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Jurnal Rekam Medis dan Informasi Kesehatan
Published by Poltekkes Kemenkes Semarang
ISSN : 26221863     EISSN : 26227614     DOI : https://doi.org/10.31983/jrmik.v2i1.4391
Core Subject : Health,
Health Professions
It is aimed at all medical record and health information practitioners and researchers and those who manage and deliver medical record and health information services and systems. It will also be of interest to anyone involved in health information management, health information system, and health information technology.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 154 Documents
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Analisis Pengaruh Implementasi Program Jaminan Kesehatan Nasional Terhadap Kinerja RS XYZ Kota Depok Hindun Mursyid
Jurnal Rekam Medis dan Informasi Kesehatan Vol 7, No 1 (2024): MARET 2024
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jrmik.v7i1.11070

Abstract

Manajemen Rumah Sakit harus menghadapi perubahan lingkungan bisnis Rumah Sakit yang terjadi secara signifikan sejak jaminan kesehatan nasional diperkenalkan oleh BPJS Kesehatan. Di era ini, pengelola rumah sakit harus mempunyai strategi dalam melaksanakan program JKN agar kinerja rumah sakit tidak semakin menurun. Penelitian ini menganalisis tren perubahan pelayanan dan kinerja keuangan Rumah Sakit XYZ sebelum dan sesudah penerapan program JKN. Desain penelitian adalah desain observasional dengan metode penelitian kuantitatif di Rumah Sakit XYZ, menggunakan data sekunder yang didapat dari data rekam medis dan Laporan Keuangan (2013-2023). Setelah implementasi program JKN, dapat disimpulan bahwa telah terjadi pergeseran tren penjamin biaya pengobatan sebelum dan sesudah implementasi program JKN. Tren kenaikan pasien rawat jalan yang menggunakan jaminan BPJS Kesehatan meningkat sebesar 7809,10%, sementara untuk pasien cash menurun sebesar 81,19% dan pasien jaminan asuransi non-BPJS mengalami penurunan sebesar 3,79%. Dan untuk tren kenaikan pasien rawat inap yang menggunakan jaminan BPJS Kesehatan meningkat sebesar 1273,54%, sementara untuk pasien cash menurun sebesar 58,96% dan pasien jaminan asuransi non-BPJS mengalami penurunan sebesar 76,01%. Penerapan program JKN tidak mempengaruhi keseimbangan pendapatan dasar rawat jalan, namun berdampak signifikan terhadap pendapatan dasar rawat inap. Dengan demikian, dapat disimpulkan bahwa manajemen RS XYZ harus mencari strategi yang lebih tepat dan bekerja secara efektif dan efisien, sehingga jika sumber pendapatan BPJS Kesehatan diasumsikan hilang maka keuangan rumah sakit dan indikator kinerja keuangannya akan tetap sama pada tingkat ideal. Terjadi pergeseran tren komposisi penjamin pasien rawat jalan dan rawat inap, dimana komposisi penjamin biaya perawatan pasien di BPJS Kesehatan meningkat tajam. Tidak terjadi peningkatan jumlah pasien rawat jalan maupun rawat inap sebelum dan sesudah pelaksanaan program JKN dan dengan adanya perubahan komposisi pasien tunai yang menurun tajam serta jumlah pasien asuransi BPJS Kesehatan yang meningkat maka dapat disimpulkan bahwa banyak pasien tunai yang tidak memiliki asuransi kesehatan beralih menggunakan asuransi BPJS Kesehatan saat berobat di RS XYZ.
Analisis Kinerja Unit Rekam Medis Berdasarkan Standar Kompetensi PMIK di Rumah Sakit Wilayah Sulawesi Selatan Irmawati Irmawati; Zefan Adiputra Golo; Arief Azhari Ilyas
Jurnal Rekam Medis dan Informasi Kesehatan Vol 7, No 1 (2024): MARET 2024
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jrmik.v7i1.11312

