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JOURNAL OF MEDICAL RECORDS AND HELATH INFORMATION
Published by Sekolah Tinggi Ilmu Administrasi Malang
ISSN : 27159817     EISSN : 27229831     DOI : -
Core Subject : Humanities, Health, Education, Social,
Humanities Education Health Professions Public Health Social Sciences
Puji syukur kita panjatkan kehadirat Allah SWT, atas berkat dan rahmat Nya kamidapat kembali hadir untuk menyajikan artikel-artikel terkini pada JRMIK: Jurnal Rekam Medis & Informasi Kesehatan Volume 03 Nomor 02 Edisi Juni, Tahun 2022. Semua artikel yang dimuat pada Jurnal ini telah diseleksi dan ditelaah oleh Dewan Editor . Hanya artikel-artikel berkualitas baik dan sangat baik yang dapat dimuat pada JRMIK: Jurnal Rekam Medis & Informasi Kesehatan. Topik-topik yang disajikan pada edisi ini meliputi: klasifikasi dan kodefikasi rekam medis, komunikasi rekam medis, dan manajemen rekam medis. Kepada penulis yang telah berkontribusi pada penerbitan jurnal edisi ini, kami menyampaikan terima kasih yang mendalam, selanjutnya kami mengundang rekan sejawat peneliti perekam medis dan informasi kesehatan mengirimkan naskah untuk disajikan pada jurnal ini. Saran dan kritik yang membangun, pembaca dan para pihak lainnya sangat kami harapkan. Selamat membaca.
Arjuna Subject : Profesi Kesehatan - Menejmen Informasi Kesehatan
Articles 47 Documents
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MODEL KOMUNIKASI SISTEM ALUR BADAN PENYELENGGARAN JAMINAN SOSIAL (BPJS) DALAM UPAYA MENINGKATKAN PENGETAHUAN PELAYANAN PASIEN BPJS RAWAT JALAN DI RUMAH SAKIT UMUM UNIVERSITAS MUHAMMADIYAH MALANG Siti Khomaria Fahris; Soraya Soraya
JOURNAL OF MEDICAL RECORDS AND HEALTH INFORMATION Vol 3 No 2 (2022): JOURNAL OF MEDICAL RECORDS AND HELATH INFORMATION
Publisher : Malang: Sekolah Tinggi Ilmu Administrasi Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Latar Belakang: Berdasarkan hasil penelitian pendahuluan yang dilakukan, menemukan beberapa hal yang menjadi masalah dalam hubungan dengan model komunikasi sistem alur BPJS dalam upaya meningkatkan pengetahuan pelayanan pasien BPJS rawat jalan, diantaranya kurangnya pemahaman pasien BPJS rawat jalan di Rumah sakit umum univeristas muhammadiyah malang sehingga memperlembat proses pendaftaran rawat jalan. Terdapat permasalan banyak masyarakat yang belum tahu tentang teknis pelayanan yang sesuai dengan aturan BPJS kesehatan. Tidak semua pasien yang menggunakan kartu BPJS kesehatan mengetahui alur pendaftaran rawat jalan.Tujuan: Tujuan ditetapkan penelitian adalah untuk mendapatkan gambaran tentang peranan data rekam medis dalam model komunikasi sistem alur BPJS dalam upaya meningkatkan pengetahuan pelayanan pasien BPJS rawat jalan di Rumah Sakit UmumUniversitas Muhammadiyah Malang dan untuk mengetahui siapakah aktor yang bertanggung jawab dalam melaksanakan model komunikasi alur dalam pelayanan pasien BPJS rawat jalan dan untuk mengetahui apa yang menjadi penghambat pelaksanaan model komunikasi sistem alur BPJS dalam upaya meningkatkan pengetahuan pelayanan pasien BPJS rawat jalan.Metode: Jenis penelitian yang digunakan adalah penelitian kualitatif, penelitian yang dimaksud adalah untuk mengumpulkan informasi status atau gejala yang ada yaitu keadaan menurut apa adanya pada saat penelitian dilakukan. Pendekatan kualitatifdigunakan untuk menjelaskan fenomena dengan aturan berfikir ilmiah yang diterapkan secara sistematis.Hasil: Hasil penelitian menunjukan bahwa Rumah Sakit Umum Universitas Muhammadiyah Malang dalam melayani pendaftaran pasien BPJS rawat jalan menggunakan model komunikasi interaksional dimana adanya timbal balik antara petugas dengan pasien BPJS rawat jalan. Rumah Sakit Umum Universitas Muhammadiyah Malang dalam penyelenggaran rekam medis khususnya di tempat pendaftaran pasien BPJS rawat jalan sudah menggunakan model komunikasi yang baik.Kesimpulan: Dimana setiap pasien yang belum mengetahui alur sistem BPJS petugas akan menjelaskan tentang alur sistem BPJS agar pasien paham dengan sistem alur BPJS tersebut karena tidak semua pasien yang menggunakan kartu BPJS mengetahui alur pendaftaran pasien BPJS rawat jalan.
ASURANSI BPJS TINJAUAN PELEPASAN INFORMASI REKAM MEDIS UNTUK KLAIM ASURANSI BPJS KESEHATAN DI RSUD KANJURUHAN KEPANJEN Miftachul Ulum
JRMIK Vol 4 No 1 (2023): JOURNAL OF MEDICAL RECORDS AND HEALTH INFORMATION
Publisher : Malang: Sekolah Tinggi Ilmu Administrasi Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58535/jrmik.v4i1.43

