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Journal : Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda (JIPIKI)

HUBUNGAN RIWAYAT SAKIT DAN ASUPAN GIZI (ENERGI DAN PROTEIN) DENGAN STATUS GIZI LANSIA DI WILAYAH KERJA PUSKESMAS PADANGMATINGGI KOTA PADANGSIDIMPUAN Johanna Christy
Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda Vol. 4 No. 2 (2019): Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda Edisi Agustus
Publisher : Akademi Perekam dan Informasi Kesehatan Imelda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jipiki.v4i2.90

Abstract

One of the increasing benchmarks of the progress of a nation is seen from the life expectancy of its population. Increasing life expectancy is reflected in the increasing number of elderly (elderly) population. The increasingly elderly population in Indonesia will have a major impact on the management of health problems. This study aims to see aims to know the history of illness, energy intake and protein intake with nutritional status in the elderly in the work area of ​​Padangmatinggi in Padangsidimpuan Health Center.This research type is quantitative with cross sectional research design. This study was conducted by assessing the food method of food recall 24 hours. Nutritional status with IMT / U. The sample in this study amounted to 100 people who are elderly. Data analysis is univariate, and bivariate with Chi Square Test. The result of bivariate test shows that there is correlation between history of illness (p=0,000), energy intake (p=0.000), and protein intake (p=0.000) with nutritional status. Cadres should more often give counseling about balanced nutrition to the community, especially elderly to improve knowledge, attitudes, and behavior of balanced nutrition in elderly and always monitor nutritional status of elderly through posyandu elderly in order to maintain normal BMI. The health office is more often to monitor the nutritional status and health of the elderly in the working area of ​​Padang municipal health center of Padangsidimpuan in order to maintain the normal nutritional status in the elderly and the elderly to avoid degenerative diseases.
TINJAUAN PELAKSANAAN NILAI GUNA REKAM MEDIS BAGI PASIEN DI RUMAH SAKIT UMUM IMELDA PEKERJA INDONESIA (RSU IPI) MEDAN TAHUN 2018 Johanna Christy; Afni Efani Putri S
Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda Vol. 5 No. 1 (2020): Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda Edisi Februari
Publisher : Akademi Perekam dan Informasi Kesehatan Imelda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jipiki.v5i1.335

Abstract

ABSTRAK Rekam medis adalah berkas yang berisi catatan dan dokumen tentang identitas pasien, pemeriksaan, pengobatan, tindakan dan pelayanan lain kepada pasien pada sarana pelayanan kesehatan. Tujuan penelitian ini adalah untuk mengetahui bagaimana pelaksanan nilai guna rekam medis bagi pasien. Jenis penelitian ini adalah deskriptif bertujuan menggambarkan secara sistematis fakta dan karakteristik objek dan subjek secara tepat. Waktu penelitian ini dilakukan pada bulan Juli di Rumah Sakit Umum Pekerja Indonesia Medan (RSU IPI) Tahun 2018. Populasi dalam penelitian adalah 440 berkas rekam medis. Dalam melakukan penelitian, peneliti mengambil sampel sebanyak 81 berkas rekam medis. Berdasarkan hasil penelitian yang dilakukan di RSU IPI pelaksanaan nilai guna rekam medis sudah terlaksana dengan baik, dilihat dari tersedianya ringkasan masuk dan keluar, resume, lembar operasi, identifikasi bayi, lembar persetujuan tindakan, lembar kematian pada setiapberkas pasien pulang meninggal, asuhan keperawatan didalam berkas rekam medis. Tetapi dalam pengisian berkas rekam medis petugas rekam medis belum mengimplementasikan nilai guna rekam medis dengan baik. Kesimpulannya pelaksanaan nilai guna rekam medis sudah baik namun dalam pengisian berkas rekam medis lebih di perhatikan sesuai Permenkes 269 Tahun 2008 Tentang rekam Medis sehingga pelaksaaan nilai guna rekam medis dan pengisisan berkas rekam medis berjalan lebih baik. Kata Kunci: Rekam Medis, Nilai Guna Rekam Medis, Berkas Rekam Medis ABSTRACT Medical record is a document that contains records and documents about patient identity, examination, treatment, care and other services for patients in health care facilities. The purpose of this study was to study how the implementation of the use of medical records for patients. This type of research is descriptive which addresses the systematic problem and the appropriate characteristics of objects and subjects. When this study was conducted in July at the Medan Indonesian Workers General Hospital (RSU IPI) in 2018. The population in this study was 440 medical record documents. In conducting research, researchers took 81 samples of medical records. Based on the results of research conducted at the IPI General Hospital, the implementation of the use value of medical records has been carried out well, seen from the availability of incoming and outgoing assessments, proceeding, surgery sheets, accessing infants, action approval sheets, consent sheets on each patient's return documents, medical care care. However, in applying medical records, medical record officers have not applied the use value of medical records properly. Conclusion the reclamation of the value of the medical record has been better in the reclamation of the medical record is better with the approval in accordance with Minister of Health Regulation 269 of 2008 About the Medical Record requires the implementation of the value of the medical record and the filling of the medical record better.
PENGARUH PENYULUHAN KESEHATAN TERHADAP PENGETAHUAN PENCEMARAN SAMPAH MAKROPLASTIK DAN MIKROPLASTIK PADA MAHASISWA PRODI DIII PEREKAM DAN INFORMASI KESEHATAN STIKes IMELDA Lamtiur Junita Bancin; Johanna Christy
Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda Vol. 5 No. 2 (2020): Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda Edisi Agustus
Publisher : Akademi Perekam dan Informasi Kesehatan Imelda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jipiki.v5i2.416

