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All Journal Jurnal Keperawatan Priority Indonesian Trust Health Journal
Sudiro Sudiro
Institut Kesehatan Helvetia
Dentistry Education Health Professions Medicine & Pharmacology Nursing Public Health

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ANALISIS PELAKSANAAN PELAYANAN OBSTETRI NEONATAL EMERGENCY KOMPREHENSIF (PONEK) DI RSUD Dr. PIRNGADI MEDAN TAHUN 2019 Hana Dhini Julia Pohan; Sudiro Sudiro; Arifah Devi Fitriani
Indonesian Trust Health Journal Vol 4 No 1 (2021): Indonesian Trust Health Journal
Publisher : STIKes Murni Teguh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37104/ithj.v4i1.70

Abstract

Infant mortality has a close relationship with the quality of maternal care, so the process of childbirth and baby care must be in an integrated system at the national and regional levels. The study was conducted at Dr. Pirngadi Hospital Medan 2019. The research aims at describing the administration and management of PONEK, describing the adequacy of PONEK HR, and describing the fulfillment of PONEK facilities. This research approach is descriptive qualitative with data collection techniques through interviews. The informants of this study were the PONEK Implementation Team and the PONEK Management Team with a total of 8 people. The research instrument was the researcher himself and the collection of data through interviews and documentation. Processing and analysis of data used in the Content Analysis method. The results of the study were that the PONEK funding source comes from the Regional Public Service Agency. Incorrect PONEK Team Placement. Many PONEK Team members have not yet received PONEK training and certificates. 24-hour PONEK facilities. Blood supply of RSUD Dr. Pirngadi Medan is a Blood Transfusion Unit. The conclusion of the research is that management and administration are less than optimal. The PONEK executive officer does not get special PONEK incentives. The placement of Human Resources in implementing PONEK officers is not in accordance with their main tasks and functions, many PONEK Team members have not received PONEK certificate training but have provided emergency obstetric services. PONEK facilities serve 24 hours. The suggestion is that the budget for the procurement of facilities be proposed in the Regional Revenue and Expenditure Budget / Medan Government so that the Regional Public Service Board budget obtained by the hospital can be used optimally for the need to improve PONEK training and provide special PONEK incentives for PONEK implementing officers. Abstrak Kematian bayi mempunyai hubungan erat dengan mutu penanganan ibu, maka proses persalinan dan perawatan bayi harus dalam sistem terpadu di tingkat nasional dan regional. Penelitian dilakukan di RSUD Dr. Pirngadi Medan Tahun 2019. Penelitian bertujuan mendeskripsikan administrasi dan pengelolaan PONEK, mendeskripsikan kecukupan SDM PONEK, dan mendeskripsikan pemenuhan fasilitas PONEK. Pendekatan penelitian ini deskriptif kualitatif dengan teknik pengumpulan data melalui wawancara. Informan penelitian ini Tim Pelaksana PONEK dan Tim Manajemen PONEK dengan jumlah seluruhnya 8 orang. Instrument penelitian adalah peneliti sendiri dan pengumpulan data melalui wawancara dan dokumentasi. Pengolahan dan analisis data menggunakan metode Content Analysis. Hasil penelitian adalah Sumber dana PONEK berasal dari Badan Layanan Umum Daerah. Penempatan Tim PONEK yang tidak sesuai. Banyak anggota Tim PONEK yang belum mendapatkan pelatihan dan sertifikat PONEK. Fasilitas PONEK 24 jam. Persediaan darah RSUD Dr. Pirngadi Medan bersifat Unit Transfusi Darah. Kesimpulan penelitian yaitu Pengelolaan dan administrasi kurang maksimal. Petugas pelaksana PONEK tidak mendapatkan insentif khusus PONEK. Penempatan Sumber Daya Manusia petugas pelaksana PONEK tidak sesuai tupoksinya, banyak anggota Tim PONEK yang belum mendapatkan pelatihan sertifikat PONEK tetapi sudah memberikan pelayanan obstetri emergensi. Fasilitas PONEK melayani 24 jam. Saran yaitu anggaran pengadaan fasilitas diusulkan dalam Anggaran Pendapatan dan Belanja Daerah/Pemerintah Kota Medan, sehingga anggaran Badan Layanan Umum Daerah yang didapat rumah sakit bisa digunakan secara maksimal untuk kebutuhan meningkatkan pelatihan PONEK dan pemberian insentif khusus PONEK bagi petugas pelaksana PONEK.
ANALISIS PERBEDAAN KODE DIAGNOSIS ICD-10 ANTARA RUMAH SAKIT DENGAN VERIFIKATOR BPJS KESEHATAN Belni Pulpilasari; Sudiro Sudiro; Juliandi Harahap
Jurnal Keperawatan Priority Vol. 5 No. 2 (2022)
Publisher : Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jukep.v5i2.2660

Abstract

The accuracy of the diagnosis code is important as a determinant in the financing of health services. The delay in payment of BPJS Health claims can occur if there is a difference in the diagnosis code. This study aims to describe the differences in the ICD 10 diagnosis code between hospitals and BPJS Health Verifiers and the factors that influence them. Qualitative research with data collection techniques through in-depth interviews and documentation studies. The research informants consisted of the main informants as many as 3 Doctors in Charge of Service (DPJP) and the triangulation informants as many as 3 people, namely the Internal Verifier, Coder, and Head of the Medical Record Section. Processing and analyzing data using the content analysis method. The results of the study were 187 claim files experienced delays in payment due to differences in diagnosis codes, no quality audit of diagnosis coding was carried out, no clinical protocol, lack of cooperation between DPJP, coder, and internal verifier, lack of understanding of DPJP, lack of hospital management role involving DPJP in writing the code diagnosis, the absence of hospital policies/SOPs related to writing the ICD 10 diagnosis code, not providing diagnostic coding training. The conclusion of the study is that there are differences in the ICD 10 diagnosis code due to the absence of quality audits for diagnosis coding, clinical protocols, and the role of hospital management which is lacking in preparing policies and training on diagnosis coding causing delays in claim payments.
Co-Authors Belni Pulpilasari Fitriani, Arifah Devi Hana Dhini Julia Pohan Juliandi Harahap