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Jurnal Manajemen Informasi Kesehatan Indonesia (JMIKI)
Published by Asosiasi Perguruan Tinggi Rekam Medis dan Informasi Kesehatan Indonesia
ISSN : 2337585X     EISSN : 23376007     DOI : -
Core Subject : Health, Science,
Computer Science & IT Health Professions Public Health
Jurnal Manajemen Informasi Kesehatan Indonesia (JMIKI) diterbitkan oleh Asosiasi Perguruan Tinggi Rekam Medis dan Manajemen Informasi Kesehatan Indonesia (APTIRMIKI) bekerjasama dengan Perhimpunan Profesional Perekam Medis dan Informasi Kesehatan Indonesia(PORMIKI). JMIKI diterbitkan 2 kali dalam satu tahun ( Maret dan Oktober). Jurnal ini menerbitkan hasil penelitian (original) tentang Rekam Medis dan Manjemen Informasi Kesehatan, terutama dalam studi manajemen informasi kesehatan, Klasifikasi Kodifikasi Penyakit dan Tindakan, Sistem Informasi Kesehatan, Teknologi Informasi Kesehatan, Manajemen Mutu Informasi Kesehatan.
Arjuna Subject : -
Articles 336 Documents
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OPTIMALISASI WAKTU TUNGGU RAWAT JALAN DENGAN METODE LEAN HEALTHCARE DI KLINIK PRATAMA Novita Nuraini; Rossalina Adi Wijayanti
Jurnal Manajemen Informasi Kesehatan Indonesia (JMIKI) Vol 6, No 1 (2018)
Publisher : Asosiasi Perguruan Tinggi Rekam Medis dan Informasi Kesehatan Indonesia- APTIRMIKI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33560/.v6i1.182

Abstract

The length of outpatients’ service waiting time reflects how health care facilities manage the service components adjusted to the patient's situation and expectations. Pratama Clinic dr. M. Suherman is a clinic that provides first-rate outpatients services where there are problems found on waiting times that are not yet standardized as stated in Kepmenkes No. 129, 2008 about the minimum service standard that it should be in 60 minutes. Thus, this research intends to make the outpatients waiting time in this clinic be more efficient by sticking to the standard of outpatients care. It implements lean healthcare as the research method with root withdrawal using fishbone and 5M management elements. It is a qualitative research and the data are collected by employing interview, observation, and brainstorming techniques. This research reveals the following results; the outpatients’ service waiting time in Pratama Clinic dr. M. Suherman averaged 108 minutes with a ratio of percentage between Value Added and Non Value Added is 20.83%: 79.16%, therefore, it means that the service process to the outpatients is not yet efficient. The unit that sends the most waste comes from general polyclinic. It is caused by several factors such as the speed of the number of outpatients registering in general polyclinic runs over the speed of the polyclinic service and the time of the outpatients' examination at each doctor range too long.
Analisis Perbedaan Klaim INA-CBGs Berdasarkan Kelengkapan Data Rekam Medis Pada Kasus Emergency Sectio Cesaria trimester I tahun 2013 di RSUD KRT Setjonegoro Kabupaten Wonosobo Uswatun Hasanah; Eni Mahawati; Dyah Ernawati
Jurnal Manajemen Informasi Kesehatan Indonesia (JMIKI) Vol 1, No 2 (2013)
Publisher : Asosiasi Perguruan Tinggi Rekam Medis dan Informasi Kesehatan Indonesia- APTIRMIKI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33560/.v1i2.51

