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PELS (Procedia of Engineering and Life Science)
Published by Universitas Muhammadiyah Sidoarjo
ISSN : -     EISSN : 28072243     DOI : https://doi.org/10.21070/pels
Core Subject : Science, Engineering,
Computer Science & IT Control & Systems Engineering Electrical & Electronics Engineering Engineering
PELS (Procedia of Engineering and Life Science) is an international journal published by Faculty of Science and Technology Universitas Muhammadiyah Sidoarjo. The research article submitted to this online journal will be double blind peer-reviewed (Both reviewer and author remain anonymous to each other). The accepted research articles will be available online following the journal peer-reviewing process. Language used in this journal is Bahasa (Indonesia) or English. Aims and Scope of this journal is science and technology.
Arjuna Subject : Teknik (semua kategori) - Teknik (Lain-Lain)
Articles 662 Documents
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User Readiness and Acceptance of Electronic Medical Record: A Partial Least Square Approach Chairunnisah, Reni; Ismatullah, Nurul Khatimah; Andriani , Helmina
Procedia of Engineering and Life Science Vol. 6 (2024): The 3rd International Scientific Meeting on Health Information Management (3rd ISMoHI
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/pels.v6i0.1939

Abstract

Electronic medical records (EMR) are increasingly popular in global healthcare to enhance service quality. However, transitioning to EMR poses challenges, particularly in adapting to the technology. Researchers are therefore interested in exploring the readiness and acceptance of EMR adoption using the Technology Readiness and Acceptance Model (TRAM). This study employs quantitative analytical methods and involves a sample size of 30 healthcare professionals responsible for medical record keeping. Total sampling was utilized to select participants. The variables examined in this research include Optimism (OPT), Innovativeness (INN), Discomfort (DIS), Insecurity (INS), Perceived Usefulness (PU), Perceived Ease of Use (PEOU), and Use Intention (USI). The study's findings, analyzed through Partial Least Squares (PLS), reveal that Innovativeness (INN) exerts the strongest influence on Perceived Ease of Use (PEOU) with a β-value of 0.434. Additionally, PEOU shows the most significant impact on Intention to Use (USI) with a β-value of 1.106. Approximately 71.8% of the variability in the USI variable is accounted for by Optimism (OPT), Innovativeness (INN), Discomfort (DIS), Insecurity (INS), Perceived Ease of Use (PEOU), and Perceived Usefulness (PU). At the same time, other factors outside the scope of this study explain the remaining variation. Keywords— Electronic Health Record, EMR, Readiness Index, Technology Readiness, Acceptance Model, TRAM
Electronic Medical Record: Challenges in Terms of Management Elements Related to The Implementation of Inpatient Electronic Medical Records Insani, Tria Harsiwi Nurul; Wikansari, Nurvita; Febrian, Ehci
Procedia of Engineering and Life Science Vol. 6 (2024): The 3rd International Scientific Meeting on Health Information Management (3rd ISMoHI
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/pels.v6i0.1940

Abstract

Patient medical records began to switch to an electronic basis with the issuance of Minister of Health Regulation Number 24 of 2022 concerning Medical Records. This policy regulates health service facilities to run an electronic patient medical history recording system. The transition process will be carried out no later than 31 December 2023. Hospitals are one of the health service facilities that are required to maintain electronic medical records. It is important to assess readiness before implementing electronic medical records, to optimize its implementation. This research aims to analyze the challenges of implementing inpatient EMR at the PKU Muhammadiyah Bantul Hospital which will be reviewed from management elements, namely Man, Method, Machine, Material, and Information. This research carried out in the early 2023. The type of research used is descriptive research with a qualitative approach, to explore or obtain comprehensive, broad, and in-depth information regarding the challenges of implementing inpatient electronic medical records in terms of management elements. The result of this study; the challenge of implementing EMR from the Man element; there are found officers who do not have an educational background in medical records or are not qualified as medical recorders. Money; The hospital's operational cost budget is obtained from the hospital itself and funds for implementing inpatient electronic medical records are already available, so there are no obstacles to the budget for implementing the EMR. Method; Hospital does not have yet an SOP or proedure, especially for implementing inpatient EMR. Machine; facilities such as computers or PCs in each ward still need to be added. Material; Inpatient EMR materials are still in the development stage and are built by the hospital itself without any collaborating (third-party) vendors or teams. Information; Hospital has not conducted external training and outreach to medical staff who will use EMR in the inpatient unit. Conclusion, The hospital still has several obstacles such as in terms of man, method, machine, material, and information but there are no difficulties with money so it is necessary to increase the time allocation for implementing inpatient EMR.
Electronic Medical Record Implementation for Regional-based Disease Trend Analysis in Semarang City Suhito, Hanif Pandu; Raniasmi, Prahita Indriana; Sholikun, Sholikun
Procedia of Engineering and Life Science Vol. 6 (2024): The 3rd International Scientific Meeting on Health Information Management (3rd ISMoHI
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/pels.v6i1.1945

