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<![CDATA[EVALUASI SISTEM E-RESERVASI RAWAT JALAN DENGAN PIECES FRAMEWORK DI RUMAH SAKIT UMUM DAERAH KOTA MATARAM ]]>
<![CDATA[Diana Safitiri]]>;
<![CDATA[I Wayan Widi Karsana]]>;
<![CDATA[Rai Riska Resty Wasita]]>
<![CDATA[ Jurnal Rekam Medis dan Informasi Kesehatan Indonesia Vol. 4 No. 1 (2024): Jurnal Rekam Medis dan Informasi Kesehatan Indonesia ]]>
Publisher : <![CDATA[program studi Rekam Medis dan Infomasi Kesehatan ITSK RS dr Soepraoen Malang ]]>
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DOI: 10.62951/jurmiki.v4i1.61
<![CDATA[The implementation of the e-reservation system at the Regional General Hospital of Mataram has not been maximized due to several obstacles such as errors and long loading times. The purpose of this study is to describe the results of the evaluation of the outpatient e-reservation system at the Mataram Hospital with the PIECES Framework. This type of qualitative research presents the results of interviews and observations conducted by researchers and evaluated with the PIECES Framework. There were 15 informants in this study. The sampling technique used was purposive sampling. The results obtained from this study are the performance of the e-reservation system has produced data according to user needs, makes it easier for users, and still occurs errors, long loading, and failure. Information can already provide accurate, consistent, and relevant information but still get inconsistent information with the services obtained. Economic human resources and supporting resources have supported and helped minimize hospital expenses. Control every employee has access rights and system security is good. Efficiency can already provide convenience in registering through the e-reservation system. The e-reservation system service can already help officers accurately input and output data and reduce waiting time. The conclusion is that the e-reservation system can help users in the service process and facilitate registration so as not to wait long.]]>
<![CDATA[LITERATURE REVIEW: EVALUASI KUALITAS KELENGKAPAN DATA PADA FORMULIR REKAM MEDIS PASIEN DI RUMAH SAKIT ]]>
<![CDATA[Yula Budi Wardiyana]]>;
<![CDATA[Mega Purnama Dewi Setiyowati]]>;
<![CDATA[Ayu Nur Jannah]]>;
<![CDATA[Agin Gianiska]]>;
<![CDATA[Harprisiskayani Trisna Lestari]]>;
<![CDATA[Alief Wijayanto]]>;
<![CDATA[Rizki Oktaviana Tri Wilujeng]]>;
<![CDATA[Aninda Nur Laili]]>
<![CDATA[ Jurnal Rekam Medis dan Informasi Kesehatan Indonesia Vol. 4 No. 1 (2024): Jurnal Rekam Medis dan Informasi Kesehatan Indonesia ]]>
Publisher : <![CDATA[program studi Rekam Medis dan Infomasi Kesehatan ITSK RS dr Soepraoen Malang ]]>
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DOI: 10.62951/jurmiki.v4i1.62
<![CDATA[This study aims to analyze the completeness of inpatient medical record filing using a literature review method. A total of 10 articles were selected from journal databases, grey literature, and hand searching. The research findings indicate variation in the percentage of medical record completeness among the analyzed articles, with some showing high completeness rates and others showing low completeness rates. Factors contributing to incompleteness include errors in form filling and insufficient understanding among medical staff regarding the importance of medical record completeness. Recommendations from this study include the necessity to enhance medical staff's understanding of the medical record filling process, as well as the implementation of better policies and training to ensure optimal completeness in medical documentation. This research contributes to understanding the factors influencing the completeness of inpatient medical records and provides a basis for developing strategies to improve the quality of healthcare services in hospitals.]]>
<![CDATA[Mortality Reporting Management in Electronic Medical Recprd at Hospital X ]]>
<![CDATA[Arimbi Ulfa Nazira]]>;
<![CDATA[Achmad Jaelani Rusdi]]>;
<![CDATA[Untung Slamet Suhariyono]]>
<![CDATA[ Jurnal Rekam Medis dan Informasi Kesehatan Indonesia Vol. 4 No. 1 (2024): Jurnal Rekam Medis dan Informasi Kesehatan Indonesia ]]>
Publisher : <![CDATA[program studi Rekam Medis dan Infomasi Kesehatan ITSK RS dr Soepraoen Malang ]]>
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DOI: 10.62951/jurmiki.v4i1.64
