J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan is a scientific journal that is managed and published by the Program Studi Rekam Medik, Jurusan Kesehatan, Politeknik Negeri Jember. J-REMI contains the publication of research results from students, lecturers and or other practitioners in the field of medical records and health information with coverage and focus on the fields of Health Information Management, Health Information Systems, Health Information Technology, Health Quality Information Management and Classification, Coding of Diseases and Problems. Health and Action.
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191 Documents
<![CDATA[Desain Ruang Unit Kerja Rekam Medis Berdasarkan Aspek Ergonomi Di Puskesmas Senduro ]]>
<![CDATA[M Mahbub Jauhar Qolbi]]>;
<![CDATA[Mochammad Choirur Roziqin]]>
<![CDATA[ J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 4 No 1 (2022): December ]]>
Publisher : <![CDATA[Politeknik Negeri Jember ]]>
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DOI: 10.25047/j-remi.v4i1.3347
<![CDATA[The comfort of the work environment can help in increasing the work productivity of the officers in providing services at the Public Health Center. The medical record unit workspace at Senduro Public Health Center has not met the comfort aspect due to the narrow condition of the room only measuring 9 m2 so that it has an impact on service and the filing room measuring 7.5 m2 is not in accordance with the minimum standard of 20 m2. Tables, chairs and filing shelves have sizes that are not in accordance with the officer’s anthropometry as well as other facilities and infrastructure that are still not in accordance with the officers’ needs. This type of research uses qualitative methods with data collection techniques through observation, interviews, documentation and brainstorming. The results of the study indicate that it is necessary to design a new medical record work unit space that is adjusted to the standard guidelines and flow of medical record file processing as well as the design of tables. The design of the new medical record work unit measuring 10m x 6m which has been adapted to standards / theories and designed using the SketchUp 3D 2020 application in accordance with ergonomic aspects which include efficiency, health, safety, security and comfort.]]>
<![CDATA[Perancangan dan Pembangunan Sistem Pendaftaran Online Pasien Rawat Jalan di RSUD Asembagus Situbondo ]]>
<![CDATA[Firman Shalihin]]>;
<![CDATA[Andri Permana Wicaksono]]>;
<![CDATA[Sustin Farlinda]]>;
<![CDATA[Mudafiq Riyan Pratama]]>
<![CDATA[ J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 4 No 1 (2022): December ]]>
Publisher : <![CDATA[Politeknik Negeri Jember ]]>
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DOI: 10.25047/j-remi.v4i1.3349
<![CDATA[The outpatient registration process at Asembagus Hospital Situbondo consists of offline and online via the WhatsApp. The problem that often occurs in offline is the accumulation of patients at the registration counter because the number of patients visiting and the number of officers are not comparable, while online often occurs when patient messages register that are buried, which results in patients not being served properly. The impact that can be generated from these things is the perception of patients and families on the quality of hospitals that have not been organized and are not good. The purpose of this study was to design and build an online outpatientThis study used the FAST method with qualitative research and data collection techniques used were observation, interviews and literature study in designing an online outpatient registration system online outpatient.]]>
<![CDATA[Analisis Kelengkapan Rekam Medis Berdasarkan SNARS di RSU Purwogondo Kebumen ]]>
<![CDATA[Afrizal Noor Abidin]]>;
<![CDATA[Novita Nuraini]]>;
<![CDATA[Atma Deharja]]>;
<![CDATA[Selvia Juwita Swari]]>
<![CDATA[ J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 4 No 1 (2022): December ]]>
Publisher : <![CDATA[Politeknik Negeri Jember ]]>
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DOI: 10.25047/j-remi.v4i1.3612