Abstract

Payment is a very important activity in a hospital. One way of payment of health care in hospital is BPJS of health. Issues contained in the release of medical record information for insurance claims BPJS of health in Kanjuruhan Kepanjen Hospital is not yet completed the requirements of the claims, especially the summary sheet and the sheet out the verification and dissemination SOP has been no release of medical record information for insurance claims BPJS of health. The research method in this study using descriptive research method. The results showed that participants BPJS of health insurance in the first quarter 2019 in Kanjuruhan Kepanjen Hospital is the highest number of patients with a percentage of 61% of the 3,553 inpatients. Problems that hinder the process of insurance claims is not yet complete BPJS claim requirements, especially the summary sheet out and verification with a percentage of 28.12% in January, 36.26% in February and 36.08% in March, another problem is the lack of socialization to the SOP involved in the release of medical record information primarily to the medical staff who are in the inpatient unit. Keywords: Insurance, BPJS of health, Release, Medical Record
PENERAPAN ERGONOMI PADA RUANG FILLING REKAM MEDIS DI KANJURUHAN KABUPATEN MALANG Ali Hanafiah; Nursela Maharani; Adi Santosa
JRMIK Vol 4 No 1 (2023): JOURNAL OF MEDICAL RECORDS AND HEALTH INFORMATION
Publisher : Malang: Sekolah Tinggi Ilmu Administrasi Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58535/jrmik.v4i1.46

Abstract

Background: Ergonomics is a science and technology, which1 seeks to harmonize1 methods, tools and the workenvironment to human abilities, so that1 humans can work optimally without the bad influence of their work inbalancing all facilities1 used both in activities and rest with human abilities both physically. as well as mentallyso as to make the overall quality of life better, from the demands of the task, work capacity from an ergonomicangle must always be in balance to achieve high work performance.Objective : This research was conducted at Kanjuruhan Hospital, Malang1 Regency. The purpose of this studywas to determine the application of ergonomics in the medical record filling room, to determine the supportingand inhibiting factors for the application of ergonomics to the filling room. Based on the existing ergonomicsKanjuruhan Hospital, Malang Regency. This type of research is descriptive research.Methods : The object of this research is objects that are in the medical record storage area such as lighting,completeness of work equipment, room temperature. Data collection techniques are documentation, directobservation, measurement. The data analysis used is descriptive data analysis.Results : The result of this study is that the application of ergonomics in the filling room has not been carriedout, the supporting and inhibiting factors can also affect the application of ergonomics if not addressedimmediately.Conclusion : This greatly affects the work performance of officers and the comfort in the storage area.Keywords : Ergonomic, Filling Room, Medical Records, Hospital
ANALISIS PEMANFAATAN TEMPAT TIDUR SELAMA MASA PANDEMI COVID-19 DI RUMAH SAKIT BAPTIS BATU Soraya; Dony Kristian; Epa Dwi Harianti
JRMIK Vol 4 No 1 (2023): JOURNAL OF MEDICAL RECORDS AND HEALTH INFORMATION
Publisher : Malang: Sekolah Tinggi Ilmu Administrasi Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58535/jrmik.v4i1.47

