cover
Contact Name
Muhammad Yunus
Contact Email
m.yunus@polije.ac.id
Phone
+628123413933
Journal Mail Official
j-remi@polije.ac.id
Editorial Address
Program Studi Rekam Medik Politeknik Negeri Jember Jl. Mastrip PO Box 164, Jember, Jawa Timur
Location
Kab. jember,
Jawa timur
INDONESIA
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan
ISSN : -     EISSN : 2721866X     DOI : https://doi.org/10.25047/jremi
Core Subject : 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.
Articles 191 Documents
Hubungan Kepuasan Kerja dengan Kinerja Petugas Rekam Medis di RSUP Dr. Sardjito Yogyakarta Desy Rachmawati; Sustin Farlinda; Sugeng Sugeng; Gamasiano Alfiansyah
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 2 No 2 (2021): March
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v2i2.1984

Abstract

Job satisfaction is an important factor that can affect employee performance. If the employee feel satisfiedwith their work, the employee will produce good performance, and vice versa. Based on observations andinterviews with one of the medical recorders, it is known that they never get a reward if they work well inaccordance with applicable procedures. In addition, facilities that support their work such as dumbwaiter andtroli sometimes suffer damage. This condition resulted in work performed by medical recorders at RSUP Dr.Sardjito Yogyakarta is not optimal, so it will affect job satisfaction. The impact of this condition was found alateness providing the patient's medical record to the health services unit or sometimes wrong distribution ofmedical record files that are not in accordance with the patient's destination services unit. This conditioncauses the examination of patients by health professional also hampered. The purpose of this research is toidentify the relationship of job satisfaction with medical recorder at RSUP Dr. Sardjito Yogyakarta. The methodof data collection in this research is a questionnaire. Analysis of the data used is univariate analysis andbivariate analysis using the Spearman rank correlation test. The results showed that the level of jobsatisfaction of medical recorders at RSUP Dr. Sardjito Yogayakarta is classified as moderate (83.3%), whilethe level of performance of the medical records officer at RSUP Dr. Sardjito Yogyakarta is classified as high(50%). Spearman rank correlation test results indicate that there is a relationship with a moderate categorybetween job satisfaction with the performance of medical recorders at RSUP Dr. Sardjito Yogyakarta with asignificance value or p value 0.006 and a correlation coefficient of 0.487.
Faktor Keterlambatan Berkas Rekam Medis Rawat Inap di RSUP Kariadi Semarang Riza Umami Agustin; Feby Erawantini; Mochammad Choirur Roziqin
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 1 No 3 (2020): June
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v1i3.1985

Abstract

That delay file medical record in-patient could impede the service event assembling, medical record filling,koding, cause to be lost or damaged and probably file. medical recordThat file medical record in-patient rsup.drAre still experiencing keterlabatan. kariadi semarangBased on the observations and the interviewsconducted by researchers implementation has been delayed at pjrm. assembling orThe purpose of thisresearch is conducting apasaja analyzing the factors that cause the repayment record. in-patient medicalfileThe kind of research used the qualitative.This study using theory lawreens green variable, predisposingfactors enabling, factors reinforcing factors and the repayment of file medical record by, throughinterviews. The research results show delays in the repayment of file medical record in-patient caused byindividual competence the attitude the repayment of knowledge and the officer to file medical record , thesecond caused by of facilities and infrastructure who are supporting yet there still implementation has beendelayed return and the lack of a motivation that granted to officers .In reaction to this, should be created aroutine meeting that special committee to discuss about delays in the repayment of medical record file so thatthey do not file medical record delays there was a problem .
Analisis Manajemen Risiko Kesehatan dan Keselamatan Kerja di Bagian Filing RSUP dr. Soeradji Tirtonegoro Klaten Novia Zahroh; Andri Permana Wicaksono; Atma Deharja
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 1 No 3 (2020): June
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v1i3.1989

Abstract

Medical records storage is an activity to protect the medical records from the physical damage and the contentof the medical records. Medical records storage process has risks that can threatening the occupational safetyand health of medical records staff. One of the efforts in occupational safety and health is by giving protectionfor the medical records staff by using personal protective equipment. At filing RSUP dr. Soeradji TirtonegoroKlaten found a problem that employees do not use personal protective equipment such as masks andhandscoon, the roll o’pack high is not ergonomic and it does not have Standart Prosedure Operational. Thenurse has risk to experience musculosveletal disorders, hands are itchy, sneeze, scraped paper or sharpmedical record map, and has strangulated the roll o’pack when they do the job. The purpose of this researchwas to analyzed the Health Management risk and Occupational Safety in ifiling RSUP dr. Soeradji TirtonegoroKlaten. Type of qualitative research. Some employees in filing used as Respondents. The results of thisresearch were 16,6% low risk, 50 % moderat risk, and 33,4% in high risk. Based on this results the controlefforts was redesign the map folders material, regulated the high of roll o pack, provided the vacuum cleaner,had encouraged the officers to always washed their hands after touched the medical records, made theStandart Prosedure Operational for occupational safety and health in filing, and gave a punishment ifemployees did not used personal protective equipment.
Desain Augmented Reality Unit Rekam Medis di Rumah Sakit Citra Husada Jember Deva Setia Pratama; Nugroho Setyo Wibowo
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 1 No 4 (2020): September
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v1i4.1992