Abstract

Kompetensi yang dimiliki manajer unit kerja rekam medis berdampak pada pengelolaan unit kerja. Masih terdapat manajer unit kerja rekam medis yang tidak memiliki latar belakang pendidikan rekam medis sehingga secara kompetensi tidak memenuhi standar. Penelitian ini bertujuan untuk mengetahui pengaruh kompetensi pengelola unit kerja RMIK terhadap kinerja unit rekam medis dan informasi kesehatan di rumah sakit. Jenis penelitian adalah deskriptif kuantitatif dengan pendekatan cross sectional study. Populasi dalam penelitian ini adalah 113 manajer unit rekam medis di rumah sakit wilayah Sulawesi Selatan dan teknik penarikan sampel yang digunakan adalah convenience sampling. Hasil penelitian menunjukkan bahwa variabel kompetensi memiliki hubungan yang signifikan dengan variabel kinerja unit rekam medis. Kemudian dari hasil uji regresi linear sederhana menunjukkan terdapat pengaruh yang signifikan antara kompetensi pengelola unit kerja terhadap kinerja unit rekam medis di rumah sakit. Pihak manajemen rumah sakit perlu memberikan pelatihan untuk meningkatkan kompetensi manajer unit kerja rekam medis berdasarkan standar nasional akreditasi rumah sakit.
Evaluasi Kelengkapan Data Informasi terkait Survei Kelas Rawat Inap Standar (KRIS) untuk Mendukung Keputusan Kesehatan di Dinas Kesehatan Sleman Ika Putri Salsabila; Nur Rokhman; Etylusfina Etylusfina
Jurnal Rekam Medis dan Informasi Kesehatan Vol 7, No 1 (2024): MARET 2024
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jrmik.v7i1.11255

Abstract

This research aims to identify the completeness of information data related to the Standard Inpatient Class Survey (KRIS) at the Online Hospital (RS Online) of the Sleman Health Office and analyze its implications for decision-making in the health sector. The research method employed is a qualitative descriptive approach with in-depth data analysis from the RS Online website and related literature. Challenges faced include enhancing awareness and involvement of hospitals in data collection and reporting, as well as adapting to changes in regulations and technology. Therefore, continuous efforts are required to update policies and strategies to address these issues. The study concludes that all hospitals have completed the KRIS survey instruments, but some hospitals still need to complete identity data related to the PIC. Despite progress in data reporting, further attention is needed to enhance awareness and involvement of relevant parties and to adapt to environmental changes.
Analisis Kesiapan Pelaksanaan Rekam Medis Elektronik dengan Metode Doctor’s Office Quality-Information Technology (DOQ-IT) di Rumah Sakit Umum Daerah Kajen Kabupaten Pekalonga Elvetta Zenobia Putri Bhayza; Subinarto Subinarto
Jurnal Rekam Medis dan Informasi Kesehatan Vol 7, No 1 (2024): MARET 2024
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jrmik.v7i1.11269

Abstract

Berdasarkan Permenkes RI Nomor 24 Tahun 2022 tentang Rekam Medis, seluruh fasilitas pelayanan kesehatan harus menyelenggarakan RME sesuai dengan ketentuan dalam peraturan tersebut paling lambat tanggal 31 Desember 2023. Analisis kesiapan diperlukan sebelum melaksanakan RME untuk mengetahui tingkat kesiapan fasilitas pelayanan kesehatan terkait. Penelitian ini bertujuan untuk menganalisis kesiapan pelaksanaan RME dengan metode doctor’s office quality-information technology (DOQ-IT) pada aspek sumber daya manusia (SDM), budaya kerja organisasi, tata kelola kepemimpinan, dan infrastruktur teknologi informasi. Jenis penelitian ini yaitu deskriptif kuantitatif. Data penelitian dikumpulkan melalui kuesioner yang disebarkan menggunakan Google Form. Sampel yang digunakan merupakan petugas RSUD Kajen yang akan mengoperasikan RME. Kesiapan pelaksanaan RME di RSUD Kajen memperoleh nilai 91,44 dengan rata-rata 3,2. Nilai tersebut berarti RSUD Kajen cukup siap dalam melaksanakan RME. RSUD Kajen sebaiknya menyusun kebijakan terkait reward, anggaran untuk peningkatan kapasitas PPA dan pemeliharan infrastruktur teknologi informasi, serta dilakukan identifikasi SDM agar kesiapannya lebih maksimal.
Prototype of EMR Information System for Primary Clinics According to Health Big Data Needs Astuti, Nina Dwi; Wijayanta, Setya; Fahyudi, Asharul; Naryanti, Indah
Jurnal Rekam Medis dan Informasi Kesehatan Vol 7, No 2 (2024): OKTOBER 2024
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jrmik.v7i2.12115