<![CDATA[Mortality reporting is an important aspect of evaluating the quality of health services. At Hospital X, the still manual mortality reporting system faces challenges such as slow processes and vulnerability to errors, therefore this study aims to analyze the input, process, and output in mortality reporting. The method used in this study uses a qualitative approach with interview and observation techniques, data were collected from medical record and administrative staff involved in the mortality reporting process, as well as analysis of related documents. The results of this study indicate that the implementation of electronic medical records has increased efficiency in mortality reporting. However, data accuracy is still a significant problem caused by data input errors and lack of training for system users. These research findings indicate that ongoing training and improved technology infrastructure are essential to support the EMR system at Hospital X. With an optimal ERM system, it is expected that the quality of mortality reporting will improve, which will later have an impact on improving the overall quality of health services. This study recommends further development in the management of mortality reporting using EMR]]>
<![CDATA[NORMATIVE LAW REVIEW: PMIK WORKLOAD CHALLENGES IN FACING THE RME ERA ]]>
<![CDATA[Ninda, Rahmaninda Putri Gading]]>;
<![CDATA[Lilik Afifah]]>;
<![CDATA[Achmad Jaelani Rusdi]]>
<![CDATA[ Jurnal Rekam Medis dan Informasi Kesehatan Indonesia Vol. 4 No. 1 (2024): Jurnal Rekam Medis dan Informasi Kesehatan Indonesia ]]>
Publisher : <![CDATA[program studi Rekam Medis dan Infomasi Kesehatan ITSK RS dr Soepraoen Malang ]]>
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DOI: 10.62951/jurmiki.v4i1.65
<![CDATA[In carrying out the process of processing health data and information, Medical Recorder and Health Information (PMIK) personnel are needed who have the ability to provide services to patients. The emergence of the Minister of Health Regulation Number 24 of 2022 concerning electronic medical records requires every health care facility to run electronic medical records, this makes the workload owned by PMIK reduced. So it is necessary to analyze the challenges of PMIK workload in facing the RME era. The method used is qualitative with a normative law study approach. The approach used for data collection is based on documentation studies through regulations, journals, and news. The tool used for data collection is a notebook. Data processing techniques using secondary data. In carrying out their duties, many Medical Recorders and Health Information (PMIK) still do not understand the use of existing systems properly, this causes delays in the processing of medical data. The abilities possessed by PMIK personnel in the RME era greatly affect the patient data processing process so that it is necessary to conduct training and skill development related to the correct use of the RME system in order to reduce the workload faced by officers.]]>
<![CDATA[Analysis of Medical Record Documentation and Reporting in Health Service Facilities ]]>
<![CDATA[Ameliya Maudi Putri]]>;
<![CDATA[Anis Ansyori]]>;
<![CDATA[Fita Rusdian Ikawati]]>
<![CDATA[ Jurnal Rekam Medis dan Informasi Kesehatan Indonesia Vol. 4 No. 1 (2024): Jurnal Rekam Medis dan Informasi Kesehatan Indonesia ]]>
Publisher : <![CDATA[program studi Rekam Medis dan Infomasi Kesehatan ITSK RS dr Soepraoen Malang ]]>
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DOI: 10.62951/jurmiki.v4i1.66
<![CDATA[Abstrak . Latar Belakang: Fasilitas layanan kesehatan memegang peranan penting dalam memberikan layanan kesehatan yang bermutu, termasuk pencatatan dan pelaporan rekam medis yang terpadu. Sistem pencatatan dan pelaporan yang andal sangat penting untuk memastikan ketersediaan data medis yang akurat, mendukung evaluasi layanan kesehatan, dan menyederhanakan proses administrasi. Tujuan: Penelitian ini bertujuan untuk menganalisis sistem pencatatan dan pelaporan rekam medis di fasilitas layanan kesehatan, dengan fokus khusus pada struktur dan implementasi sistem tersebut. Metode: Penelitian ini menggunakan pendekatan kajian pustaka naratif. Data dikumpulkan dari 10 artikel ilmiah yang diambil melalui Google Scholar berdasarkan kriteria inklusi dan eksklusi yang telah ditetapkan sebelumnya. Ekstraksi dan sintesis data dilakukan untuk menjawab pertanyaan penelitian. Hasil: Temuan penelitian menunjukkan bahwa sistem pencatatan dan pelaporan rekam medis di fasilitas layanan kesehatan menghadapi berbagai tantangan, termasuk keterbatasan sumber daya manusia, prevalensi dokumentasi manual yang rentan terhadap kehilangan data, dan implementasi teknologi informasi yang belum optimal. Beberapa fasilitas kesehatan telah memulai adopsi sistem digital untuk meningkatkan akurasi dan efisiensi pelaporan. Kesimpulan: Pelatihan yang efektif, regulasi yang lebih kuat, dan peningkatan kapasitas teknologi diperlukan untuk meningkatkan implementasi sistem rekam medis di fasilitas kesehatan.]]>