Abstract

ABSTRAKINA-CBGs adalah sistem software yang digunakan dalam pembayaran klaim jamkesmas, dengan skema pembiayaan yang digunakan adalah casemix sehingga yang menjadi perhatian utama adalah bauran kasus, diagnosis utama, dan prosedur utama yang menj adi acuan untuk menghitung biaya pelayanan. Berdasarkan evaluasi pada studi pendahuluan di RSUD KRT Setjonegoro padabulan Januari 2013 untuk kasus emergency sectio cesaria (sc) terdapatperbedaanjumlahklaim (4,08%) dan severity level (34,92%) berdasarkan kelengkapan data rekam medis.Metode penelitian ini menggunakan pendekatan evaluatif dan analitik dengan jumlah sampel penelitian sebesar 126 dokumen rekam medis. Data primer dikumpulkan dengan menelusuri dan menelaah dokumen rekam medis untuk pasien j amkesmas dengan kasus sc dan melakukan pengamatan menggunakan pedoman pelaksanaan, aplikasi software INA-CBGs, lCD 10 dan lCD 9 CM serta data ketidaklengkapan pencatatan dokumen rekam medis. Berdasarkan basil penelitian ditemukan 45% dokumen rekam medis untuk kasus sc tidak lengkap (riwayat penyakit pasien, tanda tangan operator operasi, hasil konsultasi, laporan pemeriksaan penunjang, diagnosa sekunder dan tanda tangan DPJP) di mana hal tersebut berpengarub terbadap besaran klaim berdasarkan isian resume medis dan didapatkan perbedaab jumlah klaim setelah dilakukan entry data berdasarkan dokumen rekam medis (6,34% atau 23.988.179,00) dan perbedaan severity level (31,75%) apabila dilakukan evaluasi menggunakan data rekam medis.Hasil uji statistik untuk beda klaim menggunakan Wilcoxon diketabui adanya perbedaan signifikan antara severity level sebelum dan setelah data rekam medis dilengkapi (pvalue 0,000). Terbukti juga adanya perbedaan sigifikan antara jumlab klaim sebelum dan setelab data rekam medis dilengkapi (pvalue 0,000). Faktor - faktor yang terbukti secara statistik berbubungan signifikan dengan perbedaan besaran klaim adalab ketelitian koder (pvalue 0,000) dan kelengkapan diagnosa sekunder (pvalue 0,000). Sedangkan faktor lain yang belum terbukti berhubungan secara statistik dengan perbedaan jumlah klaim adalah software INA-CBGs (pvalue 0,053) dan prosedur entry (p value 0,053).Kata kunci : INA-CBGs,jamkesmas, sectio cesaria, rekammedis,DifferencesINA-CBGsclaimsbasedont*ecompleteness ofmedical records in case of emergency cesarean sectio first trimester of2013 at RSUD KRT Setjonegoro Wonosobo.ABSTRACTINA-CBGs is a software system that is used in the payment of claims jamkesmas, financing scheme used is casemix so the main concern is the mix of cases, primary diagnosis and principal procedure which is used to calculate the service charge. Evaluation based on a preliminary studi in RSUD KRT. Setjonegoro in January 2013 in the case of emergency cesarean sectio there are differences in the amount of claims (4,08%) and the severity level (34,92%) based on the completeness of medical records.This research method using analytic and evaluative approach to the total sample of 126 medical records document. Primary data were collected by tracking and reviewing medical records to document patient health card with cesarean section case and make observations using the implementation guidelines (manlak), INA-CBGs software applications, ICD 10 and ICD 9 CM and incompleteness of data recording medical record documents.Based on the results study found 45% of medical record documents for the case of incomplete sc (history of the disease the patient, operator signature operations, the results of the consultation, investigation reports, secondary diagnosis and signature DPJP) where it affects the amount of a claim based on medical resume stuffing and obtained different result number (6, 34% or 23.988.179,00) and severity level (31,75%) when evaluated using medical records. Statistical test results using wilcoxon test known sign i0cant differences between severity levels before and after the medical records completed (p value 0.000) . Sign i0cant differences also proved between the amount of claims before and after the medical records completed ( p value 0.000 ) . Factors that proved to be sign i0cant statistically associated with differences of the amount of claim is the coder accuracy (p value 0.000 ) and completeness secondary diagnoses (p value 0.000 ) . While other factors were not enough statistical evidence related to the differences the amount of claims were software INA - CBGs ( p value 0.053 ) and entry procedures ( p value 0.053 ) . Suggestions for improvements that PJSN team engage in training on the INA - CBGs software , the doctors and paramedics on the completeness of clinical data as a basis for claims of INA - CBGs pattern , making SPO coder must review the provisions of DRM , especially for cases with different claims are too high and give feedback to the team National Casemix Centre ( NCC ) on some cases to improve software INA - CBGs .Keywords : INA-CBGs, jamkesmas, sectio caesarea, medical recordABSTRAKINA-CBGs adalah sistem software yang digunakan dalam pembayaran klaim jamkesmas, dengan skema pembiayaan yang digunakan adalah casemix sehingga yang menjadi perhatian