<![CDATA[One of the hospital's quality is determined by a complete medical record document. The completeness of medical records at the Purwogondo General Hospital in Kebumen only reached 86% of the 100% standard determined by the minimum service. Completeness of medical records is needed in order to create continuity of treatment for patients and strong legal force. This study aims to analyze the completeness of medical records based on SNARS elements. The research subjects were 6 people, namely doctors, nurses, quality team representatives, medical recorders, internal supervisors, MIRM working group officers. Data collection methods are observation, interviews and brainstorming. The results of the research on the element of man are officer discipline and communication. The money element is the absence of a budget for the monitoring and evaluation team. The method element is the absence of an SOP for reviewing the completeness of medical records. The material element is the form design that the PPA has not yet understood. The machine element is the absence of an incomplete medical record control book, no monitoring and evaluation team for the completeness of medical records. Efforts to optimize the completeness of medical records are monitoring medical records on a regular basis and optimizing the monitoring and evaluation team.]]>
<![CDATA[Analisis Faktor Penyebab Keterlambatan Pengembalian Berkas Rekam Medis Rawat Jalan di RSUD Besuki ]]>
<![CDATA[Nashrul Kholiqir Rohman]]>;
<![CDATA[Rossalina Adi Wijayanti]]>;
<![CDATA[Novita Nuraini]]>;
<![CDATA[Riskha Dora Candra Dewi]]>
<![CDATA[ J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 4 No 1 (2022): December ]]>
Publisher : <![CDATA[Politeknik Negeri Jember ]]>
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DOI: 10.25047/j-remi.v4i1.3642
<![CDATA[The return of medical record files is an activity to return the completed medicalrecord file to the medical record unit after the patient returns home. The delay inreturning the outpatient medical record file at the Besuki Hospital in the thirdquarter of 2021 reached 63.87%. This study aims to analyze the factors that causedelays in returning outpatient medical record files at Besuki Hospital. This type ofresearch is qualitative. Data collection techniques using interviews, observation,documentation and ultrasound. The results of this study are individual factors thatcause delays in returning outpatient medical record files, namely officers do notunderstand the SOP for returning outpatient medical record files and officershave not been able to complete medical record files because the doctor's workshift is only briefly at Besuki Hospital. Psychological factors that cause delays inreturning outpatient medical record files are the lack of awareness andresponsibility of officers towards returning medical record files and medicalrecord distribution officers have never been motivated by the head of the medicalrecord. The organizational factor causing the delay in returning outpatientmedical records is that there is no compensation given by the hospital to theofficer and the head of the medical record has not been so firm in handling casesof late return of outpatient medical record files. Besuki Regional GeneralHospital is expected to provide rewards or rewards to officers; make SOPs forreturning outpatient medical record files and socialize them to officers; sanctionsare given to officers who are late in returning outpatient medical record files; thehead of the medical record is even more assertive to his subordinates andprovides motivation.]]>
<![CDATA[GAMBARAN UMUM PELAYANAN PENDAFTARAN RAWAT JALAN DI RS SANTA ELISABETH BATAM KOTA ]]>
<![CDATA[Masriani Situmorang]]>;
<![CDATA[Rahmawati Rahmawati]]>;
<![CDATA[Fani Farhansyah]]>
<![CDATA[ J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 4 No 2 (2023): March ]]>
Publisher : <![CDATA[Politeknik Negeri Jember ]]>
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DOI: 10.25047/j-remi.v4i2.3709
<![CDATA[Registration services are the first type of service that interacts directly with patients. The outpatient registration procedure of each hospital has a different service system that depends on the policies of each hospital. Hospitals have an outpatient registration process that is still not optimal and there are still many patients who do not understand the outpatient registration process. This study aims to find out an overview of outpatient registration services at Santa Elisabeth Hospital Batam City. This research used qualitative methods with interviews and direct observation / observation at Santa Elisabeth Hospital Batam City. From the results of the study, the outpatient registration system at Santa Elisabeth Hospital Batam City was obtained directly, and indirectly (by telephone). During the service process, there were several problems that occurred, including patients not knowing that the queue number to see a certain doctor was separated, resulting in patients who had taken the queue number on the queue machine returning to the security guard table to retrieve the new queue number, as well as an error Information System Server. The flow of outpatient services at Santa Elisabeth Hospital Batam City is in accordance with the SOP although there are still some problems at the Outpatient Registration Site (TPPRJ).]]>
