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Gunawan, Edih
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TINGKAT KEJADIAN MISSFILE DI BAGIAN FILLING UNIT REKAM MEDIS RUMAH SAKIT UMUM DAERAH CIKALONG WETAN Gunawan, Edih; Permana, Gilang Rahmat
Jurnal TEDC Vol 17 No 2 (2023): JURNAL TEDC
Publisher : UPPM Politeknik TEDC Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70428/tedc.v17i2.702

Abstract

Based on observations in the medical record filling unit of the Cikalong Wetan Regional General Hospital, the authors found that the missfiled medical record document occurred due to the negligence of the filling officer in the process of storing medical record documents and the hospital information system was still in the process of being developed and the facilities and infrastructure in the filling had not yet been completed. complete so that it hampers the distribution process of medical record documents. This study aims to determine the incidence of missfiles in the medical record filling unit of the Cikalong Wetan Regional General Hospital. Based on the research that has been carried out, there are 26 medical record documents from 631 files that were examined, caused by the numbering system not according to SOPs, filing racks, document folders, expedition books that were still filled manually without using a tracer in the filling storage system, and human resources for filling officers who are inexperienced and lack discipline and responsibility in carrying out their duties as medical recorders.
EVALUASI FAKTOR PENYEBAB PENGEMBALIAN KLAIM BPJS PASIEN RAWAT INAP DENGAN OPTIMALISASI PROFITABILITAS RUMAH SAKIT DI RSUD CIKALONG WETAN Pujilestari, Intan; Fajriani, Gina; Gunawan, Edih
Jurnal TEDC Vol 19 No 2 (2025): JURNAL TEDC
Publisher : UPPM Politeknik TEDC Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70428/tedc.v19i2.1254

Abstract

This concerns the return of claim files from the Social Security Administering Body (BPJS) to the hospital. Problems were found in the Participant Eligibility Letter (SEP) for inpatient care, which was not issued by the BPJS. There was a delay in the issuance or claiming of the SEP by the BPJS from January to April 2023. The research method used was a descriptive method with a quantitative approach. The population consisted of all BPJS inpatient claim files from the last three months at Cikalongwetan Regional General Hospital, totaling 251 files. The sampling technique used was total sampling, with 251 samples. Data collection techniques included observation, interviews, and documentation studies. Data processing techniques were editing and tabulation. Research instruments included stationery, a stopwatch, interview guidelines, a calculator, and a checklist sheet. The research results indicate that Cikalongwetan Regional General Hospital does not yet have written Standard Operating Procedures (SOPs) regarding the implementation of BPJS claims. From the sample data of returned inpatient BPJS claims, totaling 251 files from May to July 2024, in May, the criterion for illegible doctor's handwriting was 98 (36.6%). Therefore, the author suggests regular training and education for medical staff and routine supervision to ensure compliance with Standard Operating Procedures (SOPs).
TINJAUAN PELAYANAN PELEPASAN INFORMASI MEDIS DAN PENGISIAN BERKAS KLAIM JASA RAHARJA PADA KORBAN KECELAKAAN LALU LINTAS DI RSUD AL-IHSAN KABUPATEN BANDUNG PROVINSI JAWA BARAT Monica, Rizqy Dimas; Vinandiani, Vina; Hakim, Luqmanul; Hada, Encep; Gunawan, Edih; Rohaeni, Neni
Jurnal TEDC Vol 18 No 3 (2024): JURNAL TEDC
Publisher : UPPM Politeknik TEDC Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70428/tedc.v18i3.873

Abstract

This study is entitled Review of Medical Information Release Services and Filling in Raharja Service Claim Files for Traffic Accident Victims at Al Ihsan Hospital, Bandung Regency, West Java Province. The purpose of this study is to determine the Medical Information Release Service and Filling in Jasa Raharja Claim Files for Traffic Accident Victims at Al Ihsan Hospital, Bandung Regency, West Java Province. The method used in this study is: using a descriptive method with a qualitative approach. The subject of this study is the Medical Information Release Service and Filling in the Raharja Service Claim File at Al-Ihsan Hospital, Bandung Regency, West Java Province. The object of this study is the standard operating procedure for releasing medical information and Jasa Raharja claim forms for traffic accident victims who claim Jasa Raharja insurance at RSUD AlIhsan Bandung Regency. Data collection techniques by observation, interview and documentation. Research results: medical information release services at Al-Ihsan Hospital are in accordance with SOPs. There is no written procedure for filling Jasa Raharja's claim file but the implementation is in accordance with the SOP.
TINJAUAN PENYEBAB DUPLIKASI PENOMORAN REKAM MEDIS DI RUMAH SAKIT UMUM DAERAH CIKALONG WETAN Gunawan, Edih; -, Sumarna
Jurnal TEDC Vol 19 No 1 (2025): JURNAL TEDC
Publisher : UPPM Politeknik TEDC Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70428/tedc.v19i1.1164

Abstract

The duplication that occurs is only one patient with more than one medical record number but there is also duplication in the form of one medical record number. Based on observations in the medical record unit of the Cikalong Wetan Regional General Hospital in the filling and registration section, duplicate medical record numbering was found, this occurred because the patient did not carry a medical card, the hospital system was disrupted, filling and discontinuity of the contents of the patient’s medical record. The purpose of this study was to determine the cause of duplication of medical record numbering at the Cikalong Wetan Regional General Hospital. The research method used is a descriptive method with a qualitative approach. Data collection techniques are interview, observation and documentation studies. Non-probability sampling is used. The results of the research using the triangulation method were, the patient did not carry a medical card, the hospital system was disrupted, officer discipline, education background, the expedition book was still manual, the filling section was one of the factor causing duplication of medical numbering. The author suggests conducting discussion, education ang training and providing Computerized Patient Record (CPR) facilities in the filling section.
Tinjauan Pelaksanaan Rekam Medis Elektronik Rawat Jalan Guna Meningkatkan Mutu Pelayanan Di RS TNI AU Lanud Sulaiman Yuandira, Muh Inggar; Gunawan, Edih
Journal of Innovative and Creativity Vol. 5 No. 3 (2025)
Publisher : Fakultas Ilmu Pendidikan Universitas Pahlawan Tuanku Tambusai