utama adalah bauran kasus, diagnosis utama, dan prosedur utama yang menj adi acuan untuk menghitung biaya pelayanan. Berdasarkan evaluasi pada studi pendahuluan di RSUD KRT Setjonegoro padabulan Januari 2013 untuk kasus emergency sectio cesaria (sc) terdapatperbedaanjumlahklaim (4,08%) dan severity level (34,92%) berdasarkan kelengkapan data rekam medis.Metode penelitian ini menggunakan pendekatan evaluatif dan analitik dengan jumlah sampel penelitian sebesar 126 dokumen rekam medis. Data primer dikumpulkan dengan menelusuri dan menelaah dokumen rekam medis untuk pasien j amkesmas dengan kasus sc dan melakukan pengamatan menggunakan pedoman pelaksanaan, aplikasi software INA-CBGs, lCD 10 dan lCD 9 CM serta data ketidaklengkapan pencatatan dokumen rekam medis. Berdasarkan basil penelitian ditemukan 45% dokumen rekam medis untuk kasus sc tidak lengkap (riwayat penyakit pasien, tanda tangan operator operasi, hasil konsultasi, laporan pemeriksaan penunjang, diagnosa sekunder dan tanda tangan DPJP) di mana hal tersebut berpengarub terbadap besaran klaim berdasarkan isian resume medis dan didapatkan perbedaab jumlah klaim setelah dilakukan entry data berdasarkan dokumen rekam medis (6,34% atau 23.988.179,00) dan perbedaan severity level (31,75%) apabila dilakukan evaluasi menggunakan data rekam medis.Hasil uji statistik untuk beda klaim menggunakan Wilcoxon diketabui adanya perbedaan signifikan antara severity level sebelum dan setelah data rekam medis dilengkapi (pvalue 0,000). Terbukti juga adanya perbedaan sigifikan antara jumlab klaim sebelum dan setelab data rekam medis dilengkapi (pvalue 0,000). Faktor - faktor yang terbukti secara statistik berbubungan signifikan dengan perbedaan besaran klaim adalab ketelitian koder (pvalue 0,000) dan kelengkapan diagnosa sekunder (pvalue 0,000). Sedangkan faktor lain yang belum terbukti berhubungan secara statistik dengan perbedaan jumlah klaim adalah software INA-CBGs (pvalue 0,053) dan prosedur entry (p value 0,053).Kata kunci : INA-CBGs,jamkesmas, sectio cesaria, rekammedis,DifferencesINA-CBGsclaimsbasedont*ecompleteness ofmedical records in case of emergency cesarean sectio first trimester of2013 at RSUD KRT Setjonegoro Wonosobo.ABSTRACTINA-CBGs is a software system that is used in the payment of claims jamkesmas, financing scheme used is casemix so the main concern is the mix of cases, primary diagnosis and principal procedure which is used to calculate the service charge. Evaluation based on a preliminary studi in RSUD KRT. Setjonegoro in January 2013 in the case of emergency cesarean sectio there are differences in the amount of claims (4,08%) and the severity level (34,92%) based on the completeness of medical records.This research method using analytic and evaluative approach to the total sample of 126 medical records document. Primary data were collected by tracking and reviewing medical records to document patient health card with cesarean section case and make observations using the implementation guidelines (manlak), INA-CBGs software applications, ICD 10 and ICD 9 CM and incompleteness of data recording medical record documents.Based on the results study found 45% of medical record documents for the case of incomplete sc (history of the disease the patient, operator signature operations, the results of the consultation, investigation reports, secondary diagnosis and signature DPJP) where it affects the amount of a claim based on medical resume stuffing and obtained different result number (6, 34% or 23.988.179,00) and severity level (31,75%) when evaluated using medical records. Statistical test results using wilcoxon test known sign i0cant differences between severity levels before and after the medical records completed (p value 0.000) . Sign i0cant differences also proved between the amount of claims before and after the medical records completed ( p value 0.000 ) . Factors that proved to be sign i0cant statistically associated with differences of the amount of claim is the coder accuracy (p value 0.000 ) and completeness secondary diagnoses (p value 0.000 ) . While other factors were not enough statistical evidence related to the differences the amount of claims were software INA - CBGs ( p value 0.053 ) and entry procedures ( p value 0.053 ) . Suggestions for improvements that PJSN team engage in training on the INA - CBGs software , the doctors and paramedics on the completeness of clinical data as a basis for claims of INA - CBGs pattern , making SPO coder must review the provisions of DRM , especially for cases with different claims are too high and give feedback to the team National Casemix Centre ( NCC ) on some cases to improve software INA - CBGs .Keywords : INA-CBGs, jamkesmas, sectio caesarea, medical record
DESAIN SISTEM INFORMASI PENDAFTARAN RAWAT JALAN DI RUMAH SAKIT UMUM DAERAH SLEMAN Sustin Farlinda; Siti Nurhidayah
Jurnal Manajemen Informasi Kesehatan Indonesia (JMIKI) Vol 3, No 1 (2015)
Publisher : Asosiasi Perguruan Tinggi Rekam Medis dan Informasi Kesehatan Indonesia- APTIRMIKI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33560/.v3i1.75

