ANALYSIS OF MANAGEMENT ELEMENTS AND MEDICAL RECORD PROCESSING SYSTEM AT BHAYANGKARA HOSPITAL PEKANBARU
Introduction: Processing of medical records in hospitals is to support the achievement of administrative order in order to achieve the goals of the hospital, namely improving the quality of health services in hospitals. The results of preliminary observations in processing medical record files at Bhayangkara Hospital were that there were several obstacles including the not yet done assembling, indexing and analyzing medical records and delays in returning medical record files. The aim this study was to determine the elements of man, money, methods, materials, machines in the medical record processing system at Bhayangkara Hospital to improve the quality of medical record services at the hospital. Methods: Qualitative Research and informants: This study amounted to eight people. The number of human resources is insufficient and have never attended training. Standard operating procedures have never been socialized and existing policies need improvement. Result: Coding activities are often constrained by doctors' writing and completeness of diagnoses and medical actions. Retrieval activities are often constrained by medical record files that are still in the inpatient room and in the case mix room. Conclusion: Overall from the research results, the implementation of medical record processing is not appropriate and must be regulated according to existing guidelines in order to produce medical records that are accurate, readily available, usable, easy to trace back and have complete information so as to create quality information and it is recommended to use electronic medical records.
Ady, F. and Wijono, D. (2013) ‘Pengaruh Motivasi Kerja terhadap Kinerja Karyawan', Jurnal Maksipreneur: Manajemen, Koperasi, dan Entrepreneurship. doi: 10.30588/jmp.v2i2.278.
Aryanto, R. and Fransiska, M. (2012) ‘The Role of Government Assistance to Generate Competitive Leadership, Commitment, Motivation, Innovation, Environment and its Impact on the Performance of TenunCual Union Industry Cluster in Bangka Belitung Province', Procedia - Social and Behavioral Sciences. doi: 10.1016/j.sbspro.2012.11.106.
Asmono and Dwi, M. (2014) ‘Faktor-Faktor Penyebab dan Dampak Tidak Menggunakan Tracer di Bagian Penyimpanan Berkas Rekam Medis Rumah Sakit Dr Yap Yogyakarta', Tracer Rekam Medis.
Astuti, R. and Anunggra, D. I. (2013) ‘Faktor-Faktor penyebab Terjadinya Missfile di Bagian Filing Rumah Sakit Umum Daerah Banyumas Tahun 2013', Penelitian Ilmiah. Juni.
Budi and Citra, S. (2011) Manajemen Unit Kerja Rekam Medis, Quantum Sinergis Media.
Department of Health (2009) ‘Undang-Undang Nomor 36 Tahun 2009', Undang- undang Nomor 36 Tahun 2009.
Fitri, R. R. (2018) Analisis Faktor Penyebab Kejadian Missfile Bagian Filing di Puskesmas Kencong Kabupaten Jember Tahun 2017, Politeknik Negeri Jember.
Giyana, F. (2012) ‘Analisis Sistem Pengelolaan Rekam Medis Rawat Inap Rumah Sakit Umum Daerah Kota Semarang', Jurnal Kesehatan Masyarakat Universitas Diponegoro, 1(2), p. 18739.
Hakam, F. and Alis Setiyadi, N. (2014) ‘Pengembangan Sistim Pencatatan dan Pelaporan data di Klinik Muhammadiyah Medical Center', Jurnal Kesehatan Masyarakat Andalas. doi: 10.24893/jkma.8.2.67-71.2014.
Hanggraeni, D. (2014) ‘Manajemen Risiko Perusahaan (Enterprise Risk Management) dan Good Corporate Governance', Penerbit Universitas Indonesia.
Hubaybah (2018) ‘Analisis Manajemen Pengelolaan Sistem Rekam Medik Pada Puskesmas Paal X kota Jambi', Jurnal Kesmas Jambi (jkmj), 2(2), pp. 1–7.
Kurniadi, A. and Pratiwi, R. (2017) ‘Patient Clinical Data Integration in Integrated Electronic Medical Record System for Health Care Facilities in Indonesia', Jurnal Kesehatan Masyarakat, 13(2), pp. 239–246. doi: 10.15294/kemas.v13i2.8103.
Lily Kresnowati, D. E. (2013) ‘Analisis Faktor-Faktor Yang Mempengaruhi Akurasi Koding Diagnosis Dan Prosedur Medis Pada Dokumen Rekam Medis Di Rumah Sakit Kota Semarang', Laporan Akhir Penelitian Dosen Pemula Administrasi Rumah Sakit.
Maha Wirajaya, M. K. and Made Umi Kartika Dewi, N. (2020) ‘Analisis Kesiapan Rumah Sakit Dharma Kerti Tabanan Menerapkan Rekam Medis Elektronik', Jurnal Kesehatan Vokasional, 5(1), p. 1. doi: 10.22146/jkesvo.53017.
