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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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Stages of the Failure Mode Effect and Analysis (FMEA) Method in RME Risk Analysis: Tahapan Metode Failure Mode Effect and Analysis (FMEA) dalam Analisis Risiko RME Kristijono, Anton; Prabowo, Primus Radixto; Aggun, Tiara; Fatoni, M. Irfan
Procedia of Engineering and Life Science Vol. 9 (2025): Proceedings of the 2025 Annual Meeting of APTIRMIKI
Publisher : Universitas Muhammadiyah Sidoarjo

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Abstract

Healthcare facilities are required to implement EMR in accordance with Minister of Health Regulation No. 24 of 2022. ICT has developed rapidly in various sectors, including the development of EMR in the health sector. Before implementing EMR, an assessment of their readiness is necessary. Analysis of health facility readiness in the EMR implementation plan is a way to identify risks that cause failure in EMR implementation. The purpose of this study was to analyze EMR risk management using Health Care Failure Mode Effect and Analysis (FMEA). This type of research is a mixed research study, with data collection through observation, in-depth interviews with triangulation, and questionnaires. The research informants were determined using the RACI Chart model. Data processing and analysis used the Miles and Hubberman model. Risk priority was determined using the USG model (urgency, seriousness, growth). The results of the study identified five risk factors: patient identification at the registration section, storage of new and existing patient surgical report files, patient registration via mobile JKN, integration with the Ministry of Health's One Healthy System, backup servers, and disk mirroring. Risk assessments varied from low to high risk. The conclusion in this study is that the implementation of EMR is inseparable from the risk of failure. The steps of the Health Care FMEA method identify and eliminate potential failures, so that appropriate risk controls can be applied to existing potential risks.
Implementation of Electronic Medical Records in Type C Hospitals: Implementasi Rekam Medis Elektronik di Rumah Sakit Tipe C Rani, Destri Maya; Rizqulloh, Lutfiyah; Widyaningrum, Bajeng Nurul
Procedia of Engineering and Life Science Vol. 9 (2025): Proceedings of the 2025 Annual Meeting of APTIRMIKI
Publisher : Universitas Muhammadiyah Sidoarjo

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Abstract

The implementation of Electronic Medical Records (EMR) is a strategic step in supporting the digitization of healthcare services in Indonesia, including in type C hospitals. In line with the National Policy, Ministry of Health Regulation No. 24 of 2022 on Electronic Medical Records, the implementation of EMR is mandatory for healthcare facilities. However, in its implementation, type C hospitals face various challenges that need to be comprehensively examined. This study aims to analyze the implementation of EMR in Type C Hospitals through a literature review. The research method is a literature review of articles published between 2023 and 2025, obtained from the Google Scholar and SINTA databases, with a focus on Type C Hospitals. A total of 10 articles met the criteria and were analyzed further. The results of the study indicate that the implementation of RME in type C hospitals has been underway but is not yet optimal. The most supportive factors include management support, human resource competence, information technology infrastructure, organizational culture, and user training. In addition, several hospitals experienced challenges in terms of data security, system interoperability, and resistance to change. This indicates that the implementation of Minister of Health Regulation No. 24 of 2022 still requires varying degrees of adaptation and readiness at the level of type C hospitals. The conclusion of this study emphasizes that the implementation of RME requires comprehensive readiness, both in terms of technical aspects, resources, and organization. It is recommended that Type C Hospitals enhance user training, strengthen management support, and conduct regular evaluations of the systems used to ensure the sustainability and effectiveness of EMR in accordance with current national policies.
Determinants of Pneumonia Incidence Based on Inpatient Medical Records: Faktor-Faktor yang Mempengaruhi Insidensi Pneumonia Berdasarkan Catatan Medis Pasien Rawat Inap Santoso, Noviva Maulita; Putra, Dony Setiawan Hendyca; Suyoso, Gandu Eko Julianto
Procedia of Engineering and Life Science Vol. 9 (2025): Proceedings of the 2025 Annual Meeting of APTIRMIKI
Publisher : Universitas Muhammadiyah Sidoarjo

