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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 7 Documents
 1 
Search results for , issue "Vol 3 No 2 (2022): March" : 7 Documents clear
TINJAUAN PENYEBAB KLAIM PENDING BADAN PENYELENGGARA JAMINAN SOSIAL (BPJS) KESEHATAN DI RSU HAJI SURABAYA Ariqpurna Bayu Triatmaja; Rossalina Adi Wijayanti; Novita Nuraini
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 3 No 2 (2022): March
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v3i2.2252

Abstract

Badan Pelaksana Jaminan Sosial (BPJS) Kesehehatan provide health services to the public by using a prospective payment system. Surabaya Hajj General Hospital is one of the type B educational hospitals that has been collaborating with the BPJS since 2014. Based on primary data at Surabaya Haji Hospital it was found that the claim file had pending claims. This is due to incomplete claim file, inaccurate diagnostic code due to differences in perception between the coders and verifiers. This study aims to analyze the pending claims factor of the Health Social Security Administration Agency (BPJS) at Haji Hospital Surabaya. Problem identification uses 5M management elements (man, material, methods, machine, money). This type of research is descriptive qualitative, narrating the results of the study. In the man element that causes the pending claim is the officer still feels difficulty in reading the diagnoses and actions of patients due to the writing of doctors who are difficult to read, and incorrect diagnosis codes and actions due to differences in perception between the coder and verifier of the BPJS. The material element that causes the pending claim is the incomplete claim file, such as the results of patient support examinations. In the Method element that causes pending claims, there is no SOP governing the filling of a specific diagnosis file claim. On the machine element that causes pending claims is the computer used in the claim submission process often experiences long loading times and often experiences network disruptions. In the element of money in this study does not cause pending claims, because casemix officers can not know the amount of loss caused by pending claims.
ANALISIS FAKTOR YANG BERHUBUNGAN DENGAN KELENGKAPAN RESUME MEDIS – LITERATURE REVIEW Nafa Maharani; Atma Deharja; Rossalina Adi Wijayanti; Dony Setiawan Hendyca Putra
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 3 No 2 (2022): March
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v3i2.2667

Abstract

A Medical resume is a summary of the whole medical patient's treatment. The incomplete medical resume can cause the patient's medical history to not continue with the patient's previous data. The various factors cause an incomplete medical resume. The research aimed to analyze the aspects related to the completeness of a medical resume. The study is a literature review with database from Google Scholar and Garuda. This research's keywords are factors related AND completeness OR complete AND medical resume OR medical resume OR discharge summary OR discharge summary. The manpower elements are 21,4 percent of good knowledge, 28,5 percent of long working tenure, 21,4 percent of civil servant employment status, 7,1 percent of good attitude, and 7,1 percent of higher education. The motivation elements are 14,2 percent of adequate supervision (monitoring and evaluation), 7,1 percent of good leadership, and 7,1 percent of reward and punishment. Media elements are 7,1 percent of how to pay for BPJS patients and 7,1 percent of directly related work conditions (unique table and chair to fill medical records) and other work environments (lighting and noise room to fill medical resumes). The main factor related to medical resume's completeness is tenure, and other high factors are knowledge and employment status. The writer suggests that health facilities should facilitate patient data completeness, especially for doctors with a new term, bad experience, and non civil servant employment status.
Analisis Sistem Informasi Pencatatan Ibu Hamil Di Kabupaten Jember Ilham Aditya Aji; Atma Deharja; Sustin Farlinda; Efri Tri Ardianto; Maya Weka Santi
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 3 No 2 (2022): March
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v3i2.2693

Abstract

The maternal mortality rate in East Java has increased over the last two years due to restrictions on antenatal care visits. In 2020 Jember Regency was ranked first in the maternal mortality rate (MMR) in East Java as many as 61 people out of 175.53 per 100,000 live births. The Jember Regency Government in 2017 has implemented an information system for recording pregnant women to suppress MMR in Jember Regency but currently, its use is not maximized because there are still obstacles such as users finding it difficult to use it. The purpose of this study was to analyze the information system for recording pregnant women in Jember Regency. This research is a quantitative study with a cross-sectional approach, this approach is used to see the relationship between one variable and another with the Technology Acceptance Model (TAM) method and the research subject is a midwife who uses information systems. The results of the study show that there is a significant relationship between the usability variable and perceived benefits (sig = 0.001, r = 0.483), privacy and confidentiality variables and perceived benefits (sig = 0.023, r = 0.879), and the perceived benefit variable on user intentions. (sig = 0.001, r = 0.468). The suggestion in this study is that the Health Service should make an SOP that requires users to use an information system for recording pregnant women for services to be more intensive and maximal in their use.
ANALISIS PENERIMAAN SIMRS DENGAN METODE TECHNOLOGY ACCEPTANCE MODEL DI RSD BALUNG KABUPATEN JEMBER Intan Winda Rohmatun Imamah; Eri Witcahyo; Sri Utami
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 3 No 2 (2022): March
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v3i2.2484

