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TINJAUAN PELEPASAN INFORMASI MEDIS PASIEN RAWAT JALAN KEPADA PIHAK KETIGA ASURANSI KESEHATAN SWASTA DI RUMAH SAKIT SETIA MITRA JAKARTA Meliana; Adeani Putry
MEDICORDHIF Jurnal Rekam Medis Vol 8 (2022): MEDICORDHIF Jurnal Rekam Medis
Publisher : APIKES Bhumi Husada Jakarta

The release of medical information is a procedure for releasing, disseminating, and disclosing data or patient medical information for other purposes that do not harm the patient which has been regulated by law, medical information can be provided to insurance, the patient or the patient's family, the hospital that is the place of referral, other doctors treating patients, and for court purposes. The research method used is a type of qualitative descriptive analysis research method. Of the 8 requests that do not meet the requirements, there are 7 requests and there is 1 request that meets the requirements. It is not appropriate because the insurance company does not fully carry the requirements for the release of medical information at Setia Mitra Hospital and still releases medical information to third parties even though the requirements are incomplete or not according to the procedure. The conclusions from the release of medical information to third parties are: Setia Mitra Hospital already has a Standard Operating Procedure (SPO) regarding the release of medical information to third parties which contains the meaning, objectives, policies and procedures. The application of this SOP is not yet fully consistent, the release of medical information to third parties at Setia Mitra Hospital is only carried out for health insurance claim requirements, at Setia Mitra Hospital there is no expedition book or checklits sheet for data collection on the release of medical information to third parties only using file sheets placed on the staff's dsk. Bibliography : 6 pieces (1994-2015) Keywords : Discharge, Medical Information, Outpatient, Third Party

TINJAUAN KEBUTUHAN TENAGA DI UNIT REKAM MEDIS RUMAH SAKIT UMUM UNIVERSITAS KRISTEN INDONESIA Meliana; Hudiyati Agustini; Alivia Yuli Andini
MEDICORDHIF Jurnal Rekam Medis Vol 9 No 1 (2022): MEDICORDHIF Jurnal Rekam Medis
Publisher : APIKES Bhumi Husada Jakarta

ABSTRACT This study was conducted to determine the need for medical recorders and health information at the Medical Record Unit of the Indonesian Christian University General Hospital. By using the Health Workload Analysis method and data collection techniques by direct observation and distributing questionnaires conducted from May to July 2021. Medical Record is a file that contains records and documents about the patient's identity, examination, treatment, actions and other services that have been provided to patients. Organizing quality medical records requires qualified health personnel and in accordance with their competencies. A good workforce will greatly affect the quality of service in the medical record work unit. The quality of service is related to the workload, so the workload must be in accordance with the number of personnel so that the service becomes quality. Based on the results of the research on the calculation of HRK needs using the Health Workload Analysis (ABK-Kes) method, it was found that the current required workforce is 10 people with the distribution of officers in each activity. Meanwhile, the number of staff available at this time is 9 people, therefore the Medical Record and Health Information Unit of the Indonesian Christian University General Hospital still requires an additional 1 person. Keywords : Manpower needs, medical records, Workload Analysis, ABK-Kes ABSTRAK Penelitian ini dilakukan untuk mengetahui jumlah kebutuhan tenaga Perekam Medis dan Informasi Kesehatan di Unit Rekam Medis Rumah Sakit Umum Universitas Kristen Indonesia. Dengan menggunakan metode Analisis Beban Kerja Kesehatan dan teknik pengumpulan data secara observasi langsung serta penyebaran kuesioner yang dilakukan pada bulan Mei sampai dengan Juli tahun 2021. Rekam Medis adalah berkas yang berisikan catatan dan dokumen tentang identitas pasien, pemeriksaan, pengobatan, tindakan dan pelayanan lain yang telah diberikan kepada pasien. Penyelenggaran rekam medis yang bermutu diperlukan tenaga kesehatan yang bermutu dan sesuai dengan kompetensinya. Tenaga kerja yang baik akan sangat mempengaruhi mutu pelayanan di unit kerja rekam medis. Mutu pelayanan berkaitan dengan beban kerja, maka beban kerja harus sesuai dengan jumlah tenaga agar pelayanan menjadi bermutu. Berdasarkan hasil penelitian perhitungan kebutuhan SDMK dengan metode Analisis Beban Kerja Kesehatan (ABK-Kes) didapatkan tenaga yang dibutuhkan saat ini adalah 10 orang dengan pembagian petugas dimasing-masing kegiatan. Sedangkan, jumlah tenaga yang tersedia saat ini adalah 9 orang, maka dari itu Unit Rekam Medis dan Informasi Kesehatan Rumah Sakit Umum Universitas Kristen Indonesia masih membutuhkan penambahan 1 orang tenaga. Kata Kunci : Kebutuhan tenaga kerja, Rekam Medis, Analisis Beban Kerja, ABK-Kes