Ministry of Health of the Republic of Indonesia (2006) ‘Pedoman Penyelenggaraan dan Prosedur Rekam Medis Rumah Sakit di Indonesia', Deirektorat Jendral Bina Pelayanan Medik.
Ministry of Health of the Republic of Indonesia (2007) ‘Keputusan Menteri Kesehatan Republik Indonesia Nomor 377/ Menkes/ SK/ III/ 2007 Tentang Standar Profesi Perekam Medis dan Informatika Kesehatan', Keputusan Menteri Kesehatan Republik Indonesia Nomor 377/ Menkes/ SK/ III/ 2007 Tentang Standar Profesi Perekam Medis dan Informatika Kesehatan.
Newig, J. and Koontz, T. M. (2014) ‘Multi-level governance, policy implementation and participation: The EU's mandated participatory planning approach to implementing environmental policy', Journal of European Public Policy. doi: 10.1080/13501763.2013.834070.
Nuraini, N. (2015) ‘Analisis Sistem Penyelenggaraan Rekam Medis di Instalasi Rekam Medis RS " X ” Tangerang Periode April-Mei 2015', 1, pp. 147–158.
Pepo et al. (2015) ‘Kelengkapan penulisan diagnosa pada Resume Medis Terhadap Ketepatan Pengkodean Klinis Kasus Kebidanan', Jurnal Manajemen Informasi Kesehatan Indonesia. doi: 10.33560/.v3i2.88.
President of the Republic of Indonesia (2009) ‘UU RI momor 44 tahun 2009 tentang rumah sakit', Jakarta. doi: 10.1017/CBO9781107415324.004.
President of the Republic of Indonesia (2009) ‘UU RI No 36 Tentang Kesehatan', UU RI No 36 2009.
Pri et al. (2014) ‘Grhasia Yogyakarta', pp. 22–30.
Provost, F. and Fawcett, T. (2013) ‘Data Science and its Relationship to Big Data and Data-Driven Decision Making', Big Data. doi: 10.1089/big.2013.1508.
Pujihastuti et al. (2014) ‘Hubungan kelengkapan Informasi dengan Keakuratan Kode Diadnosis dan Tindakan pada Dokumen Rekam Medis Rawat Inap', Jurnal Manajemen Informasi Kesehatan Indonesia. doi: 10.33560/.v2i2.25.
Rakhmawati, F. and Rustiyanto, E. (2016) ‘Analisis Kebutuhan Petugas Rekam Medis Berdasarkan Beban Kerja di Instalasi Rekam Medis RS Aisyiah Muntilan', Jurnal Kesehatan Vokasional. doi: 10.22146/jkesvo.27446.
Ritonga et al. (2018) ‘Analisa Kebutuhan Rak Penyimpanan Berkas Rekam Medis Rawat Jalan Di Rumah Sakit Umum Madani Medan', Jurnal Ilmiah Rekam Medis dan Informasi Kesehatan.
Rudy J, M. and Calvin, L. (2014) ‘Tingkat Akurasi Kodefikasi Morbiditas Rawat Inap Guna Menunjang Akurasi Pelaporan di Bagian Rekam Medis Rumah Sakit Cahya Kawaluyan', in Jurnal Kesehatan ‘Caring and Enthusiasm' No. 1 Vol. 2 April 2014 - ISSN : 977-2338-7823-01.
Rustiyanto, E. (2010) ‘Statistik Rumah Sakit Untuk Pengambilan Keputusan', Yogyakarta: Graha Ilmu.
Sam, R. et al. (2013) ‘PENDAHULUAN Rekam medis menurut Permenkes no . 269 / MENKES / PER / III / 2008 merupakan berkas yang berisikan catatan dan dokumen tentang identitas pasien , kelengkapan ( assembling ), pengkodean penyakit dan tindakan medis ( coding ), serta tabulasi ( i', pp. 15–35.
Tanjung, I. and Sukrianto, D. (2017) ‘Perancangan Sistem Informasi Rekam Medis Terpadu Dalam Upaya Meningkatkan Pelayanan Rumah Sakit Jiwa Tampan Prov. Riau', Jurnal Intra-Tech.
Ulfa, H. M. (2018) ‘Analisis Unsur Manajemen dalam Pengolahan Rekam Medis di Rumah Sakit TNI AU Lanud Roesmin Nurjadin', KESMARS: Jurnal Kesehatan Masyarakat, Manajemen dan Administrasi Rumah Sakit. doi: 10.31539/kesmars.v1i1.146.
Copyright (c) 2022 The Indonesian Journal of Public Health
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
- The authors agree to transfer the transfer copyright of the article to The Indonesian Journal of Public Health effective if and when the paper is accepted for publication.
- Authors and other parties are bound to the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License for the published articles, legal formal aspect of journal publication accessibility refers to Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License (CC BY-NC-SA), implies that:
- Attribution ” You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- NonCommercial ” You may not use the material for commercial purposes.
- ShareAlike ” If you remix, transform, or build upon the material, you must distribute your contributions under the same license as the original.