Abstract

SIMRS application is an important component in the application of medical record processing. In Balung Hospital, Jember, the application of SIMRS is still not running optimally, such as entering patient medical record data on SIMRS and the attitude of SIMRS users or admins who forget to enter patient data into SIMRS. This shows the attitude of users who lack awareness in using SIMRS. The purpose of this study was to analyze the acceptance of SIMRS, especially among SIMRS users in Balung Hospital using the Technology Acceptance Model (TAM) approach. The method used is analytic with cross sectional approach with interview and observation techniques. Analysis of research data using univariate analysis and bivariate analysis with simple linear regression. The results of this study show, there was an effect of Perceived Ease of Use on Attitude Toward Using SIMRS, there was an effect of Perceived Ease of Use on Perceived Usefulness, there was no effect of Perceived Usefulness on Attitude Toward Using, there was an effect of Perceived Usefulness on Behavioral Intention to Use SIMRS, there was an effect of Attitude Toward Using SIMRS on Behavioral Intention to Use SIMRS, and there was an effect of Behavioral Intention to Use SIMRS on Actual Usage of SIMRS. The suggestion of this research is that there is a need for regular monitoring and evaluation of the medical record unit and SIMRS in the use of SIMRS based on the performance of the user
Hubungan Kualitas Pelayanan Kesehatan Dengan Kepuasan Pasien Rawat Inap di FKTP: Literature Review Dina Ayu Mashita; Ervina Racmawati; Atma Deharja; Efri Tri Ardianto
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 3 No 2 (2022): March
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v3i2.2608

Abstract

The quality of Puskesmas services was an important factor in the utilization of health services. Patient satisfaction was an important measure of the effectiveness of health care providers to fulfill patient needs and expectations. The purpose of this research is to determine the relation between the quality of health services (tangible, reliability, responsiveness, assurance, empathy) and the satisfaction of inpatients at first-level health facilities. The method used is a literature review by analyzing 10 articles from various sources. Based on the results of the literature study from various studies obtained, the researcher stated that 3 articles that the overall quality of health services (tangible, reliability, responsiveness, assurance, empathy) have a significant relationship with patient satisfaction. A total of 6 literatures show that the tangible dimensions are related and 1 literature shows that there is no relationship. There are 4 dimensions of reliability that show a relationship and 3 literature that show no relationship. The responsiveness dimension consists of 4 literature showing a relationship and 3 literature that is not related. The assurance dimension consists of 3 literature showing a relationship and 4 literature that is not related to patient satisfaction. The empathy dimension consists of 5 literatures that show a relationship and 2 literature that show no relationship with patient satisfaction. The assurance dimension is considered is not good so that it has no relationship with patient satisfaction. There are literatures that only writes the correlation test results without explaining the situation or facts found in first-level health facilities.
ANALISIS KELENGKAPAN PENGISIAN REKAM MEDIS PASIEN RJ POLI UMUM GUNA MENUNJANG MUTU REKAM MEDIS Halsa Imas Halimatusaadah; Meira Hidayati
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 3 No 2 (2022): March
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v3i2.2737

Abstract

Medical records are documents that contain data or patient history. The completeness of filling out medical records at the UPTD (Regional Technical Implementation Unit) of the Haurwangi Health Center is only 70%. The purpose of this study was to analyze the completeness of filling out outpatient medical records at the UPTD of the Haurwangi Health Center in order to support the quality of medical records. The type of research used is descriptive research using quantitative analysis and data collection techniques using observation, interviews, and literature review. The sample used was 71 medical record documents in May 2021. The study of incomplete found in patient identification is 10% or 7 outpatient medical record documents, in important reports 8% or 6 outpatient medical record documents, in authentication reviews 11 % or 8 outpatient medical record documents. The conclusion based on the quality calcutation of the completeness of filling out medical records using the KLPCM formula (Incomplete Filling of Medical Records) there are 30% incomplete medical records and medical records cannot be said to be of good quality. Suggestions from researchers are to evaluate, socialize, and monitor the SOP (Standard Operasional Procedures)  for the completeness of outpatient medical records at the Haurwangi Health Center UPTD
KEBUTUHAN TENAGA PELAPORAN DENGAN METODE ANALISIS BEBAN KERJA PADA MASA PANDEMI COVID-19 DI RSU “X” Widia Nurrul Irsani; Sali Setiatin; Aris Susanto
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 3 No 2 (2022): March
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v3i2.2738

Abstract

Reporting personnel are one of the important human resources to determine the performance of the medical record work unit. Determining the right number of human resources must be based on systematic calculations, one method that can be used is the workload analysis method. The Covid-19 pandemic period requires health service facilities including hospitals to report related to Covid-19 events, which has increased the workload of medical recorders in the reporting section. At the General Hospital "X" there are 32 types of reports, including 5 additional types of reports during the Covid-19 pandemic that must be carried out in the context of implementing the handling of the Covid-19 pandemic. The number of reporting personnel in the medical record unit of the General Hospital "X" currently available is 3 people. This study aims to review the need for reporting personnel for the medical record work unit at the "X" General Hospital with the workload analysis method during the Covid-19 pandemic. The research method used is a qualitative method with a descriptive approach. The data collection techniques used are observation, interviews, and literature review that are relevant to the research. From the research conducted, a problem was found, there was the incompatibility of the number of reporting personnel based on the results of calculations using the workload analysis method. According to calculations, there should be 4 reporting personnel, while the currently available reporting personnel are 3 people. The suggestion given to overcome these problem is to adjust the number of reporting personnel by adding 1 reporting person.

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