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FAKTOR PENGHAMBAT BELUM DITERAPKANNYA REKAM MEDIS ELEKTRONIK (RME) DI KLINIK AKSARA TAHUN 2022 Hana Dhini Julia Pohan; Aida Sulisna; Sri Agustina Meliala
Indonesian Trust Health Journal Vol 5 No 1 (2022): Indonesian Trust Health Journal
Publisher : STIKes Murni Teguh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37104/ithj.v5i1.98

Abstract

Electronic Medical Record is a computerized health information system that contains social data and patient medical data, and is equipped with a decision support system. The purpose of this study was to determine the inhibiting factors for not implementing electronic medical records in literacy clinics. This research is a qualitative research using triangulation technique using observation, interview and documentation methods. There are 4 informants in this research. The results of the study stated that there were several factors that had not been implemented in the Electronic Medical Record, including inadequate facilities and a network that was difficult to obtain, besides that it was known that there were no officers with a medical record graduate background at the Aksara Clinic. This causes the implementation of medical record tasks to be less than optimal. The method used is correct using the technical instructions for clinical services, but it has not been realized optimally because there are several obstacles. The conclusion of the study is that there are several factors that have not been implemented in the Electronic Medical Record, including man, money, material, machine and methods. The advice given is that medical record officers with medical record graduate backgrounds, increase the number of machines use the internet network at a higher speed, and should implement Electronic Medical Records at the Aksara Clinic in order to achieve better medical records. Abstrak Rekam Medis Elektronik merupakan sistem informasi kesehatan terkomputerisasi yang berisi data sosial dan data medis pasien, serta dilengkapi dengan sistem pendukung keputusan. Tujuan penelitian ini untuk mengetahui faktor penghambat belum diterapkannya rekam medis elektronik di klinik aksara. Penelitian ini adalah penelitian kualitatif menggunakan teknik triangulasi dengan menggunakan metode observasi, wawancara dan dokumentasi. Informan penelitian ini berjumlah 4 orang. Hasil penelitian menyatakan terdapat beberapa faktor belum diterapkannya Rekam Medis Elektronik diantaranya fasilitas yang tidak memadai dan jaringan yang sulit didapat, selain itu diketahui bahwa tidak adanya petugas yang berlatar belakang lulusan rekam medis di Klinik Aksara. Hal ini menyebabkan pelaksanaan tugas rekam medis kurang maksimal. Metode yang digunakan sudah benar menggunakan petunjuk teknis pelayanan Klinik, namun belum terealisasikan secara maksimal dikarenakan terdapat beberapa kendala. Kesimpulan penelitian terdapat beberapa faktor belum diterapkannya Rekam Medis Elektronik diantaranya yaitu manusia, uang, bahan, mesin dan metode. Saran yang diberikan sebaiknya petugas rekam medis berlatar belakang lulusan rekam medis, penambahan jumlah mesin, menggunakan jaringan internet dengan kecepatan yang lebih tinggi, dan sebaiknya menerapkan Rekam Medis Elektronik di Klinik Aksara agar tercapainya rekam medis yang lebih baik.
ANALISIS PROSEDUR PENGEMBALIAN BERKAS REKAM MEDIS RAWAT INAP GUNA MENUNJANG EFEKTIVITAS PELAYANAN Hana Dhini Julia Pohan; Sri Agustina Meliala; Aida Sulisna
INFOKES (Informasi Kesehatan) Vol 6 No 2 (2022): Jurnal Infokes
Publisher : POLITEKNIK PIKSI GANESHA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56689/infokes.v6i2.839

Abstract

During a pandemic, BPJS Health increased digital-based innovation to make it easier to provide services to participants. One of them is an online queue system that is integrated into the Mobile-JKN application, making it easy for participants to access services at health facilities. This research was conducted with the aim of knowing the relationship between patient satisfaction with BPJS Kesehatan participants and online registration for the use of the Mobile-JKN application at Pratama Salma in November–December 2022. This research is analytic in nature, using primary and secondary data with a total sample of 30 BPJS participant patients' health at Pratama Salma Clinic in March–October 2022. From the results of the study it can be seen that 12 respondents 40.0% percent of BPJS Health Participating Patients are dissatisfied, most of the use of the Mobile application registration - Easy JKN is 12 respondents 40.0 percent while BPJS Health Participant Patients satisfied as many as 18 respondents 60.0 percent the majority use the Mobile application registration - JKN is easy as many as 10 respondents 33.3 percent, and the minority uses the Mobile application registration - JKN is not easy as many as 8 respondents 26.7 percent. The conclusion is expected: health workers will further improve communication and outreach in providing information, especially the advantages and disadvantages of using the mobile application for online registration (JKN). Keywords: BPJS Health Participant Satisfaction, Online Registration, JKN Mobile Application.
FAKTOR-FAKTOR YANG MEMENGARUHI TERJADINYA DUPLIKASI PENOMORAN REKAM MEDIS DI RUMAH SAKIT UMUM DAERAH DATU BERU TAHUN 2020 Sri Agustina Meliala; Dyna Safitri Rakhelmi Rangkut; Rizki Sumanjaya
INFOKES (Informasi Kesehatan) Vol 6 No 2 (2022): Jurnal Infokes
Publisher : POLITEKNIK PIKSI GANESHA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56689/infokes.v6i2.929

