Linda Widyaningrum, Hanggargita Nur Wahyuningsih, Astri Sri Wariyanti
{"title":"Keakuratan Kode Kombinasi Dokumen Rekam Medis Pasien Rawat Inap Jaminan Kesehatan Nasional Di Rumah Sakit Umum Daerah Pandan Arang Boyolali","authors":"Linda Widyaningrum, Hanggargita Nur Wahyuningsih, Astri Sri Wariyanti","doi":"10.47701/infokes.v12i1.1362","DOIUrl":"https://doi.org/10.47701/infokes.v12i1.1362","url":null,"abstract":"Coding is an important role in the implementation of health financing for the National Health Insurance. Implementation of the provision of diagnostic codes in health services must pay attention to coding rules to produce accurate data and information. This study aims to determine the accuracy of the combined category code of medical record documents for inpatients with national health insurance at Pandan Arang Hospital Boyolali. \u0000 Method of non-experimental research with descriptive analysis. The approach used is retrospective with observation and interview data collection. The sample used was 98 national health insurance inpatient medical records using purposive random sampling technique with inclusion and exclusion criteria. \u0000 The procedure for assigning a diagnostic code to the combination category is in accordance with the existing SOP. The accuracy of the diagnostic code for the combination category is 64% (63 documents) and 36% (35 documents) is not accurate due to an error in code selection (35 documents). The factors causing the inaccuracy of the diagnostic code for the combination category based on ICD-10 are medical personnel, medical record personnel (coder) and code selection errors. \u0000 Researchers suggest that hospitals should make standard operating procedures to doctors regarding writing diagnoses with complete medical information this will minimize errors in coding combination categories. Coding officers should look at the results of supporting examinations and patient progress records in order to provide an accurate diagnosis of the code.","PeriodicalId":436974,"journal":{"name":"Infokes: Jurnal Ilmiah Rekam Medis dan Informatika Kesehatan","volume":"70 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124453669","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Analisis Kepuasan Pasien Terhadap Sistem Pendaftaran Rawat Jalan Online di RSUP Dr. Sardjito Yogyakarta","authors":"Prajna Pramitha Purba","doi":"10.47701/infokes.v12i1.1307","DOIUrl":"https://doi.org/10.47701/infokes.v12i1.1307","url":null,"abstract":"Anjungan Pendaftaran Mandiri (APM) is an online-based registration system for outpatient at Dr.Sardjito hospital Yogyakarta, reservation for outpatient can be made at least 30 days before the check-up day or a maximum of one day before the check-up day. Although the implementation of the APM system helps patients a lot, there are still many lack from system that felt bt users. The aim of this study was to analyze the patient satisfaction of the APM system users. The method used to measure satisfaction was End User Computing Satisfaction (EUCS) with 5 measurement dimentions (content, accurancy, format, timeliness, and ease of use). The results of the overall mean on 5 dimentions show 2,41 with dissatisfied interpretation, these results also are supported by the interviews conducted on respondents showing that there are still many features and performances of the APM system that need to be improved.","PeriodicalId":436974,"journal":{"name":"Infokes: Jurnal Ilmiah Rekam Medis dan Informatika Kesehatan","volume":"47 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125200711","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ririn Afrima Yenni, Linda Handayuni, Dewi Mardiawati, Berly Nisa Srimayarti, Detep Kemalasari
{"title":"Analisis Pelaksanaan Ketidaktepatan Penyimpanan Rekam Medis Pada Bagian Filing di Rumah Sakit","authors":"Ririn Afrima Yenni, Linda Handayuni, Dewi Mardiawati, Berly Nisa Srimayarti, Detep Kemalasari","doi":"10.47701/infokes.v12i1.1310","DOIUrl":"https://doi.org/10.47701/infokes.v12i1.1310","url":null,"abstract":"Filling is where outpatient, inpatient and emergency medical records are kept in view of the fact that they are confidential and have a legitimate angle. The motivation behind this investigation is to describe medical records that are not properly placed, lack of storage rack facilities, workload of filling officers and describe the education level of medical record officers. The method used is a literature study by conducting a descriptive analysis by describing the facts that are then analyzed, looking for similarities (Compare), dissimilarities (contrast), views (critize), comparisons (syntheyze) and a summary (summarize) of several studies. This is because the tracer is not used on the storage rack, as well as the lack of facilities and infrastructure such as storage racks and very small storage space. There are officers who have double jobs and the level of education of officers. high school educated. Suggestions from this study are that it is advisable to carry out medical record storage using a tracer, must add medical record officers who are stored so that there is no double job officer and the hospital puts an officer with D3 medical record education in the storage room.","PeriodicalId":436974,"journal":{"name":"Infokes: Jurnal Ilmiah Rekam Medis dan Informatika Kesehatan","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130836598","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mohammad Imam, Sustin Farlinda, Feby Erawantini, Niyatul Muna
