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INDONESIA
Jurnal Rekam Medis dan Informasi Kesehatan Indonesia
Published by Institut Teknologi Sains dan Kesehatan RS dr. Soepraoen
ISSN : 2829341X     EISSN : 28285867     DOI : 10.62951
Core Subject : Health, Science,
Computer Science & IT Public Health
Jurmiki menerbitkan makalah asli, artikel ilmiah dan laporan singkat yang terkait dengan keilmuan terkait kesehatan (hukum, sistem informasi, manajemen dan klinis)
Arjuna Subject : Profesi Kesehatan - Menejmen Informasi Kesehatan
Articles 80 Documents
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PERANCANGAN DESAIN INTERFACE PENDAFTARAN PASIEN RAWAT JALAN ONLINE VIA MOBILE DI PUSKESMAS TANJUNGANOM KABUPATEN NGANJUK Deni Luvi Jayanto; Mohammad Bayu Dwi Saputro; Vicky Djusmin
Jurnal Rekam Medis dan Informasi Kesehatan Indonesia Vol. 2 No. 1 (2022): Jurnal Rekam Medis dan Informasi Kesehatan Indonesia
Publisher : program studi Rekam Medis dan Infomasi Kesehatan ITSK RS dr Soepraoen Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/jurmiki.v2i1.21

Abstract

Outpatient registration at Tanjunganom Health Centre is done online and manually. Patients who already have BPJS can follow the online registration method, while those who use the manual method can enter Puskesmas. From the results of random interviews with several patients for manual registration, it takes a long time of around 15 minutes, from the resulted of observations, one of the causes is the registration time at the counter and the place is not wide enough, from these problems, an outpatient registration application needed online via mobile with layout, color, and control to made it easier for officers to register patients and also make it easier for patients to carry out examinations and shorten the time. This type of research is descriptive with the object being studied, namely the registration unit, for the population in the registration study and patients a number of 2 officers and 2 patients using saturated sampling. For data collection was using observation and interviews. The results of this study are an online outpatient registration application via mobile based on layout, color, and control at the Tanjunganom Health Center. Based on the online outpatient registration application via mobile, it has been adapted to the needs of officers and the application should be realized by organizing training, outreach to officers, and educational instructions for the community so that it can be more optimal in its implementation. color, and control at the Tanjunganom Health Center. Based on the online outpatient registration application via mobile, it has been adapted to the needs of officers and the application should be realized by organizing training, outreach to officers, and educational instructions for the community so that it can be more optimal in its implementation. color, and control at the Tanjunganom Health Center. Based on the online outpatient registration application via mobile, it has been adapted to the needs of officers and the application should be realized by organizing training, outreach to officers, and educational instructions for the community so that it can be more optimal in its implementation.
TINJAUAN TINGKAT KEAKURATAN KODE DIAGNOSIS TYPHOID FEVER PASIEN RAWAT INAP BERDASARKAN ICD 10 DI PUSKESMAS GULUK-GULUK Ayu Soviana; M. Afif Rijal Husni
Jurnal Rekam Medis dan Informasi Kesehatan Indonesia Vol. 2 No. 1 (2022): Jurnal Rekam Medis dan Informasi Kesehatan Indonesia
Publisher : program studi Rekam Medis dan Infomasi Kesehatan ITSK RS dr Soepraoen Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/jurmiki.v2i1.22

Abstract

The diagnosis code is said to be accurate if it is following what is written in the ICD-10. The determination of the diagnosis code for Typhoid Fever at Puskesmas Guluk-Guluk uses a smart book and the code is not specified with the fourth character. The purpose of this study is to review the accuracy of the Typhoid Fever diagnosis code for inpatients based on ICD-10 at Puskesmas Guluk-Guluk. The type of research used was descriptive quantitative research with a retrospective approach. The population of this study was medical record files of inpatients with a diagnosis of Typhoid Fever. The sampling technique used was random sampling. The results of the study from a total sample of 51 files of inpatient medical records for Typhoid Fever patients at Puskesmas Guluk-Guluk obtained 18 medical record files with accurate diagnosis codes (35.3%) and 33 medical record files with inaccurate diagnosis codes (64.7%). The results can be concluded that the inaccuracy is due to the diagnosis code not being obtained from the ICD-10  but from the smart book and not specified with the fourth character. It is recommended that coding officers in the coding process use ICD-10 to ensure the accuracy of the diagnosis code.
ANALISIS KEBUTUHAN SDM KESEHATAN BERDASARKAN METODE WISN (WORKLOAD INDICATOR STAFFING NEED) DI UNIT KERJA REKAM MEDIS RSUD KOTA MADIUN Irmawati Mathar; Agustinus Kusdwiadji
Jurnal Rekam Medis dan Informasi Kesehatan Indonesia Vol. 2 No. 1 (2022): Jurnal Rekam Medis dan Informasi Kesehatan Indonesia
Publisher : program studi Rekam Medis dan Infomasi Kesehatan ITSK RS dr Soepraoen Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/jurmiki.v2i1.23

