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Analysis of effect strategies in improving water quality diarrhea prevention on Hilibala health center, South Nias district Erisman Hondro; Sri Lestari Ramadhani Nasution; Ermi Girsang
Jurnal EduHealth Vol. 15 No. 01 (2024): Jurnal eduHealt, Edition January - March, 2024
Publisher : Sean Institute

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Abstract

Hilibala Community Health Center is the largest contributor to diarrhea cases, namely 662 cases. One of the causes is poor water quality. Therefore, this study aims to analyze the effect of health promotion in improving water quality to prevent diarrhea. The location of this research was carried out in the working area of the Hilibala Community Health Center, South Nias Regency. The research will start in June-August 2023. The sample in this study was 99 families and was determined using a purposive sampling formula. There were 6 informants for this research. The data was analyzed univariately, bivariately, and multivariately as well as by theme analysis. The results of the research show that there is an influence of advocacy, partnership, and community empowerment on the role of families in improving water quality as an effort to prevent diarrhea at the Hilibala Community Health Center, South Nias Regency, with the results of statistical tests obtaining a significant p-value for each, namely 0.000 < 0.05. The variable that influences this is the empowerment variable with a p-value of 0.000, OR = 9.333 (95% CI = 3.085), while the strategy used to improve water quality as an effort to prevent diarrhea at the Hilibala Health Center, South Nias Regency is to empower the community, such as working together to find clean water locations, digging wells and maintaining the cleanliness and quality of the water. This research concludes that the right strategy is to increase empowerment as a health promotion strategy in improving water quality to prevent diarrhea at the Hilibala Community Health Center, South Nias Regency. Suggestions for community health centers are to carry out situation analysis, outreach, cadre formation and intervention, and evaluation. The results of community empowerment activities with character building have a good impact, namely that the majority of people have increased understanding. The quality of life of the community will also improve as seen from the reduced number of diarrhea incidents.
Implementation of The JKN Program Related to Patient Admission, Medical Data Processing, Reporting and JKN Funding at Murni Teguh Medan Hospital Njoto, Lina; Nasution, Sri Lestari Ramadhani; Girsang, Ermi
Eduvest - Journal of Universal Studies Vol. 5 No. 1 (2025): Journal Eduvest - Journal of Universal Studies
Publisher : Green Publisher Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59188/eduvest.v5i1.50309

Abstract

The National Health Insurance (JKN) program is a government initiative aimed at supporting comprehensive health development to ensure that all Indonesians have the right to good health. According to data obtained from BPJS Kesehatan and RS Murni Teguh Medan, the average waiting time for polyclinic services exceeds the national quality indicators, which requires outpatient waiting times should not exceed 60 minutes. This study aims to analyze the challenges in implementing the JKN program, specifically related to patient admission, medical data processing, reporting, and funding at RS Murni Teguh Medan. This is a qualitative descriptive research involving three key informants (Persons-in-Charge or PICs) and six supporting staff members from the Registration, Medical Records, and JKN Billing units. The research identified several challenges: Man: The registration unit's human resources do not meet the required qualifications, as staff should ideally have a medical records background, resulting in reporting issues. Materials: Patient files are incomplete for administrative processes. Machine: The applications used, such as MTHIS (Hospital Management Information System), Mobile JKN, V-Claim, DIVA, and Online Pharmacy, face operational issues, leading to inefficient medical data processing and reporting. Methods: Although procedures are aligned with the SOPs, issues remain include patient overcrowding at registration, outpatient service waiting times exceeding 60 minutes, issues with registration in executive polyclinics, self-registration issues at APM, service penalties, and semi-manual medical data processing and reporting. Markets: Patients have limited knowledge of using Mobile JKN application, and pending claims are still prevalent. Money: Prolonged use of outdated electronic meda reduces systems performance.
An Analysis Of Drug Planning Using ABC Index Method Critical In The Pharmacy Installation Public Hospital Royal Prima Marelan Disti Amanda Putri; Ermi Girsang; Sri Lestari Ramadhani Nasution
Jurnal Scientia Vol. 13 No. 04 (2024): Education and Sosial science, September-December 2024
Publisher : Sean Institute