Abstract

Background: Since it was declared a national disaster outbreak in April 2020, based on the official government website, namely Covid19.go.id, up to April 30, 2021, there have been 1,668,368 positive people for Covid-19, 1,522,634 recovered and 45,521 people died. These service changes include changes in the flow of patient admissions both outpatients and inpatients according to health protocols where patients are required to wear masks, through screening procedures, and restrictions on visitors / patient waiters and even separation of services for Covid-19 and Non-Covid-19 patients. With these changes, hospitals need to develop strategies that are obtained based on reports of hospital efficiency indicators for managing the resources needed to deal with the Covid-19 Pandemic.Objective : This study aims to analyze the inpatient efficiency indicators at Batu Baptist Hospital in 2020 with the Barber Johnson approach, to find out the policies and strategies carried out by Batu Baptist Hospital in order to achieve inpatient efficiency indicators according to the standards set during the Covid-19 Pandemic.Methods : The research was carried out at Batu Baptist Hospital on June 28, 2021 to July 31, 2021. The Method research used descriptive research with quantitative and qualitative approaches.Results : The results showed that during the Covid-19 pandemic, Batu Baptist Hospital made a policy regarding the criteria for accepting Covid-19 patients based on regulations set by the government. The policy was made to adjust the ability of Batu Baptist Hospital in providing services for Covid-19 cases. In addition, the management of the Batu Baptist Hospital also established a policy on the use of personal protective equipment (PPE), a policy for determining the Inpatient Installation (IRNA) room, a Covid-19 safety and control policy aimed at the safety of patients, staff and the community around the Batu Baptist Hospital. Inpatient efficiency indicators for the January – December 2020 period, of the 4 (four) inpatient efficiency indicators only 1 (one) indicator is in accordance with the Indonesian Ministry of Health standards namely BTO 50.08 times, while the other 3 (three) indicators are still not in accordance with Indonesian Ministry of Health standards, with the achievement of BOR 41.90%, ALOS 2.85 days, TOI 4.25 days.Conclusion : During the Covid-19 pandemic, the hospital's strategy to overcome the decline in patient visits due to Covid-19 was based on efficiency indicator reports, the hospital had a marketing strategy by prioritizing marketing digitalization by utilizing social media owned by Batu Baptist Hospital.Keywords : Analysis, Bed, Covid-19 Pandemic
ANALISIS LAPORAN GRAFIK BARBER JOHNSON DALAM MENUNJANG PELAPORAN YANG EFEKTIF DAN EFISIEN DI RSUD KANJURUHAN KABUPATEN MALANG Mohammad Arief Rachman; Dhea Ratnasari Al-Rachmah; Femy Anggryani
JRMIK Vol 4 No 1 (2023): JOURNAL OF MEDICAL RECORDS AND HEALTH INFORMATION
Publisher : Malang: Sekolah Tinggi Ilmu Administrasi Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58535/jrmik.v4i1.48