Abstract

Electronic medical records (SIMPUS) has been implemented since 2019 in Semarang City, enabling community health centers to store patient medical data efficiently. Decision-making in disease control must be based on data and evidence-based approaches. The objective of this study is to display trends of disease based on visits to health centers in Semarang City. Using data from routine services provided by 37 health centers (Puskesmas) from 2020 to June 2024, a total of 8.669.287 patients were included. A quantitative descriptive analysis approach was used to determine the distribution of disease based on top 10 diagnoses, age groups, districts, and time periods. The results show that Acute upper respiratory infections of multiple and unspecified sites (J06) have increased and become top rank in the last three years. Hypertension (I10) also increased with the number of cases still high as runner up. Most of the cases in the top 10 diseases increase in number of cases from year to year. The sub-district of Tembalang, Semarang Barat, and Pedurungan tend to have the highest number of patient visits. Based on age groups, the most frequent visits to the health center are adults and pre-elderly groups, followed by teenagers and toddlers. This is related to the types of cases that are most often found. This trend analysis can be used to determine changes in patient visit patterns at Semarang community health centers from year to year and can help in comparing morbidity rates so it can help in determining health policy in Semarang.
Effective Strategy to Reduce Infant Mortality Rates through Neonatal Death Rate (NDR) Harjanti, Harjanti; Novita, Risma Ayu
Procedia of Engineering and Life Science Vol. 6 (2024): The 3rd International Scientific Meeting on Health Information Management (3rd ISMoHI
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/pels.v6i1.1950

Abstract

Infant Mortality Rate (IMR) is an important indicator of a country's level of social welfare and public health status. The target of the Sustainable Development Goals (SDGS) in 2030 is to end with the aim of reducing neonatal mortality to 12 per 1000 live births. The results of the calculation of neonatal mortality rates at RSUD dr. Soeroto Ngawi exceed the SDGS tolerance limit of 32 per 1000 live births. The purpose of the study was to analyze strategies to reduce the Neonatal Death Rate (NDR) by classifying it based on age characteristics, birth weight and diagnosis of cause of death. The type of research is descriptive quantitative, which will describe the neonatal mortality rate with a retrospective study approach. Total sampling technique with a sample of 47 medical record documents of newborn patients aged 0-28 days. The neonatal mortality rate obtained results of 48 per 1000 live births for 1 year. The proportion of neonatal mortality with the highest in age characteristics is 0-7 days of age, which is 39 (82.97%) cases, normal weight (2,500-4,000 grams) there are 17 (36.17%) cases, and the diagnosis of the cause of death there are 30 (63.84%) cases caused by Low Birth Weight (LBW). It can be concluded based on the characteristics of the main cause of NDR, namely LBW which occurs in premature and dysmastur babies. Strategies that can be carried out are routine antenatal care examinations, screening of newborns, basic emergency obstetric neonatal services, provision of hypno breastfeending therapy and mother kangaroo mother care, provision of exclusive breastfeeding.
Completeness of Medical Record Files and The Timeliness of BPJS Claims on Inpatients With Bronchitis Cases at Purwokerto Islamic Hospital Regina, Putri Sepna; Fauzi, Harry
Procedia of Engineering and Life Science Vol. 6 (2024): The 3rd International Scientific Meeting on Health Information Management (3rd ISMoHI
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/pels.v6i1.1952

