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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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PENGARUHIMPLEMENTASIELECTRONIC MEDICAL RECORDTERDAHAP BEBAN KERJA PETUGAS FILING Haerudin Haerudin; Hendra Rohman; Endang Susilowati
Jurnal Manajemen Informasi Kesehatan Indonesia (JMIKI) Vol 6, No 2 (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/.v6i2.197

Abstract

Electronic Medical Record (EMR) began to be implemented at Bethesda Hospital since 2014 and implemented in 28 outpatient polyclinics. Prior to the implementation of Electronic Medical Record, the filing workload of ten people was divided into two shifts, seven person at morning shift and three person at day shift, but after the implementation was reduced, just 3 person needed. This study aims to identify the influence of Electronic Medical Record on the workload of filing officer. Descriptive research with quantitative approach using case control survey design. Data collection using questionnaires. The result of the research through work load measurement by NASA-TLX method shows that the dominant Performance (P) factor influences the workload of officers A, E, G, H and I significantly, with p = 0.0008. Conclusion, the implementation of Electronic Medical Record outpatient has a significant effect on workload of filing officer.
EVALUASI IMPLEMENTA SI SISTEM ELECTRONIC HEALTH RECORD (EHR) DI RUMAH SAKIT AKADEMIK UNIVERSITA S GADJAH MADA BERDASARKAN METODE ANALISIS PIECES Erna Adita Kusumawati; Sri Sugiarsi
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/.v3i1.66

Abstract

The purpose of this study was to evaluate an Electronic Health Record (EHR) at the Academic Hospital ofthe University of Gadjah Mada reviewed based on the PIECES method analysis to determine the aspectsof performance, information / data, economic, control, efficiency, and service. This study used descriptiveresearch with quantitative approach and cross-sectional study design. The result of the research showed Aspectsperformance (performance), information / data (information / data), efficiency (efficiency), service (leyanan)Academic Hospital EHR system UGM rated as good by users of EHR systems, while aspects of control /security (control / security) considered quite good and economic aspects (economic) Academic Hospital EHRsystem UGM rated poorly by users of EHR systems. While the EHR system in UGM Academic Hospital whenviewed from the characteristics of users with various categories of age, past education, tenure, and work unitshowed different results in every aspect of the study (performance, information / data, economic, control /security, efficiency, service).Keywords: evaluation, implementation, Electronic Health Record, PIECESAbstrakTujuan penelitian ini adalah melakukan evaluasi sistem Electronic Health Record (EHR) di Rumah SakitAkademik Universitas Gadjah Mada ditinjau berdasarkan metode analisis PIECES untuk mengetahui aspekperformance, information/data, economic, control, efficiency, dan service. Penelitian ini menggunakan metodepenelitian deskriptif dengan pendekatan kuantitatif dan rancangan penelitian cross sectional. Hasil penelitianmenunjukkan Aspek performance (kinerja), information/data (informasi/data), efficiency (efisiensi), service(leyanan) sistem EHR di RS Akademik UGM dinilai baik oleh pengguna sistem EHR, sedangkan aspek control/security (kontrol/keamanan) dinilai cukup baik dan aspek economic (ekonomi) sistem EHR di RS AkademikUGM dinilai kurang baik oleh pengguna sistem EHR. Sedangkan sistem EHR di RS Akademik UGM apabiladitinjau dari karakteristik pengguna dengan berbagai kategori usia, pendidikan terakhir, masa kerja, dan unitkerja menunjukkan hasil yang berbeda dalam setiap aspek yang diteliti (performance, information/data,economic, control/security, efficiency, service).Kata kunci: evaluasi, implementasi, Electronic Health Record, PIECES
BEBAN KERJA PETUGAS FILING TERHADAP RATA-RATA WAKTU PENYEDIAAN DOKUMEN REKAM MEDIS RAWAT JALAN Rizqy Dimas Monica; Fathia Mawar Firdaus; Intan Puji Lestari; Yesti Suryati; Dini Rohmayani; Ayu Hendrati
Jurnal Manajemen Informasi Kesehatan Indonesia (JMIKI) Vol 3, No 2 (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/.v3i2.90

