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TINJAUAN HAK AKSES PEREKAM MEDIS DAN INFORMASI KESEHATAN TERHADAP DATA REKAM MEDIS ELEKTRONIK DI RUMAH SAKIT MEDIKA DRAMAGA BOGOR Kristina, Indah; Widyaswara, Garda
MEDICORDHIF Jurnal Rekam Medis Vol 11 No 1 (2024): MEDICORDHIF Jurnal Rekam Medis
Publisher : APIKES Bhumi Husada Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59300/mjrm.v11i1.109

Abstract

Medical record access rights are the use and utilization of medical records that may only be carried out by parties who have permission for medical record data in the security and protection of electronic medical record data service facility leaders grant access rights to health workers in health care facilities the purpose of this study was to determine access rights for medical recorders and health information to electronic medical record data at the medika dramaga bogor hospital. This research method uses a qualitative descriptive method with data collection techniques in the form of observation and interviews. The sample in this study were 10 medical recorders and health information.The results of the study that standard operating procedures related to access rights are available but not yet valid and signed by the leadership of the medika dramaga bogor hospital, then regarding the implementation of pmik access rights to electronic medical record data already referring to permenkes number 24 of 2022 and PMIK problems or obstacle in accessing electronic medical record data is the exchange of information between officers regarding user id and passwords which has an impact on patient data security in the event of abuse of access rights. Keywords: access rights, medical recorders and health information, electronic medical record data
ANALISIS KEPUASAN PENGGUNA REKAM MEDIS ELEKTRONIK RAWAT JALAN DENGAN METODE EUCS DI RUMAH SAKIT MURNI TEGUH CILEDUG KOTA TANGERANG Kristina, Indah
MEDICORDHIF Jurnal Rekam Medis Vol 11 No 2 (2024): MEDICORDHIF Jurnal Rekam Medis
Publisher : APIKES Bhumi Husada Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59300/mjrm.v11i2.114

Abstract

ABSTRAK Rumah Sakit wajib menyelenggarakan rekam medis, sebagai indikator menilai mutu pelayanan kesehatan. Salah satu indikator kualitas pelayanan adalah kepuasan pengguna rekam medis. Tujuan penelitian yaitu menggambaran kepuasan pengguna rekam medis elektronik (RME) dengan motode End-User Computing Satisfaction (EUSC). Metode penelitian ini adalah deskriptif kuantitatif dengan teknik pengumpulan data berupa kuesioner dan wawancara. Sampel penelitian ini berjumlah 59 pengguna RME menggunakan teknik accidental sampling. Analisa data penelitian ini menggunakan statistic deskriptif. Hasil tingkat kepuasan pengguna RME menggunakan metode EUCS didapatkan hasil bahwa instrumen Content termasuk kategori sangat puas (97,45%) dengan nilai mean 3.882, Accuracy termasuk kategori sangat puas (95,92%) dengan nilai mean 3.783, Format termasuk kategori sangat puas (97,17%) dengan nilai mean 3.825, Ease of Use termasuk kategori sangat puas (95,98%) dengan nilai mean 3.807, Timeliness termasuk kategori sangat puas (95,47%) dengan nilai mean 3.786. Rumah Sakit Murni Teguh Ciledug perlu mempertahankan dan mengembangkan kualitas kepuasan pengguna RME dari segi instrumen Content, Accuracy, Format, Ease of Use, Timeliness. Kata Kunci: Kepuasan, RME, End-User Computing Satisfaction (EUCS)
The Determination of Bronchopneumonia Diagnostic Codes in Patients of The National Health Insurance Lathifina, Yashna Meutia; Kristina, Indah; Rahmi, Junaida; Sucipto, Sucipto
Edu Masda Journal Vol 7, No 2 (2023): Edu Masda Journal Volume 7 Nomor 2
Publisher : STIKes Kharisma Persada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52118/edumasda.v7i2.177

Abstract

Coding is the activity of providing the diagnosis in accordance with International Statistical Classification of Diseases and Related Health Problems as well as providing a procedure code in accordance. Accuracy in coding a disease and action is very important because it is related to health service financing because it determines the smoothness and process of submitting claims for reimbursement of health service costs to BPJS. The purpose of this study was to identify the code code coded by the coder in the codefication of bronchopneumonia cases in National Health Insurance patients by reviewing the coding procedures carried out by the coder. This research uses a descriptive method with a quantitative approach. In collecting data, researchers use observation. The results showed that the accuracy of codefication in bronchopneumonia patients was eighty-two point thirty-five percent in fifty-six medical records of precise diagnosis and seventeen point sixty-five percent in forty-two medical records of improper diagnosis. The accuracy of the bronchopneumonia code as the primary diagnosis Totaled to ninety point forty-eight percent of the exact code and nine point fifty-two percent of the improper code of the forty-two medical records. The code of bronchopneumonia as a secondary diagnosis Totals to sixty-nine point twenty-three percent of the exact code and thirty-point seventy-seven improper codes of twenty-six medical records. It is recommended that there is a need to increase the accuracy of the coder in reading the diagnosis written by the doctor on the medical resume as well as the consistency.