Jurnal Rekam Medis dan Informasi Kesehatan
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.
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<![CDATA[Analisis Pelaksanaan SIMRS pada Unit Kerja Rekam Medis dengan Metode Technology Acceptance Model (TAM) ]]>
<![CDATA[Deni Maisa Putra]]>;
<![CDATA[Chairunnisa Mufli Hunna]]>;
<![CDATA[Washi Fadhila]]>
<![CDATA[ Jurnal Rekam Medis dan Informasi Kesehatan Vol 5, No 1 (2022): Maret 2022 ]]>
Publisher : <![CDATA[Poltekkes Kemenkes Semarang ]]>
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DOI: 10.31983/jrmik.v5i1.8401
<![CDATA[Hospital Management Information System (SIMRS) is an application system used in the management of hospital services aimed at improving health services. The success of an information system depends on how users are willing to accept and use it to achieve organizational goals. The purpose of this study was to find out how the SIMRS was implemented in the medical record work unit with the TAM method. The method used in this study is a literature study to examine journals regarding the implementation of SIMRS in the medical record work unit with the tam method, the data collection used is using secondary data and analyzed descriptively by describing the existing facts, data analysis was carried out by looking for similarities, dissimilarities, views, summaries of several studies. The results of the 12 literature study journals show that in terms of the SIMRS components, they are not adequate and sufficient in providing services. The acceptance of the system by the user from the aspect of usefulness and the aspect of ease of knowing that the information system is already useful for users and easy to operate. The acceptance of the system from the attitude of the user is quite satisfied with the existence of the information system. Acceptance of information systems from the user's behavioral intentions assume good and have a desire to motivate other users. In addition, the acceptance of information systems depends on the real conditions of users where the information system increases their productivity which is reflected in the real conditions of use. To maintain user acceptance of the information system, it is hoped that the hospital will conduct regular training to improve user skills in order to avoid errors that can arise in the future and the hospital must meet the information system components to support the implementation of SIMRS]]>
<![CDATA[Evaluasi Implementasi Sistem Informasi Manajemen Rumah Sakit (SIMRS) di Pelayanan Rawat Jalan RSUD dr. Gondo Suwarno Ungaran Menggunakan Metode Unified Theory of Acceptance and Use of Technology (UTAUT) ]]>
<![CDATA[Setya - Wijayanta]]>
<![CDATA[ Jurnal Rekam Medis dan Informasi Kesehatan Vol 5, No 1 (2022): Maret 2022 ]]>
Publisher : <![CDATA[Poltekkes Kemenkes Semarang ]]>
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DOI: 10.31983/jrmik.v5i1.8277
<![CDATA[RSUD dr Gondo Suwarno Ungaran has used the SIMRS application in every unit, including the medical record section, but there are problems that arise in the application of the system, namely the use of the system is still low on sustainable information systems and there are still staff who do not know and understand in utilizing the Hospital Management Information System. In outpatient services there is often duplication of data and inaccuracies in patient data. The research method used is quantitative research using a survey approach and analyzed using SmartPLS software. This evaluation uses the UTAUT method. The results of this study are: The effect of the PE variable on BI has a parameter coefficient value of 0.260 and a tstatistic value of 1.169*. The effect of the EE variable on BI has a parameter coefficient value of 0.038 and a tstatistic value of 2.027 *. The effect of the SI variable on BI has a parameter coefficient value of 0.089 and a statistical value of 1.795*. The effect of the FC variable on BI has a parameter coefficient value of 0.260 and a tstatistic value of 2.217*. The conclusion of this study is that the independent variables (EE, SI and FC) have a positive and significant effect on the dependent variable (BI), while the variable (PE) has a positive but not significant effect. It can be seen that business expectations, social influences, and facilitating conditions are factors that must be improved because these factors affect officers in using SIMRS. Recommendations for improvement that have been proposed are: To develop (upgrade) the SIMRS application. Perform interoperability/integration of SIMRS with several service units/sections and other applications. Conduct socialization and provide training to officers in the use of SIMRS.]]>
<![CDATA[Tinjauan Kelancaran Klaim Pasien Covid-19 ]]>
<![CDATA[Peter Herey]]>;
<![CDATA[Nauri Anggita Temesvari]]>
<![CDATA[ Jurnal Rekam Medis dan Informasi Kesehatan Vol 5, No 2 (2022): Oktober 2022 ]]>
Publisher : <![CDATA[Poltekkes Kemenkes Semarang ]]>
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DOI: 10.31983/jrmik.v5i2.8057
