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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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Analysis of Electronic Medical Record Implementation Based on HOT- FIT Factors at Ngebel Health Center, Ponorogo Regency Aulia Kartika Windaning Tyas; Ani Rosita
Jurnal Rekam Medis dan Informasi Kesehatan Indonesia Vol. 4 No. 2 (2025): 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.v4i2.95

Abstract

The implementation of Electronic Medical Records (EMR) is a requirement in the digital transformation of healthcare services in accordance with the Indonesian Ministry of Health Regulation No. 24 of 2022. However, EMR implementation still faces several obstacles in healthcare facilities, including at the Ngebel Public Health Center in Ponorogo Regency. This study aims to analyze the implementation of EMR based on the HOT-FIT framework, which includes four components: Human resources (Human), Organization, Technology, and Net Benefits.This research uses a qualitative descriptive approach with analysis based on the HOT-FIT framework. Data collection techniques include observation, interviews, and documentation. The subjects of this study were seven EMR users.The results show that the EMR has been implemented at the Ngebel Public Health Center since April 2023. The implementation process has been fairly good, however, challenges remain, such as internet connectivity issues and limitations in system features.This study recommends improving internet infrastructure to optimize the benefits of health services, as well as adding a digital signature (TTE) feature to the EMR system at the Ngebel Public Health Center.
Readiness of Electronic Medical Record Implementation at Budi Asih Trenggalek Hospital using the Fishbone Diagram Method Chery Putria Santoso; Ani Rosita
Jurnal Rekam Medis dan Informasi Kesehatan Indonesia Vol. 4 No. 2 (2025): 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.v4i2.96

Abstract

The electronic medical record (EMR) is an important step in supporting the digitization of health services, with the aim of improving the effectiveness, efficiency and accuracy of the management of patient medical data in hospitals. This study aims to determine the readiness of the implementation of RME in BUDIASIH Hospital Trenggalek by using the Fishbone Diagram method as an analytical tool in identifying the factors that influence.This study uses a descriptive method with a qualitative approach to explore the implementation process in depth. The Data was obtained through in-depth interviews and direct observation to 20 informants who actively use the RME system in the implementation of daily tasks.The results showed that the readiness of RME implementation in Budi Asih Hospital was influenced by five main factors, namely man (Human Resources), matherial (tools), machine (data), method (methods), and money (budget). Health workers and administrative staff have been able to operate RME well, accompanied by regular training and workshops to improve understanding related to System updates. Equipment and support systems are available and functioning properly, along with scheduled maintenance to keep the system running stably. Data management has been done accurately and timely, supported by periodic audits to maintain the quality and validity of the data. The hospital also has a clear Standard Operating Procedure (SOP) I n the implementation of RME and has allocated a budget to support the sustainability of this system. Overall, Budi Asih Trenggalek Hospital has shown good readiness in the implementation of RME and is ready to develop this system to support the improvement of the quality of health services in the future.This study recommends increased maintenance of software and hardware as well as regular training of human resources to support the sustainability of the RME system.  
Implementation of Electronic Medical Records at the Registration Desk of Muhammadiyah Ponorogo General Hospital Desi Luspitasari; Ani Rosita
Jurnal Rekam Medis dan Informasi Kesehatan Indonesia Vol. 4 No. 2 (2025): 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.v4i2.97

Abstract

Electronic Medical Records (EMR) are digital systems that play an important role in improving the efficiency and accuracy of healthcare services, particularly in the patient registration process. This study aims to understand the implementation process of EMR, identify the challenges faced, and evaluate the effectiveness of EMR usage at the registration desk of Rumah Sakit Umum Muhammadiyah Ponorogo. This research uses a qualitative method with a descriptive approach. The data collection techniques used include in-depth interviews with the head of medical records, registration officers, and the information technology team, as well as direct observation and documentation. Data analysis was conducted through the stages of data reduction, data presentation, and conclusion drawing. The research results show that the implementation of RME at Rumah Sakit Umum Muhammadiyah Ponorogo can accelerate the patient registration process from 10–15 minutes to less than 5 minutes, improve data accuracy, and facilitate coordination between units. The challenges faced include network disruptions, data input errors, and staff adaptation to the new system. Improvement efforts are carried out through regular training, periodic evaluations, and enhanced coordination with the information technology team. In conclusion, the implementation of RME at the registration desk of Muhammadiyah General Hospital has proven to support faster, more accurate, and intregated service, in line with the national policy of digital transformation in the health sector. This research recommends improving infrastructure quality, strengthening training for officers, and refining standard operating procedures to support the sustainability of the RME system.
A Comparative Analysis of Patient Service Efficiency Using Electronic Medical Records and Conventional Medical Records at Dr. Harjono S. Ponorogo Regional General Hospital Gilby Firsta Wahyu Saputra; Ria Fajar Nurhastuti
Jurnal Rekam Medis dan Informasi Kesehatan Indonesia Vol. 4 No. 2 (2025): 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.v4i1.98