Abstract

One of the things that determines the quality of medical services provided by hospitals is the availability of adequate and complete data or information regarding medical records so that it will affect the submission of BPJS claims. This study was conducted to describe the completeness of medical record files and the timeliness of BPJS claims on inpatients with bronchitis cases at Purwokerto Islamic Hospital. This study uses quantitative methods with descriptive research design, data collection design using cross sectional. Completeness of medical record file on inpatients with bronchitis cases with indicators of participant eligibility letter, spporting examination, code accuracy, and resume of inpatient bills or billing costs with a complete category of 75 (100%), medical resumes with a complete category of 34 (45,33%) and an incomplete category of 41 (54,67%), and indicators of hospitalization orders with a complete category of 6 (8%) and an incomplete category of 69 (92%). The timeliness of inpatient BPJS claims with the timely category was 49 (65,33%) and the untimely category was 26 (34,67%).
Development of a WEBGIS-Mapping Information System of Tuberculosis (MISS TB) For Plotting Tuberculosis Cases: A Case Study in Sleman District, Yogyakarta Province, Indonesia Rohman, Hendra; Nurrochman, Alwhan
Procedia of Engineering and Life Science Vol. 6 (2024): The 3rd International Scientific Meeting on Health Information Management (3rd ISMoHI
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/pels.v6i0.1954

Abstract

Geographic information system for health information management and public health to analyze the spatial disease distributions in surveillance has increasingly applied in the last few decades. The programming skills needed to utilize the software appropriately in contact tracing and follow up control measures for tuberculosis (TB) patients. This study aimed to develop a more user friendly application by applying XAMPP application to create WEBGIS localhost, PHP My Admin for MySQL database management, MySQL server as a database management system (DBMS), Visual Studio Code application for creating programming. The system development method uses a waterfall model. These data were collected from infectious disease prevention and control officers at the Sleman District Health Service and tuberculosis reporting programmer officers at community health centers. Data on rainfall, humidity, altitude, temperature, area, population and population density were obtained from the Central Statistics Agency of Sleman Regency. Data visualization in mapping for 17 sub-districts in Sleman Regency. The geographic menu contains information on rainfall, humidity, altitude and temperature for each month in tabular form. The demographics menu contains information on the area, population and population density of each sub-district in tabular form. The distribution location input menu is used to add data on tuberculosis cases. The distribution list menu contains a table that contains a database stored from the location input. The account menu on the administrator user contains a list of accounts created or registered in system. The website-based geographic information system (GIS) application is expected to improve case data reporting, case monitoring, support data availability, and visualize the distribution of tuberculosis cases in Sleman Regency through the mapping menu. The application developed should assist health information management and public health experts to utilize medical record data and spatial data for the surveillance purposes comprehensively.
Investigating Acceptance of Electronics Medical Record: Applying TAM Model Rochmah, Irma Nuur; Zakiyah, Erna; Kurnianingsih, Widya; Purnomo, Bambang Eka
Procedia of Engineering and Life Science Vol. 6 (2024): The 3rd International Scientific Meeting on Health Information Management (3rd ISMoHI
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/pels.v6i0.1955

Abstract

Electronic medical records are used to increase interoperability, efficiency and flexibility in medical record services. There are many obstacles in implementing electronic medical records at Clinic ‘X’ Sukoharjo, but this does not prevent health workers from using them. Investigation of users of electronic medical records needs to be carried out to determine the perceptions of health workers. TAM is a model that we use to determine user acceptance of technology. The TAM variables used are Perceived ease of use (PEU), Perceived Usefulness (PU), Attitude towards Using (IU), and Actual Usage (AU). The sample we used was 30 health workers. Our data was collected and calculated using PLS-SEM with the SmartPLS 4 application. The results of this research show that health workers feel helped by the existence of electronic medical records. The ease of using technology helps health workers in their work. So electronic medical records are considered useful for health workers. This usefulness encourages health workers' behavioral interest in using electronic medical records to improve their performance.
Analysis of Patient Satisfaction With The Use of The Jkn Mobile Application At Godong Community Health Center Fadhilah, Isnaini Qoriatul; Masrochah, Siti; Lestari, Sri; Kusdianto, Eko Teguh
Procedia of Engineering and Life Science Vol. 6 (2024): The 3rd International Scientific Meeting on Health Information Management (3rd ISMoHI
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/pels.v6i0.1957

