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Journal : Sehat Rakyat: Jurnal Kesehatan Masyarakat

Gambaran Ketepatan Waktu Penyediaan Rekam Medis Rawat Jalan Di RSUP Fatmawati Tahun 2021 Arip Budiana; Deasy Rosmala Dewi; Laela Indawati; Lily Widjaja
Sehat Rakyat: Jurnal Kesehatan Masyarakat Vol. 1 No. 1 (2022): Februari 2022
Publisher : Yayasan Pendidikan Penelitian Pengabdian Algero

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (304.701 KB) | DOI: 10.54259/sehatrakyat.v1i1.890

Abstract

The hospital as a public health service institution is an important part that provides complete individual health services and provides inpatient, outpatient, and emergency services. Provision of medical records is a process of providing medical records starting from searching for medical records to sending medical records to the intended polyclinic for health services in accordance with health service standards. The purpose of this study was to get an overview of the timeliness of providing outpatient medical records at Fatmawati Hospital. In this study the authors decided to use a qualitative descriptive method which aims to describe the situation or field conditions regarding the occurrence of inaccuracies in the provision of outpatient medical records at Fatmawati Hospital. Based on Standard Operating Procedures, the provision of outpatient medical records at Fatmawati Hospital is <30 minutes (maximum 30 minutes), in this study it was found that the timely provision was 75.55%. With an average delivery time of 27,96 minutes. From this it is known that there is a gap related to the time delay in the process of providing medical records. Delays in the process of providing outpatient medical records are caused by factors including factors in the 5M management element which include man, machine, material, money, method. The staff's knowledge factor needs to be improved, the discipline of the supply officer is good but not optimal, the officer has not attended training on the timeliness of providing good medical records. The machine factor is the lack of number of outpatient medical record storage racks, and the lack of a trolley for the provision of medical records. The method factor is the need for periodic socialization of SOPs to remind officers' performance. The matherial factor requires trolly rejuvenation and good maintenance in order to function as it should. The money factor is that the budget should always be a priority that can be a support for the creation of good health services.
Tinjauan Faktor Penyebab Pengembalian Klaim BPJS Pasien Rawat Inap di RSKD Duren Sawit Jakarta Timur Tahun 2021 Alex Sander; Laela Indawati; Lily Widjaja; Nanda Aula Rumana
Sehat Rakyat: Jurnal Kesehatan Masyarakat Vol. 1 No. 4 (2022): November 2022
Publisher : Yayasan Pendidikan Penelitian Pengabdian Algero

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54259/sehatrakyat.v1i4.1180

Abstract

BPJS claim returns have 2 types of returns, the first is a purification failure or a return that occurs due to incompatibility and incompleteness of patient administration, such as patient eligibility letter number (SEP), class of care, and way of returning the patient. The second is pending, this return occurs due to discrepancies and incomplete diagnoses, diagnosis codes and service files received by inpatient BPJS patients submitted to BPJS. Therefore, officers must have thoroughness and understanding when carrying out their duties. This study was conducted to determine the factors causing the return of BPJS claims for inpatients at the Duren Sawit Hospital, East Jakarta in 2021 using a descriptive quantitative approach, by providing an overview and results regarding the factors causing the return of BPJS claims for inpatients. The results of the study used 227 samples of claim files that were returned by the BPJS verifier and obtained 2 (two) types of claim returns. 54 (23.8%) failed to be purified and 173 (76.2%) pending claim files. The most reason for returning claims is that the diagnosis is not supported by treatment and supporting results. There are 2 factors hindering the identification of 5M. Man factor: human error, competence of officers, and the absence of a casemix team. Material: inaccuracy of diagnosis in electronic medical resume so that there is inaccuracy when coding patient diagnosis. There are no barriers to the Money, Method, Machine factors. To get maximum results when submitting BPJS claims for inpatients, hospitals should pay attention to the competence of officers and socialize policies that are in accordance with the system run by the hospital.
Tinjauan Ketepatan Kode Penyakit Tuberkulosis Paru Berdasarkan ICD-10 pada Pasien Rawat Inap di RSKD Duren Sawit Tahun 2021 Vania Rachma Putri; Puteri Fannya; Deasy Rosmala Dewi; Lily Widjaja
Sehat Rakyat: Jurnal Kesehatan Masyarakat Vol. 2 No. 2 (2023): Mei 2023
Publisher : Yayasan Pendidikan Penelitian Pengabdian Algero

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54259/sehatrakyat.v2i2.1675

Abstract

Coding accuracy is the process of conforming to the diagnosis code that has been determined by the coding officer based on ICD-10 which greatly affects data reporting and administration. Pulmonary tuberculosis is an infectious disease caused by Mycobacterium tuberculosis which causes disturbances in the respiratory tract. In RSKD Duren Sawit pulmonary tuberculosis is included in the 10 biggest diseases. The purpose of this study was to determine the accuracy of the pulmonary tuberculosis disease code based on ICD-10 in inpatients at RSKD Duren Sawit in 2021. This study used a descriptive method with a quantitative approach that took 80 samples using a saturated sample technique by means of observation and interviews. The results obtained from 80 samples of the accuracy of the pulmonary tuberculosis code of inpatients at RSKD Duren Sawit found that 56 (70%) and 24 (30%) were inaccurate. There are factors that affect the inaccuracy of using the 5M (Man, Money, Material, methode, Machine) element, namely the man element due to the inappropriateness of the coding officer's profession and lack of thoroughness and the element of the coding SOP method which is still being revised. Suggestions should be officers who do coding in accordance with their profession or medical recorders.