<![CDATA[Review of the Preparation for the Implementation of Electronic Signatures for the Authentication of Medical Records Based on a Fishbone Diagram at the Ngebel Community Health Center ]]>
<![CDATA[Afifah Adha Risma Fauziyah]]>;
<![CDATA[Rumpiati Rumpiati]]>;
<![CDATA[Ria Fajar Nurhastuti]]>
<![CDATA[ Jurnal Rekam Medis dan Informasi Kesehatan Indonesia Vol. 4 No. 1 (2024): Jurnal Rekam Medis dan Informasi Kesehatan Indonesia ]]>
Publisher : <![CDATA[program studi Rekam Medis dan Infomasi Kesehatan ITSK RS dr Soepraoen Malang ]]>
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DOI: 10.62951/jurmiki.v4i1.90
<![CDATA[Background: The application of electronic signatures (TTE) is an essential step in supporting digitalization efforts to authenticate medical record documents (RME) in a secure and efficient manner. This study aims to review the readiness for TTE implementation at Puskesmas Ngebel using the Fishbone Diagram analysis (5M: Man, Method, Material, Machine, Money). Subjects and Methods: This research uses a qualitative method with data collection conducted through interviews with respondents including the Head of Puskesmas (for triangulation), medical record officers, registration staff, doctors, and nurses. Research Results: The results show that Puskesmas Ngebel is still in the initial stage of implementation and faces various obstacles as identified through the Fishbone Diagram analysis. This study is expected to review the level of readiness for TTE implementation and offer solutions to overcome the identified challenges. By applying the Fishbone Diagram approach, this research successfully identifies institutional barriers in preparing for the implementation of electronic signatures for authenticating medical record documents. The findings are expected to contribute to strategic planning for digitalization in community health centers.]]>
<![CDATA[The Use of JKN Mobile Application in Improving Patient Satisfaction in Registration Services at Kauman Baru Health Center, Ponorogo Regency ]]>
<![CDATA[Aisah Nur Rahmawati]]>;
<![CDATA[Rumpiati Rumpiati]]>
<![CDATA[ Jurnal Rekam Medis dan Informasi Kesehatan Indonesia Vol. 4 No. 1 (2024): Jurnal Rekam Medis dan Informasi Kesehatan Indonesia ]]>
Publisher : <![CDATA[program studi Rekam Medis dan Infomasi Kesehatan ITSK RS dr Soepraoen Malang ]]>
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DOI: 10.62951/jurmiki.v4i1.91
<![CDATA[Digital transformation in healthcare services encourages technology-based innovations, one of which is the Mobile JKN application. This application is expected to improve service efficiency and patient satisfaction, especially in the registration process at healthcare facilities. However, the extent to which this application positively impacts patient satisfaction still needs further investigation. This study aims to determine the relationship between the use of the Mobile JKN application and patient satisfaction, as well as to identify influencing factors and usage barriers at Puskesmas Kauman Baru, Ponorogo Regency. This research is a descriptive quantitative study involving 50 respondents selected using purposive sampling. Data collection was conducted through questionnaires, observation, and interviews. Data were analyzed descriptively and using Spearman correlation tests with the assistance of SPSS software. The results showed a significant relationship between the use of Mobile JKN and patient satisfaction (ρ = 0.318; p = 0.025). The use of the Mobile JKN application contributed positively to satisfaction, mainly due to ease of access, time efficiency, and the majority of respondents being in the productive age range (20-40 years). The main barriers in using the Mobile JKN application included difficulties faced by the elderly, technical issues, and limited network access. Education and technical support are needed to ensure more optimal implementation across all age groups.]]>
<![CDATA[Poster Design Planning to Increase Community Motivation in using the Satu Sehat Application at Harapan Bunda Clinic Ngampel ]]>
<![CDATA[Amanda Nadylla Kustina]]>;
<![CDATA[Rumpiati Rumpiati]]>
<![CDATA[ Jurnal Rekam Medis dan Informasi Kesehatan Indonesia Vol. 4 No. 1 (2024): Jurnal Rekam Medis dan Informasi Kesehatan Indonesia ]]>
Publisher : <![CDATA[program studi Rekam Medis dan Infomasi Kesehatan ITSK RS dr Soepraoen Malang ]]>
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DOI: 10.62951/jurmiki.v4i1.92