Abstract

BPJS Health implements a digital transformation in the form of the JKN mobile application. The JKN mobile application is expected to provide easy access and more optimal service for participants. The JKN Mobile Application is expected to simplify the registration process and improve the quality of health services [1]. A preliminary survey at the Godong 1 Health Center registration regarding the use of the Mobile JKN application was carried out in February 2023 on 10 BPJS Health patients, 5 patients said they were satisfied and 5 other patients said they were dissatisfied, 5 patients said they were dissatisfied due to user complaints, including: The application sometimes cannot be used if it is not updated immediately. This study aims to determine patient satisfaction with the quality of online registration for the JKN mobile application based on the dimensions of content, accuracy, format, ease of use, timelines at Godong Community Health Center. The type of research used is quantitative descriptive research. The data collection method uses a questionnaire. The instrument used was a questionnaire. The population and sample in this study were all BPJS Health participants who used the JKN mobile application, namely 226 participants and a sample of 70 respondents. The research results showed that the majority of respondents were satisfied with the quality of registration via the Mobile JKN application. Aspects of ease of use and speed of the registration process receive high ratings from patients [2]. Research shows that from the dimensions of content, 77.1% were satisfied and 18.6% were very satisfied, accuracy was 81.4% satisfied and 14.3% very satisfied, format was 84.3% satisfied and 11.4% very satisfied, ease of use expressed satisfaction 81.4 and very satisfied 14.3%, timelines expressed satisfaction 80% and very satisfied 15.7%.
Analysis Of The Use Of Electronic Medical Records With The Fishbone Method Approach At Rokan Hulu General Hospital Maulana, David; Trisna, Wen Via; Sari, Tri Purnama
Procedia of Engineering and Life Science Vol. 6 (2024): The 3rd International Scientific Meeting on Health Information Management (3rd ISMoHI
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/pels.v6i0.1958

Abstract

RSUD Rokan Hulu has started implementing electronic medical records (RME) since September 2023 in outpatient services. RSUD Rokan Hulu provides 20 Polyclinics, of which 6 Polyclinics have implemented RME and 14 Polyclinics have not implemented RME. In its implementation, of course, it has obstacles. This study aims to determine the inhibiting factors for the use of electronic medical records based on the Man, Machine, Material, Method, Money factors. The type of research used is descriptive qualitative. The subjects in this study were the head of the medical record installation, nurses, doctors, IT / IMRS staff and KASI Humas. The object of this research is electronic Medical Records at Rokan Hulu Hospital, the methods used are interviews and observations. Data analysis uses descriptive analysis and the results are presented using a fishbone diagram. The results of inhibiting factors in the use of electronic medical records with the fishbone method approach at Rokan Hulu Hospital in 2024 based on the Man factor, namely the lack of special training in the use of RME to health workers, the limitations of health workers in using computers, and not all doctors want to use RME. The machine factor is the unavailability of electronic pens. Network material factors often experience interference and the RME application used is not easy for doctors to use. The method factor is that there is no SOP related to the use of RME and there are no guidelines for the flow of RME implementation. The money factor has no problems and obstacles.
Klakson: Innovation in the Development of a Barber Johnson Charting Calculator Based on an Early Warning System (EWS) Ningsih, Kori Puspita; Purbobinuko, Zakharias Kurnia; Pradipta, Dimas Andrenawan; Farhan, Ishlah Maulana; Rohmah, Kuny Lutfiyatur
Procedia of Engineering and Life Science Vol. 6 (2024): The 3rd International Scientific Meeting on Health Information Management (3rd ISMoHI
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/pels.v6i0.1960

Abstract

Data on bed management in Indonesia is currently managed in an integrated manner by the Ministry of Health through the Integrated Referral System (SISRUTE) on the Satu Sehat website. Hospital bed management data can be presented in the Barber-Johnson Graph. The Barber Johnsons graph is a good tool. It makes it easier for managers to monitor the efficiency of bed use, because TOI (Turn Over Interval), LOS (Length Of Stay), BTO (Bed Turn Over), and BOR (Bed Occupation Rate) are presented in one graph. The problem currently faced by society is that the management of beds in healthcare facilities is not yet efficient and is still done manually. In some hospitals, they still describe the Barber-Johnson Chart in Microsoft Excel. Therefore, innovation is needed to develop the Barber-Johnson Graph Calculator application Johnson is based on an Early Warning System (EWS) called Klakson. The existence of efficient bed management will demonstrate quality service. This is certainly expected to impact improving public health in Indonesia. This research uses action research, with a qualitative data collection approach. Data analysis uses content analysis. The results of need identification show that hospitals, health centers, and clinics that provide inpatient care need a Klakson application based on the Early Warning System (EWS) in the form of notifications and sound to support early decisions. The results of the feasibility study show that users are accustomed to using computers, software, and hardware available to support the development of web-based information systems. Information system development using prototype methodology. The prototype test results using the Blackbock method show that the function/reaction is according to the actor, the system works well and can meet user needs. The development of the web-based Klakson application using prototype methodology stages has been tested in DIY clinics and shows that the system can meet user needs.

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