Abstract

Health Human Resources in the medical record work unit at the Seogaten Hospital of Madiun City consists of 28 officers. The initial research study obtained information from medical record officers that sometimes there were officers who worked concurrently, not in one medical record service unit. Therefore, to meet the need for medical record personnel, it is necessary to plan for the need for medical record human resources Human Resources through calculating the need for health workers based on the WISN method. The purpose of this study was to describe the need for human resources for medical records based on the WISN method at the Madiun City Hospital. This research is a qualitative descriptive research with a case study approach. Data collection was carried out tHuman Resourcesough interviews and observation. The informants in this study were the head of medical records and two health human resources who worked in the medical records unit of the Madiun City Hospital. The results of the study based on the calculation of Human Resources needs using the WISN method showed that the number of medical record personnel requiered at the Madiun City Hospital was in accordance with the needs, i..e 28 officers. However, the placement of Health Human Resources in the medical record unit was not in accordance with the WISN calculations Therefore, it is necessary to place an appropriate placement in accordance with the WISN calculation by transferring Health Human Resources to a section that has an excessive workload.
ANALISIS DESKRIPTIF KELENGKAPAN PENGISIAN DAN KETERLAMBATAN PENGEMBALIAN BERKAS REKAM MEDIS RAWAT INAP DI RSUD dr. R. SOEDARSONO KOTA PASURUAN Ratna Ratna; Muhammad Malik Ibrahim; Ika Puspita Sari
Jurnal Rekam Medis dan Informasi Kesehatan Indonesia Vol. 2 No. 1 (2022): Jurnal Rekam Medis dan Informasi Kesehatan Indonesia
Publisher : program studi Rekam Medis dan Infomasi Kesehatan ITSK RS dr Soepraoen Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/jurmiki.v2i1.24

Abstract

The number completeness of filling and returning medical record files on time in Indonesia is still relatively low. One of them happened at RSUD dr. R. Soedarsono, Pasuruan City. Where the results of the preliminary study showed in January, 83% incomplete medical record files and 17% complete medical records. Meanwhile, the return of medical record files was 79% late and 21% not late. The purpose of this study  to analyze the completeness of filling and delay in returning inpatient medical record files at Soedarsono Hospital, Pasuruan City. This type of research is quantitative descriptive with cross sectional approach. The sample of this study amounted 161 medical record files of BPJS patients were returned from inpatient room to the assembly unit. Data collection techniques using checklists and data analysis using univariate analysis. The results showed 28.6% (46 files) of complete medical record files, and 71.4% (115 files) were incomplete. Meanwhile, the return of medical record files was 55.9% (90 files) late and 44.1% (71 files) not late. The conclusion of this study is the completeness of filling and delay in returning medical record files at the dr.R.Soedarsono Hospital, Pasuruan City is still quite high.
STUDI DESKRIPTIF KUALIFIKASI PETUGAS CODER DAN KEAKURATAN KODE DIAGNOSIS RAWAT JALAN BERDASARKAN ICD-10 DI PUSKESMAS GEMPOL Nova Dyawati; M. Malik Ibrahim; Ika Puspita Sari
Jurnal Rekam Medis dan Informasi Kesehatan Indonesia Vol. 2 No. 1 (2022): Jurnal Rekam Medis dan Informasi Kesehatan Indonesia
Publisher : program studi Rekam Medis dan Infomasi Kesehatan ITSK RS dr Soepraoen Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/jurmiki.v2i1.25