Abstract

Hospital is a health-care institution that provides in-country, alternative health care, and emergency care. Good service must be sustained by sufficient means and infrastructure for each unit including a medical record. Medical records unit are still not up to standard resulting in disruption of employee’s effectiveness. A narrow room and files that stack up on the floor, filling room that's stuffy and narrow and filling that lack nighttime exposure becomes a constrained in the medical record unit. This research was aimed to redesign room of medical records in Hospital of Citra Husada Jember that according to the guidelines. The method is qualitative research with data collection technique observation, interview and brainwriting. The result of this research is redesign room of medical records based of the guidelines to realized ideal facilities and infrastructure for comfort the worked. Also manufactured augmented reality that useful for helped user to simulated room design previously form 2 dimensions pictures to 3 dimensions pictures. The improvement is a design which matches the anthropometrics units to the working facilities and menu programmed on augmented reality application.
Analisis Kinerja Petugas Dalam Melakukan Pelayanan Rawat Jalan di Puskesmas Kalisat Novia Zahroh; Indah Muflihatin
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 1 No 4 (2020): September
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v1i4.1995

Abstract

Performance is the result of quality and quantity of work accomplished by each employee based on the jobdescription or responsibility. The standard of a good performance are at least precision, intelligence, quickness, and orderliness. Kalisat Public health center has a problem which is underoptimal performance in providing service to patients so that affecting to the pastient’s satisfaction. This research was aimed to analyze employee’s performance within outpatient service in Kalisat Public health center Jember district. The method is analityc observational cross sectional design as the research method. There were 20 employees in outpatient service as the research sample obtained by saturated sampling. It was analyzed by applying the data tabulation software. This result showed that most of the employees were average in their good motivation (60%), they were good at the oppurtunity (50%),they were good at the ability (55%), and the performance of outpatient service belongs to a good category (50%). It shows that there were significant relationship between motivation, oppurtunity, ability, and performance of outpatient employees with significancy value < 0,05 and  X2 value > X2 table. The improvement efforts can be made by developing information system, division of labor improvement, good delegation of competency, and increasing training.
Analisis Kebutuhan Tenaga Kerja Menggunakan Metode WISN di Rumah Sakit PHC Surabaya Septianingtyas Risti Anggraeni; Efri Tri Ardianto; Dony Setiawan Hendyca Putra
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 1 No 3 (2020): June
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v1i3.1996

Abstract

Medical record personnel is one part of the profession in the hospital. Medical record personnel also have animportant role in a patient service. Because it is responsible for the procurement of files beginning from patientregistration, assembling, coding, indexing, filling, internal or external reporting and INACBG’s. There is aproblem concerning the workload of medical records personnel at Surabaya PHC Hospital. A number ofofficers are have been resigning for the last few years, causing a reduction of a number of officers. Theworkload indirectly becomes higher and double jobs occurred. In addition, there are also found several officerswho have 2 jobs such as an outpatient coding officer become a filling officer, an inpatient coding officerbecome an information release officer and an assembling officer become a hemodialysis coding officer. Thepurpose of this study was to analyzed the needs of medical record personnel based on workload in SurabayaPHC Hospital using the WISN (Workload Indicator Staffing Need) method. A quantitative research approachwith a descriptive study design used as this research type. Respondents that used were 1 person reporting, 1person assembling, 1 person coding outpatient and 1 person filling. The results of this research were 12 ofofficers with an educational background in Medical Records. It took the addition of 1 person for the assemblingunit, 6 people for the outpatient coding unit, 2 people for the inpatient coding unit, 3 people for the filling unitand 1 person for the information release unit.
Analisis Faktor Penyebab Keterlambatan Penyediaan Dokumen Rekam Medis Rawat Jalan di RSU Haji Surabaya Mitha Amelia Rahmawati; Novita Nuraini; Donny Adhasari Hasan
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 1 No 4 (2020): September
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v1i4.2000

