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Muhammad Yunus
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m.yunus@polije.ac.id
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+628123413933
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j-remi@polije.ac.id
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Program Studi Rekam Medik Politeknik Negeri Jember Jl. Mastrip PO Box 164, Jember, Jawa Timur
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J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan
Published by Politeknik Negeri Jember
ISSN : -     EISSN : 2721866X     DOI : https://doi.org/10.25047/jremi
Core Subject : Health,
Health Professions Public Health
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan is a scientific journal that is managed and published by the Program Studi Rekam Medik, Jurusan Kesehatan, Politeknik Negeri Jember. J-REMI contains the publication of research results from students, lecturers and or other practitioners in the field of medical records and health information with coverage and focus on the fields of Health Information Management, Health Information Systems, Health Information Technology, Health Quality Information Management and Classification, Coding of Diseases and Problems. Health and Action.
Arjuna Subject : Profesi Kesehatan - Menejmen Informasi Kesehatan
Articles 30 Documents
 1   2   3 
Search results for , issue "Vol 1 No 4 (2020): September" : 30 Documents clear
Analisis Pelaksanaan Pelayanan Antenatal Care (ANC) pada Ibu Hamil di Puskesmas Candipuro Kabupaten Lumajang Ika Rahmadhani; Faiqatul Hikmah
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 1 No 4 (2020): September
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v1i4.2089

Abstract

Angka Kematian Ibu (AKI) merupakan indikator derajata kesehatan suatu bangsa. Salah Satu upaya mengurangi angka AKI yaitu dengan menyelengarakan pelayanan Antenatal Care (ANC) yang berkualitas guna mencegah resiko kematian ibu dan janin. Standar pelayanan Antenatal Care (ANC) dapat dinilai melalui indikator capaian K1 dan K4. Puskesmas Candipuro merupakan salah satu puskesmas dengan jumlah rentang kunjungan antara K1 dan K4 cukup jauh yakni sebesar 21,2%, dengan nilai K1 sebesar 108% dan nilai K4 sebesar 86.8%. Tahun 2017 tercatat bahwa terdapat 2 kematian ibu di wilayah Puskesmas Candipuro. Tujuan penelitian ini untuk menganalisis pelaksanaan pelayanan Antenatal Care (ANC) pada Ibu Hamil di Puskesmas Candipuro Kabupaten Lumajang .Jenis  penelitian ini penelitian kualitatif. Hasil penelitian ini adalah analisis pelayanan Antenatal Care (ANC)  berdasarkan faktor input yaitu adanya kekurangan SDM, kurangnya penyerapan dana BOK, Ruang KIA yang tidak mendukung proses pemeriksaan dan tidak adanya SOP karena hilang, kemudian faktor proses yaitu pelaksanaan anamnesis yang kurang rinci, pemeriksaan 10 T yang tidak dilaksanakan setiap pemeriksaan yang menyebabkan resiko tinggi yang dialami ibu hamil tidak dapat di deteksi secara dini, serta pencatatan hasil pemeriksaan ibu hamil kedalam berkas rekam medis tidak lengkap, serta faktor output yang berupa proritas permasalahan. Prioritas permasalahan tersebut yaitu Kesenjanagan Cakupan K1 dan K4. Permasalahan kedua yaitu Kematian ibu yang terjadi di wilayah kerja puskesmas Candipuro disebabkan oleh pemeriksaan yang kurang lengkap dan rinci. Permasalahan yang ketiga yaitu perlunya dilaksanakan tata ulang ruang poli KIA agar mendukung proses pelayanan yang efektif dan efisien. 
Analisis Faktor Penyebab Keterlambatan Pendistribusian Dokumen Rekam Medis ke Poli Bedah di RSUPN Dr. Cipto Mangunkusumo Firza Azis; Atma Deharja
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 1 No 4 (2020): September
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v1i4.2105