Abstract

AbstractThe number of officers in RSUI Yakssi Filing Gemolong Sragen as many as 5 people. Based on the preliminary survey, the average time of provision of outpatient medical record documents in RSUI Yakssi Gemolong Sragen is 13.5 minutes in which time is not in accordance with minimum service standards set by the Minister of Health No: 129 / Menkes / SK / II / 2008. The purpose of this study was to determine the effect of workload attendant to the average filing time provision of medical record documents in RSUI Yakssi Gemolong Sragen. This type of research is analytic research by testing the effect of workload attendant to the average filing time provision of medical record documents in RSUI Yakssi Gemolong Sragen. Data collection methods used were observation and interviews, while the instruments used are guidelines for observation, interview and observation time of provision of the document sheet. The data obtained will be analyzed bivariate with Simple Linear Regression. The analysis showed that the workload of officers filing very strong influence on the average time providing outpatient medical record documents in RSUI Yakssi Gemolong Sragen. Based on the analysis, the authors provide suggestions for RSUI Yakssi Gemolong Sragen in order to analyze the workload and labor requirements in the filing, made the job description for each piece and give motivation to the filing officer to speed up the provision of medical record documents.Keywords: Workload, Filing Officer, Document Delivery TimeAbstrakJumlah petugas Filing di RSUI Yakssi Gemolong Sragen sebanyak 5 orang. Berdasarkan survei pendahuluan, rata-rata waktu penyediaan dokumen rekam medis rawat jalan di RSUI Yakssi Gemolong Sragen adalah 13,5 menit di mana waktu tersebut belum sesuai dengan standar pelayanan minimal yang ditetapkan oleh KepMenKes RI No: 129/Menkes/SK/II/2008. Tujuan penelitian ini adalah untuk mengetahui pengaruh beban kerja petugas filing terhadap rata-rata waktu penyediaan dokumen rekam medis di RSUI Yakssi Gemolong Sragen. Jenis penelitian yang digunakan adalah penelitian analitik dengan menguji pengaruh beban kerja petugas filing terhadap rata-rata waktu penyediaan dokumen rekam medis di RSUI Yakssi Gemolong Sragen. Metode pengumpulan data yang digunakan yaitu observasi dan wawancara, sedangkan instrumen yang digunakan adalah pedoman observasi, pedoman wawancara dan lembar pengamatan waktu penyediaan dokumen. Data yang diperoleh akan dianalisis bivariat dengan Regresi Linier Sederhana. Hasil analisis menunjukkan bahwa beban kerja petugas filing berpengaruh sangat kuat terhadap rata-rata waktu penyediaan dokumen rekam medis rawat jalan di RSUI Yakssi Gemolong Sragen. Berdasarkan hasil analisis tersebut, penulis memberikan saran untuk RSUI Yakssi Gemolong Sragen agar melakukan analisis beban kerja dan kebutuhan tenaga kerja di filing, membuat job description untuk masing-masing bagian dan memberikan motivasi kepada petugas filing untuk meningkatkan kecepatan penyediaan dokumen rekam medis. Kata kunci:Beban Kerja, Petugas Filing, Waktu Penyediaan Dokumen
ANALISIS STRATEGI PENGEMBANGAN REKAM MEDIS ELEKTRONIK DI INSTALASI RAWAT JALAN RSUD KOTA YOGYAKARTA Muhammad Hamdani Pratama; Sri Darnoto
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/.v5i1.146