Abstract

Rata-rata akumulasi waktu penyediaan dokumen rekam medis rawat jalan di Rumah Sakit Umum Haji Surabaya berkisar 24,39 menit. Menurut Peraturan Menteri Kesehatan RI tentang Standar Pelayanan Minimal Rumah Sakit bahwa waktu yang teapat untuk penyediaan dokumen rekam medis rawat jalan adalah <10menit. Hal tersebut bahwa terdapat kesenjangan atau masalah terkait keterlambatan waktu dalam proses penyediaan dokumen rekam medis. Keterlambatan dalam proses penyediaan dokumen rekam medis rawat jalan disebabkan oleh beberapa fakor diantaranya adalah faktor dalam unsur manajemen 5M yang meliputi man, machine, matherial, money, methode. Faktor man yang dapat menyebabkan keterlambatan penyediaan dokumen rekam medis rawat jalan yaitu pengetahuan petugas kurang terkait penyediaan rekam medis rawat jalan kerena  masih ada petugas dengan kualifikasi pendidikan SMA, kedisiplinan petugas kurang dalam hal waktu peneydiaan dokumen rekam medis, dan kurangnya pelatihan yang perlu dilakukan oleh pihak RS guna menambah pengetahuan petugas. Faktor  machine yaitu kurangnya jumlah rak penyimpanan dokumen rekam medis rawat jalan, komputer sering terjadi lemot, dan kurangnya troly untuk distribusi rekam medis.Faktor method yaitu belum ada Standart Operasional Prosedur (SOP) terkait peneydiaan dokumen rekam medis rawat jalan dan belum pernah dilakukan evaluasi terkait ketepatan waktu penyediaan dokumen rekam medis rawat jalan. Faktor matherial yaitu banyak dokumen rekam medis yang tidak masuk dalam rak penyimpanan. Faktor  money  yaitu anggaran dana disediakan oleh pihak pengadaan, tetapi sampai saat ini belum digunakan untuk pengadaan rak penyimpanan dokumen rekam medis rawat jalan.
Faktor Penyebab Ketidaklengkapan Pengisian Kode Diagnosa Rawat Jalan di RS Husada Utama Nabiilah Qurrota A'yun; Rossalina Adi Wijayanti; Gilang Nur Permana; Ida Nurmawati
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 2 No 1 (2020): December
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v2i1.2001

Abstract

At present hospitals and paramedics prone to demands that demands the quality of service , lawsuits from a patient and the competitors in the same because of that required to improve the quality and keep the quality of health services at the hospital .One parameter to determine the quality of health services at the hospital is data or information from medical record good and complete , both the contents , accurate , timely and working persayaratan legal aspects .Based on working practices roomy implemented in february to march obtained hasill that incomplete filling out of code diagnose on medical record outpatient husada surabaya hospital main reach 100 % it is not in line with permenkes 269 year 2008 stating that document completeness medical record must be fully 100 %. A journal aims to understand the factors causing the incomplete filling out of the diagnosis code .Incompleteness this researched use the undirected behavior lawrence green with a variable presdiposing factors , enabling options factors , reinforcing factors .Incomplete filling out of the diagnosis code was conducted by interviews is not structured and observation activities directly when performing my roomy .The result of the report is affecting behavior because of the incomplete on charging the diagnosis code outpatient medical record husada hospital as much as the main the hospitals are required to carry out socialization of standard operating procedures aimed at the paramedics to be the remembrance of the content and doing the work of in accordance with the sop.
STRATEGI KEBIJAKAN UNIT KERJA REKAM MEDIS DENGAN METODE SWOT DI RS PHC SURABAYA Kurnia Arofah; Efri Tri Ardianto; Dony Setiawan Hendyca Putra
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 2 No 2 (2021): March
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v2i2.2002

Abstract

Primasatya Husada Citra (PHC) Hospital Surabaya is one of the private hospitals that is required to providequality services one of which is a medical record. There are several points about medical records services thathave not been implemented optimally such as 43% incomplete filling of medical record files includingincomplete informed consent, and late return of medical record document by exceeded the standard 1x24hours. The purpose of this research is to determine the policy strategy in the medical record unit of the PHCHospital Surabaya using the SWOT method. The research method was the SWOT method that identifiedstrengths, weaknesses, opportunities, and threats. The research instruments used questionnaires andobservations. The subject of this research was 6 medical records officers. The results show that the value ofthe strength factor is 3.69 and the weakness factor is 1.42 while the opportunity factor value is 3.6 and thethreats factor is 1. The position of the medical record unit, PHC Hospital Surabaya, is in quadrant I so thesuitable strategy is SO (Strength-Opportunity), the strategy includes the development of integrated informationsystems, and improve the management of medical records related to recording and documentation formaintaining the quality of medical record documents.
GAMBARAN TINGKAT PRODUKTIVITAS KERJA BERDASARKAN LINGKUNGAN DAN MOTIVASI KERJA PETUGAS ASSEMBLING RUMAH SAKIT UMUM PUSAT Dr. HASAN SADIKIN TAHUN 2020 Try Ganjar Wati; Sustin Farlinda; Efri Tri Ardianto
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 2 No 2 (2021): March
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v2i2.2004

Abstract

Based on the results of a preliminary study conducted at Hasan Sadikin Hospital, it is known that fromFebruary to March 2020 the achievement of the 20 files per day assembling task target has not been fullyachieved. 7 out of 9 assembling officers work 7 to 15 files and there was an inconsistency of the additionalform's location that assessed by each officer. This resulted in narrow space and files that were stacked toolong causing the medical record file to be damaged and the location of the additional forms to be different.This study aims to describe the level of work productivity based on the environment and the work motivationof assembling officers Dr. Hasan Sadikin 2020. This type of research uses quantitative by observing anddistributing questionnaires to respondents. The results obtained are that the assembling officer at RSUP Dr.Hasan Sadikin who has a higher level of productivity are officers with male sex, age categories 35-49 years,length of work for more than 10 years, last education diploma IV / S1, and with marital status.

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