Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda (JIPIKI)
Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda (JIPIKI) (p-ISSN : 2502-7786 ) (e-ISSN : 2597-7156) is a national, peer-reviewed journal. It publishes original papers, reviews and short reports on all aspects of the medical record and health information.
It is aimed at all medical record and health information practitioners and researchers and those who manage and deliver medical record and health information services and systems. It will also be of interest to anyone involved in health information management, health information system, and health information technology.
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<![CDATA[Rekam Medis Elektronik sebagai Pendukung Manajemen Pelayanan Pasien di RS Universitas Gadjah Mada ]]>
<![CDATA[Rika Andriani]]>;
<![CDATA[Dewi Septiana Wulandari]]>;
<![CDATA[Rizka Siwi Margianti]]>
<![CDATA[ Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda Vol. 7 No. 1 (2022): Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda Edisi Februari ]]>
Publisher : <![CDATA[Akademi Perekam dan Informasi Kesehatan Imelda ]]>
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DOI: 10.52943/jipiki.v7i1.599
<![CDATA[Electronic Medical Records (EMR) is a digital repository of administrative and medical data to support integrated health services. EMR can be used to support case management activities such as identification, care coordination, patient progress monitoring, and provide cost-effective interventions. One of main factor in information system implementation is users. Based on users’ perceptions, recommendations can be made. It’s used to maximize the adoption and development of EMR. The purpose of this study to explore the users’ perceived benefits of EMR implementation to support case management. This research is a qualitative research with a case study design. Informants were EMR users, namely doctors, nurse, pharmacist, medical record officer, and laboratory assistant. They were selected through purposive sampling technique. We conducted face-to-face semi-structured interviews and observation. This research used an interview guide with open-ended questions and an observation guide. Results showed benefits of EMR were support patient safety, reduce duplicate examinations, continuity of care, patient care efficiency, and collaboration among health professionals. It is suggested to develop a patient reminder feature and periodic staff training.]]>
<![CDATA[Pengaruh Pemberian Tracer Terhadap Ketepatan Penyimpanan Berkas Rekam Medis Di RSU Purbowangi ]]>
<![CDATA[Citra Wiguna Bakti Bakhtiar]]>;
<![CDATA[Santi Lathifatur Rohmah]]>;
<![CDATA[Galih Cahya Panuntun]]>
<![CDATA[ Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda Vol. 7 No. 1 (2022): Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda Edisi Februari ]]>
Publisher : <![CDATA[Akademi Perekam dan Informasi Kesehatan Imelda ]]>
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DOI: 10.52943/jipiki.v7i1.603
<![CDATA[Medical record is an inpatient outpatient treatment that stores important data and very important benefits, one of which is as a basis and guidance in planning and analyzing actions and services that will be provided to patients after checking and treatment. Based on the observations that have been made, it turns out that there are several medical record files that are missing and their placements are swapped from other medical record files, this is because too many medical records are accommodated and the lack of medical recording methods in an effort to minimize the occurrence of inaccuracies in storing medical record files. Efforts to solve the problem are to provide a tracer to the medical record file that has just been taken so that when returning the medical recorder it is not confused in finding and placing the correct medical record file. After applying the tracer system, it turns out that there is an effect of giving a tracer on the accuracy of the medical record file.]]>
<![CDATA[Studi Kasus Pelayanan Rekam Medis pada Masa Pandemi Covid-19 Di Puskesmas Gondokusuman II Kota Yogyakarta ]]>
<![CDATA[Angga Eko Pramono]]>;
<![CDATA[Marko Ferdian Salim]]>;
<![CDATA[Anita Wijayanti]]>
<![CDATA[ Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda Vol. 7 No. 1 (2022): Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda Edisi Februari ]]>
Publisher : <![CDATA[Akademi Perekam dan Informasi Kesehatan Imelda ]]>
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DOI: 10.52943/jipiki.v7i1.659