Abstract

Medical records are a crucial component in hospital health services. With technological advancement, Electronic Medical Records (EMR) are expected to improve service efficiency. This study aims to identify and compare the efficiency of patient services using EMR and Conventional Medical Records (CMR) at RSUD Dr. Harjono S. Ponorogo. This research employed a qualitative comparative method with data collected through observation and interviews. The study involved five informants: a doctor, a nurse, a conventional medical record officer, an electronic medical record officer, and an IT staff member involved in medical record management. The results show that EMR is more efficient in terms of time, cost, data security, information access, and reporting. CMR still holds advantages in direct physical access without relying on technology. It is concluded that EMR implementation supports faster and more integrated patient services. Therefore, hospitals are encouraged to adopt EMR systems comprehensively.
Implementation of Electronic Medical Records at Balong Community Health Center, Ponorogo Regency Hapy Marsya Pradita; Dwi Nurjayanti
Jurnal Rekam Medis dan Informasi Kesehatan Indonesia Vol. 4 No. 2 (2025): 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.v4i2.99

Abstract

Electronic Medical Records (EMR) are a form of digitalization in healthcare services aimed at improving efficiency, accuracy, and integration of patient data. This study aims to identify the implementation of EMR based on ideal implementation indicators at Puskesmas Balong, Ponorogo Regency. Data were obtained through observation and interviews with registration officers, medical staff, and the head of the health center using the EPUS Klaster application system. The results showed that EMR implementation had a positive impact by accelerating services, facilitating access to patient data, and improving coordination between units. However, obstacles such as network disruptions, lack of training, and dependency on third-party vendors remain significant. Managerial support was also found to be suboptimal in providing necessary facilities and infrastructure. It is necessary to strengthen human resource training, improve IT infrastructure, and conduct regular evaluations to ensure that EMR implementation runs optimally and sustainably.
Factors Causing Pending Claims on Health BPJS Patients with Fishbone Diagrams at Al–Hikmah Clinic Sukorejo Ponorogo Districrt Hindun Al Istiqomah; Dwi Nurjayanti
Jurnal Rekam Medis dan Informasi Kesehatan Indonesia Vol. 4 No. 2 (2025): 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.v4i2.100

Abstract

Pending BPJS Health claims are claim returns where there is no agreement between BPJS Health and FKRTL regarding coding or medical principles (claim disputes), but resolution is carried out in accordance with BPJS Law Number 7 of 2018. The purpose of this research is to identify the factors causing pending claims using the Fishbone diagram approach, which includes the aspects of Man, Money, Method, Machine, and Material. The type of this research is a qualitative descriptive method using interviews and observations. The population of this study consists of all inpatient and outpatient insurance officers at Al-Hikmah Clinic. The sampling techniques used are total sampling and purposive sampling. Data were analyzed descriptively. Based on the research results at Al-Hikmah Sukorejo Clinic, the factors causing pending claims include the absence of staff with a background in medical records, incomplete claim documents, system errors in the P-Care application, and internet network issues. Continuous training, improvement of the digital system, and adjustment of SOPs are needed to minimize pending claim cases and enhance service efficiency. The researchers' recommendation is to always check the completeness of claim documents for the BPJS insurance claim process and to conduct regular training for claim officers at the clinic.  
Factors Causing Delays in BPJS Health Inpatient Claims at Dr. Harjono S Regional General Hospital in Ponorogo Regency Ike Wahyu Septian; Dwi Nurjayanti
Jurnal Rekam Medis dan Informasi Kesehatan Indonesia Vol. 4 No. 2 (2025): 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.v4i2.101