<![CDATA[Analisis Kebutuhan Ideal Tenaga Rekam Medis pada Unit Filling ]]>
<![CDATA[Rizal Pratama Adi Putra]]>;
<![CDATA[Syamsuriansyah Syamsuriansyah]]>;
<![CDATA[Uswatun Hasanah]]>;
<![CDATA[Musparlin Halid]]>;
<![CDATA[Ikhwan Ikhwan]]>
<![CDATA[ J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 4 No 3 (2023): June ]]>
Publisher : <![CDATA[Politeknik Negeri Jember ]]>
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DOI: 10.25047/j-remi.v4i3.3781
<![CDATA[The availability of adequate Human Resources (HR) in accordance with the scientific field is the main focus of various units in the Mataram City Hospital, especially medical recorders. This study aimed to determine the ideal number of medical recorder personnel needed in the filing unit. This type of research uses a quantitative approach in Mataram City Hospital with a sample of 4 people. Calculate ideal medical recorder staffing needs using the Workload Indicator Staffing Need (WISN) method. The results show that the workload is still relatively high. The number of personnel working at this time is still lacking. The number of medical recorders does not match the workload. The staff should be 7 people, while the current staff is 4 people, so they still need 3 more people. The need for medical recorders is not ideal and the hospital still needs additional medical recorders in the filling unit.]]>
<![CDATA[Analisis Kelancaran Pengajuan Klaim BPJS Kasus Melahirkan di RS. X Kota Bengkulu ]]>
<![CDATA[Nofri Heltiani]]>;
<![CDATA[Lolli Nababan]]>
<![CDATA[ J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 4 No 3 (2023): June ]]>
Publisher : <![CDATA[Politeknik Negeri Jember ]]>
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DOI: 10.25047/j-remi.v4i3.3906
<![CDATA[The smoothness of submitting BPJS claims for childbirth cases is influenced by the accuracy of the code based on ICD-10 and ICD-9CM which refers to 3 categories namely complications of delivery, method of delivery and outcome of delivery, completeness of claim file requirements and completeness of documentation. Based on observations of 10 claim files for maternity cases submitted to BPJS, it was found that 6 (60%) files were pending due to diagnoses and codes entered on medical resumes not in accordance with BPJS, 1 (10%) did not have a doctor's signature, which resulted in delays the process of paying claims to hospitals that can cause material losses. The aim of the study was to find out the smoothness of submitting BPJS claims for childbirth cases at Hospital X Bengkulu City. This type of research is observational with a quantitative descriptive design. The population of this study is 137 files with a sample of 58 files taken by simple random sampling. The data used are primary and secondary data which were analyzed univariately using the frequency distribution. The results of the research are the accuracy of the case code giving birth to 36(62.1%) files, the completeness of the claim file requirements is 55(94.8%) files and the completeness of the documentation is 56(96.6%) files, but the claim files that fail to purify must be returned to hospital for repair. It is recommended that the hospital has an internal verifier as an evaluator before the file is sent to BPJS.]]>
<![CDATA[Evaluasi Penerapan Rekam Medis Elektronik dengan Pendekatan Technology Acceptance Model di Rumah Sakit X di Kota Surabaya ]]>
<![CDATA[Intansari Intansari]]>;
<![CDATA[Martya Rahmaniati]]>;
<![CDATA[Dian Fajar Hapsari]]>
<![CDATA[ J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 4 No 3 (2023): June ]]>
Publisher : <![CDATA[Politeknik Negeri Jember ]]>
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DOI: 10.25047/j-remi.v4i3.3914
<![CDATA[Electronic medical records have an important in the provision of health services in hospitals, electronic medical records are a source of health data and information that can be used in assessing the quality of health services. Hospital X has implemented the use of electronic medical records since 2020 but has never conducted an evaluation of the implementation of electronic medical records, so need a formative evaluation to see the quality of electronic medical records using the Technology Acceptance Model, assessing a system based on the ease of use. use) and perceived usefulness (usefulness) which can affect the use of the system (attitude toward using) and applying the system on an ongoing