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Research and Evidence on Knowledge in Administration and Management — Medical Electronic Data and Information Systems
Published by CV. Get Press Indonesia
ISSN : -     EISSN : 31236952     DOI : https://doi.org/10.69855/rekammedis
Core Subject : Health,
Health Professions
The Journal of Research and Evidence on Knowledge in Administration and Management — Medical Electronic Data and Information Systems (REKAM MEDIS) is an open-access, peer-reviewed scientific journal published by CV. Get Press Indonesia. The journal publishes original research articles, review articles, and case studies in the fields of medical record administration, health information management, and healthcare information systems. Its scope covers medical record management, electronic medical records, health information systems, health informatics, healthcare data analytics, coding and classification systems, telemedicine, data quality and security, legal and ethical aspects of medical records, and the development of human resources in health information services. REKAM MEDIS applies a rigorous peer-review process to ensure the quality, originality, and scientific relevance of all published manuscripts. The journal is published twice a year, in March and September, and provides open access to support the broad dissemination of research findings. REKAM MEDIS aims to serve as a trusted platform for researchers, academics, practitioners, and policymakers in advancing knowledge and innovation in medical records, health information management, and healthcare information systems.
Arjuna Subject : -
Articles 17 Documents
 1   2 
Analysis of Healthcare Human Resources Capacity in the Management and Quality Assurance of Medical Record Data in the Digitalization Era Weni Tri Purnani; Darmining; Miranty Andrian Deaningsi; Sasa Acnetia; Amanda Putri Anggraini
Research and Evidence on Knowledge in Administration and Management — Medical Electronic Data and Information Systems Vol. 1 No. 2 (2025): September, 2025
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/rekammedis.v1i2.311

Abstract

The success of Indonesia's digital health transformation critically relies on healthcare Human Resources (HR) capacity and robust Electronic Medical Records (EMR) quality assurance. This study performs an aggregate quantitative analysis using official national data (BPPSDMK, PORMIKI/PPNI) to correlate HR capacity with EMR quality indicators. Results reveal a significant HR imbalance, with 70% concentration in urban areas and a training gap (only 65% of professionals certified/trained). Regression analysis confirmed a strong positive statistical relationship (β=0.75, p<0.01), proving that HR capacity explains 56% (R2=0.56) of the variation in EMR quality. Furthermore, official reports indicate systemic failures in audit trail implementation, including limited access and system instability, compromising data integrity. The strong empirical evidence underscores that sustained, equitable investment in HR training and distribution is the most critical non-technical lever for quality improvement. Therefore, equitable HR development, mandatory standardized audit trail SOPs, and robust digital infrastructure are essential for ensuring high-quality and consistent digital medical record management nationwide.
Factors Associated with Incomplete Informed Consent in Inpatient Medical Records Rudy Dwi Laksono; Mila Sari
Research and Evidence on Knowledge in Administration and Management — Medical Electronic Data and Information Systems Vol. 2 No. 1 (2026): March, 2026
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/rekammedis.v2i1.636

Abstract

Informed consent is a crucial component of medical records that serves as legal evidence and a means of protecting patient rights; however, incomplete documentation remains a common issue that may compromise healthcare quality. This study aimed to analyze factors associated with incomplete informed consent documentation in inpatient medical records. A quantitative study with a cross-sectional design was conducted on 120 medical records selected using systematic random sampling. The dependent variable was the completeness of informed consent, while the independent variables included staff knowledge, years of experience, workload, and compliance with standard operating procedures (SOPs). Data were collected using a checklist based on Ministry of Health Regulation No. 290 of 2008 and analyzed using univariate and bivariate methods with the Chi-square test at a significance level of 0.05. The results showed that incomplete informed consent documentation was relatively high (62.5%). Bivariate analysis indicated that knowledge (p=0.002; OR=5.5), workload (p=0.004; OR=5.0), and SOP compliance (p=0.001; OR=7.55) were significantly associated with incomplete documentation, while years of experience was not significantly associated (p=0.087). In conclusion, the incompleteness of informed consent is influenced by both individual and system-related factors, with SOP compliance identified as the most dominant factor.
Overview of Patient Satisfaction with the Application of Mobile JKN Using EUCS Method Bahrul Ilmi; Muhammad Al Ashari
Research and Evidence on Knowledge in Administration and Management — Medical Electronic Data and Information Systems Vol. 2 No. 1 (2026): March, 2026
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/rekammedis.v2i1.667

