples. The result of this study shows that the public hospital as a healthcare facility with medical record employees in the filing department has available working time is 75,240 minutes/year, standard workload is 2,128,256, FTP value is 1.04% and STP value is 1.01 and workers needed in the filing department in 2020, calculated using the Healthcare Workload Analysis, is 9 workers. The conclusion of this study is that the need for workers in the filing section is 9 workers, while now there are 7 workers there. So that it requires additional workers. The author suggests that it is necessary to hire 2 more workers in the filing section so that the employees’ workload is not excessive and all jobs in this section can be done properly.
Accuracy of Outpatient Diagnosis Code Based on ICD – 10 Yeni Tri Utami; Muhammad Amin bin Sahari; Warsi Maryati; Dina Tri Wahyuni
Proceedings of the International Conference on Nursing and Health Sciences Vol 3 No 1 (2022): January-June 2022
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/picnhs.v3i1.1133

Abstract

The accuracy of the diagnostic code plays an important role in the accuracy of the INA-CBG's rates. Outpatient BPJS patient visits at the Astrini Wonogiri General Hospital reached 7,967 patients in 2020, which have superior polyclinics, namely Orthopedic poly and Cardiology poly. Based on a preliminary survey, the percentage of inaccurate in the diagnosis coding for outpatients in the Orthopedic poly reached 90% and the Cardiology poly 30%. The high inaccuracy of the diagnostic code can lead to a decrease in the quality of services in hospitals and affect the sources of reporting information and health service rates. This study aims to determine the accuracy of the outpatient diagnosis code based on ICD 10 at the Astrini Wonogiri General Hospital. This type of research is descriptive with a retrospective approach. The population in this study was 5284 documents, with a sample of 131 documents using the Simple Random Sampling technique. Methods of collecting data by means of observation and interviews. The analysis of the accuracy of this outpatient diagnosis code is interpreted as a percentage. The results of the research on the outpatient diagnosis coding procedure at the Astrini Wonogiri General Hospital in accordance with the SPO, by looking at the Participant Eligibility Letter, Certificate of Evidence of Service, CPPT form (Integrated Patient Progress Record) and Supporting Examination Sheets. The results of the percentage accuracy of the diagnostic code for outpatients in orthopedic poly are 89% (59 DRM) inaccurate codes, 11% (7 DRM) accurate, can be grouped into 2 inaccurate code classifications, namely incorrect code selection and lack of character code additions 5. The percentage accuracy of the diagnosis code for cardiac outpatients is an inaccurate score of 14% (9 DRM), 86% accurate (56 DRM) can be grouped into 2 classifications of inaccurate codes, namely, incorrect code selection and lack of character code additions 4. Factors causing the inaccuracy of the code include the doctor in writing the diagnosis that is not clear so it is difficult to read, the coder doubles as a casemix, assembling and reporting officer, causing a lack of accuracy in reading the sheets containing additional information that support the accuracy of the code. The conclusion from the results of the study is that the inaccuracy of the outpatient diagnosis code at RSU Astrini Wonogiri is still high, so it is necessary to re-socialize related to the SPO for writing diagnoses to doctors, and there is a clear division of job disks so that the coder burden is not too high and more thorough in coding to produce a accurate diagnosis code.
Detection of Diseases Caused By Obesity Using Certainty Factor Method Sri Widodo; Yeni Tri Utami; Indra Hastuti
Proceeding of International Conference on Science, Health, And Technology Proceeding of the 1st International Conference Health, Science And Technology (ICOHETECH)
Publisher : LPPM Universitas Duta Bangsa Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (429.989 KB) | DOI: 10.47701/icohetech.v1i1.800

Abstract

Obesity is overweight as a result of excessive body fat accumulation. Everyone needs some body fat to store energy, as a heat insulator, a barrier to organ shocks and other functions. Many diseases can be associated with obesity, such as diabetes, high blood pressure, coronary heart disease, stroke, and even some cancers. Lack of knowledge and concern for nutritional balance in the body and difficulty monitoring weight development are causes of obesity. The purpose of this research is to develop an application to detect diseases due to obesity using the Certainty Factor method based on perceived symptoms. The system will display amount of confidence in symptoms of the possibility of illness due to obesity suffered. The amount of the trust value is result of calculations using Certainty Factor (CF) method. Knowledge representation used in this study is production rule. The inference method used to get conclusion is forward chaining.
Coding Accuracy Analysis Of Ina-Cbg’s Cause Of Negative Claims at Dr. Moewardi Hospital Yeni Tri Utami; Nabilatul Fanny; Devi Pramita Sari
Proceeding of International Conference on Science, Health, And Technology 2021: Proceeding of the 2nd International Conference Health, Science And Technology (ICOHETECH)
Publisher : LPPM Universitas Duta Bangsa Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (457.93 KB) | DOI: 10.47701/icohetech.v1i1.1082