Abstract

Based on research at RSUPN Dr.  Cipto Mangunkusumo, Central Jakarta, there was a delay in the distribution of medical record documents to arrive at the surgical clinic more than 30 minutes. The purpose of this research was to identify the causes of the delayed in the distribution of medical records documents to arrive at the surgical clinic based on 5 management elements, such as man factors, materials factors, machine factors, methods factors, motivation factors and the factors of arrange the recommendations effort for improvements in the supply of medical record documents at RSUPN Dr. Cipto Mangunkusumo. This type of the research uses qualitative analysis. Based on the results and discussion, in the man factor there are filing staffs who still lack discipline such as, often come late, the one of the filing staff often absen. The material factor there is still a medical record document which folder / cover is torn, and therefore the medical record number and the patient's name are not visible or unclear, so that the staffs has trouble when searching for the medical record documents. The machine factor, which is EHR, usually occurs loading or could not be a accessed so the tracer not coming out and when the EHR can be accessed, the tracer will come out with a lot. Ther methods factor is KPI percentage of the speed of providing medical records of patients without agreement arrived at the  polyclinic in 2019 still has not reached the target of 90%. After an evaluation, in 2020 the time of the document arrived at the polyclinic would be less than 30 minutes by reducing the target to 75%. Motivation factor there is no external motivation provided by the head of the medical record .The conclusion is the filing staffs did not come on time and did not come, the materials of the cover on medical record documents are easily torn, EHR is often difficult to access, the achievement level has not yet reached the target of providing medical record documents, and there is still no motivation from the head of medical record.
Analisis Kegiatan Penyediaan Berkas Rekam Medis Rawat Inap di RSU Haji Surabaya Novita Yuken Nur Aulia; Novita Nuraini; Rossalina Adi Wijayanti
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 1 No 4 (2020): September
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v1i4.2107

Abstract

One indicator in measuring the quality of medical records is the punctuality. The punctuality means managing the medical record file from the patient registering until the medical record file with the time limit specified in the standard operating procedure. At Haji Hospital Surabaya, the delay in providing the  inpatient medical records is still a problem. It can cause obstruction of the patient care process so that it will also affect service satisfaction. This research was aimed to analyze the activities of providing inpatient medical records at the Hajj General Hospital in Surabaya with the type of qualitative research. Data collection techniques used are observation, interviews, and documentation based on the variables Ability, Motivation, and Opportunities. The results of this study indicate that there are no SOPs related to the time the provision of inpatient medical records is the main factor being addressed. The Efforts can be made by rearranging SPOs related to providing inpatient medical record time.
Evaluasi Implementasi Aplikasi Primary Care (P-Care) dengan Menggunakan Metode Task Technology Fit di Puskesmas Patrang Kabupaten Jember Tahun 2019 Inggil De Crystal; Sustin Farlinda; Novita Nuraini; Andri Permana Wicaksono
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 1 No 4 (2020): September
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v1i4.2127

Abstract

Puskesmas Patrang merupakan salah satu puskesmas yang sudah menggunakan aplikasi Primary Care (P-Care). Aplikasi ini digunakan untuk mengentrikan data sosial, data pemeriksaan pasien dan pembuatan surat rujukan untuk pasien BPJS. Dalam pelaksanaannya masih ditemui berbagai kendala yang dialami oleh pengguna,yaitu  seperti aplikasi p-care yang mengalami error,  pembuatan surat rujukan hanya dilakukan oleh 1 petugas serta pengguna harus melakukan double entry data guna untuk kebutuhan laporan yang dibutuhkan oleh puskesmas. Tujuan dari penelitian ini adalah mengevaluasi implementasi aplikasi  Primary   Care dengan   menggunakan    metode   TTF   (Tasks  Technology  Fit) . Jenis penelitian ini adalah penelitian kualitatif dengan pendekatan deskriptif. Hasil evaluasi implementasi aplikasi Primary care   di Puskesmas Patrang menunjukkan bahwa dari 5 responden menyatakan karakteristik  tugas sudah sangat baik, semua tugas yang dilakukan sudah terfasilitasi disetiap menu aplikasi. Kriteria karakteristik dalam penerapan teknologi yang digunakan sudah baik, meskipun ketersediaannya belum merata. Kriteria kesesuaian tugas yang dirasakan oleh pengguna sudah sesuai dengan teknologi yang digunakan. Kriteria kebermanfaatan diperoleh bahwa pengguna merasakan butuh dengan aplikasi ini. Serta kriteria dampak kinerja dalam penerapan aplikasi ini yaitu ini sudah dirasakan dengan baik. Upaya penambahan kebutuhan pendukung seperti komputer dan scanner, penggunaan SIMPUS serta pembuatan SOP perlu diterapkan agar implementasi aplikasi primary care bisa berjalan dengan baik.
Analisis Perhitungan Kebutuhan Tenaga Kerja Petugas Riset Rekam Medis Pusat Berdasarkan Teori WISN di RSUPN Dr. Cipto Mangunkusumo Putri Alipiyah Nurazmi; Atma Deharja; Jalahan Pandeangan
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 1 No 4 (2020): September
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v1i4.2128