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Abstract

Needs planning is an activity to determine the quantity and period of procurement of pharmaceuticals, medical devices and disposable medical materials in accordance with the results of selection activities to ensure that the criteria for the right type, right quantity, right time and efficiency are met. The purpose of the research is to analysed drug planning with ABC critical index method at the Pharmacy Installation of Royal Prima Marelan Hospital. Type This study is a combination of qualitative and quantitative research at the Pharmacy Installation at Hospital.Royal Prima Marelan. The qualitative sample of the study was 3 people and the data source was the drug needs plan. The research instrument used a questionnaire. The results of this study with ABC analysis of the critical index value of group A usage were 30 items (51%), group B obtained 23 items (39%) and group C obtained 8 items (9%). Based on the calculation with ABC analysis of the critical index of investment value, group B obtained 2 items (3%) of the total items and group C obtained 57 items (97%) of the total items in the Pharmacy Installation. Based on the calculation with ABC analysis of the critical index of investment value, group B obtained 2 items (3%) of the total items and group C obtained 57 items (97%) of the total items in the Pharmacy Installation. The results of qualitative research on drug planning at the Pharmacy Installation of Hospital. Royal Prima Marelan used the consumption method, namely looking at the average use of drugs in the previous 3 months, at the time of service there were still frequent stock outs of drugs. It is necessary to prepare and evaluate a drug requirement plan (RKO) which is carried out every month as a basis for planning drug requirements and/or can use methods to analysed drug requirements that are efficient, effective and appropriate.
ACTIVITY BASED COSTING METHOD IN DETERMINING UNIT COST OF LITHOTRIPSY FOR TREATMENT OF URINARY BLADDER CALCULUS AT VITA INSANI HOSPITAL PEMATANGSIANTAR Nasution, Muhammad Andriady Saidi; Girsang, Ermi; Nasution, Sri Lestari Ramadhani
Indonesian Journal of Urology Vol 29 No 2 (2022)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v29i2.783

Abstract

Objective: To determine the unit cost of lithotripsy for treatment of urinary bladder calculus at Vita Insani Hospital Pematangsiantar. Material & Methods: This study is a descriptive quantitative study, in which the data was obtained from the finance division of Vita Insani Hospital. The research object is the unit cost of accommodation that occurs in patients with urinary bladder calculus with lithotripsy cases from January 2020 to December 2020. Results: The unit cost of lithotripsy for urinary bladder calculus services at Vita Insani Hospital Pematangsiantar which is calculated using the activity-based costing (ABC) method is Rp 4.167.009. There is a difference in cost among the ABC method, hospital calculations, and INA CBG’s rates with the following details: the amount calculated for the hospital is Rp 4.996.718, while the calculation using ABC method is Rp 4.167.009; the difference in costs is Rp 829.709. INA CBG’s rates Rp 6.137.500, and compared to calculation of hospital, the difference cost is Rp 1.140.782. Compared to the INA CBG’s rates, to the unit cost of the ABC method, there is a difference, amounting Rp 1.970.491. Conclusion: The results of unit cost lithotripsy for treatment of urinary bladder calculus through the ABC method are lower compared to hospital calculation and INA CBG’s rates.
AN ANALYSIS OF EFFECT JOB DEMAND CONTROL-SUPPORT AND PROTECTION MOTIVATION ON COMPLIANCE IN FILLING INPATIENT CARE MEDICAL RECORD FILES AT RSU ESHMUN MEDAN Ramadhani Nasution, Sri Lestari; Maulidin, Muhammad; Girsang, Ermi
Cerdika: Jurnal Ilmiah Indonesia Vol. 3 No. 6 (2023): Cerdika : Jurnal Ilmiah Indonesia
Publisher : Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/cerdika.v3i6.615

Abstract

An important indicator to determine the quality of service in a hospital is about the completeness of the hospital's medical record files. There are many problems arise due to incomplete medical record files and do not recorded neatly and regularly. The incident is due to lack of medical team awareness in recording all information or actions that would be given to the patient. The aim of this study is to analyse the effect of Job Demand-Control-Support and Protection Motivation on compliance in filling out Medical Record files at RSU ESHMUN Medan 2023. This study uses quantitative research method which is analytical in nature. The total sampling of this study is 115 active nurses at RSU ESHMUN Medan. The result of the study informs that there are very strong and significant effect among Job Demand-Control-Support and Protection Motivation on compliance in filling out Medical Record files at RSU ESHMUN Medan 2023. The variable that has the most influence on Obedience with filling in inpatient medical record files at RSU ESHMUN in 2023 is the Protection Motivation variable. It is recommended to RSU ESHMUN Medan to improve the administration pattern in order to all of nurses have the same job demands and receive the same support
Evaluasi hambatan waktu penyediaan dokumen rekam medis elektronik di RS Murni Teguh Medan Nasution, Sri Lestari Ramadhani; Siregar, Hafiz Hawari; Adnan, Maco Chan; Girsang, Ermi
Jurnal Penelitian Pendidikan IPA Vol 9 No 12 (2023): December
Publisher : Postgraduate, University of Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jppipa.v9i12.4670