Abstract

Health education is one of the techniques to increase someone’s knowledge level due to the aim of improving knowledge and well understanding regarding microplastic and microplastic pollution. This research aimed to analyze the effect of health education towards the knowledge regarding macroplastic and microplastic pollution among students at the medical record and health major in the college of health sciences Imelda in terms of health education. This research used a quantitative approach with a Quasi-Experimental Study Design of a non-equivalent control group. The population was all the students with the medical record and health information major. The sampling technique used was purposive sampling, all the first-year students. The group of the sample consisted of two groups- the intervention and the control group. The intervention group consisted of 73 people who have given health education. Control group consisted of 73 people who have not given any health education. The statistic test used was the Wilcoxon test. The statistic result on the knowledge variable among the experiment group who had a good knowledge level refer to the pre-test score only 4.1 %. After given health education, the increasing number of people who had a good knowledge level (76.1%). The good knowledge level among the control group only showed 1.4% (pre-test and post-test). The result showed there was a significant increase after given health education among the experiment group (p=0.00). However, another result showed there was no significant difference among the control group (p=1.00). Health education towards macroplastic and microplastic pollution had a significant influence to the knowledge level for students. It is recommended for further research to examine the role of knowledge towards attitudes and behaviors or actions in the management of macro and microplastic waste pollution. Based on the results of the pre-test where respondents still have less and moderate knowledge while the issue of plastic waste in Indonesia requires full attention and more participation from the community from society, it is necessary to get the attention of educational institutions to further elaborate and educate students in pollution macro-plastic and microplastic waste.
MUTU PELAYANAN PETUGAS REKAM MEDIS TERHADAP TINGKAT KEPUASAN PASIEN BPJS RAWAT JALAN DI RUMAH SAKIT UMUM IPI MEDAN TAHUN 2019 Johanna Christy
Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda Vol. 5 No. 2 (2020): Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda Edisi Agustus
Publisher : Akademi Perekam dan Informasi Kesehatan Imelda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jipiki.v5i2.419

Abstract

Quality of service is the overall characteristics of the service that shows its ability to satisfy the needs of consumers, and the Health BPJS is a legal entity formed to carry out a health insurance program, and patient satisfaction is the level of patient feelings that arise as a result of the performance of health services obtained after the patient compares it with what he hoped for. The purpose of this study was to determine the quality of medical record officer services to the level of satisfaction of outpatient BPJS patients in General Hospital. IPI Medan 2018. This research uses Analytical research design. The independent variable is BPJS Health service quality and the dependent variable is patient satisfaction. Samples taken using the Slovin Formula found 33 patients in the Outpatient Installation at the General Hospital. IPI. Medan in 2018. The research instrument used a questionnaire. The results showed that 28 respondents (84.8%) stated that the quality of BPJS Health services was good, and 32% of respondents (97.0%) expressed satisfaction with BPJS Health services. Chi Square statistical test results state there is a relationship between the quality of BPJS Health services with patient satisfaction Outpatient Installation at the General Hospital. IPI. Medan Year 2018 (pValue = 0,000). The implication of the results of the study shows that the quality of BPJS Health services has an important role in influencing patient satisfaction.
Ketidaktepatan Kode Diagnosis Kasus Neoplasma Menggunakan ICD-10 Di RSUP H.Adam Malik Medan Tahun 2019 Johanna Christy; Evi Efriamta Siagian
Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda Vol. 6 No. 1 (2021): Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda Edisi Februari
Publisher : Akademi Perekam dan Informasi Kesehatan Imelda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jipiki.v6i1.477