Abstract

Although developing countries are still concernin handling various infectious diseases but effective and efficienthealth care documentation process is needed (Kalogriopoulos et all, 2009). The implementation of electronic medical record (EMR) is a solution for effective and efficient documentation. Support of the electronic and transaction laws and Ministri of Health Regulation No.269 in year of2008 bright hope for the development of EMR. Provision of medical record file is still a problem in Yogyakarta General Hospital. In addition, medical records storage space is over capacity. Optimizing of medical records service provision need to be reviewed to minimize the use of paper and time efficiency.The purpose of this study was to analyze the development strategies outlined by EMR readiness analysis used instruments of DOQ-IT (Doctor's Office Quality-Information Technology) and strategy analysis used SWOT (Strengths, Weakness, Opportunities, Treats) instrument. This study used concurrent mix methode. Subjects in this study were 40 people who are the decision makers and users of EMR in Outpatient Installation of Yogyakarta General Hospital. The collection of data through interviews and questionnaires. The results showed that the Yogyakarta General Hospital in the moderately prepared category for EMR development. The results of the strategy analysis showed that Yogyakarta General Hospitals included in II quadrant, which showed a strong organization but faces many threats to develop EMR. The recomendation for thestrategies is diversification strategy.
ANALISIS TATA RUANG TEMPAT PENYIMPANAN DOKUMEN REKAM MEDIS PASIEN DITINJAU DARI ASPEK ANTROPOMETRI PETUGAS REKAM MEDIS Anggy Pramudhita Putri; Endang Triyanti; Dedi Setiadi
Jurnal Manajemen Informasi Kesehatan Indonesia (JMIKI) Vol 2, No 2 (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/.v2i2.22

Abstract

AbstractBackground of research that filing officers have difficulty in taking medical record documents because ofhaving to take this documents alternately in the same shelf. It caused by distance between the shelf whichadjacent. Moreover, there are complaint stiff in hands and feet maybe discrepancy between layout with officersanthropometric. The purpose of this research is analyze of layout involve high, long and width of shelf, distancebetween shelf and wide of area reviewed from the anthropometric aspect of medical record officers involve thereach of hand to above, length of arm and width of shoulder. Design of this research is descriptive. Sample ofthis reseacrh is outpatient filing officers as much as 6 persons and taken by total sampling. Result of researchfor size of outpatient filing officers layout dr. Soekardjo General Region Hospital Tasikmalaya City whichadapted with anthropometric data of outpatient filing officers are high of shelf 180 cm after adapted thensize become 185,5 cm, long of shelf 229,5 become 142,5 cm, width of shelf 50 cm become 54 cm, distancebetween shelf 63 cm become 102 cm, wide of area 32,06 m2 after adapted become 35,69 m2. The result of sizefrom measurement in dr. Soekardjo General Region Hospital Tasikmalaya City is smaller than size that gotfrom measurement result. It can be analyzed that condition of room in dr. Soekardjo General Region HospitalTasikmalaya City inadequate and inappropriate with size of body dimension outpatient filing officers. It willbe better if condition of room was adapted with anthropometric data of outpatient filing officers, so officersfeel more comfortable in doing his job.Keywords : Layout, Medical Record Document Storage, Anthropometric of Medical Record OfficersAbstrakPenelitian ini bertujuan untuk menganalisis tata ruang meliputi tinggi rak, panjang rak, lebar rak, jarak antarrak dan luas ruangan ditinjau dari aspek antropometri petugas rekam medis meliputi jangkauan tangan ke atas,panjang depa dan lebar bahu. Jenis Penelitian yang digunakan bersifat deskriptif. Sampel penelitian ini ialahpetugas filing rawat jalan sebanyak 6 orang yang diambil secara total sampling. Hasil penelitian ini adalah untukukuran tata ruang filing rawat jalan di RSUD dr. Soekardjo Kota Tasikmalaya yang disesuaikan dengan dataantropometri petugas filing rawat jalan ialah tinggi rak 180 cm setelah disesuaikan maka ukuran menjadi 185,5cm, Panjang rak 229,5 cm disesuaikan menjadi 142,5 cm, Lebar rak 50 cm disesuaikan menjadi 54 cm, Jarakantar rak 63 cm disesuaikan menjadi 102 cm, luas ruangan 32,06 m2 setelah disesuaikan menjadi 35,69m2.Ukuran yang dihasilkan dari pengukuran di RSUD dr. Soekardjo Kota Tasikmalaya lebih kecil dibandingkanukuran yang diperolah dari hasil perhitungan. Hal itu dapat dianalisis bahwa keadaan ruangan di RSUD dr.Soekardjo Kota Tasikmalaya kurang memadai dan belum sesuai dengan ukuran dimensi tubuh petugas filingrawat jalan. Alangkah baiknya apabila kondisi ruangan disesuaikan dengan data antropometri petugas filingrawat jalan sehingga petugas merasa lebih nyaman dalam melakukan pekerjaannya.Kata kunci : Tata Ruang, Tempat Penyimpanan, Antropometri
PERLINDUNGAN HUKUM TERHADAP HAK PASIEN LANJUT USIA DI PUSKESMAS X KOTA KEDIRI Indah susilowati; Ryan Nur Firmansyah
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/.v6i1.187

