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Jurnal Manajemen Kesehatan Indonesia

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Published by Universitas Diponegoro

ISSN : 23033622 EISSN : 25487213. DOI : -

Core Subject : Health, Science,

Decision Sciences, Operations Research & Management Health Professions

Arjuna Subject : -

Articles 7 Documents

Search results for , issue "Vol 5, No 2 (2017): Agustus 2017" : 7 Documents clear

Identifikasi Waste pada Waktu Tunggu Pasien Rumah Sakit Nasional Diponegoro dengan Pendekatan Lean Hospital Jessica Christanti Pualamsyah; Sudiro Sudiro
Jurnal Manajemen Kesehatan Indonesia Vol 5, No 2 (2017): Agustus 2017
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Outpatient waiting time based on minimum standart of care is defined as a time duration since patient in registrated until they meet the doctor. Lean management is a method that could improve outpatient process. There was persistence complain in outpatient waiting time in Diponegoro National Hospital since May 2016 until November 2016. Therefore, lean is expected to improve outpatient wait time. Based on Lean theory, waste is comprised of waste defect, overproduction, transportation, waiting, inventory, motion, overprocessing, and non-utilized talent. This study is going to identified waste that occurred in internal medicine outpatient. 　　　This was qualitative study research and conducted by observation, indepth interview, and focussed group disscusion. Total of key informant was 10 internal medicine patients and 6 hospital staffs, including registration, administration, information technology (IT) , procurement, helper, and nurse. Total of informant triangulation was 2 informants, including head of outpatient unit and medical records unit. Waste identification was done by value stream mapping analysis and value-added assessment. Root cause analysis (RCA) which used in this study was 5 whys method. 　　　The longest activity in outpatient was waiting in registration booth with mean value of 30,9 minutes, the second was waiting for doctor activity with mean value of 25,2 minutes and the third was waiting medical records to be given by helper with mean value of 8,8 minutes. Waste waiting, overprocessing, defect, inventory, motion were found in this study. It recommends an establisment of flowchart for patient, interdepartment coordination, and Standar Operation Procedure (SOP). Procrument for medical record facility and implementation of 6 S culture are mandatory.

Analisis Sistem Program One Student One Client Pendampingan Ibu Hamil oleh Mahasiswa Keperawatan di Kota Semarang Mukhamad Musta'in; Sri Achadi Nugraheni; Untung Sujianto
Jurnal Manajemen Kesehatan Indonesia Vol 5, No 2 (2017): Agustus 2017
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Maternal mortality rate (MMR) and infant mortality rate (IMR) are one of the main indicators of a country's health status. MMR in Semarang was increasing since 2013 (107.95 per 100,000 live birth) become (128.05 per 100,000 live birth) in 2015. Various efforts have been made to handle the increase in maternal mortality rate in Semarang, one of them is OSOC program to accompany pregnant women. However, its implementation has not run optimally and encounters several obstacles. The purpose of the research was to analyze the input, process, and output aspects of the One Student One Client Program to accompany pregnant women by Nursing Students in Semarang. This was qualitative research with descriptive explorative approach through in-depth interview and focus of group discussion. The main informants were; Head of Health Section of Central Java Provincial Health Office and triangulation informant; 2 Heads of Public health services and 2 nurses / midwife coordinator, 2 Head of study program, 2 field supervisors, 14 nursing students and 7 pregnant women / postpartum. Data processed and analysed by content analysis method. The result showed that the input aspect: which was human resources, had been sufficient, but insufficient in funds, infrastructure facilities only in the form of modules, the policy had not been written and there was no memorandum of understanding / MoU between the health office and educational institutions.

Model Evaluasi Penerimaan Pengguna Sistem Informasi Rekam Medis di Sektor Kesehatan Ni Kadek Armini; Aris Puji Widodo; Suhartono Suhartono
Jurnal Manajemen Kesehatan Indonesia Vol 5, No 2 (2017): Agustus 2017
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

In the development of advanced technology, information users are required to follow the progress that has grown rapidly. One of the programs implemented by the Ministry of Health of the Republic of Indonesia has issued a policy that guides the implementation of health development implemented by the government and private sector in order to improve the quality of information in this case the quality of medical record information. And one of the efforts to improve the quality of medical record information in the hospital in the form of the application of Medical Record Information System (SIRM). Application of SIRM is currently experiencing obstacles and barriers in the level of user acceptance. There are still many things that are operational and managerial, making the implementation of SIRM is not going well. . This study evaluates the results of SIRM implementation to process the data of inpatients at Undata Hospital of Central Sulawesi Province from the user acceptance level, using the combined model of Unified Theory of Acceptance and Usage of Technology (UTAUT) and Human, Organization, Technology Fit (HOT Fit ).

