Assessment of the Documentation Information System for Primary Health Care Accreditation Using Six Sigma Method in Bekasi, West Java

Abstract

Background: Accreditation is a method used to improve and measure the quality of health service. Documentation information system is a basic accreditation assessment in primary health care. However, it has some barriers to implement, which reduced its quality. Six sigma is a management tool that may be used to improve the quality of documentation information system. This study aimed to assess the documentation information system for primary health care accreditation using six sigma method. Subjects and Method: This was a qualitative study conducted at Bekasi District Health Office, Bekasi, West Java, from July to August 2019. A sample of 7 informants was selected for this study by purposive sampling, including 1 manager of the quality of health service and accreditation, 3 accreditation companions, 3 representatives from accreditation working group. The data were obtained from in-depth interview and document review. The data were analyzed using six sigma method with 5 stages namely DMAIC (define, measure, analyze, improve, control), Results: The six sigma included: (1) Defineclarified objective and test the benefit of each process, determine the resources needed, and the impact they cause; (2) Measure-measuring the performance by explaining it through process metric; (3) Analyzeanalyze the main causes in the process by using cause and effect diagram; (4) Improveproposed improvement to overcome the problem. This study was carried out only at the improve stage. Man, Money, Method, and Material were associated with the quality of documentation information system in primary health. Conclusion: The method of documentation is significant factor that associated with the quality of documentation information system.