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Abstract

Pneumonia is a serious inflammation of lung tissue caused by attacks from pathogens. At Kaliwates General Hospital Jember, pneumonia consistently ranked among the top 10 diseases from 2022-2024 and was the most frequently diagnosed condition, with a total of 3,570 cases. This study aims to analyze the determinant factors for pneumonia incidence, namely age, severe illness causing weakness, chronic respiratory diseases, prolonged bed rest, malnutrition, and respiratory infections viral infections. A case control study design was applied using 225 inpatient medical record for the pneumonia group and 225 for the control group, selected using quota sampling technique. Data analysis used univariate and bivariate (chi-square test). The results of the chi-square test showed a significant association in the variables of severe pain causing weakness (p-value = 0.020; OR = 2.237), chronic respiratory disease (p-value = 0.000; OR = 69.023), prolonged bed rest (p-value = 0.015; OR = 10.419), malnutrition (p-value = 0.000; OR = 5.335) with pneumonia. In conclusion, the determinants of pneumonia incidence were severe illness causing weakness, chronic respiratory disease, prolonged bed rest and malnutrition.This research is expected to be used as information to cope with the increased morbidity and mortality rate of pneumonia.
Stroke Code Accuracy Correlates with Social Security Administration Claim Approval: Ketepatan Kode Stroke Berkorelasi dengan Persetujuan Klaim Badan Penyelenggara Jaminan Sosial Rahmawati, Eni Nur; Febrianti, Salamah Nindaf
Procedia of Engineering and Life Science Vol. 9 (2025): Proceedings of the 2025 Annual Meeting of APTIRMIKI
Publisher : Universitas Muhammadiyah Sidoarjo

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Abstract

The accuracy of diagnosis coding has a significant impact on the BPJS claims process. This study aims to investigate the relationship between the accuracy of stroke diagnosis codes and the approval of claims by the Social Security Administration for inpatient care. This type of research is analytical research with a cross-sectional approach. The statistical test used in this study is Fisher's Exact Test. The population was 506 medical records, and a sample of 83 medical records was selected using a simple random sampling technique. The research instruments were observation and interview guidelines, checklists, ICD-10, and SPSS version 26. Data processing included data compilation, editing, coding, classification, tabulation, and data presentation. The results of the analysis of existing coding procedures were documented in Standard Operating Procedures (SOP). The accuracy of stroke diagnosis codes was 70 (84%) of medical records, while the inaccuracy of stroke diagnosis codes was 13 (16%) of medical records. The percentage of BPJS claims approval was 52 (63%) medical records, while those who did not approved were 31 (37%) medical records. The Fisher Exact Test calculation results showed a p-value <0.014 significance level (0.014 <0.05) in SPSS. Conclusion: There is a relationship between stroke diagnosis code accuracy and BPJS claim approval. It is recommended to revise the SOP in point 3, requiring coding staff to reconfirm with physicians if they encounter any issues in the coding process and the management procedures that support the diagnosis. The head of medical records should recommend that coding staff attend coding training.
Evaluation of Core Security Principles in Electronic Medical Records: Evaluasi Prinsip Keamanan Dasar dalam Catatan Medis Elektronik Rohman, Hendra; Lauma, Alfia Salsabilah; Pambudi, Sukma Dian; Narendra, Indra
Procedia of Engineering and Life Science Vol. 9 (2025): Proceedings of the 2025 Annual Meeting of APTIRMIKI
Publisher : Universitas Muhammadiyah Sidoarjo

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Abstract

EMR access in one of health centers in Yogyakarta City are given to all health service officers using username and password. In registration, there are 2 username while 5 registration officers use them. This can pose a risk of data and patient information leakage. This study aims to evaluate 6 aspects of information security in EMR in health center. This type of research is qualitative. The population is 51 EMR users and sample is 7 users. Privacy, on access rights, login process to EMR uses a username and password, automatic log out feature does not yet exist. Integrity, on accuracy data and timeliness in filling out forms, accuracy of data is accurate but timeliness in filling is sometimes less timely due to system downtime in form of network problems and power outages, edit and delete features are already available but not all users can use these features. Authentication, on electronic signatures has not been implemented but manual signatures that are carried out can still guarantee authentication from users, on application of signatures to guarantee validity of users made using electronic certification provider services has not been implemented. Availability, data transfer to the health office is not done at health center, as health office can retrieve the necessary data using a superadmin user. Access control, access are set using a username and password, in accordance with user access settings, duties, and authorities. Non-repudiation, a history of access and edits is maintained for users using EMR
Evaluation of Post-Claim Verification Implementation for National Health Insurance Outpatient Services in 2024: Evaluasi Pelaksanaan Verifikasi Pasca Klaim untuk Layanan Jaminan Kesehatan Nasional Rawat Jalan Tahun 2024 Setiyawan, Hery; Widowati, Vidya; Darsono, Darsono; Saputri, Ratna Aprilia
Procedia of Engineering and Life Science Vol. 9 (2025): Proceedings of the 2025 Annual Meeting of APTIRMIKI
Publisher : Universitas Muhammadiyah Sidoarjo