TINJAUAN IMPLEMENTASI SISTEM INFORMASI E-PUSKESMAS NEXT GENERATION DI PUSKESMAS KECAMATAN KEBAYORAN LAMA Meliana; Joko Asmoro Widhi; Dwi Suryaningsih
MEDICORDHIF Jurnal Rekam Medis Vol 9 No 1 (2022): MEDICORDHIF Jurnal Rekam Medis
Publisher : APIKES Bhumi Husada Jakarta

ABSTRACT Community health centers as one of the first-level health service facilities that have an important role in the national health system. Puskesmas is an important forum for public, especially the underprivileged society. In carrying out public health services at the Kebayoran Lama District, Health Center uses an online (web)-based public health center information system. The research method used in this research is descriptive quantitative method. From the results of the research that was conducted by the author at the Kebayoran Lama District Health Center, it is known that the maximum service time is 54 minutes in line, 35 minutes for examination, and 45 minutes for drug service. The minimum duration for the queue is 18.4 minutes, the duration for the examination is 10 minutes, and the duration of drug service is 6 minutes. The median duration of the queue is 16 minutes, the duration of the examination is 7 minutes, and 1111the examination is 2 minutes, the duration of drug service is 1 minute. And the standard deviation is 13.7 minutes of queue duration, 7.8 minutes of examination, and 6.1 minutes of drug service. The author suggests to make an SOP for the E-Puskesmas N.G System so that it can run according to the expected standards and makes it easier for the health workers to carry out their work. Regarding the SOP for the clinic, it is necessary to add an explanation to the standard time for patient registration. Keywords: Implementation, Information Systems, E-Puskesmas Next Generation ABSTRAK Pusat kesehatan masyarakat sebagai salah satu jenis fasilitas pelayanan kesehatan tingkat pertama yang memiliki peranan penting dalam sistem kesehatan nasional. Puskesmas menjadi salah satu wadah yang penting bagi masyarakat umum terutama masyarakat kurang mampu. Dalam melaksanakan pelayanan kesehatan masyarakat di Puskesmas Kecamatan Kebayoran Lama menggunakan sistem informasi puskesmas yang berbasis online (web). Metode penelitian yang digunakan adalah metode penelitian deskriptif kuantitatif. Dari hasil penelitian dilakukan penulis di Puskesmas Kecamatan Kebayoran Lama diketahui bahwa waktu pelayanan maksimal lama antrean 54 menit, lama pemeriksaan 35 menit, dan lama pelayanan obat 45 menit. Mean lama antrean 18,4 menit, lama pemeriksaan 10 menit, lama pelayanan obat 6 menit. Median lama antrean 16 menit, lama pemeriksaan 7 menit, lama pelayanan obat 4 menit. Minimal lama antrean 1 menit, lama pemeriksaan 2 menit, lama pelayanan obat 1 menit. Dan standar defiasi lama antrean 13,7 menit, lama pemeriksaan 7,8 menit, lama pelayanan obat 6,1 menit. Saran dari penulis sebaiknya membuat SPO tentang Sistem E-puskesmas N.G agar dapat berjalan sesuai standar yang diharapkan serta memudahkan para tenaga kesehatan dalam menjalankan perkerjaan. Mengenai SPO poli klinik perlu ditambahkan penjelasan mengenai standar waktu pendaftaran pasien. Kata Kunci : Implementasi, Sistem Informasi, E-Puskesmas Next Generation

PENGABDIAN KEPADA MASYARAKAT SEMINAR NASIONAL ONLINE “KOMPETENSI, PELUANG, DAN TANTANGAN PEREKAM MEDIS & INFORMASI KESEHATAN DI ERA INDUSTRI 4.0 Meliana; Garis Gemilang; Indah Kristina; Ima Rusdiana
MEDICORDHIF Jurnal Rekam Medis Vol 9 No 1 (2022): MEDICORDHIF Jurnal Rekam Medis
Publisher : APIKES Bhumi Husada Jakarta

Community Service is one of the Tri Dharma of Higher Education, namely education, research, and community service. One of the realizations of community service carried out by APIKES BHJ is in the form of a national seminar with the theme "PMIK Competencies, Opportunities & Challenges in the Industrial Era 4.0". The activity is carried out online using the Zoom Meeting media. The background of this activity is to stay productive in the COVID-19 pandemic situation. Technological progress is developing very quickly. As a PMIK worker, you are required to be adaptive to follow developments, and even be able to improve your skills and knowledge so that later you become a PMIK that is superior and highly competitive. The flow of change in the era of the industrial revolution 4.0, demands that all health workers and health services provided must be adaptive and able to adapt to the latest technological developments. This activity will be held on Wednesday, March 17, 2021, at 08.30 WIB to 12.30 WIB. Followed by 431 participants consisting of 151 students, 161 PMIK, 119 general participants. Keywords ; PKM, PMIK, industry 4.,