Abstract

Pending inpatient BPJS Health claims pose a financial and operational challenge for hospitals. At RSUD Dr. Harjono S Ponorogo, 228 pending claims were identified in November 2024 out of 1,335 total claims. This issue was caused by incomplete supporting documents, coding errors, and non-specific medical diagnoses and procedures. This study used a descriptive qualitative approach through observation and interviews. The sample consisted of four claims officers and 228 inpatient pending claim files. The sampling technique used was purposive sampling. Data were analyzed through data reduction, presentation, and conclusion drawing. The study revealed several contributing factors: (1) Man lack of accuracy and training among staff; (2) Method suboptimal claim procedures; (3) Material incomplete supporting documents; (4) Machine information system disruptions; and (5) Money delayed claim payments. The primary causes of pending inpatient claims are incomplete medical documentation and inaccurate coding. Improvements are needed in staff training, claim procedures, and system integration between hospitals and BPJS Health.
The Impact of Electronic Medical Record Implementation on Patient Waiting Time at Outpatient Clinics of Dr. Harjono S. Regional Hospital, Ponorogo Kusuma Bagus Suseno; Ani Rosita
Jurnal Rekam Medis dan Informasi Kesehatan Indonesia Vol. 4 No. 2 (2025): 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.v4i2.102

Abstract

The implementation of Electronic Medical Records (EMR) in healthcare facilities is one of the digitalization strategies aimed at improving efficiency and accelerating administrative processes. This study aims to determine the impact of EMR implementation on patient waiting times in several outpatient clinics at Dr. Harjono S. Regional Hospital, Ponorogo. This research employed a descriptive qualitative approach using observation and interviews with staff in five clinics: Orthopedics, Obstetrics and Gynecology, ENT, Psychiatry, and Pediatrics. The analysis focused on comparing patient waiting times before and after the use of EMR. The results show that waiting times for returning patients decreased significantly due to quicker data access. However, waiting times for new patients remained relatively high due to the complexity of the data input process, including the entry of phone numbers and patient identification. Overall, EMR has had a positive impact by speeding up services and simplifying patient data retrieval. Nonetheless, simplifying the data input process for new patients and enhancing operator training remain necessary.
Medical Record Folder Design at Mazaya Clinic Pulung District, Ponorogo Regency Mohammad Ardhi Fajar Setiawan; Rumpiati Rumpiati
Jurnal Rekam Medis dan Informasi Kesehatan Indonesia Vol. 4 No. 2 (2025): 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.v4i2.103

Abstract

  Medical records are a critical element in health services at the Mazaya Clinic. Field observations revealed that the clinic does not yet have a medical record folder; Patient documents are only stapled sheets without classification or physical protection. This condition poses risks of document damage, data loss, privacy violations, and operational inefficiency, with search times reaching 12 minutes—far from the standards of the Ministry of Health Regulation No. 24/2022. This study aims to design an integrated medical record folder by optimizing three aspects: (1) anatomical structure, (2) physical material, and (3) content completeness.This research used the Borg & Gall Research and Development (R&D) model through four stages: Define, Design, Development, and Dissemination. The prototype was made using 310 gsm art carton laminated with matte finishing. The design was validated by experts and evaluated through field testing at the clinic. The results showed the folder increased document protection (80% moisture resistance), reduced search time by 75% (from 12 to 3 minutes), and improved data accuracy by reducing input errors by 25%. The study concludes that this folder design is a practical solution for supporting clinical accreditation, patient safety, and cost efficiency. Recommendations include technical training for staff, digital system synchronization, and data backup strategies.
Analysis of the Accuracy of Diagnosis and Coding in Patient Medical Records at the Mutiara Delima Clinic Sawoo, Ponorogo Regency Rismawati Rismawati; Ria Fajar Nurhastuti
Jurnal Rekam Medis dan Informasi Kesehatan Indonesia Vol. 4 No. 2 (2025): 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.v4i2.104

Abstract

This research aims to analyze the accuracy of diagnosis and coding in patient medical records at Mutiara Delima Sawoo Clinic, Ponorogo Regency, and to identify the factors influencing it. The research uses a descriptive method with a qualitative approach. Data were obtained through interviews with 1 medical records officer, observations with 1 medical records officer, 1 doctor, 3 midwives, 3 nurses, and the analysis of 260 medical record documents using instruments in the form of observation and interview sheets. The results show that out of the 260 patient medical records analyzed over one month, 31.54% were accurately coded with diagnosis and coding, 59.62% were diagnosed without coding, and 8.85% were neither diagnosed nor coded. The researchers recommend enhancing the training of medical personnel and strengthening the monitoring system to support service quality and insurance claims.  

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