Abstract

The difference in rates between the real costs and the INA-CBG package rates is one of the causes of the decline in service revenues at the hospital, one of which is in Dr. Moewardi as a type A hospital in the Surakarta area. In Tribulan 1 2020, there were 2680 differences in negative claims. One of the cases that caused a high negative difference was the obgyn case with Cesarean Section action, namely 73 files which caused a negative difference of IDR-361,971,358. The accuracy of the diagnostic code can affect and cause differences in the INA-CBGs rates. The purpose of this study was to analyze the accuracy of the Cbgs Ina code the cause of negative claims in Dr. Moewardi. The method in this research is descriptive research with a cross sectional approach, namely examining the data directly at the time of the study. The study population was the BPJS claim file in the 1st quarter of 2020 which had a negative difference of 2680 files. The sample in this study used a sampling technique with a purposive sampling method with the criteria for the inclusion of a claim file that had a negative difference between obgyn cases and Cesarean Section action with the code Ina Cbgs (O-6-11-I, O-6-11-II, O- 6-11-III) and negative claim file exclusion criteria with obgyn cases not using Cesarean Section measures and negative claims files with non-obgyn cases. The number of samples was 73 files. Analysis of the accuracy of the diagnosis code and action in this Cesarean Section case is interpreted as a percentage. The results showed that the correct code was 71.23% compared to the incorrect percentage of 28.77%. The highest category of inaccuracy in the diagnosis code was due to the secondary diagnosis that was not coded by 42.86%, and the lowest was wrong in determining the primary diagnosis by 4.76%. Of the 28.76% (21 documents) that were not fast, only 2 files differed between hospital fees and researchers which caused a negative difference of Rp. 2,559,500. Conclusion Based on the results of the study, the accuracy of the obsgyn case diagnosis code by section action was greater than the incorrect one. Not all of the incorrect code causes the difference in the amount of the difference in negative claims.
The Relationship between Work Motivation and the Performance of Hospital Administration Officers in the Covid-19 Pandemic Era Devi Pramita Sari; Yeni Tri Utami; Ananda Nur Khasyanah
Proceeding of International Conference on Science, Health, And Technology 2021: Proceeding of the 2nd International Conference Health, Science And Technology (ICOHETECH)
Publisher : LPPM Universitas Duta Bangsa Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (539.71 KB) | DOI: 10.47701/icohetech.v1i1.1088

Abstract

Hospital Administration Officers have the task of serving patient registration and administrative needs before getting treatment. Covid-19 is a disease whose transmission is very fast due to the corona virus which has caused a pandemic in all countries, especially Indonesia. The Covid-19 Pandemic era is unsettling and raises concerns, especially for hospital administrative officers because they are officers who are at the forefront of their duties at the hospital. Preliminary preliminary surveys show that there are officers who lack motivation in the Covid-19 Pandemic Era. The purpose of this study was to determine the relationship between work motivation and the performance of Hospital Administration Officers in the Pandemic Era. This research was conducted using a quantitative descriptive survey method with a cross sectional study approach. The population and research sample were taken by total sampling, namely all Hospital Administration Officers as many as 8 respondents. The research instrument used a questionnaire and observation guidelines. Quantitative data analysis used the chi-square relationship test. The results of this study from 8 respondents based on the results of the Chi-Square test, the significance of the independent variables, namely work motivation with the dependent variable of the performance of the officers, was 0.003 (p <0.05), so Ho was rejected and it was stated that there was a relationship. The conclusion is that there is a relationship between work motivation and the performance of Hospital Administration Officers in the Pandemic Era. Suggestions should be necessary to maintain hospital policies related to job security guarantees and good working conditions in the era of the Covid-19 pandemic to motivate hospital administration officers to carry out their work.
Co-Authors Ananda Nur Khasyanah Aprilia Sari Bayu Suryo Nagoro Darah Ifalahma Devi Pramita Sari Didik Tamtomo, Didik Dina Tri Wahyuni Dita Amalina Sari Endang Sutisna Sulaeman Fadly Alfenia Irawati Fanny, Nabilatul Hesti Restillahiya Ihda Zahrotul Jannah Indra Hastuti Maryati, Warsi Muhammad Amin bin Sahari Nopita Cahyaningrum Nunik Maya Hastuti Siti Farida Sri Widodo Tirla Puspita Dewi Tominanto Tominanto