Abstract

Digital Health Transformation requires health facilities to develop Electronic Medical Records (EMR) according to predetermined data standards. This research aims to develop a prototype of the Semarang Ministry of Health Polytechnic Primary Clinic RME which can be integrated with the SATUSEHAT portal. The EMR Primary Clinic prototype is prepared by analyzing system needs and designing prototypes to build a prototype. The subjects of the study were doctors, dentists, and administrative officers. The object of the study was the EMR Primary Clinic of Health Polytechnic of Semarang. The prototype results are compiled simple design but can include standard interoperability of data.  Registration data includes all data standards in KMK 1423 of 2022. The EMR prototype can record all the clinical data and administrative data needed in the EMR. The test results show that this EMR prototype can accommodate the needs of primary care clinics and meet the data standards set by "SATUSEHAT". The implementation of this system is expected to facilitate the improvement of the quality of health services in primary clinics, as well as support efforts to integrate national health data more effectively and efficiently. This research also provides recommendations for further development to improve the functionality and interoperability of the system in the future
Waiting Time for Pharmaceutical Installation Services on Outpatients Using Electronic Medical Records at RUMKIT TK II Udayana Denpasar Bali Sejati, Ambarwati Wardoyo; Wardani, Silvia Intan; Noviyanti, Ni Putu Ayu Wulan
Jurnal Rekam Medis dan Informasi Kesehatan Vol 7, No 2 (2024): OKTOBER 2024
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jrmik.v7i2.11965

Abstract

The waiting time for pharmaceutical services is an important indicator in assessing the quality of health services, including at Tk II Udayana Hospital, Denpasar Bali. Although the implementation of Electronic Medical Records (RME) has been implemented to improve efficiency, outpatients still often face quite long wait times. This study aims to analyze factors such as prescription type, destination poly, gender, and visit time that affect the waiting time of pharmaceutical services at the hospital's Pharmacy Installation. This study uses an observational analytical approach with a cross-sectional design, involving 205 outpatient data taken by Simple Random Sampling in June 2024. The collected data was then analyzed using the Chi-Square test to determine the relationship between independent and dependent variables. The results of the analysis showed that the type of prescription had a significant relationship with the waiting time for pharmaceutical services (p=0.001). Patients who received a concocted prescription experienced a longer wait time than patients who received a non-concocted prescription. However, other variables such as gender (p=0.099), visit time (p=0.091), and destination poly (p=0.084) did not show a significant relationship with waiting time. From the results of the study, the type of prescription proved to be the most influential factor on the waiting time for pharmaceutical services at Tk II Udayana Hospital. Therefore, efforts are needed to optimize the RME system and improve resource management, especially in handling concocted prescriptions, to reduce waiting times and increase patient satisfaction.
Development of an Electronic Tracer System to Improve Medical Record Management and Healthcare Service Efficienc Fadly, Fery; Sari, Fajar Yunita; Kurniasih, Dewi Lena Suryani; Febiani, Ani Nur
Jurnal Rekam Medis dan Informasi Kesehatan Vol 7, No 2 (2024): OKTOBER 2024
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jrmik.v7i2.12014