{"title":"Perancangan dan Pembuatan Aplikasi Retensi dan Pemusnahan Berkas Rekam Medis Di Rsud Dr. H. Moch. Ansari Saleh Banjarmasin","authors":"Mohammad Imam, Sustin Farlinda, Feby Erawantini, Niyatul Muna","doi":"10.47701/infokes.v11i2.1302","DOIUrl":"https://doi.org/10.47701/infokes.v11i2.1302","url":null,"abstract":"One of the hospitals that have carried out retention and destruction activities is Dr. H. Moch. Ansari Saleh Banjarmasin. The retention and destruction of medical records are still done manually. This research’s purpose by design and create a retention and extermination application of medical records file. This type of research uses qualitative research with the development of the waterfall model system. Data collection includes interviews, observation, FGD, and documentation. The results of the study are functional and non-functional system requirements for making retention and destruction applications, based on the results of the FGD to the medical record filling staff and the head of the medical record unit. The results of the requirements that have been obtained are interpreted in the design of systems and software made through flowchart systems, context diagrams, data flow diagrams (DFD), and entity-relationship diagrams (ERD). The implementation process and unit test use the MySQL database and the PHP programming language and the interface design uses the Codeigniter Framework. The application system integration test uses the functional test of the Black Box Test method with a 100% system trial success rate. . The results of this functional test indicate that the retention and destruction applications can be integrated and function properly with innovations in the form of an annual import database feature, a feature for retention and destruction reports, and storage of scanned files in pdf format. The existence of this application can help the implementation of retention and destruction of medical record files at Dr. H. Moch. Ansari Saleh Banjarmasin has become more effective and efficient in terms of time, use value, and data security.","PeriodicalId":436974,"journal":{"name":"Infokes: Jurnal Ilmiah Rekam Medis dan Informatika Kesehatan","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122595810","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mei Riauly Wira, Petri Lumban Gaol, Boyke Marthin Simbolon
{"title":"Uji Efek Analgesik Ekstrak Buah Andaliman (Zanthoxylum Acanthopodium) Terhadap Nyeri Pada Mencit (Mus Musculus) Yang Diinduksi Asam Asetat","authors":"Mei Riauly Wira, Petri Lumban Gaol, Boyke Marthin Simbolon","doi":"10.47701/infokes.v11i2.1299","DOIUrl":"https://doi.org/10.47701/infokes.v11i2.1299","url":null,"abstract":"Pain is an unpleasant sensory and emotional experience which is the result of stimulus by damaged tissue or chemical mediators which can be experienced by range of intensity, quality, duration, distribution and location. Pain can be resolved pharmacologically by non-opioid (NSAID, salicylates) or opioid (morphine) drugs. Alternatively, pain also can be resolved by non-pharmacological intervention such as hot/cold compress, TENS, behavior therapy, or relaxation therapy. Andaliman (Zanthoxylum acanthopodium), generally used as spices in North Sumatera, also can be utilized as pain killer (analgesic). Objective: To determine the effectivity of Andaliman fruit extract (Zanthoxylum acanthopodium) as analgesic in mice (Mus muscular). Methods: This research is an experimental study with posttest only control group design. Experiment conducted to the mice by using 1% acetate acid to induce pain and then intervened by using mefenamic acid or Andaliman fruit extract in different doses and followed by observation of the pain response for 60 minutes with 5 minutes intervals between observation. Result: Andaliman fruit extract in the dose of 100 mg/kgBW, 200 mg/kgBW, and 400 mg/kgBW have analgetic effectivity more than 50% compared to mefenamic acid with effectivity of 93,16%, 89,21%, and 112,01% respectively. Conclusion: Andaliman fruit extract is an effective analgesic.","PeriodicalId":436974,"journal":{"name":"Infokes: Jurnal Ilmiah Rekam Medis dan Informatika Kesehatan","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129576338","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Analisis Sarana Dan Prasarana Pada Ruang