Abstract

Background: Hospital reporting is a health service activity in a hospital that has the task of collecting data, processing data, and presenting data into information.Objective : The purpose of hospital reporting is to produce data or information quickly, precisely, andaccurately.Methods : This study uses a quantitative method with a descriptive approach. This study aims to analyze the use of the Barber Jhonson Graph report at Kanjuruan Hospital, Malang Regency, after analyzing that in the evaluation of the inpatient indicator report, the results of the Barber Jhonson graph did not refer to the results of the Barber Jhonson graph, due to lack of knowledge of the reporting section in making Barber Jhonson Graph.Results : Then from the analysis of Barber Johnson's data sources, namely the recapitulation of the inpatient census data and also the daily inpatient census, the calculation of the length of stay did not meet the specified standard. If the patient enters and leaves on the same day, the value is 1, but the calculation of the SIMRs at Kanuruan Hospital, the calculation of the length of time treated by patients entering and leaving on the same day is 0. If the calculation of the length of stay is not immediately justified, the data on the inpatient indicator report has not been said to be efficient. and also in using the results of the inpatient indicator report it is less effective if it does not display the Barber Johnson Graph. The results of the calculation of the inpatient census recapitulation data parameters, namely, BOR, ALOS, TOI, and BTO.Conclusion : The four parameters found BOR below the ideal number. Therefore, the suggestion that the researcher gives is the need for good team coordination between the medical recorder as part of data collection and management as well as the IT team as a supporter of data presentation. So as to produce reports of hospitalization indicators that are accurate and with integrity.Keywords : Barber Johnson, Inpatient, Hospital
PENERAPAN MANAJEMEN RISIKO DI UNIT KERJA RMIK: STUDI KASUS PADA TEMPAT PENDAFTARAN PASIEN RAWAT JALAN (TPPRJ) RUMAH SAKIT Zefan Adiputra Golo; Arief Azhari Ilyas; Isnaini Qoriatul Fadhilah; Sugiharto
JRMIK Vol 4 No 1 (2023): JOURNAL OF MEDICAL RECORDS AND HEALTH INFORMATION
Publisher : Malang: Sekolah Tinggi Ilmu Administrasi Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58535/jrmik.v4i1.49

Abstract

Background: TPPRJ as a leading unit that provides services to patients needs to minimize the risks and hazard that can be experienced by officers and patients. From a preliminary study at one of the local government hospitals in the Central Java region, it was found that at the outpatient registration point there was no Standar Procedur Operational (SPO) regarding risk management, so there was no standard set for risk control for officers and patients.Objective: The purpose of this study is to identify the application of risk management in the outpatient registration site (TPPRJ) of the hospital.Method: The type of research used in this study is qualitative descriptive with a case study design. The subjects of the study were 4 informants determined by purposive sampling techniques. Data collection through interviews and observationsResults: There are several risk factors in TPPRJ, namely from physical aspects (air temperature, lighting, radiation), biological aspects and ergonomic aspects. From the results of interviews and observations, it is known that the implementation of risk management in hospitals has been running, but it is still not optimal because it has not yet reached a comprehensive evaluation from the hospital's quality management.Conclusion: Risk management has been running but has not been maximized, because there is no SPO that specifically regulates risk management at TPPRJ. The risk management process that has been running is to identify risks, risk analysis and risk control.Keywords: Risk Management, RMIK Work Unit, TPPRJ
RANCANG BANGUN APLIKASI PELAYANAN KEBIDANAN BERBASIS WEB DENGAN METODE OOP (OBJECT ORIENTED PROGRAMMING) PADA PRAKTIK MANDIRI BIDAN NY.SARI Erlin Nur Fatma; Crismantoro Budi Saputro; Irmawati Mathar
JRMIK Vol 4 No 2 (2023): JOURNAL OF MEDICAL RECORDS AND HEALTH INFORMATION
Publisher : Malang: Sekolah Tinggi Ilmu Administrasi Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58535/jrmik.v4i2.52