Abstract

Tracer is a tool used to indicate when medical record files are borrowed or removed from the filing room. Field data indicates that the use of manual tracers has slowed down service, as staff often feel rushed when recording information on these tracers. As a result, manual tracers have been discontinued, leading to difficulties in tracking the whereabouts of files, delays in retrieving medical records, and a negative impact on patient care and the quality of hospital services. This study aims to design an electronic tracer system. The research is qualitative with a phenomenological design and employs the Rapid Application Development (RAD) method for system design. Data collection methods include interviews and observations. The study begins with identifying issues related to the use of manual tracers, analyzing system requirements, and designing the system, which includes creating context diagrams, Data Flow Diagrams (DFD), Requirement Tables (TRD), and activity diagrams for the electronic medical record tracer.
Referral System of the BPJS Patient at the Halmahera Community Health Center Semarang City Kafrawi, Aulia Putri; Eliyah, Eliyah; Retnowati, Retnowati
Jurnal Rekam Medis dan Informasi Kesehatan Vol 7, No 2 (2024): OKTOBER 2024
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jrmik.v7i2.12218

Abstract

Implementation of SISRUTE in Health Centers needs to be a priority in the implementation of RME, there is a discrepancy between the implementation of SISRUTE in Halmahera Health Center and the applicable provisions. This study to describe the implementation of SISRUTE in Halmahera Health Center, Semarang City from the aspects of human, organization, technology, net-benefit. This research using the HOT-Fit method, data collection through observation and interviews. Human aspect, the owner of the SISRUTE account is a doctor but is operated by nurses and midwives on duty, there has been no training to develop the ability to use SISRUTE for HR other than the account owner. Organization aspect, shows the existence of SOP and Decree of the Head of Health Center regarding the delegation of authority to use SISRUTE accounts in Health Centers. The technology aspect of SISRUTE has not been bridged with other Health Information Systems, data integration has not been created between Health Centers and Hospitals, so that referral files are still manual and require re-entry time at the Hospital. Net-benefit aspect, SISRUTE has not been a priority for referral applications so that speed, effectiveness and efficiency cannot be measured.
Risk Evaluation of Musculoskeletal Disorders (MSDs) at the Outpatient Registration Centre: A Review of Work Postures with the Rapid Office Strain Assessment (ROSA) Method Golo, Zefan Adiputra; Lestari, Sri; Hapsari, Meilinda Asrining; Jannaty, Manzilina Hani Baity; Ningrum, Defi Dwi Cahya
Jurnal Rekam Medis dan Informasi Kesehatan Vol 7, No 2 (2024): OKTOBER 2024
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jrmik.v7i2.12297

Abstract

Ergonomic conditions at the Outpatient Registration Centre (TPPRJ) of RSUD dr. Gondo Suwarno are inadequate, which causes officers to experience musculoskeletal complaints due to inappropriate work postures. This study aims to evaluate ergonomic aspects at TPPRJ using the Rapid Office Strain Assessment (ROSA) method to assess officer work postures. The research was conducted with a qualitative descriptive approach through observation, interviews, and anthropometric measurements. The results showed that work facilities, such as desks, chairs, as well as the position of monitors and other devices, did not match the officer's body dimensions, which resulted in a ROSA score of 9, indicating a high risk of musculoskeletal disorders. These findings highlight the importance of adjusting work facilities according to ergonomic standards and training in correct posture to improve officer comfort and health, thereby supporting improved quality of health services at TPPRJ.
Rational Modelling to Support Stunting Diagnosis Rational Modelling to Support Stunting Diagnosis Masrochah, Siti; Darmini, Darmini; Sari, Yeti Kartika; Susanto, Edy
Jurnal Rekam Medis dan Informasi Kesehatan Vol 7, No 2 (2024): OKTOBER 2024
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jrmik.v7i2.12289

Abstract

Stunting is a health problem characterized by disrupted growth conditions in toddlers due to a lack of nutritional intake over a long period of time, starting in the womb until the child is two years old. Stunting causes children to be short in stature and is at risk of causing problems with motor and mental development. In Cilacap Regency, the prevalence of stunting reached 32.1%, above the national figure and the limit set by WHO. Therefore, accelerating stunting reduction is carried out through a holistic, integrative and multisector approach. One of the efforts made is the development of an information system to comprehensively monitor and prevent stunting, including a diagnostic model that involves various health parameters.

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