Abstract

Puskesmas X is one of the first health facility in Kediri Town that serves elderly patient, in registration, elderly patient has right of service priority and clear information. The goal of the research is to see the availability of information that support the service and review it from medical law’s aspect. Descriptive design, 50 samples of elderly that come to elderly polyclinic with incidental sampling technique. Data collection uses checklist sustained by questionnaire and interview. The result of the research shows that there is no rule and SOP about elderly patient service yet, but the information in registration is already good, there is an information of opening hour, there is an information of what requirement should be brought, information about service tariffs, there is a loudspeaker to summon elderly patient queue, there is no special registration place, but there is a special queue number and a special service room to accelerate the elderly service, there is no information of doctor’s name that treat yet and there is no information about other health facility that cooperate as reference place, but registration officer is already good at serving elderly by communicating with easy-to-understand language and friendly. The conclusion of this research is basic policy and SOP that protect elderly patient has not available yet, but patient rights to get information and services in registration is available well.
KETEPATAN RESELEKSI DIAGNOSA DAN KODE UTAMA BERDASARKAN ATURAN MORBIDITAS PEMBIAYAANJAMINAN KESEHATAN INA-CBGS Linda Widyaningrum
Jurnal Manajemen Informasi Kesehatan Indonesia (JMIKI) Vol 3, No 2 (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/.v3i2.81

Abstract

AbstractOne of the indicators the quality of hospital services can be known through medical records. The quality of hospital services is based on regulation of the Minister of Health of the Republic of Indonesia Number 269 / Menkes / Per / III / 2008. According to the PERMENKES Medical Record is the file containing the notes, checks and other measures of treatment given to the patients. Qualified medical record can be seen from the accuracy in writing main diagnostic and diagnosis codes. This study aimed to analyze the relationship precision diagnostics rules and the main code of inpatient medical record document, based on the rules for financing health insurance morbidity rates of INA-CBGS at Surakarta Prof. Dr. Soeharso Orthopaedic Hospital in May 2015. The population in this study is medical records documents of inpatients of the National Health Insurance in May 2015. The number of the documents are 30 documents of 2nd class in the hospital. In this study, to collect the data, the writer uses checklist to diagnose and analyze the accuracy of the diagnosis rules and the main code and of INA-CBGs financing. The test used in this study is Chi Square. The accuracy of primary diagnosis and primary diagnosis code of Surakarta Prof. Dr. Soeharso Orthopaedic hospital is in good categories. Where the main diagnostic accuracy is 100% and primary diagnosis code is 93.3%. Health insurance financing that uses INA CBGs software can affect the accuracy of financing cost. There is a significant relationship between the accuracy of the rules of Diagnosis and Main Diagnosis Codes Document Medical Record system using financing. The results of significant value is 0.00, and p <a (0.05).Keywords: Rules of Diagnosis and Main Diagnosis Code, financing cost, INA CBGsAbstrakSalah satu indikator mutu pelayanan tersebut dapat diketahui melalui rekam medis dimana rekam medis berdasarkan peraturan Menteri Kesehatan Republik Indonesia nomor 269/MENKES/PER/III/2008 adalah berkas yang berisikan catatan, pemeriksaan, pengobatan tindakan lain yang diberikan kepada pasien. Rekam medis yang berkualitas dapat dilihat dari keakuratan menuliskan diagnose utama dan kode diagnosa. Penelitian ini bertujuan untuk menganalisa hubungan ketepatan reseleksi diagnosa dan kode utama dokumen rekam medis rawat inap berdasarkan aturan morbiditas terhadap pembiayaan jaminan kesehatan tarif INA-CBGS di Rumah Sakit Ortopedi Prof. Dr. Soeharso Surakarta Bulan Mei Tahun 2015. Populasi dalam penelitian ini adalah Dokumen rekam medis pasien rawat inap Jaminan Kesehatan Nasional pada bulan Mei 2015 kelas 2 dengan jumlah 30 dokumen dokumen. Pada penelitian ini, alat pengumpulan data yang digunakan adalah cheklist untuk menganalisa ketepatan reseleksi diagnose dan kode utama serta pembiayaan INA-CBGs. Uji yang digunakan adalah Chi Square. Keakuratan diagnosa utama dan kode diagnosa utama rumah sakit Ortopedi Prof Dr.Soeharso Surakarta masuk kategori baik. Dimana keakuratan diagnosa utama 100% dan kode diagnosa utama 93.3%. Pembiayaan Jaminan kesehatan memakai software INA CBGs dimana keakuratan kode mempengarui biaya pembiayaan. Ada hubungan yang signifikan Ketepatan Reseleksi Diagnosa Dan Kode Utama Diagnosa Dokumen Rekam Medis Dengan Pembiayaan dengan nilai signifikan 0,00, dan p < a (0,05 ).Kata Kunci : Reseleksi diagnose dan kode utama, Pembiayaan, INA-CBGS
REVITALISASI PENGELOLAAN REKAM MEDIS DALAM PEMBERDAYAAN PETUGAS REKAM MEDIS DI RUMAH SAKIT IBU DAN ANAK TIARA DAN KLINIK TAMAN ANGGREK Lily Widjaya; Sis wati
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/.v4i2.136

