Lontara Journal Of Health Science And Technology
Vol. 6 No. 1 (2025): Januari-Juni 2025

Assesment Sistem Informasi Manajemen Rekam Medis pada Klaim Rawat Jalan BPJS dengan Health Metric Network

Kristiawan, Hedie (Unknown)
Parulian, Adi Anggoro (Unknown)
Firmansyah, Yura Witsqa (Unknown)
Prasaja, Bhisma Jaya (Unknown)



Article Info

Publish Date
31 Jan 2025

Abstract

Health information systems are a priority in supporting Universal Health Coverage (UHC). Yet 65% of WHO member states face challenges in health information system integration, causing losses of up to $300 billion per year. In Indonesia, 35% of BPJS claims are delayed due to incomplete documentation. This study aims to evaluate the Medical Record Management Information System (SIMRM) at West Bandung Private Hospital using the Health Metric Network (HMN) framework. The mix method design was used with a total sampling of 22 medical record staff. Data was collected through questionnaires, interviews and observations. The results show that SIMRM is in the category of "there is but inadequate" with a percentage of 59%. The evaluation showed weaknesses in the completeness of documentation and the accuracy of the diagnostic code. So it can be concluded that even though SIMRM helps speed up the documentation process, improvements are still needed in system integration and staff training to increase the effectiveness of outpatient BPJS claims, so that it can improve the quality of health services.

Copyrights © 2025






Journal Info

Abbrev

lontarariset

Publisher

Subject

Chemistry Engineering Environmental Science Health Professions Medicine & Pharmacology

Description

Lontara Journal of Health Science and Technology publishes scientific articles of research results in the field of Health Science and Technology in scope: Environmental Health, Occupational health and safety, Health promotion, Electromedical Engineering, Medical Laboratory, Radiography imaging, and ...