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Analisis Waktu Penyediaan Dokumen Rekam Medis Rawat Jalan Menurut Model 5M di RSUD Ungaran Hervina Gustian Susilo; Anton Kristijono; Niko Tesni Saputro
Indonesian of Health Information Management Journal (INOHIM) Vol 10, No 2 (2022): INOHIM
Publisher : Lembaga Penerbitan Universitas Esa Unggul

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47007/inohim.v10i2.450

Abstract

AbstractThe time for providing outpatient medical record documents based on Permenkes No.129, 2008 is 10 minutes starting from the patient registering until the patient's medical record document is provided at the polyclinic. In a preliminary study conducted on 10 medical record documents, there were 7 (70%) whose time of provision of medical record documents was not following minimum service standards. If the time of provision of medical record documents is not improved, it will have an impact on the quality of service and patient satisfaction. The type of research used is descriptive quantitative research with a cross-sectional approach. The population is the number of outpatient visits totaling 85,727 from 13 existing polyclinics. Determination of the sample size using the Slovin formula obtained 100 medical record documents. Determination of samples from 13 polyclinics proportionally. Methods of data collection by observation and interviews. The results of the study showed that the average time for providing medical record documents was 19.94 minutes, not following the established minimum service standards and standard operating procedures. Factors affecting the delay in providing outpatient medical record documents from the 5M models were found to be 2M that had an effect, namely human factors and methods. Human resources in the filling department are only 4 officers (57.14%) of 7 officers who have a diploma education background of three medical records and only 2 officers (28.57%) who have received training in filling management. The method factor, standard operating procedures does not regulate and emphasizes ways, methods, or tools in providing medical record documents at the polyclinic on time according to minimum service standards. The implementation of the standard operating procedures has not yet been evaluated.Keywords: medical records, time providing, 5M AbstrakWaktu penyediaan dokumen rekam medis (DRM) pasien rawat jalan berdasarkan Permenkes No.129, 2008 adalah ≤10 menit dimulai dari pasien mendaftar sampai DRM pasien disediakan di poliklinik. Studi pendahuluan yang dilakukan dari 10 DRM terdapat 7 (70%) yang waktu penyediaan DRM tidak sesuai standar pelayanan minimum (SPM). Jika waktu penyediaan DRM sesuai data tersebut tidak dilakukan perbaikan, akan berdampak pada mutu pelayanan dan kepuasan pasien. Jenis penelitian yang digunakan adalah penelitian deskriptif kuantitatif dengan pendekatan cross sectional. Populasi adalah jumlah DRM kunjungan pasien rawat jalan berjumlah 85.727 dari 13 poliklinik yang ada. Penentuan besar sampel menggunakan rumus Slovin, didapatkan 100 DRM. Penentuan sampel dari 13 poliklinik secara proporsional. Metode pengumpulan data dengan observasi dan wawancara. Hasil penelitian rata-rata waktu penyediaan DRM adalah 19,94 menit, belum sesuai dengan SPM RS dan standar prosedur operasional (SPO) yang sudah ditetapkan. Faktor-faktor yang mempengaruhi keterlambatan penyediaan DRM rawat jalan dari 5M model ditemukan 2 M yang berpengaruh, yaitu faktor manusia dan metode. SDM di bagian filing baru 4 petugas (57,14%) dari 7 petugas yang mempunyai latar belakang pendidikan diploma tiga rekam medis dan hanya 2 petugas (28,57%) yang sudah mendapatkan pelatihan dalam pengelolaan filling. Faktor metode, SPO tidak mengatur dan menekankan cara, metode atau alat dalam menyediakan DRM di poliklinik dengan tepat waktu sesuai SPM. Pelaksanaan SPO juga belum dilakukan evaluasi.Kata Kunci: rekam medis, waktu penyediaan, 5M
The relationship between exclusive breastfeeding with stunting incidence in 24-60 month toddlers Suci Siswati; Sujiyatini Sujiyatini; Anton Kristijono
Jurnal Kesehatan Ibu dan Anak Vol. 17 No. 1 (2023): July
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/kia.v17i1.1810

Abstract

Improving maternal and child health is one of the indicators for minimum service standards, where reducing stunting is one of the targets. Stunting is a lack of energy in the long term, one of the contributing factors is breastfeeding. Exclusive breastfeeding is important in the first 1000 days of live birth. The aim of study was to determine the relationship between exclusive breastfeeding with incidents of stunting. This study used a cross-sectional design. The study population was mothers of toddlers aged 24 months – 60 months in the Selat Nasik Public Health Center, Belitung Regency. The proportional stratified random technique was used with inclusion and exclusion criteria totaling 63 people. Collecting data using a data collection questionnaire. Data analysis used univariate and bivariate analysis (who squares). The results of the analysis show that only 58.7% of mothers giving exclusive breastfeeding at the Selat Nasik Health Center are only 58.7%. Bivariate test results show that there is no relationship between exclusive breastfeeding and the incidence of stunting in toddlers 24 months – 60 months.p-value = 0,952 (>0,05). Mothers of infants who breastfeed exclusively and mothers who do not breastfeed exclusively are still at risk of having infants stunting, so mothers need to pay attention to other factors that cause it stunting.
Pengembangan desain formular kelayakan isolasi mandiri di rumah bagi pasien COVID-19 untuk mendukung surveilans epidemiologi di DI Yogyakarta Anton Kristijono; Niko Tesni Saputro
Jurnal Kesehatan Pengabdian Masyarakat (JKPM) Vol. 2 No. 1 (2021): 1
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/jkpm.v2i1.1177

Abstract

The Ministry of Health revealed that the stigma and negative stereotypes given by individuals or community groups towards health workers or COVID-19 patients contributed to the high mortality rate due to the corona virus. Stigma will lead to marginalization, and worsen health status and cure rates, in this case stigma contributes to high mortality rates, when people exposed to COVID-19 must self-isolate at home. The purpose of this community service is to develop a design for a self-isolation eligibility form at home for COVID-19 patients to support epidemiological surveillance at the Tempel 1 Health Center, Sleman. The service method is carried out in stages: (1) FGD to equalize perceptions and identify data needs and information on the feasibility of self-isolation at home for COVID-19 patients without symptoms or with mild symptoms, (2) design form, (3) socialization of form design and (4) evaluation of implementation (input, process, and output) as well as recommendations in the form of form design results. It is recommended that the design of the resulting form is part of the recording and reporting of Covid-19 epidemiological surveillance at primary health facilities, and as a guide for primary health care workers to recommend that Covid 19 patients in their work areas can self-isolate at home or not. The targets consisted of epidemiological surveillance officers, Health Promotion officers, Medical Records and Health Information (RMIK) officers and community leaders. The results of the service are in the form of 4 form designs, namely: (1) Self-Isolation Eligibility Form at home for COVID-19 patients without symptoms or with mild symptoms to support epidemiological surveillance at the Tempel 1 Health Center Sleman (Form 1A.2021.rev0), (2) Forms Self-Isolating Home Information (Form 1B.2021.rev0), (3) Contact History List Form (Form 1C.2021.rev0) and (4) Monitoring Form (Form 2A.2021.rev0).