Abstract

The application of Information Technology in the field of Health has penetrated the obstetric sector. Butin reality there are still obstetric practices that have not had a positive impact on advances ininformation technology, one of them is the Ny.Sari’s Obstetric Clinic which in its service activities stillapplies a manual system and often encounters obstacles such as the difficulty of finding old patientdata, obstetric care documentation that meets storage, and report recapitulation takes a long time. Thegoal of this research is to develop a web-based midwifery service application that is expected tofacilitate the activities of midwifery services in the independent practice of Ny.Sari’s Obstetric Clinicmore effectively. The method used is OOP (Object Oriented Programming) method with UML (Unifiedmodeling Language) modeling to design Use Case Diagrams, Activity Diagrams, Class Diagrams, andSequence Diagrams. The stages of using the SDLC (System Development Life Cycle) method start fromthe requirement analysis, design, development, implementation and testing. The web-based obstetricsservice application requirements consist of the actors requirement, functional requirement, and nonfunctionals requirement. The results of the design of obstetric service application are currently madeattractive user interface design to facilitate the operation and implemented in the form of a website thatconsists of login menu, Dashboard, patient menu, service menu, queue menu and report menu. Withthe application of this obstetric service, service activities at Ny.Sari’s obstetric clinic become easier andmore effective
ANALISIS DESKRIPTIF KINERJA PETUGAS PENDAFTARAN DAN DUPLIKASI PENOMORAN REKAM MEDIS DI RSUD dr.R.SOEDARSONO KOTA PASURUAN: KINERJA PETUGAS PENDAFTARAN DAN DUPLIKASI PENOMORAN REKAM MEDIS Maulia Yasmin; Fitria Rakhmawati; Titis Eka Gusti
JRMIK Vol 4 No 2 (2023): JOURNAL OF MEDICAL RECORDS AND HEALTH INFORMATION
Publisher : Malang: Sekolah Tinggi Ilmu Administrasi Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58535/jrmik.v4i2.54

Abstract

Angka kinerja petugas dan duplikasi penomoran rekam medis di Indonesia masih tergolong rendah. Salah satunya terjadi di RSUD dr.R.Soedarsono Kota Pasuruan. Dimana hasil studi pendahuluan menunjukkan bahwa selama empat bulan terakhir yaitu pada bulan Juli sampai bulan Oktober sebanyak 46 berkas rekam medis yang mengalami duplikasi dan untuk petugas pendaftaran masih banyak yang lulusan SMA. Tujuan penelitian ini untuk menganalisis kinerja petugas pendaftaran dan duplikasi penomoran rekam medis di Rumah Sakit Soedarsono Kota Pasuruan. Jenis penelitian adalah kuantitatif deskriptif dengan metode pendekatan studi retrospektif. Sampel penelitian ini berjumlah 148 berkas rekam medis pasien baru pada bulan Juli sampai Oktober dan 16 petugas pendaftaran. Teknik pengumpulan data menggunakan lembar kuesioner, wawancara, observasi dan analisis data menggunakan analisis univariat. Hasil penelitian menunjukkan kinerja petugas tidak baik 81,3% (13 petugas), dan baik 18,7% (3 petugas). Sedangkan duplikasi penomoran rekam medis 31,1% (46 berkas), dan tidak duplikasi 68,9% (102 berkas). Kesimpulan penelitian ini adalah kinerja petugas pendaftaran dan duplikasi penomoran rekam medis di RSUD dr.R.Soedarsono Kota Pasuruan masih cukup tinggi.
IMPLEMENTASI KOMUNIKASI EFEKTIF DALAM PENGISIAN GENERAL CONSENT DI TPP RSUD KABUPATEN JOMBANG Soraya Soraya; Hafiz Nayotama; Tri Murni
JRMIK Vol 4 No 2 (2023): JOURNAL OF MEDICAL RECORDS AND HEALTH INFORMATION
Publisher : Malang: Sekolah Tinggi Ilmu Administrasi Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58535/jrmik.v4i2.57