Abstract

The impact of errors in storing medical records causes delays for officers in searching for medical record documents so that services at the polyclinic are hampered. It is necessary to control the incidence of incorrect insertion of medical record documents so that the incidence of incorrect insertion of medical record documents can be reduced. Electronic Medical Record (RME) is a form of health information service that is computerized and recorded. Health service facilities that implement RME in an effort to improve the quality and quality of services. This research is a qualitative research, case study design which aims to evaluate the timing of providing electronic medical record documents for outpatients at Murni Teguh Hospital. Determination of research subjects using purposive sampling technique. The research subjects consisted of the Director of Murni Teguh Hospital, the head of the Medical Record Installation as the main informant, the Patient Registration Officer, and 3 medical record staff as triangulation informants. In collecting data, researchers conducted in-depth interviews, direct observation and document studies. Data analysis was carried out using interactive models, data reduction processes, verification and drawing conclusions. In this study, it was found that the time required to provide electronic medical record documents for outpatients at Murni Teguh Hospital was a minimum of 4 minutes, a maximum time of 9 minutes with an average time needed to provide electronic medical record documents was 6.6 minutes. Obstacles encountered are errors during use, as well as HR who still do not understand the use of electronic medical record systems. By providing electronic medical record documents, the work of the patient medical record department becomes more efficient, makes it easier for officers to search for patient medical records and the benefits that patients get are shorter waiting times.
EVALUASI PELAYANAN JAMINAN KESEHATAN MELALUI MOBILE JKN DI POLI GIGI RUMAH SAKIT HAJI MEDAN TAHUN 2022 Nasution, Sri Lestari Ramadhani; Affandi, Ahmad; Girsang, Ermi
Jurnal Penelitian Pendidikan IPA Vol 9 No SpecialIssue (2023): UNRAM journals and research based on science education, science applic
Publisher : Postgraduate, University of Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jppipa.v9iSpecialIssue.4929

Abstract

Health service is a concrete form of public service. Mobile JKN is an application made by BPJS Health to make it easier for participants to obtain services. The aim of the research is to evaluate health insurance services through mobile JKN at the Dental Clinic of Haj Hospital Medan in 2022. The research method is qualitative and quantitative design (Mix Methode). The research was conducted at the Dental Polyclinic at Haji Hospital Medan in May 2023. A qualitative research sample of 10 participants came to dental polo, a quantitative sample of 100 respondents came to dental polo. Collecting data with questionnaires and in-depth interviews. The results of the study, the majority of respondents who came to the dental polyclinic were aged 36-45 years (late adulthood) totaling 26 respondents (26%), health insurance services through mobile JKN are not good enough (20-55) as many as 55 respondents (55%). Participants who haven't used mobile JKN don't even know about mobile, don't know the convenience with mobile JKN, don't know the benefits of mobile JKN, participants are not interested in using mobile JKN because they haven't received education about mobile JKN. Participants who use mobile JKN assume that the JKN car program is an application that is used to register for health services without having to come to the hospital, the JKN mobile application simplifies and reduces queues at the hospital so that participants also assume that mobile JKN helps in health services, using mobile JKN makes it easier and saves time as well as efficiently and effectively.
Analysis of the Implementation of Infection Prevention and Control (PCU) Program in the Inpatient Room Nasution, Sri Lestari Ramadhani; Maulina, Febby; Girsang, Ermi
Jurnal Penelitian Pendidikan IPA Vol 9 No SpecialIssue (2023): UNRAM journals and research based on science education, science applic
Publisher : Postgraduate, University of Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jppipa.v9iSpecialIssue.4958