ANALISA TINGKAT KEPUASAN KELUARGA PASIEN DI PELAYANAN PENDAFTARAN PASIEN INSTALASI GAWAT DARURAT DI RUMAH SAKIT MENTENG MITRA AFIA Meliana; Meta Arnelita
MEDICORDHIF Jurnal Rekam Medis Vol 9 No 1 (2022): MEDICORDHIF Jurnal Rekam Medis
Publisher : APIKES Bhumi Husada Jakarta

This study was conducted to obtain an overview of the patient's family satisfaction with services at the emergency room (ER) patient registration section at Menteng Mitra Afia Hospital. The place of this research was carried out at the emergency room (ER) patient registration site at Menteng Mitra Afia Hospital in June 2021 using a qualitative descriptive analysis method with data collection by direct observation and interviews with registration officers. The sample from this study collected 178 patient families obtained from the total patient family population in January, February and March 2021. Registration is the beginning of a hospital service. This is where the importance of the role of a registration officer must be able to give a good impression so that the patient's family can feel satisfaction from hospital services. Dimensions of satisfaction consist of 5 namely Responsiveness (responsiveness), Reliability (reliability), Assurance (guarantee), Empathy (empathy), Tangibles (display/physical evidence). The results of the study were based on 5 dimensions of service quality for emergency room (ER) patient registration, namely Responsiveness (responsiveness) 77.00% satisfied category, 16.40% neutral category, and 6.85% dissatisfied category. The reliability of the satisfied category is 76.63%, the neutral category is 15.17%, and the dissatisfied category is 8.11%. Guarantee (Guarantee) in the category of 76.40% satisfied, 17.98% neutral category, and 5.28% dissatisfied category. Empathy (Empathy) is 75.06% satisfied category, 19.66% neutral category, and 5.28% dissatisfied category. Tangibles (display/physical evidence) in the satisfied category is 66.52%, the neutral category is 19.78%, and the dissatisfied category is 13.71%.

TINJAUAN KEBUTUHAN TENAGA INSTALASI REKAM MEDIS BERDASARKAN ANALISIS BEBAN KERJA KESEHATAN DI RUMAH SAKIT PUSAT OTAK NASIONAL PROF. DR. dr. MAHAR MARDJONO JAKARTA Meliana; Adhe Ramadhan
MEDICORDHIF Jurnal Rekam Medis Vol 10 No 1 (2023): MEDICORDHIF Jurnal Rekam Medis
Publisher : APIKES Bhumi Husada Jakarta

Workload analysis is a method used to determine the amount of time, effort and resources required to carry out organizational tasks and functions. The results of the initial observations. Researchers took the example of a monthly report in October, November, December 2021, it was found that the monthly report for that month experienced a delay in completion. The report that was supposed to be completed at the beginning of the following month was only completed in the middle of the following month, because some work from the medical record installation had not been completed, such as from the coding and analysis of the completeness of the medical record. Research objectives is To calculate the need for personnel in the medical record installation at the Rumah Sakit Pusat Otak Nasional Prof. Dr, dr. Mahar Mardjono Jakarta. Research methodology is Descriptive with a quantitative approach with research subjects 11 medical record officers and the object of research is a review of the needs of medical record installation personnel based on workload analysis. The results of the study Every job in the medical record installation already has an SOP, the available working time is 5 working days in 72000 minutes / year, the result of calculating the number of Human Resouce Health needed is 12 people.Human Resouce Healt needs in medical record installations are 12 people., Keywords : Medical Record , Work Loard Analysis , Human Resouce Health

TINJAUAN KELENGKAPAN PENGISIAN CATATAN PERKEMBANGAN PASIEN TERINTEGRASI ( CPPT ) DALAM MENINGKATKAN KOMUNIKASI EFEKTIF ANTAR TENAGA KESEHATAN DI RUANG RAWAT OBGYN RUMAH SAKIT UMUM UNIVER Meliana; Kanjeng Gamas Brajamusti
MEDICORDHIF Jurnal Rekam Medis Vol 10 No 1 (2023): MEDICORDHIF Jurnal Rekam Medis
Publisher : APIKES Bhumi Husada Jakarta

The integrated patient progress record (CPPT) form contains information about the patient's identity, important notes, authentication, and good notes in the form of writings on the health services that have been provided to the patient. To coordinate or collaborate between health workers in documenting health services for patients in all polys / clinics in the Hospital, one of which is the Obgyn Room. This study aims to get an overview of the Completeness of Filling in the Integrity Patient Development Record (CPPT) in the Obgyn Inpatient Room of UKI Hospital. The study starts in June – August 2022. The research design used, namely the descriptive method, is to describe the research by conducting interviews and observations with Qualitative and Quantitative approaches. In this scientific paper study, researchers sampled 77 CPPT forms. The results of the study obtained 77 samples studied, obtained complete as many as 27 (35%) CPPT forms and incomplete ones as many as 50 (69.9%) CPPT forms. It can be concluded that UKI General Hospital already has Standard Operating Procedures for filling cppt. We recommend that the doctor again check the instructions that have been given to find out if it has gone right Keywords : Effective Communication, Completeness, Integrated Patient Development Record.

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