Abstract

Coding inaccuracies in Indonesia still often occur in first-level health facilities, one of which is Gempol Health Center. Of the 30 diagnostic codes, 70% of the codes were inaccurate and 30% of the codes were accurate. Inaccuracies in diagnostic codes may be caused by inappropriate qualifications. The purpose of this study is to describe the qualifications of the coder officers and the accuracy of the outpatient diagnostic code based on ICD-10. The type of research is quantitative descriptive. The subject population, namely all outpatient diagnosis coder officers and the object population, were documents coded by officers in March - April 2022. The sample in this study consisted of 7 coders and 245 files with consecutive sampling technique. The results show that the coder qualifications at Gempol Health Center with the inappropriate coder qualifications are 85.7%, and the appropriate coder qualifications are 14.3%. As well as the accuracy of the outpatient diagnosis code at Gempol Health Center from 245 documents, the results obtained were 63.7% inaccurate codes and 36.3% accurate diagnosis codes. Based on the results of the study, it can be concluded that the qualifications of officers and the accuracy of the diagnosis code are quite low.
FAKTOR – FAKTOR KARAKTRISTIK RESPONDEN YANG MEMPENGARUHI RESPONTIME WAKTU TUNGGU PASIEN RAWAT JALAN DI PUSKESMAS GEMPOL Hanna Sukmawati; Titis Eka Gusti; Eka Yumanisari
Jurnal Rekam Medis dan Informasi Kesehatan Indonesia Vol. 2 No. 1 (2022): Jurnal Rekam Medis dan Informasi Kesehatan Indonesia
Publisher : program studi Rekam Medis dan Infomasi Kesehatan ITSK RS dr Soepraoen Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/jurmiki.v2i1.26

Abstract

The quality of health services is a health service that can satisfy every service user of health services in accordance with the level of satisfaction of the average population and its implementation is in accordance with professional standards and codes of ethics. , friendliness and comfort of service. Respontime patient waiting time has an impact on patient satisfaction. A service is said to be good by the patient is determined by the fact that the services provided can meet the patient's needs by using the patient's perception of the service received. The purpose of this study was to describe the response time of waiting time at the Gempol Public Health Center. This study uses descriptive research with a quantitative approach. The population in this study was the average number of outpatients in 3 months, from November to January 2022, the sample in this study was 58 outpatients. The results showed that the respondent's characteristic factor to the response time of waiting time at the Gempol Public Health Center was 58 respondents, 49 respondents said that the waiting time was > 10 minutes (not appropriate) and 9 people said that it was < 10 minutes (appropriate). Based on the results of this study, it is expected that officers can register according to the SOP, which is < 10 minutes so that patients do not wait long for registration.
ANALISIS DESKRIPTIF FAKTOR-FAKTOR YANG MEMPENGARUHI MINAT PEMANFAATAN ULANG PELAYANAN PASIEN RAWAT INAP PESERTA BPJS DI PUSKESMAS GEMPOL Izza Afkarina Mutiara; Titis Eka Gusti; Eka Yusmanisari
Jurnal Rekam Medis dan Informasi Kesehatan Indonesia Vol. 2 No. 1 (2022): Jurnal Rekam Medis dan Informasi Kesehatan Indonesia
Publisher : program studi Rekam Medis dan Infomasi Kesehatan ITSK RS dr Soepraoen Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/jurmiki.v2i1.27

Abstract

Utilization of health services in Indonesia from 7,300 respondents who experienced hospitalization was 53.36% in urban areas and 46.64% in rural areas in the last 1 year. Most of the patients who experienced hospitalization were treated at government hospitals 49.7%, followed by private hospitals at 28.6% and the rest were treated elsewhere. The utilization of inpatient services at Gempol Health Center is still low because the indicator values for inpatient services are not up to standard. The purpose of this study was to analyze the factors related to interest in utilization and interest in re-utilizing services for inpatients BPJS participants at Gempol Health Center. This research is descriptive quantitative with a cross-sectional approach. The sample of this research is 30 BPJS inpatients. Data collection techniques are interviews and questionnaires with univariate analysis. Frequency of respondents based on gender characteristics: 12 men (40%), 18 women (60%), by age category: 7 teenagers (23.3%), 20 adults (66.7%), and 3 elderly people (10%), based on their latest education: 5 people with low education (16,7%), 25 people with higher education (83,3%). The Frequency with which they are interested in service reuse: 18 people are interested (60 %) were not interested as many as 12 people.
ANALISIS FAKTOR PENYEBAB KESALAHAN PEMBERIAN NOMOR REKAM MEDIS OLEH PETUGAS PENDAFTARAN DI PUSKESMAS KOTAANYAR Kustiana Dewi Sugiarti; Dea Allan Karunia Sakti
Jurnal Rekam Medis dan Informasi Kesehatan Indonesia Vol. 2 No. 1 (2022): Jurnal Rekam Medis dan Informasi Kesehatan Indonesia
Publisher : program studi Rekam Medis dan Infomasi Kesehatan ITSK RS dr Soepraoen Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/jurmiki.v2i1.28

