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Muhammad Yunus
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J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan
Published by Politeknik Negeri Jember
ISSN : -     EISSN : 2721866X     DOI : https://doi.org/10.25047/jremi
Core Subject : Health,
Health Professions Public Health
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.
Arjuna Subject : Profesi Kesehatan - Menejmen Informasi Kesehatan
Articles 220 Documents
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Bahasa Inggris Aghasi Hana Faradila; Rossalina Adi Wijayanti; Novita Nuraini; Riskha Dora Candra Dewi
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 4 No 2 (2023): March
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v4i2.3831

Abstract

The incomplete filling of medical records affects the quality of medical record services and has an impact on the discontinuity of health services provided to patient. Based on the result of observations at the Puskesmas Babadan , it is known that there was an incompleteness of outpatient medical records with a percentage of 27,3% with the number of medical records that are not completely filled as many as 44 from 161 outpatient medical records. This study aims to analyze the factors causing the incompleteness of outpatient medical records at the Puskesmas Babadan by priorotizing problems using the Urgency, Seriousness, Growth (USG) method and improvement efforts through brainstorming. The results found in this study are based on motivation variables namely the absence of rewards and punishments given to officers,  based on the opportunity variables namely that there is no Standard Operating Procedures (SOP) that regulates the completeness of filling out medical records and officers involved in filling out outpatient medical records have never received training on the completeness of filling out medical records, based on the ability variables, namely the ability of education, experience and medical staff to assist in filling out outpatient medical records. The absence of Standard Operating Procedures (SOP) which is the cause of incomplete filling of outpatient medical records. The effort to fix the problem is by making clear Standard Operating Procedures (SOP) regarding the completeness of filling out medical records in accordance with applicable medical record service standars.
Integrasi Sistem Internasional Classification Primary Care Pada Rekam Medis Elektronik Berbasis Software As A Service Bagi Dokter Keluarga Nuryati Nuryati; Dian Budi Santoso; Nur Rokhman
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 4 No 4 (2023): September
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v4i4.3838

Abstract

Referring to Law Number 29 of 2004 it is stated that every doctor or dentist in carrying out medical practice is obliged to make medical records. The results of the research on the readiness of ICPC implementation carried out in 2020 and the design of the interface for family doctor services equipped with the International Classification Primary Care (ICPC) carried out in 2021, the design was implemented and integrated in the Electronic Medical Record application with the concept of Software as a Services (SaaS) owned by the Department of Health Information and Services at the UGM Vocational School. This type of research is research and development by following the stages of developing an information system using the prototyping method. The steps taken in this research are conducting needs analysis through in-depth interviews with family doctors and medical record officers, in addition to conducting documentation studies and medical record observations conducted at family doctor clinics. The results of the analysis are ICPC codes in electronic medical records and interoperable with p-Care BPJS, so that family doctors only need to do data entry once, diagnosis code reports can be presented in the form of ICD-10 or ICPC code
Gambaran Persepsi Tenaga Kesehatan Dalam Penggunaan RME di RSUD Singaparna Medika Citrautama Ulfa Fauziah; Fery Fadly
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 4 No 4 (2023): September
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v4i4.3846

Abstract

Information technology system application has been carried out in various fields, including in the health sector. One of which is the use of electronic medical records in various health facilities. However, in Indonesia, this application has not been evenly carried out, and in health facilities that does implement it, its implementation has not been maximized, especially in hospitals. There are still many obstacles in its use in real life. Understanding health workers’ perception in the use of electronic medical records plays an important role in its successful implementation. This study aims to see the general perspective of health workers’ perception in the use of electronic medical records in RSUD Singaparna Medika Citrautama (Singaparna Medika Citrautama Public Hospital). This study used quantitative research methods with an analytic research design, with a sample size of 80 health workers that are gathered using Proportionate Stratified Random Sampling. Results showed that in general, the perception of health workers’ who use electronic medical records at RSUD Singaparna Medika Citrautama show a good perception, as indicated with a 95,11% (Strongly agree) index percentage of the performace expectation dimension, a 92,5% (Strongly agree) index percentage of the effort expectation dimension, a 90,58% (Strongly agree) index percentage of the social influence dimension, and a 83.57% (Moderately agree) of the facilitating conditions dimension
PEMBUATAN APLIKASI PADA PRAKTIK MANDIRI BIDAN MENGGUNAKAN METODE WATERFALL Andri Permana Wicaksono; Dara Ayu Sadiyanti Rukmana; Mudafiq Riyan Pratama
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 4 No 2 (2023): March
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v4i2.3863