Abstract

Mobile JKN is a digital application developed by BPJS Kesehatan to facilitate participants in accessing health services quickly and efficiently. Despite its widespread use, users still experience various obstacles, including difficulties in using application features, slow system access, and dissatisfaction with the information provided. Therefore, evaluating user satisfaction is important to assess the quality of the Mobile JKN application from the patient’s perspective. This study aimed to describe patient satisfaction with the Mobile JKN application using the End User Computing Satisfaction (EUCS) method at RSI Ibnu Sina Padang. This quantitative descriptive study was conducted at RSI Ibnu Sina Padang in 2025. The study population consisted of outpatients who used the Mobile JKN application. A total of 120 respondents were selected using accidental sampling. Data were collected using an EUCS questionnaire covering five dimensions: content, accuracy, format, ease of use, and timeliness. Data were analyzed using univariate analysis and presented as frequency distributions and percentages. The results showed that 65.8% of respondents were satisfied with the implementation of Mobile JKN. Based on the EUCS dimensions, satisfaction levels were 70.0% for content, 68.3% for accuracy, 66.7% for format, 75.0% for ease of use, and 63.3% for timeliness. Ease of use received the highest score, while timeliness received the lowest. In conclusion, most patients were satisfied with the Mobile JKN application at RSI Ibnu Sina Padang. Continuous improvements, particularly in timeliness and system response speed, are needed to enhance user experience and service quality.
Overview of Inpatient Medical Record Return Delays to the Filing Unit: A Case Study in a Siti Rahmah Hospital Dian Sari; Maisharoh; Aulia Rahmi Cheni
Research and Evidence on Knowledge in Administration and Management — Medical Electronic Data and Information Systems Vol. 2 No. 1 (2026): March, 2026
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/rekammedis.v2i1.705

Abstract

Timely return of inpatient medical records to the filing unit is essential to support continuity of health information management, coding accuracy, claim processing, and the availability of records for future healthcare services. However, delays in returning medical records remain a common issue in hospitals and may affect service quality. This study aimed to describe delays in the return of inpatient medical records and identify factors contributing to these delays at Siti Rahmah Hospital, Padang, Indonesia. A quantitative descriptive study was conducted in the Medical Record Unit of Siti Rahmah Hospital in 2025. The population included all inpatient medical records returned during the study period. Using a total sampling technique, 150 medical record files were observed. Data were collected through observation sheets and document review and analyzed using univariate analysis. The results showed that 95 (63.3%) inpatient medical records were returned late, while 55 (36.7%) were returned on time according to hospital standards. The main contributing factors were incomplete physician documentation (40.0%), delays in ward administrative processes (30.5%), incomplete nursing documentation (18.9%), and delays in discharge administration (10.6%). The average return time was 4 days, exceeding the hospital standard of 2 × 24 hours. Incomplete documentation and administrative delays were identified as the primary contributing factors. Strengthening monitoring systems, improving staff compliance, and enhancing coordination among healthcare professionals are recommended to reduce delays in medical record return.
Analysis of the Implementation of Medical Record Retention Based on Medical Record Officers' Perceptions: A Qualitative Case Study at Siti Rahmah Islamic Hospital Padang Yulfa Yulia; Mila Sari; Arif Prima
Research and Evidence on Knowledge in Administration and Management — Medical Electronic Data and Information Systems Vol. 2 No. 1 (2026): March, 2026
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/rekammedis.v2i1.706