Abstract

This study aims to analyze the application of the infection prevention and control program (PCU) in the inpatient room of the Meuraxa Regional General Hospital, Banda Aceh City. This research is an observational analytic study with a cross-sectional approach with a total sample of 184 respondents who are permanent nurses in the inpatient room of the Meuraxa Regional General Hospital, Banda Aceh City. This study used primary data through distributing questionnaires which were conducted in July 2023. Correlation analysis used statistical contingency coefficient tests and Multiple Logistic Regression tests on multivariate variables. The results showed that gender (p=0.033), age (p=0.004), and length of work (p=0.024) had a correlationwith the implementation of the PCU program in the inpatient room.The Multiple Logistic Regression Test showed that the implementation of the PCU program was 2.79 times higher for female respondents and2.37 times higher implemented at age26 - 35 years. This study shows that gender, age, and length of work have a significant correlationby implementing an infection prevention and control program (PCU) in the inpatient room of the Meuraxa Regional General Hospital, Banda Aceh City.
Evaluation of the Role of Internal Verification Doctors in Reducing Pending Claims at Murni Teguh Medan Hospital in 2022 Nasution, Sri Lestari Ramadhani; Hutabarat, Yohana Candra Andini; Ginting, Chrismis Novalinda
Jurnal Penelitian Pendidikan IPA Vol 9 No SpecialIssue (2023): UNRAM journals and research based on science education, science applic
Publisher : Postgraduate, University of Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jppipa.v9iSpecialIssue.5533

Abstract

In the claim verification process, errors are still encountered which cause the claim to be pending. The problem of pending claims that occurs causes many losses for the Hospital. Therefore, an internal verifier is needed to supervise claim verification so that problems with pending claims can be minimized. Internal verification doctors have an important task in reducing the number of pending claims, especially to control the suitability of coding with diagnoses on medical resumes. The aim of this research is to analyze and describe the contribution of internal verifier doctors in reducing pending claims as well as the factors that cause pending claims and claims coding errors. The type of research used in this research is qualitative research. The research design used in this research is a descriptive research design. This research has sources as key informants, namely 4 internal verification doctors. This research also has sources as supporting informants, namely coder representatives. The conclusions of this research are: (1). Factors causing pending claims at RSU Murni Teguh Medan include: (a). Administrative factors, (b). Coding factors, (c). Medical factors. (2). The factors that cause errors in coding claims at RSU Murni Teguh Medan include: (a). HR Factors (Natural Resources) and; (b). Disagreement factor. The role of the internal verifier doctor in reducing pending claims includes: (a). Medical Document Examination; (b). In-Depth Clinical Verification; (c). Collaboration with the Filing Team; (d). Communication with BPJS.
Determinants of Maternal Behavior in Basic Immunization of Children Aged 0-9 Months at Health Center in Southern Nias District 2023 Nasution, Sri Lestari Ramadhani; Wau, Reynel Putri Pratiwi; Hanida, Wika
Jurnal Penelitian Pendidikan IPA Vol 9 No SpecialIssue (2023): UNRAM journals and research based on science education, science applic
Publisher : Postgraduate, University of Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jppipa.v9iSpecialIssue.6321