Evaluasi Sistem Informasi Pelayanan Rekam Medis di RSJ Prof. Dr. V.L. Ratumbuysang Provinsi Sulawesi Utara dengan Pendekatan Hot Fit Model Donny Makalalag; Farid Agushybana; Atik Mawarni
Jurnal Manajemen Kesehatan Indonesia Vol 5, No 2 (2017): Agustus 2017
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

　　　Medical Record Information System Service at Prof. Dr. V.L. Ratumbuysang Mental Hospital North Sulawesi Province had not run as expected. Indicated by the differences in patient data in the recording and the medical records. Factors that allegedly affect are human, organization and technology. This study aims to evaluate medical record service information system with the HOT FIT Model approach and its benefits. 　　　This was a qualitative study. Data collected through in depth interviews and analyzed by content analysis method. Research subjects were 1 admin officer and 3 archival officers as main informants and the chief of medical record service, the head medical services division and an assistant director of medical services and nursing as the triangulation informants. 　　　The results showed that the medical record service information system had facilitated the work but the knowledge and skills of the officers were still lacking. Organizational factors were supported but the budget was still lacking in system development. Technological factors had not run optimally because the LAN network did not work. The quality of the information had not been met because the data of the visits should be checked again before used for decision making. Quality of service was not maximal yet, because the connectivity between medical record and polyclinic was impaired, then the officer used manual form. 　　　It can be concluded that the hospital need to increase the staff knowledge and allocate funds for improvement and development of information systems or cooperate with other parties in system maintenance.

Analisis Pelaksanaan Peran, Fungsi dan Wewenang Governing Body di Rumah Sakit Islam NU Demak Rudi Ansyah; Sarsintorini Putra; Sudiro Sudiro
Jurnal Manajemen Kesehatan Indonesia Vol 5, No 2 (2017): Agustus 2017
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Hospital health services have a high level of complexity and are prone to conflicts both inside and outside the hospital. The implementation of quality management is still a lot of obstacles faced evidenced by many hospital staff who do not know about quality management, frequent conflicts and lack of clarity of coordination, communication and information channels. The purpose of this research is to analyze the implementation of the role, function and authority of governing body, director, medical committee and nursing committee, quality management implementation, quality leadership and hospital barrier in order to improve quality management of NU Demak Islamic Hospital. This research design using descriptive method with qualitative approach. The main informants were the governing body, the director, the medical committee and the nursing committee and the triangulation informant were the executing physician, the nurse and the chairman of the quality team. Data were collected by in-depth interview techniques. Processing and data analysis using content analysis. The results show the role and function governing body has been implemented but the authority has not been implemented optimally. The role and authority of the director have been implemented but the function has not been implemented optimally. The role and function of the medical committee has been implemented but the authority has not been implemented optimally. The role and function of the nursing committee has not been implemented optimally but the authority has been implemented. Quality planning has been implemented, but quality control and improvement has not been implemented optimally. Building vision, inspiring processes, mobilizing human resources and becoming a model has been implemented. It is recommended to allocate budgets for the training of the ex-house training, to make guidelines for recording and reporting, to make guidance on performance evaluation of officers, to create a checklist of performance evaluation and to make an assessment of internal satisfaction

Analisis Faktor -Faktor yang Mempengaruhi Pemahaman Pasien terhadap Informed Consent di Rumah Sakit Dewangga Primananda Susanto; Bramantya Surya Pratama; Tuti Hariyanto
Jurnal Manajemen Kesehatan Indonesia Vol 5, No 2 (2017): Agustus 2017
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

The effect of patient safety in good hospitals are illustrated by a good informed consent process in accordance with applicable regulations. Not a few hospitals lost the process of good informed consent, so caught up in the legal process during the incident. This study aims to determine, analyze and examine the factors that affect the understanding of patient informed consent in RSU X. This research uses explorative research with descriptive approach. The respondents of this study were divided into two groups: in-patients and medical teams between nurses and doctors at Hospital X. This study found the root causes of informed consent in patient unresponsiveness after a questionnaire analysis and focus group discussion (FGD) at RSU X. The result is 1) There is no method / tool to facilitate health personnel in explaining, (2) No media from the hospital to facilitate, (3) No appointment of person in charge, (4) Awareness of informed consent does not exist, and (5) Lack of socialization of Standard Operational Procedure and no policies. The solution is the creation of a media to assist in improving the understanding of patient informed consent such as building model like photonovela.

Rancang Bangun Sistem Informasi Administrasi Vaksinasi Meningitis Berbasis Web di Kantor Kesehatan Pelabuhan Kelas III Banda Aceh Dedi Apriyandi; Kusworo Adi; Aris Puji Widodo
Jurnal Manajemen Kesehatan Indonesia Vol 5, No 2 (2017): Agustus 2017
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Meningitis vaccination service in Polyclinic of Class III Port Health Office (KKP) of Banda Aceh almost annually has increased the number of patients. There are several problems in the administration information system of meningitis vaccination that is currently running which officer is taking a long time to monitor the stock of vaccine and searching patient’s data that has been vaccinated. In the other hand, the data and information produced has yet incomplete, inaccurate and inconforn according within user system problems, Inaccurate timing for reporting and resulted to the inforrmation’s inconsistency. The purpose of this research is to produce an web-based information system of vaccine administration of meningitis at Polyclinic Class III Port Health Office of Banda Aceh. The type of researchs used are qualitative and quantitative. This research design using one group pre and post test, system development using FAST method (Framework for the Application of System Techniques). Research subjects consisted of 8 respondents who work in Polyclinic Port Health Office Banda Aceh. The result of observation and interview is conducted by the method of content analysis and descriptive analysis by using the weighted average. Descriptively, the results of data analysis shows which overall weighted average value of quality information before the development of 1.91 system and after the development of 3.64 system with a difference of 1.73. The average calculation of time required to perform services to patients to be faster 4.9 minutes. There is need support and commitment from the Class III Port Health Office Banda Aceh for implementing the administration information system of meningitis vaccination that has been developed optimally. Monitoring and evaluating users of the system should be performed periodically by Port Helath Office of Banda Aceh.

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