Abstract

AbstractRegional General Hospital of Sleman have used the Hospital Management Information System. Hospitalinformation systems Sleman using Lazaruz as an application program, the database used is MySql databasein 2008, has been integrated to all services, including medical records system, billing system, pharmacy,radiology, laboratory and medical rehabilitation. Medical record information system consists of a system ofoutpatient registration, registration of inpatient, emergency room registration system, filling system, coding, andreporting hospital. However, because the hospital wanted to develop the Information System in Internal untilit is not depend on outsiders then make the resulting information system design based on the needs analysisand system flowcharts to obtain registration information system design models Outpatient Hospital of Slemannamely Context diagram Data Flow Diagram Level 1, Level 2 Data Flow Diagram, DataFlow Diagram Level 3 and Entity Relationship Diagram (ERD).Keywords: Hospital Information System Management, System Flowchart, Data Flow DiagramsAbstrakRumah Sakit Umum Daerah (RSUD) Sleman telah menggunakan Sistem Informasi Manajemen Rumah Sakit.Sistem informasi RSUD Sleman menggunakan Lazaruz sebagai program aplikasi, database yang digunakanadalah database MySql 2008, telah terintegrasi keseluruh pelayanan, meliputi sistem rekam Medis, sistembilling, farmasi, radiologi, laboratorium dan rehabilitasi medis. Sistem Informasi rekam medis terdiri darisistem pendaftaran rawat jalan, pendaftaran rawat inap, sistem pendaftaran IGD, sistem filling, coding, danpelaporan rumah sakit. Akan tetapi karena pihak Rumah Sakit ingin mengembangkan Sistem Informasitersebut secara Internal sehinnga tidak tergantung pada pihak luar maka di buat desain sistem informasi yangdihasilkan berdasarkan analisis kebutuhan dan flowchart sistem sehingga didapatkan model desain sistemInformasi Pendaftaran Rawat Jalan RSUD Sleman yaitu Context diagram Data Flow Diagram Level 1 , DataFlow Diagram Level 2 , Data Flow Diagram Level 3 dan juga Entity Relationship Diagram (ERD)Kata kunci: Sistem Informasi Manajemen Rumah Sakit, Flowchart Sistem, Data Flow Diagram
ANALISIS PENYEBAB UNCLAIMED BERKAS BPJS RAWAT INAP DI RSUD DR. SOEKARDJO TASIKMALAYA Resti Septiani Nurdiah; Arief Tarmansyah Iman
Jurnal Manajemen Informasi Kesehatan Indonesia (JMIKI) Vol 4, No 2 (2016)
Publisher : Asosiasi Perguruan Tinggi Rekam Medis dan Informasi Kesehatan Indonesia- APTIRMIKI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33560/.v4i2.128

