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Evaluasi Pelaksanaan Rekam Medis Elektronik di Bagian Rawat Jalan di RSU Jati Husada Tania Erlin Juaniata; Hastuti, Nunik Maya; Erna Adita Kusumawati
Jurnal Manajemen Informasi dan Administrasi Kesehatan Vol. 8 No. 1 (2025): JMIAK
Publisher : Program Studi D3 Rekam Medis dan Informasi Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32585/jmiak.v8i1.6874

Abstract

Electronic Medical Record (EMR) is a digital system for managing medical records. At Jati Husada General Hospital, there are still obstacles in the implementation of EMR, especially in outpatient registration, because there is no SOP. This causes the doctor's examination records to be incomplete. In addition, there is no special IT team to help solve problems related to EMR. This study aims to evaluate the implementation of EMR in outpatient care at Jati Husada General Hospital. This study is a descriptive with qualitative approach. The study involved the medical record officers and IT officers as subjects. Data were collected through observation and unstructured interviews, then processed using data collection, reduction, presentation, and conclusion drawing techniques. There are 10 registration officers at Jati Husada General Hospital with a D3 RMIK educational background. There is no special budget for infrastructure, but the amount of hardware used meets the standards. The system used is the connected Khanza application. It is recommended to immediately create an SOP and form an IT team to help handle EMR implementation problems. Rekam Medis Elektronik (RME) yaitu sistem digital untuk pengelolaan rekam medis. Di RSU Jati Husada, masih ada kendala dalam implementasi RME khususnya di pendaftaran rawat jalan, karena belum ada SOP. Hal ini menyebabkan catatan pemeriksaan dokter belum lengkap. Selain itu, tidak ada tim khusus IT untuk membantu mengatasi masalah terkait RME. Tujuan penelitian ini adalah mengevaluasi implementasi RME di rawat jalan di RSU Jati Husada. Studi ini bersifat deskriptif dengan pendekatan kualitatif. Subjek penelitian yaitu petugas rekam medis dan petugas IT. Data dikumpulkan melalui observasi dan wawancara tidak terstruktur, kemudian diolah dengan teknik pengumpulan, reduksi, penyajian, dan penarikan kesimpulan data. Petugas pendaftaran di RSU Jati Husada berjumlah 10 orang dengan latar belakang pendidikan D3 RMIK. Tidak ada anggaran khusus untuk infrastruktur, namun jumlah hardware yang digunakan sudah memenuhi standar. Sistem yang digunakan adalah Aplikasi Khanza yang terhubung. Disarankan untuk segera membuat SOP dan membentuk tim IT agar dapat membantu menangani masalah implementasi RME.
Analisis Perbedaan Tarif Riil Dengan Tarif Ina-Cbgs Tindakan Hemodialisis Pada Pasien Gagal Ginjal Kronis Rawat Inap Di Rumah Sakit Umum Daerah Kabupaten Kediri Sulistiyanigsih, Maria; Sri Sugiarsi; Erna Adita Kusumawati
Indonesian Journal of Health Information Management Vol. 5 No. 1 (2025)
Publisher : Sekolah Tinggi Ilmu Kesehatan Mitra Husada Karanganyar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54877/ijhim.v5i1.111

Abstract

Penyakit Ginjal Kronis (PGK) adalah salah satu penyakit katastropik terbesar nomor 2 di Indonesia yang menelan banyak biaya. Salah satu upaya pemerintah dalam menangani kesulitan pada pembiayaan pelayanan kesehatan ini adalah dengan JKN (Jaminan Kesehatan Nasional). Dalam implementasi Jaminan Kesehatan Nasional (JKN) telah diatur pola pembayaran kepada fasilitas kesehatan tingkat lanjutan dengan sistem pola Indonesia Case Based Groups (CBG). Penerapan tarif INA-CBGs mengharuskan manajemen rumah sakit untuk membuatnya efisien dan mengoptimalkan manajemen keuangan rumah sakit, selisih tarif negatif yang cukup besar antara tarif riil rumah sakit dan tarif INA CBGs berpotensi menimbulkan kerugian bagi rumah sakit. Metode yang digunakan adalah observasi analitik dengan rancangan studi potong lintang (Cross Sectional) yang bersifat deskriptif. Pengumpulan data diambil secara retrospektif dari data rekam medis dan klaim pembayaran BPJS Pasien Hemodialisa RSUD Kabupaten Kediri dalam jangka waktu Januari-Juni 2022. Subjek penelitian yang memenuhi kriteria inklusi dan ekslusi sebanyak 161 sampel. Hasil penelitian menunjukkan biaya riil (Rp1.4431.875.970,-) dan tarif INA-CBG (Rp758.058.100,-) didapat selisih negatif (Rp673.817.870,-). Hasil Asymp. Sig. (2-Tailed) Mann Whitney Test adalah sebesar 0,000 (<0,05). Sehingga dapat disimpulkan bahwa terdapat perbedaan yang signifikan antara tarif riil dan tarif INA-CBG tindakan hemodialisa pasien gagal ginjal kronis di RSUD Kabupaten Kediri dalam kurun waktu Januari-Juni 2022.
HUBUNGAN END USER COMPUTING SATISFACTION (EUCS) DENGAN KEPUASAN PENGGUNA SISTEM VERIFIKASI PENDAFTARAN ONLINE DI RSUP DR SARDJITO YOGYAKARTA: Corellation Between End User Computing Satisfaction (EUCS) and User Satisfaction with the Online Registration Verification System at RSUP Dr Sardjito Yogyakarta Siti Mukminatul Khuro; Sri Sugiarsi; Erna Adita Kusumawati
Indonesian Journal of Health Information Management Vol. 5 No. 2 (2025)
Publisher : Sekolah Tinggi Ilmu Kesehatan Mitra Husada Karanganyar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54877/ijhim.v5i2.243

Abstract

Health care facilities need to change the manual system with a new, more adequate information system so that it can improve the quality of service (IBISA, 2010). Dr. Sardjito General Hospital has launched an online registration system followed by an online registration verification system. System development continues to be carried out but obstacles are still found that affect user satisfaction. The purpose of this study was to determine the relationship between End User Computing Satisfaction (EUCS) and user satisfaction with the online registration verification system at Dr. Sardjito General Hospital Yogyakarta. The type of research is observational analytic with a cross-sectional approach. The sampling technique used total sampling with a total of 41 officers. The research instrument used a questionnaire. Data analysis used the Chi Square Test. The results of the study are a description of the content dimension as many as 83% stated that the system is according to needs, the accuracy dimension as many as 78% stated that the system is accurate, the format dimension 66% stated that the system display is good, the ease of use dimension 61% stated that the system is easy to use. The chi square test on the SPSS statistical program shows p_value on the content dimension = 0.004, accuracy dimension = 0.001, format dimension = 0.006, ease of use dimension = 0.001, and timeliness dimension = 0.001. The conclusion of this study is a general description of user satisfaction with the online registration verification system is satisfied with a percentage of 66%. All dimensions in the EUCS have a relationship with user satisfaction. Research suggestions, hospitals should conduct further research on the description of the EUCS dimensions and user satisfaction because it has not reached 100% and periodic system evaluations need to be carried out to ensure smooth use of the system and minimize obstacles.