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Abstract

One of the challenges in the implementation of JKN (National Health Insurance) in health care facilities is the possibility of fraud. So in an effort to prevent fraud and ensure the quality of claims BPJS made a new policy for the implementation of postclaim verification after the claim is paid. So if there is a discrepancy in the nominal claim, the hospital has the right to refund the difference to the BPJS. This study is a descriptive qualitative research using a case study approach. The subjects were outpatient coder, internal verifier, and head of pusjamkes as source triangulation. The purpose of this study was to determine the implementation of postclaim verification of outpatient JKN at RSU PKU Muhammadiyah Bantul in 2024. The results of this study are (1)the flow of settlement implementation is appropriate; (2)the percentage of 403 postclaim verification data of outpatient JKN, (65%) verified data and (35%) clarified data. The data are clarified based on each aspect, coding aspects (58%), administrative aspects(23%), and medical aspects(19%); (3)the factors that cause Postclaim verification data clarified outpatient JKN is due to high workload, lack of human resources, incompleteness and inaccuracy of service documentation, does not have SPO(standard operating procedure); (4) efforts to resolve by submitting the number of human resources, confirmation with related PPA (Professional Caregiver), conducting evaluation and monitoring, and implementation of the settlement refers to the BA(official report) agreement, PNPK, and hospital PPK. The conclusion of this study is that the coding aspect is the highest aspect of the postclaim verification data clarified outpatient JKN, the factors that cause the elements of man(human), material(material),and method(method).
Length of Stay Patterns and Their Relation to Coding Accuracy: Polanya Lama Tinggal Pasien dan Hubungannya dengan Akurasi Koding Muchlis, Husni Abdul; Qomarania, Witri Zuama; Nurmalasari, Mieke; Kurniawati, Anastasia Cyntia Dewi; Lestari, Betri Widya
Procedia of Engineering and Life Science Vol. 9 (2025): Proceedings of the 2025 Annual Meeting of APTIRMIKI
Publisher : Universitas Muhammadiyah Sidoarjo

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Abstract

Hospitals face efficiency and quality challenges within the Case-Based Groups (CBG's) financing system, where a patient’s Length of Stay (LOS) is critical. Accurate LOS data is crucial for strategic decisions, cost management, and quality care. A study at a Type B Hospital in Bekasi City found significant variation and outliers in LOS, indicating a non-normal distribution. This observational analytic study, involving 3,151 inpatient claims from January 2024, analyzed LOS data and its impact on clinical documentation and coding quality. The analysis compared the Arithmetic Mean Length of Stay (AMLOS) and the Geometric Mean Length of Stay (GMLOS) to identify outliers, followed by a Wilcoxon test. Results showed LOS varied from 1 to 48 days, with an AMLOS of 7.13 and a GMLOS of 6.76 days, indicating positive skewness from outliers. AMLOS was consistently higher than GMLOS in the top 10 CBG's, especially for moderate and severe cases. The Wilcoxon test (p<0.05) confirmed a significant statistical difference, showing GMLOS more accurately represents the appropriate LOS. The presence of outliers (e.g., >30 or 44 days) suggests potential issues with documentation or coding. Therefore, using the more robust GMLOS is crucial for hospitals to optimize management, improve care, and maintain the quality of clinical documentation and coding.
Assessment of Technology, Organization, and Environment Readiness for Integrated Hypertension Management: Penilaian Kesiapan Teknologi, Organisasi, dan Lingkungan untuk Pengelolaan Hipertensi Terpadu Pradnyantara, I Gusti Agung Ngurah Putra; Faidah, Nurul
Procedia of Engineering and Life Science Vol. 9 (2025): Proceedings of the 2025 Annual Meeting of APTIRMIKI
Publisher : Universitas Muhammadiyah Sidoarjo