<![CDATA[The increase of Covid-19 cases that occurred in Indonesia affected the financial system in healthcare facilities. One of the policies resulting from the increase of Covid-19 cases is that the Ministry of Health issued technical instructions for reimbursement of health service claims for hospitals that provide Covid-19 services. In the implementation of these rules, there are obstacles so that the claims submitted are delayed or not approved. The purpose of this study is to analyze Covid-19 claims approval in terms of input, process, and output components. The research method is cross-sectional with a quantitative descriptive approach. The research was conducted at Siloam Sentosa Hospital Bekasi by reviewing Covid-19 claims with data collection method was done using the document review. The instrument used is a document review sheet to identify policies and describe the approval of claims. The population in this study were all Covid-19 claims in January-February 2021. The sample was taken using a saturated sample with a total of 108 claims. The applications used for the claim process are INA-CBG and E-claims. In the implementation of claim submission, the hospital adopted the technical instruction for claim reimbursement issued by the Ministry of Health and has implemented it. The results of the study show that 63% of approved claims. The cause of the claim not being approved occurred in the process component where the difference of understanding from the coder so that it was not correct in coding, completeness of claim documents, and inconsistency in filling out medical records]]>
<![CDATA[Pengaruh Kualitas Layanan Terhadap Implementasi SIMRS dengan Penggunaan Sistem dan Struktur Organisasi Sebagai Variabel Intervining ]]>
<![CDATA[Rizkiyatul Amalia]]>;
<![CDATA[Angga Ferdianto]]>
<![CDATA[ Jurnal Rekam Medis dan Informasi Kesehatan Vol 5, No 2 (2022): Oktober 2022 ]]>
Publisher : <![CDATA[Poltekkes Kemenkes Semarang ]]>
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DOI: 10.31983/jrmik.v5i2.9251
<![CDATA[SIMRS implementation aims to help improve the quality of services provided by hospitals to increase patient satisfaction. Service quality is one of the obstacles in the implementation of SIMRS provided by service providers which has an impact on the use of information systems and SIMRS implementation. The purpose of this study was to determine the effect of service quality on the implementation of SIMRS using the HOT– Fit method. This study used a cross-sectional design with a population of 288 people and the sample used was 167 people who used SIMRS. Multivariate analysis test using SEM analysis technique with Smart Partial Least Square (Smart PLS) application. The test results show that there is no influence between service quality on system use and system use on SIMRS implementation (P-values 0.912). There is an influence between service quality on organizational structure (P-Values 0.021), organizational structure on system use (P-Values 0.037), and organizational structure on SIMRS implementation (P-Values 0.000). The use of the system can be an intervening variable between service quality and SIMRS implementation. However, the use of the system is not capable of being an intervening variable between service quality on implementation and organizational structure on SIMRS implementation.]]>
<![CDATA[Aspek Keamanan dan Privasi Penerapan Informed Consent Elektronik di Unit Kamar Bedah RSU Anna Medika Madura Bangkalan ]]>
<![CDATA[M. Afif Rijal Husni]]>
<![CDATA[ Jurnal Rekam Medis dan Informasi Kesehatan Vol 5, No 2 (2022): Oktober 2022 ]]>
Publisher : <![CDATA[Poltekkes Kemenkes Semarang ]]>
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DOI: 10.31983/jrmik.v5i2.8376
<![CDATA[Medical records are useful as legal evidence, essential to ensure their safety and privacy. Electronic medical records do not yet have specific laws and regulations, generally regulated in Permenkes No. 269 of 2008 on Medical Records. Informed consent is often used as legal evidence and is always made in paper form (Hatta, 2017). Informed consent made electronically needs to be studied related to its implementation and use, more specifically on the aspects of security and privacy. This research is qualitative research of phenomenology. The data collection method used in-depth interviews with 9 staffs as key and main informants. The security aspect of electronic informed consent , the data is stored in a database on the server computer. Each officer in each service is given a username and password to access the menu in the electronic system according to the service unit. The security aspects of electronic devices are divided into software and hardware. Software security is done by periodic data backups, installation of antivirus software, and the use of firewalls and encryption. Hardware security is done quite well but there are still many that are not up to standard. In the aspect of electronic informed consent privacy there is an SPO that regulates its use. Each user is given a username and password to access the electronic system in accordance with his authority. Every officer at RSU Anna Medika Madura is sworn to maintain the confidentiality of health information that is legally consistent if violated, including IT vendors who assist in the implementation of electronic systems accompanied by stamped signatures]]>