Abstract

ABSTRAK Informasi peyakit dirumah sakit tidak akan lengkap dan bermanfaat apabila belum diolah, maka untuk itu perlu dilakukan pengkodean. Penelitian ini bertujuan untuk mengetahui ketepatan kode diagnosis pada kasus neoplasma menggunakan ICD-10 di RSUP. H. Adam Malik tahun 2019. Penelitian ini menggunakan metode kuantitatif dengan pendekatan cross sectional, Jumlah sampel yang digunakan sebanyak 93 dokumen dan 4 orang responden. Ketepatan kode morfologi diagnosis neoplasma diperoleh hasil 88 (95%) kode tepat 6 karakter, 0 (0%) kode tepat 5 karakter, 0 (0%) kode tepat 4 karakter, 3 (3%) kode tidak tepat sama sekali dan 2 (2%) tidak dikode. Ketepatan kode topografi diperoleh hasil 79 (85%) kode tepat 4 karakter, 8 (9%) kode tepat 3 karakter, 4 (4%) kode tepat 2 karakter, 0 (0%) kode tepat 1 karakter, 0 (0%) kode tidak tepat sama sekali dan 0 (0%) kode tidak dikerjakan. Faktor yang menjadi penyebab ketidaktepatan dalam pengodean adalah petugas coding sulit untuk membaca tulisan dokter sehingga penulis menyarankan sebaiknya dalam pengkodingan diagnosis tetap mengikuti kaidah dan aturan yang ada pada ICD-10. Kata Kunci: Ketepatan, Diagnosis, Neoplasma, Pengkodean Abstract Information for patients in hospitals will not be complete and useful if it has not been processed, so coding is necessary. This study aims to determine the accuracy of the diagnosis code in cases of neoplasm using ICD-10 in RSUP. H. Adam Malik in 2019. This study used a quantitative method with a cross sectional approach. The number of samples used was 93 documents and 4 respondents. The accuracy of the morphological code for the diagnosis of neoplasm was 88 (95%) the code was exactly 6 characters, 0 (0%) the code was exactly 5 characters, 0 (0%) the code was exactly 4 characters, 3 (3%) the code was not correct at all and 2 ( 2%) is not coded. The accuracy of the topographic code is 79 (85%) the code is exactly 4 characters, 8 (9%) the code is exactly 3 characters, 4 (4%) the code is exactly 2 characters, 0 (0%) the code is exactly 1 character, 0 (0%) code is not correct at all and code 0 (0%) is not working. The factor that caused the inaccuracy in coding was that it was difficult for coding officers to read the doctor's writings, so the authors suggested that the coding of the diagnosis should still follow the rules and regulations in the ICD-10. Keywords: Accuracy, Diagnosis, Neoplasm, Encoding
Ketepatan Waktu Pengembalian Berkas Rekam Medis Berdasarkan Unsur-Unsur Manajemen Di RSU Bina Kasih Medan Tahun 2021 Johanna Christy; Siti Suarni Waruwu
Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda (JIPIKI) Vol. 8 No. 1 (2023): Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda Edisi Februari
Publisher : Akademi Perekam dan Informasi Kesehatan Imelda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jipiki.v8i1.987

Abstract

Management is a process consisting of regulatory, planning, organizing, directing and controlling activities carried out to determine and achieve goals through the use of human resources and other resources to achieve organizational goals effectively and efficiently. Elements of management include 5M including (Man, Method, Material, Machine, Money). The purpose of this research is to determine the 5 element of The Timely Return of Inpatient Medical Record Files at Bina Kasih Hospital in 2021. This type of research is qualitative with a case study approach. The research was conducted in August-September 2021 which coincided with Bina Kasih Hospital in Medan with 7 subjects and head of medical record informants, the sampling technique used was purposive sampling. The timeliness of returning inpatient medical record files in August 2021 totaled 270 files and the number of inaccuracies in inpatient medical record files was 60.74% machine and money elements.