<![CDATA[The Covid-19 outbreak has been declared as a public health emergency of international concern by the World Health Organization (WHO). The pandemic has also changed the process of health services provided to patients, including medical record services. This study aimed to examine the process of medical record services at the Gondokusuman II Primary Health Center (PHC) in Yogyakarta City during the Covid-19 pandemic. This qualitative research explored medical record services during pandemics. Three staff were recruited as respondents using the purposive sampling technique. Data were collected through observation and interviews. There were differences in patient registration services before and after the pandemic. Before registering, patients will be screened first. If they show Covid-19 symptoms, the patients are directed to the infectious clinic and the provision of medical records will be prioritized. To support the implementation of health protocols, the primary health center provides personnel protective equipment adequately. However, the reference for health protocols related to medical record services at the PHC level is not yet available. So, reference issued by the Ministry of Health is used respectively. Therefore, specific regulations need to be immediately compiled and disseminated to ensure that the prevention of Covid-19 transmission can be carried out more precisely.]]>
<![CDATA[Faktor yang Memengaruhi Penggunaan Sistem Informasi Rumah Sakit Berdasarkan Metode Technology Acceptance Model di RSU Advent Kota Medan ]]>
<![CDATA[Arifah Fitriani]]>;
<![CDATA[Adistia Maulidiah]]>
<![CDATA[ Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda Vol. 7 No. 1 (2022): Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda Edisi Februari ]]>
Publisher : <![CDATA[Akademi Perekam dan Informasi Kesehatan Imelda ]]>
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DOI: 10.52943/jipiki.v7i1.680
<![CDATA[Until now, there is no guarantee that every hospital is able to implement a Hospital Information System (SIRS) properly. Medan Adventist General Hospital has organized SIRS since 2018, but its use is still not optimal. This study aims to determine the factors that influence the use of SIRS with a technology acceptance model approach. The data used is primary data. The total respondents obtained in this study were 197 and the statistical tests used were chi-square and structural equation modeling.. The regression weight test showed that perceived usefulness was only significantly influenced by length of work experience (e = 0.173), and computer facilitation (e = 2.235). Meanwhile, perceived ease of use was only significantly influenced by length of work experience (e = -0.223), ability to operate computers (e = 0.439) and computer facilitation (e = 4.842).]]>
<![CDATA[Tinjauan Aspek Ergonomi Pada Ruang Penyimpanan Berdasarkan Standart Nasional Akreditasi Rumah Sakit (SNARS) Edisi 1 Di RSU Tere Margareth Medan Tahun 2020 ]]>
<![CDATA[Esraida Simanjuntak]]>;
<![CDATA[Ermas Estiyana]]>;
<![CDATA[Septi Anastasya]]>
<![CDATA[ Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda Vol. 7 No. 1 (2022): Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda Edisi Februari ]]>
Publisher : <![CDATA[Akademi Perekam dan Informasi Kesehatan Imelda ]]>
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DOI: 10.52943/jipiki.v7i1.693
<![CDATA[In SNARS edition 1, it is known that medical record documents in paper or electronic form must be kept safe and confidential so they must be stored in a location that is protected from water, fire, heat, and other damage and protected from interference with access and unauthorized use. The purpose of this study was to determine the ergonomics aspect based on the National Standard for Hospital Accreditation (SNARS) Edition 1. The method used was observation and interviews with a descriptive type of research located at Tere Margareth General Hospital Medan in July 2020. The population in this study was the physical aspect. Ergonomics and medical records officers in the storage room as many as 2 people using the total sampling technique. is the storage room for medical record files at the Tere Margareth hospital that does not meet accreditation standards because there are still problems that occur related to room security which can be assessed based on the standard of ergonomic aspects. Ask the hospital to pay more attention to the state of the medical record storage room in order to meet the standard assessment elements of information management and medical records in SNARS Edition 1.]]>
<![CDATA[Pelaksanaan Pemeliharaan Dokumen Rekam Medis Di Ruang Penyimpanan Puskesmas Polonia Medan Tahun 2021 ]]>
<![CDATA[Yeyi Gusla Nengsih]]>
<![CDATA[ Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda Vol. 7 No. 1 (2022): Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda Edisi Februari ]]>
Publisher : <![CDATA[Akademi Perekam dan Informasi Kesehatan Imelda ]]>
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DOI: 10.52943/jipiki.v7i1.694