Abstract

The aim of this research was to determine the influence of mothers' attitudes, knowledge and perceptions on the status of basic immunization requirements for children aged 0-9 months at the Community Health Center of South Nias Regency. This research uses a quantitative anaclitic research design with a cross sectional approach. The population in this study were parents who had children aged 0-9 months who were within the coverage area of ​​the South Nias Regency Health Center. The sample size used in this research is 120 samples. Data analysis in this research is univariate and bivariate analysis. The results obtained from this research are that mothers' attitudes, knowledge and perceptions partially influence the basic immunization status of children aged 0-9 months at the Community Health Center, South Nias Regency, P-value < 0.05. Attitudes, knowledge and perceptions simultaneously influence the basic immunization status of children aged 0-9 months at the Community Health Center of South Nias Regency P-value < 0.05.
Co-Authors Achmad Noerkhaerin Putra Adnan, Maco Chan Adrian Adrian Agnes Yohana Kristino Ahmad Affandi Akbarinda, Zsizsi Alexander Angkasa Ali Napiah Nasution Amanda, Silvia Rizki Anggita, Nindi Dwi Anggraini, Tri Lidya Anita Merry Cisca Anjasari, Melati Salsabila Arie - Vonikartika Arum Grahini Kusumadewi Astari Wardiah Aulia, Dinda Rahmah Awanis Awanis Ayu Anggraini Bangun Binarwan Halim Br Pintubatu, Christina Delina Butar-Butar, Erika Fatrecia Marsaulina Buulolo, Netralman T.N Chrismis N. Ginting Chrismis Novalinda Ginting Chrismis Novalinda Ginting Christine Christine Christine Wijaya Christine Yennyanti Clinton Antony Clinton Antony Crismis Novalinda Ginting Cyintia Ginting Daulay, Ayu Sasmita Dessy Angraeni Siregar Dewi Purwanti Dewi Sartika Dhyta Nurhasanah Janas Diaz Farrasizdihar Dicca Brentazzoly Br Tarigan Disti Amanda Putri Duha, Kristin Berlianta Dzul Akbar Insani Erawati, Suci Erda, Roza Erisman Hondro Ermi Girsang Ermi Girsang Ermi Girsang Ermi Girsang Ermi Girsang Ermi Girsang Ermi Girsang Ervineco Limestan Farhan Fachrizal Farrasizdihar, Diaz Febrianty, Novita Dwi Ferdinan, Klaus Fitrianto, Rahmad Friska SR Ginting, Chrismis Novalinda Ginting, Crismis Novalinda Ginting, Ermi Ginting, Predy Roy Suranta Ginting, Sopianita Healthy Girsang, Ermi Girsang, Ermi Girsang, Erni Gontana, Tiffany Gunawan, Herry Gusbakti Gusbakti Hafizah, Nandani Zakia HAMSI, QURATUL AINI Harahap, S. Shelly Hazlina Harahap, Vinnie Hazriah Hasibuan, Amalia HILMAN TADJOEDIN, HILMAN Hulu, Welpin Hutabarat, Yohana Candra Andini Ibnu Rushd Idariani, Idariani Insani, Dzul Akbar irza Haicha Pratama Ismar, Elza Fahliza Johannes Bastira Ginting John Handy Mendrofa Juanda, Lidya Sari Juwita Hotmida Sitorus Kaban, Lyta Imanti Kangga, Elizabeth Kartika, Ferina Kenny Halim Kezia Debora Khainir Akbar Kristino, Agnes Yohana Leli Khairani Liani Br Ginting Liena, Liena Liester, I Nyoman Ehrich Lisa Yunita Marnas Lister, I Nyoman Ehrich Lubis, Maas Lubis, Nurul Sri Finna M. Ridho Fitra Alamsya Mangatas Silaen Manurung, Charles Mare A, Fauzan Maria Seri Arihta Maulidin, Muhammad Maulina, Febby Meliala, Yose Marselius A.P. Melysa, Melysa Mendrofa, Trisman Basri Mendrofa, Tuho Konsultasi Milka Rositi Sianipar Molek, Molek Morgan, Julian Muhammad Ari Pratama Muhammad Faridz Syahrian Muhammad Insan Andika Muhammad Maulidin Muhammad Maulidin Muhammad Maulidin Muhammad Rinaldy Muryadi, Elvaro Islami Nadia Zenni Andari Nadratul Ulya Nasution, Ahmad Fuadi Nasution, Ali Napiah Nasution, Muhammad Andriady Saidi Natali, Oliviti Nerseri Barus Njoto, Lina Noni Rokaya Pasaribu Oliviti Natali Padma Sekar Ayu Putri Prahasta Pane, Reybka Cindy Sitorus Parapat, Winny G I Paulina, Elsa Piety Kristiani Wau Primanita Novi Andriati Purba, Amelia Salsabila Putranto Manalu Putri Satriani Dachi Putri, Monica Putri, Nadya Nazimuddin Rapael Ginting Reh Malem br Karo Restin Julianti Zebua Revina, Monica Rezeki, Naomi Grace Ria Hartaty Rushe, Rhesiwenny S. Shelly Hazlina Hararap Santy, Darnedy Fatwa Mely Saud Parulian Harianja Sawato Zebua Setia Budi Simbolon, Boyke Marthin Sinaga, Ade Sindy Zelvia Sinta Ayu Setiawan Sintiya Hamdi Siregar, Fitria Desiana Siregar, Hafiz Hawari SITI AMINAH Sitompul, Fernades Stiven Elsafarindo Suci Erawati Suhartina Suhartina Suhartina Suhartina, Suhartina Sulistijanto, Eddy Suryana, Kresna Dharma Suyono, Tan Syahputra, Ari Denggan Syahputra, Nedi Syahrian, Muhammad Faridz Tamarin, Tamarin Tan Suyono Tan Suyono Tarigan, Gracia Hosanna Evelyn Tarigan, Setia Budi Thomson Parluhutan Nadapdap, Thomson Parluhutan Tiorismasni Zai Tommy Adhi Wijaya Tuho Konsultasi Mendrofa Ummi Kalsum Vonikartika, Arie - Waoziduhu Ndruru Wau, Reynel Putri Pratiwi Widya Yanti Sihotang Wienaldi, Wienaldi Wika Hanida, Wika Winda Tri Mutia Winvi, Feli Clarisa Yeni Puspawani Yuke Armika Yuliani Yuliani Yuliani, Riski Yurlina Zai Zai, Yurlina Zebua, Sawato Zelvia, Sindy Zendrato, Arisman