Abstract

National Center General Hospital Dr. Cipto Mangunkusumo functions as an educational hospital, so the medical record file is often used for research materials. It can be seen from the hospital data in 2019 that there were 53,963 requests for medical record files, but only 42,138 medical record files could be fulfilled by research officers, meaning that 22% of files could not be provided by research officers. If this is done continuously, it will cause a decrease in the quality of the research officer. Based on observations that have been made on 2 people from the Medical Records Research Center Dr. Cipto Mangunkusumo is known that the officer concurrently had several jobs. This causes the workload that is not in accordance with the number of officers. The purpose of this study was to analyze the workforce needs of the Central Medical Records research staff based on WISN theory at Dr. RSUPN. Cipto Mangunkusumo. This type of research uses qualitative research with 2 informants. Data collection methods are observation, interviews, and documentation. Based on the workload calculation using the WISN method, it is known that the number of workers needed in the research unit is 8 people. It is expected that with the results of the calculation of labor needs based on WISN theory can be used as an effort to plan the addition of officers to improve the quality of hospital services and in accordance with the existing workload.
Identifikasi Penyebab Keterlambatan Penyediaan Dokumen Rekam Medis Rawat Jalan di Rumah Sakit Husada Utama Surabaya Tahun 2020 Astrid Kartika Dewi Aprilia; Ida Nurmawati; Rossalina Adi Wijayanti
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 1 No 4 (2020): September
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v1i4.2130

Abstract

Fast and precise services are the desire of consumers. The speed of document provision of medical records to the PDS can be an indicator in measuring satisfaction. Based on the SPM of the hospital when providing outpatient medical records is ≤ 10 minutes. Husada Utama Surabaya Hospital has implemented medical records management, but there are problems in the implementation, in the provision of medical record documents less than the maximum and delayed. The aim of this research is to determine the factors causing delays in the provision of patient medical record documents in outpatient services based on 7M (man, money, method, material, machine, motivation, and media). This type of research is qualitative. Data collection used observation sheets and interview guidelines to 4 respondents. The results showed that the education, knowledge, and training of employee about the science of medical records is still lacking, the budget was managed by the financial management and there were no details for the needs of the medical record unit, there is no SOP about the provision of outpatient medical record documents, the medical record file is only a thin sheet of HVS paper, the folder used is easily damaged, outpatient medical records employee never get a reward from the leadership, room and rack filling cannot store medical records medical records properly. In conclusion, the factors that caused the delay in providing medical record documents are man, money, method, material, motivation, and media. The results of this study can be an evaluation material for Husada Utama Hospital to improve the service provision of medical records for outpatients.
Sistem Informasi Peminjaman dan Pengembalian Rekam Medis Berbasis SMS Gateway Eltigeka Devi Apriliani; Sustin Farlinda; Feby Erawantini; Mochammad Choirur Roziqin
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 1 No 4 (2020): September
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v1i4.2135

Abstract

The process of borrowing and returning medical record at Ambulu Public Health Center still use manual book and make return of medical record documents that are not in accordance with SOP (Standard Operational Procedure). The purpose of this research is to design and create an information system of borrowing and returning the medical records based SMS gateway at Ambulu Public Health Center. The method used in this research is waterfall. The stages of the waterfall is requirements analysis, system design, create system, and system testing. The data collected by interview, observation, and FGD (Focus Group Discussion). The results of this research is the information systems of borrowing and returning the medical records based SMS gateway as message or automatic reminder. The suggestion for Ambulu Public Health Center is use information system of borrowing and returning the medical record based SMS gateway can make simple the reports.
Perancangan Sistem Informasi Peminjaman dan Pengembalian BRM Rawat Jalan di Rumah Sakit Husada Utama Lidya Nur Fatimatuz Zuhro; Ida Nurmawati; Rossalina Adi Wijayanti; Gilang Nur Permana
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 1 No 4 (2020): September
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v1i4.2136