<![CDATA[Dokumen rekam medis merupakan alat untuk mencatat terjadinya transaksi pelayanan sehingga harus dijaga keamanan serta kerahasiaannya dari bahaya kerusakan. Tujuan penelitian ini untuk mengetahui bagaimana pelaksanaan pemeliharaan dokumen rekam medis diruang penyimpanan Puskesmas Polonia Medan. Penelitian bersifat deskriptif dan populasi yang digunakan adalah seluruh dokumen rekam medis diruang penyimpanan Puskesmas Polonia dengan sampel berjumlah 100 berkas. Dari hasil penelitian diperoleh kerusakan dokumen rekam medis diruang penyimpanan Puskesmas Polonia Medan sebesar 56%. Faktor intrinsik yang mempengaruhi yaitu kualitas kertas, tinta dan sampul berkas. Sedangkan faktor ektrinsik yang mempengaruhi yaitu kabel listrik tidak tersusun rapi, rak terlalu penuh dan sempit, kelembapan udara mencapai 16oC, jamur, serangga, debu yang menjadi penyebab kerusakan dokumen rekam medis di ruang penyimpanan Puskesmas Polonia Medan. Disarankan kepada Puskesmas Polonia Medan agar dokumen rekam medis menggunakan sampul plastik dengan rak penyimpanan terbuat dari besi sehingga dokumen rekam medis tidak terkena jamur dan rayap yang dapat merusak dokumen rekam medis.]]>
<![CDATA[Tinjauan Penolakan Pada Klaim Pasien BPJS Kesehatan di RSUD Tanjung Pura ]]>
<![CDATA[Valentina]]>;
<![CDATA[Mita Sari]]>;
<![CDATA[Tri Widya Sandika]]>
<![CDATA[ Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda Vol. 7 No. 1 (2022): Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda Edisi Februari ]]>
Publisher : <![CDATA[Akademi Perekam dan Informasi Kesehatan Imelda ]]>
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DOI: 10.52943/jipiki.v7i1.695
<![CDATA[Rejection of claims is one of the obstacles in the BPJS Kesehatan claim collection process. The purpose of this study was to determine the description of administrative verification on the rejection of BPJS Kesehatan patient claims at Tanjung Pura Hospital. This type of research is descriptive qualitative. The population is all BPJS patient medical record files that were rejected in June 2021 counted 135 files and BPJS Kesehatan claiming officers at Tanjung Pura Hospital, totaling 2 people. The samples of this study were the medical record files of BPJS patients who were rejected in June 2021 and the BPJS claiming officers who were taken by saturated sampling. The instruments used are check list sheets and interview guidelines. Data was collected by using documentation, observation and interview methods. Data analysis was done descriptively. The results showed that there were 123 claim files (2.9%) which were rejected by BPJS Kesehatan from 4,253 claim files submitted. The reason for the rejection of the claim file was because all of them did not pass the verification of the service administration which consisted of the absence of a DPJP signature on the resume and proof of service, no referral letter attached, no inpatient indication/order sheet, and no indication of anesthesia attached to the operation report. This incompleteness is due to the lack of thorough examination of the completeness of the medical record file by the data analysis section and the absence of SOPs in the implementation of the claim process. It is recommended to the hospital director to make an SOP for claiming BPJS Kesehatan and to the claims officer and data analysis to be more thorough in checking the completeness of the BPJS Kesehatan claim file.]]>
<![CDATA[Analisis Dan Perancangan Sistem Informasi Program Kesehatan Ibu Dan Anak Di Puskesmas Lingkar Barat Kota Bengkulu Tahun 2021 ]]>
<![CDATA[Niska Ramadani]]>;
<![CDATA[Iin Desmiany Duri]]>;
<![CDATA[Ni Komang Ummi Nur Gayatri]]>;
<![CDATA[Ismail Arifin]]>
<![CDATA[ Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda Vol. 7 No. 1 (2022): Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda Edisi Februari ]]>
Publisher : <![CDATA[Akademi Perekam dan Informasi Kesehatan Imelda ]]>
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DOI: 10.52943/jipiki.v7i1.698
<![CDATA[Program KIA merupakan salah satu prioritas utama dalam rencana pembangunan jangka panjang nasional (RPJPN) di indonesia tahun 2005 – 2025, di puskesmas lingkar barat pengolahan data KIA masih menggunakan system manual dimana pengolahan data dicatat dibuku registrasi. Pencatatan manual membutuhkan waktu lebih dari 7 menit setiap pelayanan, dan sering terjadinya kesalahan dalam pencatatan dan pendataan serta membutukan waktu yang lama untuk melakukan pengolahan data pelaporan setiap bulannya, oleh karena itu perlu dikembangkannya system informasi KIA secara elektronik sehingga dapat membantu petugas dalam mengolah program KIA secara cepat, tepat, dan akurat. Tujuan dari penelitian ini adalah untuk menganalisis dan Merancang Sistem Informasi Kesehatan Ibu dan anak di Puskesmas Lingkar Barat guna mengatasi permasalahan yang ada pada saat ini Metode yang digunakan dalam perancangan dan membuat desain system aplikasi dengan memanfaatkan metode pengembangan perangkat lunak yaiu metode wartefal. Penelitian yang dilakukan adalah penelitian deskriptif yaitu mengumpulkan data dengan cara melakukan pengamatan secara langsung terhadap objek penelitian. Metode yang digunakan adalah metode wawancara dan observasi. Pengumpulan data menggunakan data primer dan sekunder. Hasil dari penelitian ini sendiri adalah terciptanya sebuah aplikasi