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All Journal Jurnal Keperawatan Abdurrab Jurnal Manajemen Informasi Kesehatan Indonesia (JMIKI) Jurnal Rekam Medis (Medical Record Journal)
Tri Purnama Sari
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Computer Science & IT Health Professions Medicine & Pharmacology Nursing Public Health Social Sciences

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KENDALA PETUGAS REKAM MEDIS DALAM PENENTUAN KODE PENYAKIT TERHADAP KLAIM BADAN PENYELENGGARA JAMINAN SOSIAL (BPJS) DI RUMAH SAKIT IBU DAN ANAK ERIA BUNDA PEKANBARU Tri Purnama Sari
Jurnal Keperawatan Abdurrab Vol 1 No 1 (2016)
Publisher : LPPM Universitas Abdurrab

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (58.404 KB)

Abstract

Medical record plays an important role in BPJS program particularly in BPJS patient registration as well as coding and claim. Determination of diagnosis codes patient are obligations, rights and responsibilities of docter (medical personnel) in accordance with the directives contained in the book ICD-10. But in fact, there are still obstacles from officers in determining disease codes for medical record file is incomplete. The purpose of this study was to determine the constraints attendant medical records in determining the disease code to claim BPJS in RSIA Eria Bunda Pekanbaru. The research method used descriptive research with a combination of quantitative and qualitative approaches. Informants are 4 people that officers conducting coding. Techniq and methods of data collection using interviews, observation and review of medical record file. These results indicate that the constraints medical records officers in determining of disease because the docter's diagnosis code is not complete. The high number of incompleteness diagnosis is the final diagnosis (secondary) as many as 46 items. The Human Resources to code patient disease of BPJS is sufficient. Standard Operating Procedure determination of disease codes has been no exists. Facilities and infrastructure already exists and is adequate. The suggestions of this research is a docter should immediately filling doctor's diagnosis on the medical resume of patient in order to medical officer was not constrained in determining the disease code because it contains data/information that can be used as a basis for determining rates BPJS claims. Medical records should continue to conduct training on coding and BPJS so that the officers more mastering in coding activities. Than, Standard operating procedures should be made to any standard set.
GAMBARAN KETIDAKTERSEDIAAN DOKUMEN REKAM MEDIS RAWAT JALAN DI RSUD DR. SOEKARDJO TASIKMALAYA Any Octavia Purnama Sari; Tri Purnama Sari; Tesa Herta Pela; Imas Masturoh
Jurnal Manajemen Informasi Kesehatan Indonesia (JMIKI) Vol 5, No 1 (2017)
Publisher : Asosiasi Perguruan Tinggi Rekam Medis dan Informasi Kesehatan Indonesia- APTIRMIKI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33560/.v5i1.150

Abstract

Good medical records is contain continuous data from the beginning to the end of treatment, so if the medical records unavailable it would disruption many aspects from the patient’s treatment to the payment process. This research aims to describe the unavailability of outpatient medical record in Dr. Soekardjo Tasikmalaya. Mix method sequentional explanatory was used in this research. The amount of samples is 4611 medical records with total sampling technic for two weeks. The results showed there are 22 medical records were not available. The highest unavailability by payment type BPJS 91%, interna clinic 27.3%, and the previous visit on Tuesday, Thursday and Friday are 22.7% each day, during unavaibility occurs on Thursday 36.4%. Filing system used is decentralized, while alignment is middle digit filing with modifications. The cause of the unavailability are limited human resources, inappropriate storage, medical records were taken of patients, limited facilities and infrastructure, eror when writing the number. The impacts are less suitable financing claims, scorching of the claims, the absence of the report claims, the disruption of the patients’s treatment, and patients wait a long time for treatment. There are similarities unavailability of medical records were missing if viewed by the previous visit and when the loss occurs on Thursday. Advised to recording expenditures medical records and color code on the medical records.
Hubungan Komunikasi Verbal dan Non Verbal Terhadap Kepuasan Pasien BPJS pada Pelayanan Tempat Pendaftaran Pasien Rawat Jalan (TPPRJ) di Unit Pelayanan Teknis (UPT) Puskesmas Pambang Kabupaten Bengkalis Tahun 2021 Nur Qamarina; Tri Purnama Sari; Indra Bayu Kusuma
Jurnal Rekam Medis (Medical Record Journal) Vol. 1 No. 2 (2021): Jurnal Rekam Medis (Medical Record Journal)
Publisher : Sekolah Tinggi Ilmu Kesehatan Hang Tuah Pekanbaru

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (120.625 KB) | DOI: 10.25311/jrm.Vol1.Iss2.401

Abstract

Komunikasi verbal identik dengan kata-kata, baik lisan ataupun tulisan. Komunikasi non verbal dimana pesan atau informasi yang disampaikan tidak secara langsung. Kepuasan pasien dalam pelayanan di puskesmas tidak bisa di pandang sebelah mata. Beberapa pasien mengatakan kurang puas terhadap pelayanan komunikasi petugaspendaftaran rawat jalan. Tujuan penelitian ini adalah untuk mengetahui bagaimana Hubungan Komunikasi Verbal dan Non Verbal terhadap Kepuasan Pasien BPJS pada Pelayanan Tempat Pendaftaran Pasien Rawat Jalan (TPPRJ) diUnit Pelayanan Teknis (UPT) Puskesmas Pambang Kabupaten Bengkalis Tahun 2021. Jenis penelitian ini menggunakan metode kuantitatif dengan desain Cross Sectional dan teknik sampling yaitu accidental sampling dengan jumlah 91 sampel. Pengolahan data dengan cara editing, coding, processing dan cleaning. Analisa data dilakukan dengan analisa univariat dan analisa bivariat. Berdasarkan hasil untuk analisa univariat diketahui bahwa 91 responden didapat 44 orang  menyatakan tidak baik dan 47 orang menyatakan baik dengan komunikasi verbal. Dan 91 responden didapat 46 orangmenyatakan tidak baik dan 45 responden menyatakan baik dengan komunikasi non verbal. Sedangkan analisa bivariat diketahui bahwa 91 responden didapat 44 orang menyatakan tidak baik didapatkan 33 orang menyatakan tidak puas dan 11 orang menyatakan puas dengan komunikasi verbal. Dan 91 responden didapat 46 orang menyatakan tidak baik didapatkan 27 orang menyatakan tidak puas dan 19 orang menyatakan puas dengan komunikasi non verbal. Kesimpulan penelitian ini adalah terdapat hubungan komunikasi verbal dan  non verbal dengan kepuasan pasien BPJS rawat jalan di UPT Puskesmas Pambang Tahun 2021. Dan saran bagi puskesmas diperlukan pelatihan terhadap petugas pendaftaran dalam mewujudkan pelayanan yang bermutu dan berkualitas.
Co-Authors Any Octavia Purnama Sari Imas Masturoh Indra Bayu Kusuma Nur Qamarina Tesa Herta Pela