Abstract

Background; Based on an initial survey conducted by researchers on December 27, 2019 at the Medical Record unit at the Regional General Hospital Datu Beru by conducting interviewa and observations on medical record officers. As for the results of the interviewand observations made that there is a number patients in 2019 as much 25.428 outpatient. From the results of interviews conducted, medical record officer said that in one month can be found 50 medical record file happens is duplication of medical record numbers. Objectives; to know influencing factors medical record numbering duplication at the local general hospital Datu Beru. Method; this research is analytical survey by design cross sectional. The population of this study is all medical record officers as much as 38 respondent which is also used as a research sample, test used chi-square. Results; test chi-square shows all education variables p = 0,796 have no influence, knowledge p = 0,000, experience p = 0,000 and system p = 0,001 have an influence on medical record numbering duplication. Conclusion; there is an influence of knowledge, experience and system against duplication of medical record numbering at the local general hospital datu beru. Keywords: education, knowledge, experience, medical record numbering duplication system
Hubungan Mutu Pelayanan dengan Minat Kunjung Pasien Rawat Jalan di RSU Hidayah Deli Tua Rima Melinda; Sri Agustina Meliala
MAHESA : Malahayati Health Student Journal Vol 3, No 8 (2023): Volume 3 Nomor 8 (2023)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v3i8.10905

Abstract

ABSTRACT The quality of health services is something that can satisfy every user of health services in accordance with the level of satisfaction of the average population and the implementation is in accordance with standards. Interest in visiting is a behavior that appears as an object response that shows the customer's desire to make a repeat purchase. Based on the results of interviews and observations made with 10 patients who were being treated at Hidayah Hospital Deli Tua, 4 of them were interested in making a revisit, 6 others stated that they were not interested in making a revisit. This study aimed to determine the relationship between service quality and interest in outpatients visit at Hidayah Hospital Deli Tua. This is a quantitative using a cross sectional approach. The research was conducted at Hidayah Hospital Deli Tua. The study population was all old outpatients who were undergoing treatment at the Hospital and the sample was 98 people. Showed that tangible variables (physical evidence) had a p-value of 0.001 <0.05, reliability p-value 0.001 <0.05, responsiveness p-value 0.000 <0.05, assurance) p-value 0.000 <0.05, empathy p-value 0.000 <0.05. shows that there is a tangible relationship, reliability, responsiveness, assurance, empathy with the interest in outpatients visit. It is suggested to the Hospital to always pay attention and maintain the quality of service both in terms of facilities, infrastructure, time, cleanliness, and patient comfort by providing facilities to get services to increase interest in patient visits. Keywords: Quality of Service, Interest of Outpatients Visit  ABSTRAK Mutu pelayanan kesehatan adalah pelayanan kesehatan yang dapat memuaskan setiap pemakai jasa pelayanan kesehatan yang sesuai dengan tingkat kepuasan rata-rata penduduk serta penyelenggaraanya sesuai dengan standar. Minat kunjung merupakan perilaku yang muncul sebagai respon objek yang menunjukkan keinginan pelanggan untuk melakukan pembelian ulang. Berdasarkan hasil wawancara dan observasi yang dilakukan kepada 10 pasien saat berobat ke Rumah Sakit Umum Hidayah Deli Tua, 4 orang diantaranya berminat melakukan kunjungan ulang. 6 orang lainnya menyatakan tidak berminat melakukan kunjungan ulang. Penelitian ini bertujuan untuk mengetahui hubungan mutu pelayanan dengan minat kunjung pasien rawat jalan di Rumah Sakit Umum Hidayah Deli Tua. Jenis penelitian yang digunakan kuantitatif dengan menggunakan pendekatan Cross Sectional. Lokasi penelitian di RSU Hidayah Deli Tua. Populasi penelitian seluruh pasien lama rawat jalan yang melakukan pengobatan di Rumah Sakit Umum Hidayah Deli Tua dan sampel sebanyak 98 orang. Hasil penelitian menunjukkan variabel tangible (bukti fisik) memiliki nilai p-value 0,001 < 0,05, reliability (reliabilitas) p- value 0,001 < 0,05, responsiveness (daya tanggap) p-value 0,000 < 0,05, assurance (jaminan) p-value 0,000 < 0,05, emphaty (empati) p-value 0,000 < 0,05. Kesimpulan ada hubungan tangible (bukti fisik), reliability (reliabilitas), responsiveness (daya tanggap), assurance (jaminan), emphaty (empati) dengan minat kunjung pasien rawat jalan. Saran yang diberikan adalah agar selalu memperhatikan dan tetap menjaga kualitas pelayanan baik dari segi sarana, prasarana, waktu, kebersihan, dan kenyamanan pasien dengan memberikan fasilitas untuk mendapatkan pelayanan sehingga dapat meningkatkan minat kunjung pasien. Kata Kunci: Mutu Pelayanan, Minat Kunjung Pasien Rawat Jalan
Analisis Autentifikasi Dokumen Rekam Medis di RSU Tere Margareth Hana Dhini Julia Pohan; Sri Agustina Meliala; Muhammad Adiul Ilham
MAHESA : Malahayati Health Student Journal Vol 3, No 8 (2023): Volume 3 Nomor 8 (2023)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v3i8.10813

