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Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda (JIPIKI)
Published by Universitas Imelda Medan
ISSN : 25027786     EISSN : 25977156     DOI : https://doi.org/10.2411/jipiki
Core Subject : Health,
Health Professions Public Health
Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda (JIPIKI) (p-ISSN : 2502-7786 ) (e-ISSN : 2597-7156) is a national, peer-reviewed journal. It publishes original papers, reviews and short reports on all aspects of the medical record and health information. 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 - Menejmen Informasi Kesehatan
Articles 254 Documents
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Analisis Manajemen Risiko Rekam Medis dalam Upaya Peningkatan Mutu Pelayanan di Klinik X Surakarta Amallia, Ade; Wijaya, Chayanita Sekar; Nafi’a, Zidni Ilma
Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda (JIPIKI) Vol. 11 No. 1 (2026): Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda Edisi Februari
Publisher : Akademi Perekam dan Informasi Kesehatan Imelda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jipiki.v11i1.2157

Abstract

The quality of healthcare services is a crucial element in ensuring patient safety, where the management of digital medical records plays a strategic role in supporting service continuity and clinical decision-making. This study aims to analyze risk management in medical record services at Clinic X, Surakarta, and formulate improvement recommendations to enhance service quality. The research applies a descriptive qualitative approach using the Failure Mode and Effect Analysis (FMEA) method. Data were collected through workflow observations and interviews with medical record officers and Diginic system administrators. Risk assessment involved identifying processes, determining failure modes, evaluating severity, occurrence, and detection levels, and calculating the Risk Priority Number (RPN) to prioritize corrective actions. The findings reveal that the highest RPN values are associated with patient registration without ID cards, Diginic system disruptions, and non-compliance with BPJS registration through the Mobile JKN application. These risks affect patient identification accuracy, service flow, and patient experience. Meanwhile, duplicate and delayed data entries have lower risk priorities but still impact operational efficiency and data accuracy. The study concludes that service quality can be improved through strengthened patient identity verification, the establishment of operational procedures during system failures, staff capacity development, and patient education on Mobile JKN use. Future research is recommended to expand the study scope and integrate FMEA with Root Cause Analysis for more comprehensive risk mitigation strategies.
Tinjauan Alur Prosedur Pelayanan Berdasarkan Jenis Pasien dan Penyelenggaraan Rekam Medis di Klinik X Kabupaten Sukoharjo Wijaya, Chayanita Sekar; Azahra, Fatimah; Hidayati, Rahma Leyli; Syahrani, Vannia Shella Verahma
Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda (JIPIKI) Vol. 11 No. 1 (2026): Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda Edisi Februari
Publisher : Akademi Perekam dan Informasi Kesehatan Imelda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jipiki.v11i1.2161

Abstract

The flow of procedures in patient care and medical record management is important for healthcare providers. If these two components are carried out properly, they can increase patient satisfaction with healthcare services. The purpose of this study is to review and provide a systematic overview of the flow of patient care procedures and medical record management at Clinic X in Sukoharjo Regency. This descriptive study was conducted at an outpatient clinic in Sukoharjo Regency. The objects of this study were the procedural flow of patient services and medical record management. The results of this study showed that the service system provided accommodated several types of patients, including general patients, BPJS patients, and partner patients from the clinic. The registration system is available in two models: online and offline BPJS registration. The Service Procedure Flow at Clinic X is already available and running well. Medical record management is already in place and is guided by Indonesian Minister of Health Regulation No. 24 of 2022. A suggestion for the future is that several services that still use manual medical records can be transferred to electronic medical records so that the services provided are more effective and efficient.
Permasalahan Clinical Coding Pada Sistem Casemix Penyebab Pending Claim Pasien Jaminan BPJS Di Rumah Sakit X Santoso, Sugeng; Markus, Suryo Nugroho; Ningsih, Kori Puspita
Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda (JIPIKI) Vol. 11 No. 1 (2026): Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda Edisi Februari
Publisher : Akademi Perekam dan Informasi Kesehatan Imelda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jipiki.v11i1.2164

Abstract

Background: Clinical coding accuracy is a vital factor in the financial stability of hospitals under the BPJS Health casemix system. Errors in clinical coding frequently lead to pending claims, which hinder the hospital's cash flow. Objective: This study aims to analyze the underlying causes of casemix coding issues in pending claims for BPJS Health patients at Hospital X. Method: This research employed a descriptive analytical method with a qualitative approach. Data were collected through in-depth interviews with five informants, consisting of two clinical coders, one casemix coordinator, and two physicians, as well as document observations of medical records and claim regulations. Result: The findings indicated a pending claim rate of 10.2%, with 33.3% of these cases caused specifically by clinical coding errors. The primary causes were categorized into three factors: (1) Human Resources, involving low coder competency in ICD-10/9-CM guidelines and medical pathognomonics; (2) Documentation Process, including incomplete medical resumes and a lack of clinical evidence provided by physicians; and (3) System, characterized by the infrequent socialization of the latest claim regulations and technical agreements. Conclusion: Accuracy in casemix coding is highly dependent on the synergy between comprehensive clinical documentation and the coder's expertise. Hospitals are recommended to implement continuous professional training and routine medical audits to minimize financial risks.
Analisis Kesiapan Implementasi Rekam Medis Elektronik Menggunakan Pendekatan DOQ-IT Di Klinik Pratama Wulandari Tahun 2025 Daeli, Cosmas Samuel; Sitorus, Mei Sryendang; Hutasoit, Theresia; Sitompul, Osayku Inesa
Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda (JIPIKI) Vol. 11 No. 1 (2026): Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda Edisi Februari
Publisher : Akademi Perekam dan Informasi Kesehatan Imelda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jipiki.v11i1.2185

Abstract

The implementation of Electronic Medical Records (EMR) is a mandatory requirement for all healthcare facilities in Indonesia to improve service quality, accelerate patient information access, and support data interoperability through a national platform. The purpose of this study was to analyze the readiness for the implementation of EMR using the DOQ-IT approach by assessing the influence of human resources, organizational work culture, governance and leadership, and IT infrastructure in healthcare services. This research used a descriptive quantitative method with total sampling of 16 respondents from various healthcare professions at Wulandari Primary Clinic. Data were collected using the DOQ-IT questionnaire consisting of multiple-choice questions. The analysis results showed that the overall assessment score was 74.44, which falls into Category II (fairly ready). This indicates that while there are strong capabilities in certain readiness components, weaknesses remain in others. Based on the four readiness aspects, only IT Infrastructure had the lowest classification score (2.50). The most prepared aspect was Human Resources (2.86), followed by Organizational Culture (2.67), and Governance and Leadership (2.58). Recomendation that need to be considered: Improve IT infrastructure, conduct regular training for staff, strengthen the role of leaders, conduct regular evaluations so that RME runs effectively

Page 26 of 26 | Total Record : 254

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