Abstract

Patient medical record in Midwife Independent Practice (MIP) must save and keep the secret for give quality of health care, quantity, and quick response to patients. MIP of Erliyanti Sukirno, S.ST,. Tanah Bumbu build at 2012. Since 11 years old, patients must queue in waiting room in quite a while. This is because of the service process and medical record using manual. The purpose of this research is to make a design for MIP application. Researchers use the research and development method to facilitate the research process and the waterfall method as a reference for the MIP application development process. The product is MIP application can give ease to the midwife officer in providing service to the patient and reduce the length of the patient queue in waiting room. Data collection used interview to 2 respondents are the owner of MIP and midwife. The result is functional system needs and non-functional to MIP application. Then, needed to transmit in system design by flowchart system, use case diagram, class diagram, activity diagram, entity relationship diagram, and data flow diagram. The design is then translated to a programming language using PHP program and MySQL database. From the results of this study, it has several features are login features, patient visit report features, patient referral letter features, patient and midwife detail identity data features, notification features, patient registration features independently, and feature records of patient examination results. Features that unavailable in the MIP application are the automatic payment features and the distance between the MIP and the referred hospital.
HUBUNGAN KUALIFIKASI PETUGAS FILING DENGAN KETEPATAN PENYIMPANAN DOKUMEN REKAM MEDIS DI UPTD BKIM Alfita Dewi; Ilma Nuria Sulrieni; Ropendi Pardede; Maria Ulfa
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 4 No 4 (2023): September
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v4i4.3931

Abstract

Completeness, accuracy, data quality, and timeliness in data collection and arrangement have become essential aspects related to the data processing process in medical records. This study aimed to determine the relationship between the qualifications of Filing officers and the accuracy of medical record storage at the West Sumatra Regional Technical Service Unit of the Eye Health Center. The research was conducted in a quantitative analytical nature with a cross-sectional design. The population included all Medical Record officers and service providers at the West Sumatra Regional Technical Service Unit of the Eye Health Center, totaling 46 people, and the entire population was used as the sample. The research was conducted from January to March 2022. Based on the research results, it was found that 67.4% of the respondents had a high level of education, 58.7% had attended training on medical record storage, 58.7% had been working as medical record storage officers for a long time, and 52.2% were not accurate in storing medical records. The conclusion of the research indicates that more than half of the respondents had a high level of education and training, but they were not accurate in storing medical records. There was no strong correlation between the length of employment and the accuracy of medical record storage (p = 0.341). Researchers suggest the need for long-term planning for the success of the West Sumatra Regional Technical Service Unit of the Eye Health Center in improving the quality of medical record storage accuracy, especially in terms of human resources, such as recruiting personnel with a background in medical records and participating in various medical record training programs. By doing so, the management can minimize inaccuracies in medical record storage.
Implementasi Sistem Informasi Kesehatan Daerah (SIKDA) Generik Guna Menunjang Efektivitas Rekam Medis Elektronik di UPTD Puskesmas Campaka Rian Rusmana; Irda Sari
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 4 No 4 (2023): September
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v4i4.3956

Abstract

The enactment of Minister of Health Regulation Number 24 of 2022 concerning Medical Records has had a significant impact on health facilities, especially puskesmas, which are first-level health facilities required to hold Electronic Medical Records (EMR). A health information system integrated with the SATUSEHAT platform is needed to support the implementation of electronic medical records. Generic SIKDA is very important starting from the collection, recording, processing, and dissemination of health information. This study aims to determine the implementation of Generic SIKDA to support the effectiveness of electronic medical records at UPTD Campaka Health Center. This research uses qualitative methods. Data collection by observation, interviews and documentation. However, there are still some shortcomings, such as lack of trained human resources, lack of infrastructure, slow development and renewal of SIKDA Generic, and poor governance. In this case, SIKDA Generic has not been able to support Electronic Medical Records at UPTD Campaka Health Center.
Prototype Standarisasi HL7 SIMRS Rawat Jalan RSUD Kabupaten Kediri dengan RSUD Simpang Lima Gumul Deni Luvi Jayanto; Eva Firdayanti Bisono; Sri Nurcahyati; Nadya Vira Mahmuna; Nadya Izzaty Maulana; Ervan Aditya Wirawan
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 4 No 4 (2023): September
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v4i4.4019