Abstract

ABSTRACT Medical record is a form of health service documentation. Qualified medical records contain complete data, thus it can be processed into information. Authentication of medical record documents includes a clear name, signature, seal/stamp and initials recorded in the medical record or a code of individual for computerization. This research was conducted to realize the authentication of medical record documents at Tere Margareth General Hospital in 2023. This research was a quantitative research with a cross sectional approach. This research was an analytic form of research using primary data and secondary data with a total sample of 67 respondents selected through a random sampling technique. The results showed that health workers with a good knowledge in the authentication of medical record documents were 35 respondents (52.2%), while 32 respondents (47.8%) had a poor knowledge with p = 0.002 < α = 0.05. The attitudes of health workers towards the authentication of medical record documents were good for 28 respondents (41.8%) and unfavourable for 39 respondents (58.2%) with a value of p = 0.000 < α = 0.05. The actions of health workers towards the authentication of medical record documents were good by 31 respondents (46.3%) and unfavourable by 36 respondents (53.7%) with p = 0.003 < α = 0.05. The conclusion of this research is that knowledge, attitudes and actions are influential in completing the data for the authentication of medical record document. Hence, there are still many incomplete data of medical record authentication at Tere Margareth General Hospital.  Keywords: Authentication, Medical Record  ABSTRAK Rekam medis sebagai bentuk dari pendokumentasian layanan kesehatan. Rekam  medis  yang  berkualitas berisi  data  secara  lengkap, sehingga dapat diolah menjadi sebuah informasi. Autentifikasi dokumen rekam medis berupa nama terang, tanda tangan, cap/stempel dan inisial yang dicatat dalam rekam medis atau kode seseorang untuk komputerisasi. Penelitian ini dilakukan bertujuan untuk mengetahui autentifikasi dokumen rekam medis di RSU Tere Margareth Tahun 2023. Penelitian ini merupakan penelitian kuantitatif dengan pendekatan cross sectional. Penelitian ini bersifat analitik dengan menggunakan data primer dan data sekunder dengan total sampel 67 responden menggunakan teknik random sampling. Hasil penelitian menunjukkan Pengetahuan tenaga kesehatan terhadap autentifikasi dokumen rekam medis dari pengetahuan baik sebanyak 35 responden (52,2%) dan pengetahuan kurang baik sebanyak 32 responden (47,8%) dengan nilai p = 0,002 < α = 0,05. Sikap tenaga kesehatan terhadap autentifikasi dokumen rekam medis sikap baik sebanyak 28 responden (41,8%) dan sikap kurang baik sebanyak 39 responden (58,2%) dengan nilai p = 0,000 < α = 0,05. Tindakan tenaga kesehatan terhadap autentifikasi dokumen rekam medis tindakan baik sebanyak 31 responden (46,3%) dan tindakan kurang baik sebanyak 36 responden (53,7%) dengan nilai p = 0,003 < α = 0,05. Kesimpulan dalam penelitian ini pengetahuan, sikap dan tindakan berpengaruh  dalam melakukan pengisian kelengkapan data autentifikasi dokumen rekam medis sehingga masih banyaknya data autentifikasi rekam medis yang belum lengkap di RSU Tere Margareth. Kata Kunci: Autentifikasi, Rekam Medis