Abstract

AbstractHealth financing is an important part of the implementation JKN in the hospital by BPJS through claim submission. But, not all the document can claimed. As happened inRSUD dr. Soekardjo Tasikmalaya, there is a difference between patient visit of BPJSinpatients with patient visits ofBPJSthat have been claim, thus resulting unclaimed. The purpose in this research toanalyzing the cause of unclaimed inpatients BPJS document by virtue of identification input and process. The kind in this research usedqualitative methodwith phenomenological by getting interviews with 7 (seven) informants and observation. Data analysis withnarrative. The results showed the cause of unclaimed by lack of knowledge and discipline officers,the room of claimed were narrow, unavailable SOP of  claim,  unimplemented of monitoring documents claim and incomplete supporting documents.Suggested to the intensive guidance to official, utiization work space,preparation of SOP,make expedition book fordocuments claim and implementation of regular meetings.Kata kunci            : cause of unclaimed BPJS, unclaimed, Pengajuan klaim AbstrakPembiayaan kesehatan merupakan bagian terpenting dari implementasi JKN yang diselenggarakan di rumah sakit oleh BPJS melalui pengajuan klaim. Namun, tidak semua berkas yang diajukan dapat terklaimkan. Seperti yang terjadi di RSUD dr. Soekardjo Kota Tasikmalaya dimana terdapat selisih antara kunjungan pasien BPJS rawat inap dengan kunjugan BPJS yang diklaimkan, sehingga menyebabkan unclaimed. Tujuan penelitian ini untuk menganalisis penyebab unclaimed berkas BPJS rawat inap berdasarkan identifikasi input dan proses. Jenis penelitian ini menggunakan metode kualitatif dengan fenomenologi, melalui wawancara terhadap 7 orang informan dan observasi. Untuk analisis data dirangkum dalam bentuk naratif. Hasil penelitian ini menunjukkan penyebab unclaimed berkas BPJS rawat inap di rumah sakit yang antara lain disebabkan oleh pengetahuan dan kedisiplinan petugas kurang, ruangan pengolahan klaim yang sempit, SOP terkait klaim belum tersedia, monitoring berkas klaim belum terlaksana dan ketidaklengkapan hasil penunjang. Disarankan untuk diadakannya bimbingan kepada petugas secara intensif, pemanfaatan ruangan secara maksimal, penyusunan SOP, pembuatan expedisi berkas klaim dan pelaksanaan rapat rutin.Kata kunci            : Penyebab Unclaimed BPJS, gagal klaim
STANDARIZE OF SIMBOL AND SYSTEM USING MEDICAL RECORD DOCUMENTS OF INPATIENT PATIENTS IN RSJD Dr. ARIF ZAINUDIN SURAKARTA Warsi Maryati; Aris Octavian Wannay
Jurnal Manajemen Informasi Kesehatan Indonesia (JMIKI) Vol 5, No 2 (2017)
Publisher : Asosiasi Perguruan Tinggi Rekam Medis dan Informasi Kesehatan Indonesia- APTIRMIKI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33560/jmiki.v5i2.173