<![CDATA[The Satu Sehat application was developed as an integrated electronic medical record platform. However, low public awareness and the absence of visual promotional media at Klinik Harapan Bunda Ngampel have resulted in minimal application usage. Therefore, a poster design is needed to increase public motivation to use the application. The study was conducted at Klinik Harapan Bunda Ngampel with participants including clinic staff, patients/family members, and a design expert. The method used was Research and Development (R&D) with a 3D model: Define (needs identification), Design (poster design), and Development (product testing and revision). The research took place from April to May 2025. The results showed that the designed poster contained essential information about Satu Sehat and was considered effective as a promotional medium. Validation by clinic staff and the design expert yielded scores of 84,28% and 90%, respectively, categorized as “good.” The poster was found to be attractive, easy to understand, and capable of increasing public motivation. The design of the poster to increase public motivation in using the Satu Sehat application at Klinik Harapan Bunda Ngampel proved effective in conveying information visually and can serve as a communication strategy to support digital transformation in healthcare services at the clinic.]]>
<![CDATA[Preparation of Retention of Manual to Electronic Medical Record Documents using Fishbone Diagram at Puskesmas Kauman Baru Ponorogo ]]>
<![CDATA[Ananda Putri Nugroho]]>;
<![CDATA[Rumpiati Rumpiati]]>
<![CDATA[ Jurnal Rekam Medis dan Informasi Kesehatan Indonesia Vol. 4 No. 1 (2024): Jurnal Rekam Medis dan Informasi Kesehatan Indonesia ]]>
Publisher : <![CDATA[program studi Rekam Medis dan Infomasi Kesehatan ITSK RS dr Soepraoen Malang ]]>
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DOI: 10.62951/jurmiki.v4i1.93
<![CDATA[Retention preparation is the process of identifying, assessing, and grouping archives in accordance with the applicable retention schedule, before final action is taken on the archive. This study aims to determine the obstacles to retention preparation from manual to electronic at the Kauman Baru Ponorogo Health Center and the challenges of retention preparation. The research used descriptive qualitative method with data collection method. Data were obtained through observation of 33,445 medical record documents, as well as interviews with medical record officers. The research instrument included an observation sheet with five assessment components. The results showed that retention preparation still faced obstacles, especially in terms of facilities and infrastructure. One of the main obstacles is the limited storage space, which is narrow and not suitable to support the process of digitizing medical records. This study recommends increasing training, providing a new building that is suitable and safe for storage and the process of digitizing medical record documents can run effectively and in accordance with regulations.]]>
<![CDATA[Qualitative Analysis of the Completeness of Medical Resume Documentation at Dr. Harjono S Regional Public Hospital, Ponorogo Regency ]]>
<![CDATA[Arfi Prima Kusuma]]>;
<![CDATA[Ani Rosita]]>
<![CDATA[ Jurnal Rekam Medis dan Informasi Kesehatan Indonesia Vol. 4 No. 1 (2024): Jurnal Rekam Medis dan Informasi Kesehatan Indonesia ]]>
Publisher : <![CDATA[program studi Rekam Medis dan Infomasi Kesehatan ITSK RS dr Soepraoen Malang ]]>
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DOI: 10.62951/jurmiki.v4i1.94
<![CDATA[A medical resume is a summary of patient care that plays a vital role in administrative, clinical, legal, and hospital accreditation aspects. This document serves as a crucial component in ensuring service quality and acts as legal medical evidence. This study aims to analyze the completeness of medical resume documentation at Dr. Harjono S Regional Public Hospital and identify the contributing factors to incomplete documentation. This research employed a qualitative descriptive method with a cross-sectional approach. Data were collected through observation of 15 inpatient medical resume documents from two departments (Pediatrics and Orthopedics) and interviews with medical record officers. The research instrument included an observation checklist assessing seven documentation components. Results showed that supporting examination results were the most complete component (100%), while patient identity data had the lowest completeness (67%). Contributing factors to incompleteness included high workload, lack of supervision, and low awareness among staff regarding the importance of complete documentation. Moreover, the absence of an internal quality control system was also identified as a challenge. This study recommends enhancing training, conducting regular supervision, and implementing electronic medical record systems to improve documentation quality.]]>