untuk mempermudah pengolahan data menjadi sebuah laporan KIA yang dibutuhkan dan mengatasi masalah yang timbul karena sistem Informai Program Kesehatan Ibu dan Anak secara manual. Perancangan dan Pembuatan desain system Informasi dengan menggunakan Pemrograman Visual Basic 6.0 di Puskesmas Lingkar Barat Kota Bengkulu telah dibuat dengan hasil analisis sistem yang sudah ada dan sesuai metode yang digunakan, serta desain perancangan yang elah dibuat sesuai dengan buku registrasi dan formulir pelaporan manual atau kebutuhan pihak rumah sakit dan dapat mempermudah peroses pengolahan sisem KIA. keterbatasan dalam melakukan penelitian ini adalah sulitnya melakukan wawancara secara langsung , dikarenakan situasi pandemic covid 19 Kontribusi : Penelitian ini dapat berguna dan di Puskesmas Lingkar Barat Kota Bengkulu untuk membantu dalam mengolaha data Registrasi dan Pelaporan Kata Kunci : Sistem Informasi, Program kia, EHR]]>
<![CDATA[Pengaruh Akreditasi Untuk Meningkatkan Mutu Pelayanan dan Keselamatan Pasien di Rumah Sakit (Studi Sistematik Review) ]]>
<![CDATA[Raysella Khaulla Miandi]]>;
<![CDATA[Yuly Peristiowati]]>
<![CDATA[ Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda Vol. 7 No. 1 (2022): Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda Edisi Februari ]]>
Publisher : <![CDATA[Akademi Perekam dan Informasi Kesehatan Imelda ]]>
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DOI: 10.52943/jipiki.v7i1.712
<![CDATA[Hospital accreditation is a government recognition of hospitals that have met the standards that have been set to get an idea of the extent of meeting hospital standards in Indonesia, so that the quality of service can be accounted for. The purpose of review research is systematic to find out the influence of accreditation in improving the quality of service and patient safety in hospitals. The research design used in this study is Systematic Review. The purpose of this method is to help researchers better understand the background of the research that is the subject of the topic sought and understand why and how the results of the study so that it can be a reference for new research. Independent variables are accreditation and variable dependents, namely the quality of hospital services and the safety of hospital patients. Researchers conducted a search for data through the websites of accessible journal portals such as PubMed, Elsevier, Springer, and Google Schoolar. The results showed after the collection of journals using accredited journal sites such as PubMed, Elsevier, Springer, and Google Schoolar. 496 journals were identified and eligibility criteria were carried out. Then after it was filtered obtained 23 journals, then excluded studies were obtained 3 journals met the exclusion criteria, after that based on inclusion criteria so that the total number of articles eligible for review was 20 articles. Quality improvement in all fields, especially in the field of health, one of which is through Hospital Accreditation towards the quality of International services. In the accreditation system that refers to the Standards of the Joint Commission International (JCI) obtained the most relevant standards related to the quality of hospital services International Patient Safety Goals (international targets of patient safety) which includes six hospital patient safety goals.]]>
<![CDATA[Analisis Kelengkapan Pengisian Resume Medis Rawat Inap di RS Darurat Covid-19 Wisma Atlet Kemayoran ]]>
<![CDATA[Lutfi Rinaldi Syahbana]]>;
<![CDATA[Indang Trihandini]]>
<![CDATA[ Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda Vol. 7 No. 1 (2022): Jurnal Ilmiah Perekam dan Informasi Kesehatan Imelda Edisi Februari ]]>
Publisher : <![CDATA[Akademi Perekam dan Informasi Kesehatan Imelda ]]>
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DOI: 10.52943/jipiki.v7i1.721
<![CDATA[The completeness of medical records is very important to affect the process of services provided by health workers and impact on the quality of services of a hospital. Preliminary study results conducted at RSDC Wisma Atlet Kemayoran, filling out medical resume form 5 out of 10 files no signature name of medical resume form. Also found, 3 out of 10 files have no outgoing diagnostic information. The purpose of this study is to identify the completeness of the patient's identity, review of important reports, authenticity review and review of the correct completeness of the medical resume form at RSDC Wisma Atlet Kemayoran. This research is qualitative research. The study subject consisted of 2 doctors who filled out a medical resume. The object of the study was a sample of inpatient medical records from June 7-21, 2021 based on slovin formula as many as 98 files. The results of the study on the completeness of filling a medical resume seen from 4 aspects have not been high enough. Incomplete filling of medical resume forms is influenced by several factors, namely man, methode, material, and machine factors.]]>