Filing Terhadap Keamanan Berkas Rekam Medis Di Puskesmas Wadaslintang 1","authors":"Anis Nurhaliza","doi":"10.47701/infokes.v11i2.1298","DOIUrl":"https://doi.org/10.47701/infokes.v11i2.1298","url":null,"abstract":"Security and privacy are very inportant factors in the administration of clinical record just as secyrity in the capacity room.The documenting room is one of the significant perspectives in the puskesmas or clinic, particularly clinical records,the kind of exploration utilized is expressive subjective research,which is an examination technique completed with the principle point of making an elucidating or enlightening of a circumstance unbiasedly by gathering information throught perception and quetonnaire methods.The subjects in this review were clinical record officials at the wadaslintang 1 distribute wellbeing focus by giving a few questionnare. there are a few deficiencies in the documenting room at the Wadaslintang 1 wellbeing community including, , there is no cctv to screen the documenting room, there is no cooling to control the room temperature in the occupying room, the racks are too thin with the goal that clinical records are some of the time hard to get in and out of the recording rack. The reason for this review is to manage what offices and framework ought to be contained in the documenting room of the Wadaslintang Wellbeing Center 1. This exploration is subjective utilizing the perception technique. wadaslintang 1 wellbeing community as per the guidelines of the Pastor of Wellbeing R1.","PeriodicalId":436974,"journal":{"name":"Infokes: Jurnal Ilmiah Rekam Medis dan Informatika Kesehatan","volume":"76 5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128071431","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Komputerisasi Sistem Informasi Keanggotaan DPC PORMIKI Solo (SIKPOSO) Berbasis Android","authors":"Resia Perwirani, Andi Yulianto","doi":"10.47701/infokes.v11i2.1296","DOIUrl":"https://doi.org/10.47701/infokes.v11i2.1296","url":null,"abstract":"The Solo branch of the Indonesian Association of Medical Recorders and Health Information Professionals (PORMIKI) serves various kinds of correspondence requests from members. Services that are done manually cause the service to be slow. With a well-developed information system, it is hoped that the membership service process will be faster and easier. PORMIKI Solo Membership Information System (SIKPOSO), is an information system in the form of a mobile application with the Android operating system. The form of the mobile application was chosen considering the ease of access for members of PORMIKI (Indonesian Association of Medical Recorders and Health Information Professionals). The design of SIKPOSO includes the preparation of Flowcharts, Use Case Diagrams, Entity Relationship Diagrams, Data Flow Diagrams, Activity Diagrams, Wireframes, and User Interfaces as a reference for developing membership systems that currently do not exist. The method used in the development of this system is the Prototyping method. \u0000SIKPOSO is designed to provide 6 service menus, as Request for recommendation of Practice License (SIK), Request for Membership Mutation Letter, Virtual Member Card (KTA), Membership Information, Annual Fee Information and Event Information. Evaluation of the SIKPOSO design was carried out using the SUS (System Usability Scale) questionnaire, getting the final score of 77 indicating that SIKPOSO is on a B grade, have a good rating and can be accepted by user for further development.","PeriodicalId":436974,"journal":{"name":"Infokes: Jurnal Ilmiah Rekam Medis dan Informatika Kesehatan","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128037110","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nopita Cahyaningrum, Yeni Tri Utami, Eni Nur Rahmawati, Bayu Suryo Nagoro
{"title":"Kebutuhan Tenaga Kerja Bagian Filing Berdasarkan Metode ABK Kes di RSUD dr. Moewardi","authors":"Nopita Cahyaningrum, Yeni Tri Utami, Eni Nur Rahmawati, Bayu Suryo Nagoro","doi":"10.47701/infokes.v11i2.1295","DOIUrl":"https://doi.org/10.47701/infokes.v11i2.1295","url":null,"abstract":"Healthcare Workload Analysis is a method of calculating human resource needs based on the workload carried out by each type of healthcare workers according to their main duties and functions. Dr. Moewardi Hospital is a type A hospital that has 7 medical record employees in the filing department and has an increasing trend of patient visits every year. As a result, the workload of employees has increased. This study aims to determine the need for workers in the filing section based on the Healthcare Workload Analysis method. This is descriptive research. Data collection methods employed in this study are observation and interview. The population of this study is all workers in the filing section. Total sampling technique is used to take the samples. The result of this study shows that the public hospital as a