Abstract

The accreditation agency in Indonesia is the Hospital Accreditation Commission (KARS). Since 2012, one of the chapters in the KARS accreditation standard is the Communication and Information Management (MKI) chapter in the hospital management group. Based on a preliminary study at RSJD Dr. Arif Zainudin Surakarta has been accredited plenary but has not done monitoring. The purpose of this study was to evaluate the accreditation standards of MKI 13 on the Medical Record Document of Inpatient in RSJD Dr. Arif Zainudin Surakarta in 2017. The research method used is descriptive research type, cross sectional approach, data collection using observation and interview, sampling technique used is quota sampling. Data processing in this research include collecting, editing, coding, classification, tabulating, and data presentation. The results of this study indicate that the percentage of symbols used 78.7% is not standardized, the abbreviation used is 71.2% standardized. Standardization of symbols and abbreviations based on the manual set by the Director of the Hospital with the title of the book "Abbreviations, Symbols and Other Special Signs in Medical Record" on August 20, 2014. Abbreviations and symbols used in RSJD. Dr. Arif Zainudin Surakarta has been standardized but its use has not been monitored so it has not been maximized
GAMBARAN PENGEMBALIAN DOKUMEN REKAM MEDIS RAWAT INAP RUANG VII TRIWULAN IV TAHUN 2013 DI RUMAH SAKIT UMUM DAERAH TASIKMALAYA Ulfah Fauziah; Ida Sugiarti
Jurnal Manajemen Informasi Kesehatan Indonesia (JMIKI) Vol 2, No 1 (2014)
Publisher : Asosiasi Perguruan Tinggi Rekam Medis dan Informasi Kesehatan Indonesia- APTIRMIKI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33560/.v2i1.42

Abstract

ABSTRACTThe purpose of the research is to know the plots of returning of medical recording document of hospitalizingat RSUD Tasikmalaya that is suitable with the SOP, to know the plots of returning the medical recordingdocument of hospitalizing at RSUD Tasikmalaya that is not suitable with SOP, to know the descriptionofreturning the medical recording unit which was late from room VII in 2013 at RSUD Tasikmalaya and to knowthe description of returning the medical recording document of hospitalizing from the ward to the medicalrecording unit which was on time from room VII in 2013 at RSUD Tasikmalaya.The kind of research is descriptive by retrospective approach, the method is gathering data observation.Population and sample of this research are 714 sample of medical recording document of hospitalizing at roomVII and about 256 sample of medical recording document at room VII by using random sampling technique.The data analysis is used univariate analysis.The result of the research shows that the returning of medical recording document of hospitalizing at roomVII with the higher percentages of the returning of medical recording unit on time is in October as much as78,82% from the 67 documents and higher percentage of the late returning of medical recording is in Decemberas much as 84,88% from the 73 the total of the documents.In general, the returning of medical recording document of hospitalizing at room VII is equal with the plots ofthe returning of medical recording document, the maximum time is used for the returning of medical recordingis about 14 days.The key words: The late of returning of medical recording document
Perencanaan Implementasi Rekam Medis Elektronik Dalam Pengelolaan Unit Rekam Medis Klinik Pratama Romana Rani Silalahi; Endang Junita Sinaga
Jurnal Manajemen Informasi Kesehatan Indonesia (JMIKI) Vol 7, No 1 (2019)
Publisher : Asosiasi Perguruan Tinggi Rekam Medis dan Informasi Kesehatan Indonesia- APTIRMIKI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33560/jmiki.v7i1.219