Abstract

Kotaanyar Public Health Center uses done the Unit Numbering System numbering, manually and computerized. The registration officer at the Kotaanyar Health Center often makes mistakes in the patient registration process, the officer gives the wrong medical record number, forgets to cross out the medical record number due to lack of concentration. This causes several impacts, one of which is duplication of medical record numbers. This type of qualitative research with registration officers as informants. The results showed that the factors that caused errors in giving medical record numbers by the registration officer at the Kotaanyar Health Center were education, facilities and infrastructure, work stress and motivation. Sulu recommendations that can be done are training for registration officers, recruiting registration officers at least D3 Medical Record graduates, maintaining and checking systems or computers in stages, division of tasks between registration officers, and unifying the contents of multiple medical record documents.
FAKTOR-FAKTOR YANG MEMPENGARUHI PASIEN BEROBAT KE RUMAH SAKIT PRIMA HUSADA MALANG Lilik Afifah; Anis Ansyori; Fita Rusdian Ikawati
Jurnal Rekam Medis dan Informasi Kesehatan Indonesia Vol. 2 No. 1 (2022): Jurnal Rekam Medis dan Informasi Kesehatan Indonesia
Publisher : program studi Rekam Medis dan Infomasi Kesehatan ITSK RS dr Soepraoen Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/jurmiki.v2i1.29

Abstract

In 2020 to 2022 there was a very high increase in outpatient visits at the Hospital of Prima Husada. In 2020 there are 22737 visits with 17 services, 2020 reached 60417 visits with 20 services, until 2021 increased again to 100892 visits with 21 services. Thus the interest of patients using Prima HusadaHospital each year has increased.This study aims to analyze the factors that influence patients in utilizing outpatient services at Hospital of Prima Husada, which consists of hospital facility variables, physician services, nursing service or midwife, service fee, ease of information, and service utilization decisions.This research type is quantitative research with Cross Sectional design. Sampling technique with Stratified Random Sampling. The number of samples in this study is 100 respondents. Data collection using questionnaire instrument. Data were analyzed by SPSS with Chi-Square statistic test. Chi-Square analysis showed that there were correlation between hospital facility variable (p=0,004), physician service (p=0,033), nurse service or midwife (p=0,011), ease of information (p=0,001) with service utilization decision.The advice given is to maintain and provide the best service, should the hospital continue to make improvements on the availability of facilities, type, or variety of health services more complete.
EVALUASI PELAKSANAAN PENYIMPANAN DAN PENJAJARAN DOKUMEN REKAM MEDIS DI RUANG FILING RUMAH SAKIT PANTI WALUYA SAWAHAN MALANG Hikmah Maulia; Fita Rusdian Ikawati; Retno Dewi Prisusanti
Jurnal Rekam Medis dan Informasi Kesehatan Indonesia Vol. 2 No. 2 (2023): Jurnal Rekam Medis dan Informasi Kesehatan Indonesia
Publisher : program studi Rekam Medis dan Infomasi Kesehatan ITSK RS dr Soepraoen Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/jurmiki.v2i2.30

Abstract

One of the Medical Record Units that supports medical record services is called a filing room where medical record documents both outpatient, inpatient and emergency are stored according to the system, namely centralization and decentralization. The implementation of the storage of medical record documents is guided by the Standard Operating Procedures (SOP) for the storage and alignment of medical record documents. However, in its implementation, there are still misfile errors and double numbers. The purpose of this study is to determine the policies, systems and implementation of the storage of medical record documents both outpatient, inpatient, and emergency at the Sawahan Orphanage Hospital. Descriptive research method with a qualitative approach in the Medical Record Installation Room of Panti Waluya Sawahan Hospital Malang. The results of this study in the implementation of activities for storing and aligning medical record documents at Panti Waluya Sawahan Hospital were running according to existing SOPs, but in its implementation there were still errors in the storage of medical record documents (misfiles) and double numbering caused by most patients who visited for treatment using Chinese names and when re-checking using Javanese names.

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