healthcare facility with medical record employees in the filing department has available working time is 75,240 minutes/year, standard workload is 2,128,256, FTP value is 1.04% and STP value is 1.01 and workers needed in the filing department in 2020, calculated using the Healthcare Workload Analysis, is 9 workers. The conclusion of this study is that the need for workers in the filing section is 9 workers, while now there are 7 workers there. So that it requires additional workers. The author suggests that it is necessary to hire 2 more workers in the filing section so that the employees’ workload is not excessive and all jobs in this section can be done properly.","PeriodicalId":436974,"journal":{"name":"Infokes: Jurnal Ilmiah Rekam Medis dan Informatika Kesehatan","volume":"82 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116474084","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Literature Review – Analisis Faktor Ketidaklengkapan Pengisian Resume Medis Pasien Rawat Inap","authors":"Oky Hermawan Saputra","doi":"10.47701/infokes.v11i2.1301","DOIUrl":"https://doi.org/10.47701/infokes.v11i2.1301","url":null,"abstract":"Medical resume is a summary of the entire period of care and treatment performed by health workers to patients. An incomplete medical resume will have an impact on detailed information about what happened during the time the patient was hospitalized so that it will also have an impact on the quality of the medical record itself and the services provided by the hospital. This study is a literature review study which aims to analyze the factors that cause incomplete filling of inpatient medical resumes. The type of research using literature review from 16 articles included 1 article quantitative, 7 descriptive articles, 7 quantitative descriptive articles, 1 quantitative qualitative article.The causes of incompleteness in filling out medical resumes that were found included inadequate accuracy and discipline of officers, lack of knowledge of officers, poor attitude of officers, immature age of officers, types of medical personnel expertise that did not match patients when filling out medical resumes, the working period is still small, the employment status is not right, the number of officers is insufficient, the facilities are not maximal, the infrastructure is inadequate, the absence of Standard Operating Procedures (SOP) regarding filling out medical resumes, the absence of rewards and punishments, the socialization of policies and regulations has not optimal and the job description is not clear. Efforts that can be made are training, socialization and periodic monitoring, calculating workloads, creating separate spaces for processing medical records and making SOPs for filling out medical resumes.","PeriodicalId":436974,"journal":{"name":"Infokes: Jurnal Ilmiah Rekam Medis dan Informatika Kesehatan","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122447815","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Analisis Akses Informasi Kesehatan Dalam Memperoleh Pelayanan Kesehatan TB Paru Di Puskesmas Ngoresan, Jebres, Kota Surakarta","authors":"Oliva Virvizat Prasastin, Frieda Ani Noor","doi":"10.47701/infokes.v11i2.1300","DOIUrl":"https://doi.org/10.47701/infokes.v11i2.1300","url":null,"abstract":"Background: Incidence case of Tuberculosis (TB) still ranks first in the classification of infectious diseases at several health centers in Surakarta for the last 4 years. Meanwhile, in the last 4 years, efforts have been made to improve pulmonary TB health services, starting from case detection, access to services and treatment. The health centers that have the highest cases of pulmonary TB disease in Surakarta over the last 5 years include the Ngoresan Health Center (2018), Sangkrah Health Center (2017), Pajang Health Center (2016) and Banyuanyar Health Center (2015). Objectives: This study aims to analyze access of health information related to health services obtained by patients with pulmonary TB at Ngoresan Health Center, Jebres, Surakarta City. Methods: This research method uses a cross-sectional research design by filling out questionnaires on a research sample of 30 respondents. Result: Factors related to access of health information to obtaining Pulmonary TB Health Services at Ngoresan Health Center, Jebres Surakarta City are availability of health information, communication with health workers, transportation, family support and knowledge. Conclusion: the availability of health information, communication with health workers, transportation, family support and knowledge are affected by access of health information to obtaining pulmonary TB health services at Ngoresan Health Center, Jebres, Surakarta City.","PeriodicalId":436974,"journal":{"name":"Infokes: Jurnal Ilmiah Rekam Medis dan Informatika Kesehatan","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122317688","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}