Abstract

Rekam medis adalah berkas yang berisi identitas, anamnesa, penentuan fisik, laboratorium, diagnosa dan tindakan medis terhadap seorang pasien yang dicatat baik secara tertulis maupun elektronik. Sistem penyelenggaraan rekam medis mulai dari pencatatan selama pasien mendapatkan pelayanan medik, dilanjutkan dengan penyelenggaraan, penyimpanan serta pengeluaran berkas rekam medis dari tempat penyimpanan untuk melayani permintaan/peminjaman oleh pasien atau untuk keperluan lainnya. Saat ini fasilitas kesehatan berupaya mengganti pengelolaan rekam medis manual menjadi elektronik. Klinik Pratama Romana Deli Serdang merupakan salah satu klinik yang berada di wilayah Deli Serdang yang memiliki manajemen berencana merubah pelaksanaan unit rekam medis manual yang sudah berjalan menjadi rekam medis elektronik. Tujuan penelitian untuk merancang konsep rekam medis elektronik untuk Klinik Pratama Romana.  Jenis penelitian dekriptif kualitatif dengan informan sebanyak 5 orang. Pengumpulan data melalui observasi dan wawancara. Hasil penelitian menunjukkan pengelolaan rekam medis membutuhkan kualifikasi petugas dengan latar belakang D4 manajemen informasi kesehatan, pembuatan prosedur dari pendaftaran hingga pelaporan dan pengkodean sesuai ICD dan penetapan hak akses rekam. Simpulan adalah manajemen Klinik Pratama Romana sudah memiliki dukungan yang tinggi dalam penerapan rekam medis elektronik hingga penerapan konsep dapat dilakukan secara bertahap sesuai dengan standar dan kebutuhan.
SISTEM INFORMASI REKAM MEDIS DI BAGIAN FILINGDI RUMAHSAKIT UMUM DAERAH Dr.MOEWARDI Amik Novia Ratnasari; Sri Sugiarsi
Jurnal Manajemen Informasi Kesehatan Indonesia (JMIKI) Vol 4, No 1 (2016)
Publisher : Asosiasi Perguruan Tinggi Rekam Medis dan Informasi Kesehatan Indonesia- APTIRMIKI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33560/jmiki.v4i1.100

Abstract

AbstractThe objective of research was to find out information system in filing division.This study was a descriptive. The population consisted of 14 filing officers; the sample consisted of 5 filing officers taken using incidental sampling technique. The instrument of collecting data used was interview and observation guidelines. The methods of collecting data used were interview and observation. The data analysis was carried out using descriptive qualitative method.The result of research showed that the plot of storage procedure had been consistentwith the SOP prevailing in Dr. Moewardi Local General Hospital. Data input SIMRS included medical record number, name, address, age, sex, objective of screening, payment method, entrance tracking, outget, storage user, patient master. In monitoring the medical record document, the filing officer used computerized and manual method, however in monitoring medical record document there were still miss file because of the officer fatigue and age factor, thereby delaying the service. Meanwhile, in medical record document transaction,the filing officer employed tracer for both medical record document borrowing and returning. The result of SIMRS found the number of medical record borrowed, data of unreturned medical record document, and medical record document use per day and per month.The conclusion of research was that there were some obstructions in monitoring medical record document related to miss file due to the officer fatigue and age factor. Keywords: Information system, FilingAbstrakTujuan penelitian ini adalah menggambarkan sistem informasi di bagian filing. Jenis Penelitian ini adalah deskriptif. Populasi 14 petugas filing, sampel 5 petugas filing dengan menggunakan teknik Sampling Insidental. Instrument pengumpulan data adalah pedoman wawancara dan pedoman observasi. Cara pengumpulan data dengan wawancara dan observasi. Analisis datanya deskriptif kualitatif. Hasil penelitian menunjukkan bahwa alur prosedur penyimpanan sudah sesuai dengan SPO yang berlaku di RSUD Dr.Moewardi. Input data Sistem Informasi Rekam Medis meliputi nomor rekam medis, nama, alamat, umur, jenis kelamin, tujuan periksa, cara bayar, tracking masuk, outget,user simpan, master pasien. Dalam pemantauan dokumen rekam medis petugas filing menggunakan komputerisasi dan manual, akan tetapi dalam pemantauan dokumen rekam medis masih terdapat miss file dikarenakan petugas yang kelelahan dan juga faktor usia sehingga dapat memperlambat dalam pelayanan. Sedangkan dalam transaksi dokumen rekam medis petugas filing menggunakan tracer baik peminjaman dokumen rekam medis maupun pengembalian dokumen rekam medis. Ouput dari sistem informasi rekam medis di bagian filing dapat diketahuinya jumlah dokumen rekam medis yang dipinjam, data dokumen rekam medis yang belum kembali, mengetahui penggunaan dokumen rekam medis per hari dan per bulan.Simpulan dalam penelitian ini masih terdapat kendala dalam pemantauan dokumen rekam medis terkait dengan miss file dikarenakan petugas kelelahan dan faktor usia. Kata kunci: Sistem Informasi, Filing
Tata Kelola Dokumen Rekam Medis Sebagai Upaya Menjaga Rahasia Medis di Pelayanan Kesehatan Judi Judi; Kusuma Estu Werdani; Salma Binti Purwaningsih; Purwanti .
Jurnal Manajemen Informasi Kesehatan Indonesia (JMIKI) Vol 5, No 1 (2017)
Publisher : Asosiasi Perguruan Tinggi Rekam Medis dan Informasi Kesehatan Indonesia- APTIRMIKI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33560/.v5i1.156