basis (actual usage). This study uses a quantitative approach by using bivariate correlation test analysis to be able to assess the relationship between the variables studied. The results showed that there was a significant positive relationship (p-value 0.001, r = 0.717) between the belief that EMR can be used easily (perceived ease of use) and benefits in performance and performance productivity (perceived usefulness). p-value 0.001, r = 0.747) between EMR variables can provide benefits in terms of performance and performance productivity (perceived usefulness) and attitude toward using EMR (Attitude toward using). The belief that EMR can be used easily (perceived ease of use) has a positive and significant effect on attitudes towards using EMR (Attitude toward using) with a p-value of 0.001, r = 0.7, and a significant relationship with a p-value of 0.001, r = 0.717 between the belief that the attitude towards using EMR (Attitude toward using) and significant towards the actual use of EMR (actual usage)]]>
<![CDATA[Analisis Faktor Penyebab Keterlambatan Pengembalian Rekam Medis Rawat Inap di Rumah Sakit Baladhika Husada Jember ]]>
<![CDATA[Insani Dzakirah]]>;
<![CDATA[Demiawan Rachmatta Putro Mudiono]]>;
<![CDATA[Maya Weka Santi]]>;
<![CDATA[Erna Selviyanti]]>
<![CDATA[ J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 4 No 3 (2023): June ]]>
Publisher : <![CDATA[Politeknik Negeri Jember ]]>
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DOI: 10.25047/j-remi.v4i3.3804
<![CDATA[The standard for returning outpatient medical records was 1 hour after providing polyclinic services and 1 x 24 hours after the patient was discharged. Delay in returning outpatient medical records occurs if it exceeds the predetermined standard limit. The implementation of medical records at Baladhika Husada Jember Hospital still has delays in returning inpatient medical records. Therefore, it impacts patient waiting time to get services and the accumulation of files due to the procurement of new medical record documents for visiting patients because the previous medical records were not in the filing room. This research aimed to analyze the factors causing delays in returning inpatient medical records. This type of research uses qualitative research, the subject is 1 head of a medical record unit, 1 medical record officer, 3 nurses, and 2 heads of inpatient rooms. The object of this research is inpatient medical records. The results found in this study are that the first priority has not been socialization related to SOP (Standard Operational Procedure) regarding the return of inpatient medical records so it is determined that efforts to hold routine SOP socialization, providing SOP are posted in each inpatient room by involving all nurses and record officers related to the activity of returning medical records.]]>
<![CDATA[sistem informasi PENGEMBANGAN SISTEM INFORMASI SURVEILANS SARI PADA RESPONTIME PELAPORAN SARI DI RUMAH SAKIT UMUM Dr. SAIFUL ANWAR ]]>
<![CDATA[Desma Legawa]]>;
<![CDATA[Ratna Wardani]]>;
<![CDATA[Ery Olivianto]]>
<![CDATA[ J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 4 No 3 (2023): June ]]>
Publisher : <![CDATA[Politeknik Negeri Jember ]]>
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DOI: 10.25047/j-remi.v4i3.3870
<![CDATA[Severe Acute Respiratory Infection (SARI) is an acute infectious disease that occurs in the respiratory tract and is better known as Pneumonia. The percentage of deaths in various countries caused by pneumonia has reached 30% and is in the age range of less than 5 years. In Indonesia, in the period from May 2013 to April 2015, there were 1,697 cases of the disease, while at Dr Saiful Anwar Hospital in 2022, 56 cases were caused by SARI with the influenza virus. The data collection process is done manually, resulting in delays in reporting problems. This study aims to analyze the effect of Web-Based SARI Information System Development on Sari Reporting Respontime at Dr. Hospital. Saiful Anwar (RSSA) which is useful for speeding up the process of reporting SARI surveillance from sentinels to the Ministry of Health. The design method uses a waterfall diagram which includes analysis, design, coding, and testing. The results of this study are web-based SARI applications where the Ministry of Health has not yet provided an application for data recapitulation processes for every sentinel in the territory of Indonesia, for this reason researchers innovate to create information-based systems web so that in reporting after using the web application the impact is more effective and efficient thus speeding up the reporting process.]]>