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Abstract

Rekam Medis Elektronik (RME) adalah rekam medis yang dibuat dengan menggunakan sistem elektronik. RME adalah versi dari rekam medis kertas yang dibuat menjadi elektronik dengan cara memindahkan catatan- catatan atau formulir yang sebelumnya ditulis diatas kertas ke dalam bentuk elektronik. Berdasarkan obervasi di RS TNI AU Lanud Sulaiman, diketahui bahwa rumah sakit belum sepenuhnya menerapkan penggunaan RME. Jumlah pasien yang datang setiap harinya untuk berobat ke poliklinik rawat jalan kurang lebih 51 pasien. sehingga, banyak pasien yang menunggu lama di poli karena proses pencarian berkas yang memakan waktu lama dan pendistribusian yang terhambat karena tempat penyimpanan rekam medis dan poli beda lantai sehingga menghambat pelayanan rawat jalan. Tujuan penelitian ini untuk mengetahui bagaimana pelaksanaan RME rawat jalan guna meningkatkan mutu pelayanan di RS TNI AU Lanud Sulaiman. Metode penelitian yang digunakan adalah metode deskriptif dengan pendekatan kualitatif. Teknik pengumpulan data yaitu dengan observasi, wawancara, dan studi dokumentasi. Instrumen penelitian menggunakan pedoman wawancara, alat tulis, dan alat perekam. Hasil penelitian menunjukan SPO pelaksanaan RME belum ada dan perencanaan berdasarkan identifikasi man, money, methode, machine, dan material belum terlaksana sepenuhnya. Hambatan pada pelaksanaan RME yaitu input data yang tidak lengkap oleh petugas yang mengisi RME, kurangnya sumber daya manusia dalam pelaksanaan RME, dan kurangnya sarana prasarana dalam pelaksanaan RME. Beberapa saran yang dapat diberikan yaitu dengan melakukan pengarahan kepada petugas yang tidak lengkap pada saat mengisi RME, meningkatkan sumber daya manusia dalam pelaksanaan RME, dan menambah sarana dan prasarana dalam pelaksanaan RME.
Tinjauan Kelengkapan Berkas Klaim Bpjs Pasien Rawat Inap Untuk Menunjang Kualitas Pencairan Klaim BPJS Di Rumah Sakit X nugraha, Muhammad Dandi; Gunawan, Edih
Journal of Innovative and Creativity Vol. 5 No. 3 (2025)
Publisher : Fakultas Ilmu Pendidikan Universitas Pahlawan Tuanku Tambusai

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Abstract

Penelitian ini bertujuan untuk meninjau kelengkapan berkas klaim BPJS rawat inap guna menunjang kualitas pencairan klaim di Rumah Sakit X. Kelengkapan berkas klaim BPJS rawat inap memiliki peran penting dalam kelancaran pencairan klaim serta keberlangsungan pelayanan keuangan rumah sakit. Metode penelitian menggunakan pendekatan deskriptif kualitatif melalui wawancara, observasi, dan telaah dokumen, dengan informan petugas casemix dan admin central. Hasil penelitian menunjukkan bahwa ketidaklengkapan berkas disebabkan oleh keterbatasan SDM, sistem yang masih hybrid, beban kerja tinggi, dan human error. Data kuantitatif mendukung temuan ini, dengan jumlah klaim pending sebanyak 270 kasus pada Januari, 191 pada Februari, dan 170 pada Maret 2025. Kondisi ini berdampak pada keterlambatan pencairan klaim dan menurunkan kualitas pelayanan administrasi rumah sakit. sehingga, diperlukan peningkatan kapasitas SDM dan penerapan rekam medis elektronik penuh untuk mempercepat dan meningkatkan kualitas pencairan klaim BPJS
TINJAUAN PELAKSANAAN PELEPASAN INFORMASI REKAM MEDIS UNTUK KEPERLUAN VISUM ET REPERTUM DI RUMAH SAKIT X Ngaba, Emanuel Yanoarius; Gunawan, Edih
Journal of Innovative and Creativity Vol. 5 No. 3 (2025)
Publisher : Fakultas Ilmu Pendidikan Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/joecy.v5i3.3531

Abstract

This study aims to review the implementation of medical record information disclosure for Visum et Repertum purposes at Hospital X. The method used is descriptive with a qualitative approach, employing data collection techniques through observation and interviews with 10 informants, as well as analysis of 78 Visum files during the period January–July 2025. The results of the study indicate that all medical information release procedures were carried out in accordance with operational standards (100%). However, the level of understanding among medical record staff varied: 20% had very good knowledge, 20% had good knowledge, while only 20% had sufficient understanding, and 40% had poor knowledge. Educational background and work experience were the main causes of this disparity. This study concludes that while the release procedures have been carried out properly, improving staff understanding and providing training are essential to ensure medical data security and support valid legal processes.
Co-Authors Fajriani, Gina Hada, Encep Luqmanul Hakim Monica, Rizqy Dimas Neni Rohaeni Ngaba, Emanuel Yanoarius nugraha, Muhammad Dandi Permana, Gilang Rahmat Pujilestari, Intan Sumarna -, Sumarna Vinandiani, Vina Yuandira, Muh Inggar