Abstract

The implementation of medical record retention is an important activity in medical record management to ensure storage efficiency, ease of file retrieval, and compliance with applicable regulations. However, its implementation in hospitals still faces obstacles, such as limited human resources, storage facilities, and officers' understanding of retention procedures. This study aims to analyze the implementation of medical record retention based on the perceptions of medical record officers. Unlike previous studies that focused mainly on compliance with retention procedures, this study explores medical record officers' perceptions to identify organizational and operational barriers affecting retention implementation. This study employed a qualitative case study design at the Medical Record Installation of Siti Rahmah Islamic Hospital Padang involving five informants selected through purposive sampling. Data were collected through in-depth interviews, observations, and document analysis, and analyzed using the Miles and Huberman model. The findings indicate that retention procedures have been implemented but not consistently or according to schedule. The main barriers include varying levels of officers' understanding, limited facilities and storage space, and inadequate monitoring and evaluation. It was concluded that strengthening human resources, facilities, and supervision is essential to optimize medical record retention implementation.
Analysis of the Completeness of the Summary of Inpatient Discharge in Support of the Health Insurance Claim Process Rafika Aini; Vitratul Illahi
Research and Evidence on Knowledge in Administration and Management — Medical Electronic Data and Information Systems Vol. 2 No. 1 (2026): March, 2026
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/rekammedis.v2i1.707

Abstract

Completeness of the inpatient summary of discharge is an important component of medical records in supporting health insurance claims. Incompleteness of this document can cause verification problems, file returns, and delayed claim payments. This study aims to analyze the completeness of the inpatient summary of discharge in supporting the health insurance claim process. The study used a quantitative method with an analytical cross-sectional design and was conducted at the Medical Record Installation of dr. Rasidin Hospital, Padang. The population consisted of all inpatient medical record files of BPJS participants submitted for claims. A sample of 180 files was selected using systematic random sampling. Data were collected through observation using a discharge summary completeness checklist and health insurance claim status review. Univariate analysis used frequency distribution, while bivariate analysis used the Chi-Square test with a 95% confidence level. The results showed that 154 files (85.6%) were complete and 26 files (14.4%) were incomplete. A total of 165 files (91.7%) were processed without problems, while 15 files (8.3%) had pending claims. The Chi-Square test showed a significant relationship between discharge summary completeness and health insurance claims (p=0.001). The Odds Ratio (OR) of 8.25 (95% CI: 2.89–23.57) indicated that incomplete discharge summaries had 8.25 times greater odds of pending claims. Hospitals should strengthen monitoring, periodic medical record audits, and staff compliance to optimize the claims process.
Correlation between Medical Record Filing Retrieval Time and INA-CBG Claim Verification Delay: A Study at Awal Bros Sudirman Hospital Pekanbaru Rahmadhani; Mirza Aulia
Research and Evidence on Knowledge in Administration and Management — Medical Electronic Data and Information Systems Vol. 2 No. 1 (2026): March, 2026
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/rekammedis.v2i1.708

Abstract

Timeliness of INA-CBG claim verification is essential for maintaining hospital financial sustainability and ensuring continuity of healthcare services. Delays in claim verification may be influenced by several factors, including prolonged medical record retrieval time from the filing unit, which can affect administrative and reimbursement processes. This study aimed to determine the correlation between medical record filing retrieval time and INA-CBG claim verification delay at Awal Bros Sudirman Hospital Pekanbaru. This study employed a quantitative analytical design with a cross-sectional approach. The study was conducted in the Medical Record Unit of Awal Bros Sudirman Hospital Pekanbaru in 2026. The population consisted of inpatient medical records used for BPJS claims, with a sample of 150 records selected by simple random sampling. Data were collected using observation sheets to measure retrieval time and claim verification completion time. Data were analyzed using univariate analysis and Spearman Rank correlation. The results showed that 58.0% of medical records experienced retrieval delays (>10 minutes), while 54.7% of claims experienced verification delays (>14 days). Spearman correlation analysis showed a significant relationship between medical record retrieval time and INA-CBG claim verification delay (p=0.001) with a correlation coefficient (r=0.621), indicating a strong positive correlation. It can be concluded that longer retrieval times are associated with increased claim verification delays. Therefore, improvements in filing management and record accessibility are necessary immediately.

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