Abstract

Standardization in health data is a current need to help patients get the best service. Standard Health Level 7 (HL7) is an alternative in managing patient data, especially for health service data when patients visit hospitals, especially Kabupaten Kediri Hospital and Simpang Lima Gumul Hospital. HL7 is one of the standards that support the existence of telemedicine so that it can be implemented to optimize services. In addition, considerations in making designs such as color, layout and control are important aspects in making interfaces. The purpose of this research were to knew the data components, form of messages in HL7, and to design interfaces based on color, layout and controls. This study used a qualitative descriptive of observations on the registration of the Hospital Information System (SIMRS) and interviews with 6 officers. As a result, a comparison has been made between the HL7 data components and the two hospitals. Translation of the patient data form into the message form to HL7 has also been carried out. The evaluation of the interface design has been carried out for officers by prioritizing aspects of color, layout and control. It was concluded that the two hospitals met the standards for exchanging health data, but there was still data such as Px Group, Date Check, Register Hours, Sign in, Polychlinic 1, Information, Blood Group, Occupation, Father's Name, Husband/Wife's Name, Guarantor, PND and Email that needed attention.
Evaluasi Implementasi Sistem Informasi Manajemen Rumah Sakit dengan Metode HOT-Fit di RSU Muhammadiyah Babat Muhamad Ganda Saputra; Nihayatul Munaa; Yuni Anggraini; Faizatul Ummah; Nahardian Vica Rahmawati; Ari Kusdiyana; Nuryati Nuryati
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 4 No 4 (2023): September
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v4i4.4047

Abstract

This study aimed to know evaluation the implementation of the HMIS using the HOT-FIT method at Muhammadiyah General Hospital of Babat. This was a quantitative research with a cross sectional survey design. The sample was 59 respondents obtained by proportionate stratified random sampling. The independent variables were human, organization, and technology. The dependent variable was the net benefit from HMIS. The instrument was a closed questionnaire. The results showed that 42 respondents (71%) considered human variable good, 50 respondents (85%) considered organization variable good, 47 respondents (80%) consider technology variable goo, and 56 respondents (95%) stated that net benefit was good. The findings were analyzed by using multiple linear regression with the T and F tests (α = 0.05). The results of the T tests there is 1 variable that affects on net benefit, technology (p=002. Ehile 2 valiable which had an effect on net benefits, human (p=0.889), organization (p=0.126). In the results of the F tests s, it was found that there was a relationship between the independent variables simultaneously with the system benefits of p = 0.000. It is hoped that the results of this study can be further improve on the system, especially on technological factors that have a very large influence on system implementation as adding more sophisticated features and facilities in the implementing HIMS so that thr system cam run very well.
Perancangan Sistem Informasi Pelayanan dan Administrasi Klinik (Studi Kasus : Klinik X di Kabupaten Malang) Miftakul Fira Maulidia; Besral Besral; Artha Prabawa
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 4 No 4 (2023): September
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v4i4.4084

Abstract

Primary clinics that are supported by a good management information system are important in this era. Clinic X is a primary clinic with General Poly and Maternal and Child Health (MCH) services, Emergency Room (ER) and One Day Service. In a month the average number of patients visiting is 1500-2000 people. There are 9 health workers. The recording system is done manually using paper, double data often occurs. Only the register entered in the computer’s Excel column is useful for storing medical record numbers. Based on the suggestion box, patients complained of long waiting times. Therefore, a clinical administration and service information system was developed. The system was developed using the Systems Development Life Cycle (SDLC) method with a prototyping approach. The preparation stage starts from the planning stage to the design stage. The result of this system is patient data and examination information; dashboards related to patients, clinic stock and logistics, as well as clinic finances
Pemetaan Kejadian Stunting Dengan Perilaku Stop Buang Air Besar Sembarangan Per Kabupaten/Kota Di Provinsi Nusa Tenggara Timur Tahun 2021 Artha Prabawa; Dwita Maulida
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 4 No 4 (2023): September
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v4i4.4085

Abstract

Stunting in toddlers occurs because of long-term malnutrition, which has the potential to cause recurrent infections and chronic malnutrition. Contributing factors include a poor nutritious diet and poor sanitation, including open defecation, which can contaminate the environment with human feces and increase the risk of spreading diarrhea-causing bacteria to children. The province of NTT is one of those with a high prevalence of stunting in Indonesia. This study aims to determine the distribution of stunting in NTT and its association with the status of villages/kelurahan in NTT where open defecation is still practiced. The research was conducted using a Geographic Information System (GIS) application using classification, scoring, and overlay techniques. The result is that there are seven districts that are prioritized for tackling stunting with interventions on community behavior to stop open defecation. These districts include Rote Ndao, West Sumba, Southwest Sumba, Central Sumba, Kupang, North Central Timor, and Malacca.

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