Abstract

The purposes of this study are To know the barriers and solutions in the management of medical record documents as an effort to keep the medical secrets in health care unit. Research method used in this study is empiricalnormativejuridical, by using secondary data consists of primary legal materials, secondary legal materials, tertiary legal materials, and primary data as supporting data. This research uses descriptive analytical. The results of this study are; 1) Medical secrets are the patient's right which much be protected and upheld by all health care providers. 2) Violation of the rights of these patients is a crime that can be sued by the law. The barrier found in this research is in reality, many hospitals are lack of medical records staffs to manage the medical documents. The solution to this problem is to build health care partnership that puts the health providers and the health receivers in a partnership. The suggestion is the health care providers should hire professional medical record staffs for keeping the medical secrets.
ANALISIS MUTU LAYANAN UNIT REKAM MEDIS BERDASARKAN KEPUASAN PELANGGAN INTERNAL DENGAN MENGGUNAKAN METODE SERVICE QUALITY DAN QUALITY FUNCTION DEPLOYMENT DI RSD KALISAT JEMBER Ayu Widya Arizona; Nugroho Setyo Wibowo; Dian Damayanti
Jurnal Manajemen Informasi Kesehatan Indonesia (JMIKI) Vol 2, No 1 (2014)
Publisher : Asosiasi Perguruan Tinggi Rekam Medis dan Informasi Kesehatan Indonesia- APTIRMIKI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33560/.v2i1.33

Abstract

ABSTRACTURM (Unit Rekam Medis) is one the healthy facilities headed by medical record chief. The head of medicalrecord has the authority to manage everything related to URM. RSD Kalisat is one of state hospitals in Jemberwhich has a vision as the pioneer hospital with the best quality and reachable for everyone. The quality of URMplays important role to support the quality of the hospital. One of the ways to measure the quality of URM isby using quality and quality function deployment method. This research is aimed to get the information aboutthe quality service of medical record based on internal patient satisfactory in medical record at RSD kalisatby using quality and Quality Function Deployment (QFD). From the result of the analysis, we have conclusion as the following; 1) there are some variables influence the quality servicen of five dimension, such as: thestrategic place of URM building from the ambulatory care,the strategic place of URM building from the longterm care, thestorage room of medical record equipment, the number of employments, communication service, the repidity of medical record file, the accuracy of medical record, the appropriateness of the information, medical record employee readiness, the accuracy if taking off the medical record file, the employee friendlines,the safety of medical record, the attitude of the employee dealing with the nurse. 2) The satisfactory of nusetoward to URM service is good enuogh. 3) The expecatation of ”communication” with high score 4,60 andthe expectation of ”the distance between URM building from ambulatory care” with the lowest 4,26. 4) Thepriority related to nurse necessary needed to focus by URM dealing with medical record employee readinesswhich has normalize raw weight value 0,0588. 5) The action priority for URM employee is ”internal andexternal training” which has the higher normalized contribution normalized contribution value0,2144Keywords: Quality, Quality Service, Quality Function Deployment, Medical Record

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