Abstract

Background: Effective communication is a communication that is able to produce attitude change in the people involvedin the communication. General Consent sheet is a consent sheet given to the patient or family after receiving a completeexplanation from the registration officer.Objective : The purpose of this study was to find out whether the officers at the Patient Registration Center had appliedeffective communication in explaining the content and purpose of the General Consent to patients.Methods : This type of research used a descriptive method with a quantitative approach. Researchers used data collectiontechniques with questionnaires which were distributed to 68 patients and 4 officers at TPP Jombang District Hospital.Results : The level of understanding of officers about the SOP for filling in General Consent only has a percentage of25%. The level of patient understanding of filling out the General Consent. related to filling in the Name on the GeneralConsent sheet has a percentage of 97%, filling in Medical Record Number Medical Record has a percentage of 88.2%,filling out a statement for payment has a percentage of 90%, filling in locqtion, date and time has a percentage of 85%,filling in a signature and clear name has a percentage of 88%, filling in the witness's signature has a percentage of 88%and finally the signature of witnesses from the patient's family has a percentage of 97%. The implementation of effectivecommunication between officers and patients in filling out General Consent was apparently has not optimal and onlyhad an average score below 50.Conclusion : From the results of the study, the researchers found that effective communication between staff andpatients at the TPP RSUD Jombang Regency had not been implemented properly. delivery of information or thoughtsregarding the patient's condition, medical and non-medical actions, treatment plans and the patient's rights andobligations while being treated or carrying out an examination at the hospital.
PENGARUH PEMANFAATAN APLIKASI GOOGLE FORM BAGI PETUGAS REKAM MEDIS UNTUK PELACAKAN ANTENATAL CARE TERHADAP WAKTU TUNGGU PELAYANAN RAWAT JALAN DI PUSKESMAS KEDUNG KANDANG KOTA MALANG femy anggryani; Melvianus Rato Mesang
JRMIK Vol 4 No 2 (2023): JOURNAL OF MEDICAL RECORDS AND HEALTH INFORMATION
Publisher : Malang: Sekolah Tinggi Ilmu Administrasi Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58535/jrmik.v4i2.58

Abstract

Storage of medical record files of pregnant women patients is carried out in the outpatient buildingwith a centralized storage system meaning that the outpatient and inpatient medical record files arestored together in the same storage area, while the examination of pregnant women is carried out in theinpatient building or emergency room which has a distance of about 100 meters to the north of theoutpatient street. This causes officers, namely doctors or midwives, to have difficulty getting oraccessing the patient's visit history plus the patient concerned does not bring identity or KIA book whenthere are pregnant women patients with old patient status visiting suddenly to the inpatient buildingat night. this research method uses quantitative methods The purpose of this study is to make it easierfor officers, in this case doctors or midwives, to be able to access pregnant women's patient history datausing the Google Form application. With this Google Form, officers can also minimize delays in serviceto patients because the medical record data of pregnant women patients can be accessed quickly viacellphones or laptops from officers in the MCH clinic. The benefits of using Google Form are not onlyfelt by patients through effective and efficient services, but will improve the quality of service from theKedungkandang Health Center because patients feel satisfied with the services provided. Systemquality (X1) has a positive effect on waiting time (Y). Based on the SPSS output table "Coefficients"above, it is known that the Significance value (Sig) of the system quality variable is 0.553. Because thevalue of Sig. 0.553> 0.05, it can be concluded that H1 is accepted and Ho is rejected. This means that thesignificant influence between system quality (X1) on waiting time (Y). system quality, informationquality, service quality simultaneously have a significant effect on waiting time Based on the SPSS"Anova" output table above, it is known that the Significance value (Sig) is 0.625>0.05, it can beconcluded that the hypothesis is rejected or in other words, system quality (X1), information quality(X2), and service quality (X3) simultaneously have a significant effect on waiting time (Y). systemquality, information quality.

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