Abstract

AbstractPower practitioner professional medical record is still very little compared to the needs that exist, so that the implementation of the medical records in RSIA Tiara and Clinic Taman Anggrek not run well. Management of medical records, especially on the storage system that does not meet standards, the audit has not been done and quantitative analysis of the medical records. The purpose of this activity is to formulate a method penyimpanaan document medical records and measurement documents, improve the quality of medical records, improve knowledge and skills of medical records clerk. The method used is the measurement of quantitative completeness of medical records, training and mentoring the management of the medical records in accordance with the standard approach to theory in the field and evaluation. The results showed that an increase in knowledge and skills of the practitioner medical record with an increase of 21-23% that is by comparing the results of post-test and pre-test. It was concluded that intensive training can improve knowledge and skills of practitioners medical records.Keywords: management, medical record (RM), knowledge, skills                                     AbstrakTenaga praktisi rekam medis yang profesional masih sangat sedikit dibanding dengan kebutuhan yang ada, sehingga pelaksanaan rekam medis di RSIA Tiara dan Klinik Taman Anggrek belum berjalan dengan baik.  Pengelolan rekam medis, terutama pada sistem penyimpanan yang belum sesuai standar, belum pernah dilakukan audit dan analisis kuantitatif terhadap rekam medis. Tujuan kegiatan  ini adalah memformulasikan metode penyimpanaan dokumen rekam medis dan pengukuran kelengkapan dokumen, meningkatkan mutu rekam medis, meningkatkan pengetahuan dan ketrampilan petugas rekam medis. Metode yang dilakukan  adalah pengukuran kelengkapan rekam medis secara kuantitatif, pelatihan dan  pendampingan pelaksanaan penyelenggaraan rekam medis sesuai standar dengan pendekatan teori di lapangan dan evaluasi. Hasil menunjukkan bahwa  terdapat  peningkatan pengetahuan dan ketrampilan  pada praktisi rekam medis  dengan kenaikan sebesar 21-23% yaitu dengan membandingkan antara hasil  post test dan  pre test. Disimpulkan bahwa pelatihan yang intensif dapat meningkatkan pengetahuan dan  ketrampilan praktisi rekam medis.Kata Kunci;  pengelolaan, rekam medis (RM), pengetahuan, ketrampilan
ANALISIS FAKTOR MOTIVASI, OPPORTUNITY, ABILITY DAN KINERJA PETUGAS PROGRAM KESEHATAN IBU DI PUSKESMAS Rossalina Adi Wijayanti; Novita Nuraini
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/.v6i1.178