<![CDATA[Analisis dan Perancangan Sistem Informasi Pendaftaran Pasien Rawat Jalan di Rumah Sakit Umum Daerah Lagita ]]>
<![CDATA[Ismail Arifin]]>
<![CDATA[ Jurnal Rekam Medis dan Informasi Kesehatan Vol 5, No 2 (2022): Oktober 2022 ]]>
Publisher : <![CDATA[Poltekkes Kemenkes Semarang ]]>
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DOI: 10.31983/jrmik.v5i2.9095
<![CDATA[The hospital is one of the health care facilities, according to UURI no. 44 of 2009 concerning hospitals, it is stated that the hospital is a health service institution that provides complete individual health services that provide outpatient, inpatient and emergency services. Along with the development of the technological era, hospitals are experiencing the impact of these developments. Hospitals must have information systems to carry out their business activities. This is stated in PERMENKES No. 82 of 2013 concerning hospitals must have a Hospital Management Information System to carry out patient registration activities both outpatient, inpatient and emergency. In this case the Lagita Regional Unit Hospital is one of the hospitals that organizes business activities in health care facilities, but in its implementation it has not followed the Minister of Health No. 82 of 2013 so that registration activities are still carried out manually using a registration book. Based on the results of initial observations, the impact caused the registered patient data to experience duplication of data, vulnerable to data loss, length of service time and impact on hospital accreditation later. Based on the results of these observations, the researchers will analyze and design an Outpatient Registration Information System at the Lagita Regional General Hospital. later this system can be used to support the process of business activities in the RSUD Lagita.]]>
<![CDATA[Tinjauan Penyebab Pengembalian Klaim BPJS Kesehatan Pasien Rawat Inap ]]>
<![CDATA[Nina Dwi Astuti]]>;
<![CDATA[Andrika Nurul Hidayah]]>
<![CDATA[ Jurnal Rekam Medis dan Informasi Kesehatan Vol 5, No 2 (2022): Oktober 2022 ]]>
Publisher : <![CDATA[Poltekkes Kemenkes Semarang ]]>
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DOI: 10.31983/jrmik.v5i2.9244
<![CDATA[Claim returns for Social Security for Health Agency (BPJS Kesehatan) always become a cliché in the field of health budgeting in the National Health Security (JKN) era. Some studies have examined factors causing claim return; however, the issue has not been figured out yet because every hospital has different troubles. This study was conducted to identify the troubles possibly causing claim returns faced by hospitals. This qualitative study was conducted at a type-C hospital owned by the government in Central Java province. In-depth interviews were conducted with assembling staff, coder, case-mix officer, internal verificatory, and head of the medical record unit. Results showed that claim returns occurred because the hospital information system had not been integrated with e-claim and v-claim apps. The hospital lacked the number of case-mix officers, and old-fashioned information about the INA CBGs payment scheme from the officers including coders, doctors, and other medical officers; the hospital also had inadequate supporting facilities such as echocardiography and endoscopy, and its staff had a lack of work experience and training for coders. Managerial support is tremendously required to solve the issues related to claim returns for BPJS Kesehatan.]]>
<![CDATA[Analisa Pengaplikasian Sistem Rekam Medis Elektronik di Rumah Sakit Setia Mitra ]]>
<![CDATA[Garis Gemilang]]>;
<![CDATA[Indah Kristina]]>;
<![CDATA[Aji Amarullah]]>
<![CDATA[ Jurnal Rekam Medis dan Informasi Kesehatan Vol 5, No 2 (2022): Oktober 2022 ]]>
Publisher : <![CDATA[Poltekkes Kemenkes Semarang ]]>
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DOI: 10.31983/jrmik.v5i2.9088