Abstract

Borrow and return outpatient medical records at the Husada Utama Hospital in Surabaya still uses manuals by referring to the date of discharge from the hospital to search for files that have not been returned or for file tracking so that it can cause difficulties for officers in tracking outpatient medical records. Data of delay in the return of outpatient medical records in February-March 2020 counted for 117 (14.88%) of the total files late from the 786 total outgoing files. SOP (Standard Operational Procedure) that applies at Husada Utama Hospital regarding hospital service standards is explained by the medical records of Specialist Practices which are returned within 1X24 hours on the same day. While the medical record file in the inpatient room is submitted no later than 2X24 hours after the date the patient is discharged from the hospital. This research  was aimed to design a web-based outpatient medical records and loan information system at the Husada Utama Hospital in Surabaya. The type of research is qualitative research with data collection methods of observation and interviews. The subjects of this research were the head of the medical record and the outpatient medical record officer. The method used by researchers is the waterfall method. The results of this research can be seen that the design of information systems for borrowing and returning outpatient medical record files are made according to the needs of users, making the system starts from the needs analysis so it produce a system design that suits your needs.
Analisis Penerapan RME Pada Unit Coding Rawat Jalan RSUD K.R.M.T Wongsonegoro Semarang Amaliya Nikmatul Rohmah; Ida Nurmawati; Indah Muflihatin; Syaifuddin Syaifuddin
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 1 No 4 (2020): September
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v1i4.2137

Abstract

RSUD K.R.M.T Wongsonegoro Semarang City is one of the hospitals that have implemented an electronic medical record at the end of December 2017. Information systems that support management and service to patients are electronic medical records, especially in outpatient coding units. One factor that plays an important role in the successful application and use of information technology is the user factor. The level of user readiness to accept information technology has a major influence in determining the success or failure of the application of the technology. The purpose of this study was to evaluate the application of electronic medical records in outpatient coding units based on the Technology Acceptance Model (TAM) method. This type of research is qualitative research with the data collection methods, namely interviews, observation and documentation. The subjects of this study were outpatient coding officers. The results showed that based on the aspects of usefulness in the use of electronic medical records in outpatient coding units be very beneficial for officers. Based on the aspect of ease in showing the acceptance of electronic medical records, it is considered easy to understand, flexible enough with the work of officers and easy to used to assist with work. Based on the aspect of interest, it is obtained that outpatient coding officers also show their interest in the system, and plan to use the system in the future, although there are some obstacles. The solution obtained from the problem is making guidelines for the use of electronic medical records, adding electronic signature features to electronic medical records for patient medical resume forms, striving for electricity and electricity networks to remain stable, making updates or updating electronic medical records.
Evaluasi Rekam Medis Elektronik di Tempat Pendaftaran Pasien Gawat Darurat dan Rawat Inap RSUD K.R.M.T Wongsonegoro Kota Semarang Eka Cintiya Febrianti; Ida Nurmawati; Indah Muflihatin
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 1 No 4 (2020): September
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v1i4.2145

Abstract

Each hospital is required to hold records or records of all services provided to patients called medical records. Increasing the effectiveness of recording medical data that is accurate, fast, can take advantage of current technological advances through the implementation of the Electronic Medical Record (EMR) system in hospitals. RSUD K.R.M.T Wongsonegoro is one of the hospitals that has implemented an electronic medical record (EMR) especially in the inpatient and emergency department registration units. The application of this electronic medical record still has some flaws that must be evaluated. This study aims to evaluate the implementation of electronic medical records at the emergency and inpatient registrations of Wongsonegoro Hospital. Data collection in this study consisted of observations and interviews. Identification of problems using the TAM (Technology Acceptance Model) method by reviewing from 3 aspects namely perceived usefulness, perceived ease of use, and behavioral intention to use. This type of research is descriptive qualitative by narrating the results of research based on the data obtained. The results obtained from this study are based on the aspect of usefulness (perceived usefulness), namely the use of electronic medical records in TPPGD and TPPRI, making the registration officer work faster and more effective.The aspect of ease (perceived ease of use) obtained from the interview results is that it is able to make it easier to accelerate the registration process in the TPPGD and TPPRI. The behavioral intention to use obtained is that the users of this system really need this electronic medical record and the registration officer at TPPGD and TPPRI plans to use the EMR in the future.

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