Abstract

Maternal Mortality Rate (MMR) turns out to be a problem that has not been solved in the world. Jember regency ranked second highest in east java in 2016. Puskemas Karang Duren in Jember regency has MMR in 2011, 2012, 2013. Promotive and preventive effort through the continuing approach has been implemented to make the MMR stable. For example by developing the maternal healthcare program with the use of mother card as their pregnancy medical record. This research intends to analyze motivation, opportunity, ability, and performance maternal healthcare program in Puskesmas. It uses analityc observational cross sectional design as the research method. There were 10 midwives as the research sample obtained by simple random sampling technique. It was analyzed by applying the data tabulation software. This result found out that most of the midwives were average in their motivation (60%), they were sufficient in the opportunity (60%), they were good in the ability (80%), and they were performance maternal healthcare program belongs to good category (80%). It shows that there were significant relationship between opportunity, ability, and the performance maternal healthcare program. Hence, the recommendation was formed by brainstorming activity involving the entire midwives and the head of the Community Health Center. It can be conducted by giving motivation (praising during meeting, warning, and guidance from the chiefs). It surely needs the uniformity of this medical recording format to make the supervision activity, monitoring, and evaluation goes easier later on. All of the sides are expected to be involved in maintaining the MMR.
EVALUASI PELAKSANAAN SISTEM PELAPORAN REKAM MEDIS DI KLINIK ASRI MEDICAL CENTER Tri Handayani; Ery Rustiyanto; - Djariyanto; Suryo Nugroho Markus
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/.v1i2.47

Abstract

ABSTRAKEvaluasi pelaporan di sarana pelayanan kesehatan sangatlah diperlukan salah satunya untuk mengetahui mutu dari pelayanan kesehatan yang diberikan oleh pihak pemberi pelayanan kesehatan. Melakukan evaluasi pelaksanaan sistem pelaporan rekam medis di klinik Asri Medical Center Tahun 2012.Penelitian ini menggunakan metode penelitian deskriptif dengan pendekatan kualitatif. Jenis pelaporan di klinikAsri Medical Center belum sesuai dengan Permenkes RI no 1171 Tahun 2011. Alur penyusunanpelaporan sudah sesuai teori. Terdapat beberapa permasalahan dalam penyusunan pelaporan rekam medis. Hasil evaluasi sistem pelaporan dapat dilihat dari segi input (kebijakan/SOP, pendanaan, sumber daya manusia, organisasi/ manajemen, dan teknologi), proses (indikator, sumber data, pengumpulan, pengolahan, penyajian dan analisa data), dan output (hasil informasi dan pemanfaatan untuk pengambilan keputusan).Evaluasi sistem pelaporan di klinik Asri Medical Center, dari segi input di klinik Asri Medical Center sudah ada SOP penyusunan laporan namun belum ada juknis penyusunan laporan, dari segi pendanaan tidak diberikan dana secara langsung, namun diberi fasilitas untuk menyusun laporan, petugas rekam medis sudah memahami cara menyusun pelaporan namun petugas !ont o &ce belum memahami, struktur organisasi di unit rekam medis belum ada, dari segi teknologi sudah memanfaatkan billing system dalam menyusun laporan. Evaluasi dari segi proses, indikator rawat inap belum efisien, sumber data penyusunan laporan sudah sesuai dengan teori, pengumpulan, pengolahan, penyajian dan analisis data sudah dilakukan namun analisis data belum sesuai teori. Dari segi output, pengiriman laporan KDRS belum tepat waktu, laporan yang dibuat belum akurat dan lengkap, pengambilan keputusan sudah memanfaatkan laporan. Kata Kunci: Evaluasi, Sistem Pelaporan, Klinik

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