<![CDATA[From the observation at Setia Mitra Hospital, there have been issues relating to the appliance of electronic medical record (EMR) system. As we all know, the EMR system is currently starting to be a must use system on every hospital. The advancement of technology has shift the use of paper based medical record to EMR. But since it's still newly developed, the application of the system in a newly applied EMR on a hospital is an interesting topic for review. Therefore the writer has chosen this topic to be the main issue on this research. This research main purpose is to find and identify the application of EMR in Rumah Sakit Setia Mitra. For this research, the writer is using a qualitative descriptive research, in which the data colletion is based on the observation done by the writer and also based on interviews that's done with the medical record staffs, and will be analyzed and compared with theories that already exist as the based accepted method on EMR and it's application. The results of the research done by the writers have found that EMR application at Setia Mitra Hospital is not yet been applied according with the theory that's aready exist, and the mains source of this difference is because the EMR on the hospital's information system is still under heavy development. Therefore, the author has suggested that the completeness of the hospital information system must take priority, especeially regarding it's medical record system need to be pushed into an EMR system, so it can create a much more complete, better and robust health information management at RS Setia Mitra.]]>
<![CDATA[Tinjauan Pengelolaan Jobs Description PMIK di Puskesmas Srondol ]]>
<![CDATA[Sri Lestari]]>;
<![CDATA[Meilinda Asrining Hapsari]]>
<![CDATA[ Jurnal Rekam Medis dan Informasi Kesehatan Vol 5, No 2 (2022): Oktober 2022 ]]>
Publisher : <![CDATA[Poltekkes Kemenkes Semarang ]]>
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DOI: 10.31983/jrmik.v5i2.9248
<![CDATA[Puskesmas in carrying out health services, one of its authorities is to carry out medical record management. Referring to Permenkes no. 55 of 2013 article 2 which states that the administration of medical records must be carried out by medical recorders. Medical Recorder is a person who has passed the Medical Record and Health Information education in accordance with the provisions of the legislation. The purpose of this research is to know the management of medical records, and health information as well as the staff for managing medical records at the Srondol Health Center. This type of research is descriptive qualitative with a case study approach. The results showed that the Srondol Health Center provided health services to BPJS patients and general patients. The patient naming system at the Srondol Health Center is adjusted to ID cards, family cards and other identity cards. Medical record management activities experienced several obstacles because they did not have officers with a medical record education background so that the transfer of medical record media from manual to electronic was constrained. The writing of patient names (Mr, Ny, Son, Br) is not standardized. Diagnostic coding is only known and carried out by doctors and midwives. The conclusion obtained is that the management of medical records and health information at the Srondol Health Center still found some things that were not in accordance with the regulations, so it was advisable to make adjustments to the medical record personnel regulations to improve their services.]]>
<![CDATA[Tinjauan Penerapan Pendaftaran Online Pasien Rawat Jalan di RS Yadika Kebayoran Lama ]]>
<![CDATA[Meliana Meliana]]>;
<![CDATA[Joko Asmoro Widhi]]>;
<![CDATA[Royda Syarafina]]>
<![CDATA[ Jurnal Rekam Medis dan Informasi Kesehatan Vol 5, No 2 (2022): Oktober 2022 ]]>
Publisher : <![CDATA[Poltekkes Kemenkes Semarang ]]>
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DOI: 10.31983/jrmik.v5i2.9096
<![CDATA[Outpatinet registration where the patient first meets the staff directly at the health facility. The application of registration is expected to use technology to make work of medical recorders more effective and efficient to reduce existing problems. The purpose of this study was to obtain an overview of the application of an outpatient online registration system. knowing the procedure (SPO) for implementing an outpatient online registration system, knowing the implementation of an outpatient online registration system, knowing the obstacles to implementing an outpatient online registration system at Yadika Kebayoran Lama Hospital. The research method used is descriptive research method. With the observation data collection method by involving participant observation, namely patients who register for outpatient treatment using an interview sheet. From the results of the research conducted by the author in the registration section that Yadika Hospital does not have a special SPO related to outpatient registration, the time for outpatient registration services starting from patients registering to getting the majority queue number is less than five minutes. The percentage of outpatient registration service time 5 minutes is 4.21% while the percentage of outpatient registration service time 5 minutes is 95.97%. The online registration system has not been implemented because it has not received approval from Head Quarter the reason is no application to verify patient registration. Suggestions from the author should start compiling SOPs related to online patient registration. Hospitals need to prepare an online registration application so that it is immediately approved for use by the center and the implementation of the registration system can be operated consistently. ]]>