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Abstract

Hypertension is one of the most prevalent chronic diseases in Indonesia, affecting 34.1% of adults over 18 years according to the 2018 National Health Survey. Effective hypertension management requires an integrated health information system for continuous monitoring. The Indonesian government, through Ministry of Health Regulation No. 24/2022, mandates hospitals to implement Electronic Medical Records (EMR) and integrate them with the SATUSEHAT national platform. This study aims to analyze the readiness of Dharma Yadnya General Hospital Denpasar to develop an integrated hypertension management module within the EMR system using the Technology-Organization-Environment (TOE) framework. A qualitative approach was employed through in-depth interviews, observations, and document review. Eleven informants participated, representing medical record officers, IT staff, physicians, and hospital management. Findings indicate that from the technological dimension, the hospital has basic infrastructure such as servers, internal networks, and a fully implemented EMR since 2024, though a dedicated hypertension module is absent. From the organizational dimension, management and staff show strong commitment and readiness to adopt the new system with proper training, while limited IT human resources and manual hypertension SOPs remain barriers. From the environmental dimension, government regulations, the SATUSEHAT program, and vendor support are identified as key external drivers. The study concludes that the hospital has strong potential to implement an EMR-based hypertension management module with recommendations on hardware procurement, IT capacity building, and SOP integration.
User Satisfaction Analysis of Digital Government Services at Health Center: Analisis Kepuasan Pengguna terhadap Layanan Pemerintahan Digital di Pusat Kesehatan Inayah, Asti Nur; Salim, Marko Ferdian; Santoso, Dian Budi
Procedia of Engineering and Life Science Vol. 9 (2025): Proceedings of the 2025 Annual Meeting of APTIRMIKI
Publisher : Universitas Muhammadiyah Sidoarjo

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Abstract

Public health facilities in Bantul Regency have implemented the Digital Government Service (DGS) since 2019 to support healthcare activities. However, its implementation has not been fully optimal, and several challenges remain. User satisfaction is an important indicator of the successful adoption of health information systems. This study aimed to assess user satisfaction with DGS using the End User Computing Satisfaction (EUCS) model across five dimensions: content, accuracy, format, ease of use, and timeliness. A quantitative cross-sectional design was employed with 104 respondents selected through multistage random sampling. Data were collected using questionnaires and observations and analyzed through univariate, bivariate, and multivariate approaches. Most DGS users were female (88%), aged 26–35 years (35%), had diploma-level education (53%), and worked as midwives (24%). Overall, user satisfaction was categorized as “satisfied,” with an average score above 3.401 across the five EUCS dimensions. Regression analysis indicated that all EUCS dimensions had a positive and significant effect on user satisfaction (p < 0.05), and the simultaneous F-test confirmed that all independent variables collectively influenced the dependent variable (p < 2.2e-16). In conclusion, DGS users in Bantul Regency reported a satisfactory level of system use, and all EUCS dimensions were significantly associated with user satisfaction, with independent variables collectively contributing to overall satisfaction.
Designing Standard Operating Procedures for International Classification of Diseases Coding: Merancang Prosedur Operasional Standar untuk Pengkodean Klasifikasi Penyakit Internasional Putri, Putu Chrisdayanti Suada; Adiningsih, Luh Yulia; Santika, Komang Yuli; Para, Luh Gede Intan Prabayanti
Procedia of Engineering and Life Science Vol. 9 (2025): Proceedings of the 2025 Annual Meeting of APTIRMIKI
Publisher : Universitas Muhammadiyah Sidoarjo

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Abstract

Every health service facility is required to organize electronic medical records (EMR) as an effort to improve the quality of service in accordance with the Minister of Health Regulation Number 24 of 2022 concerning Medical Records. Based on the preliminary study conducted by researchers at the North Denpasar II Health Center, the E-health center application has been used for patient registration. Officers have inputted diagnosis coding based on ICD 10 CM on the computer, but there is no SOP for filling in ICD 10 CM and ICD 9 CM codes in the EMR application. This study aims to analyze and design SOPs for filling in ICD 10 CM and ICD 9 CM coding in EMR. This type of research is descriptive qualitative research using a fishbone diagram by identifying Man, Money, Machine, Method, and Material. The results of the study from the Man aspect that implements the SOP are officers in the polyclinic and registration officers, Money namely there is Funding in training for filling in coding, Machine aspects, namely inputting ICD codes using computers, medical record applications/e-health centers and ICD code applications, Methods, namely there is a service flow for medical records and Material aspects used, namely patient registration files, personal health record books and E-health centers applications. The SOP for filling in ICD 10 CM and ICD 9 CM codes for the implementation of RME is designed according to the needs of Puskesmas II North Denpasar.

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