Kesiapan Unit Rekam Medis Klinik dalam Menghadapi Akreditasi
Downloads
Background: First Level Clinic is a health facility that provides first-layer clinical services to the community. Efforts that can be made to improve the quality and safety of clinical services at the Pratama clinic are through accreditation. The medical record unit is part of the Pratama clinic support service unit included in the Pratama clinical accreditation assessment section. The readiness of medical record units needs to be assessed to see what documents and implementations do not yet exist and are done. Identification of readiness of Clinic X medical
record unit accreditation was carried out two years earlier in 2015.
Aims: The purpose of this study was to determine the continuity of readiness of medical record unit accreditation
in 2018.
Method: This study was an observational descriptive study using a cross-sectional design. Data collection was carried out through observation and interviews with medical record officers., Analysis was done by comparing the prediction of Clinic X medical record unit accreditation readiness scores between 2015 and 2018.
Results: The result showed that the prediction score increased from 41.7% in 2015 to 65.8% in 2018. The comparison of readiness for accreditation can be used as an evaluation to complement the needs of documents that do not yet exist and procedures that have not been implemented.
Conclusion: The clinic has not been accredited because most of the elements being evaluated were the incomplete supporting documents. The clinic can make a framework, determine the method, and analyze the instruments based on the suitable method.
Keywords: accreditation, medical record, primary clinic
Anggraeny, P. A., & Ernawaty. (2016). Kesiapan pusat layanan kesehatan (PLK) B Unair menghadapi akreditasi klinik pratama. Jurnal Administrasi Kesehatan Indonesia, 4(2), 146–154.
Dasilveira, R. (2002). International Accreditation Standards for Healthcare Organizations. Mycological Research, 106(11), 1323–1330. Retrieved from http://www.mz.gov.si/fileadmin/mz.gov.si/pageuploads/kakovost/standardi/AACI_Set_of_Standards_for_Healthcare_organizations_V4.1_Final_.pdf
El-Jardali, F. et al. (2014) ‘The impact of accreditation of primary healthcare centers: successes, challenges and policy implications as perceived by healthcare providers and directors in Lebanon', BMC Health Services Research, 14(86), pp. 1–10. Available at: https://bmchealthservres.biomedcentral.com/track/pdf/10.1186/1472-6963-14-86.
Haj-Ali, W., Karroum, L. B., Natafgi, N., & Kassak, K. (2014). Exploring the relationship between accreditation and patient satisfaction – the case of selected Lebanese hospitals. International Journal of Health Policy and Management, 3(6), 341–346. https://doi.org/https://doi.org/10.15171/ijhpm.2014.116
Kemenkes RI. (2014). Pedoman penyusunan dokumen akreditasi. Jakarta: Direktorat Jenderal Bina Upaya Kesehatan.
O'Beirne, M., Karen, Z., Sterling, P. D., Lait, J., Robertson, H. L., & Oelke, N. D. (2013). The status of accreditation in primary care. Quality in Primary Care, 21, 23–31.
Pelayanan Kesehatan (2015) Peraturan Menteri Kesehatan Nomor 46 Tahun 2015 tentang Akreditasi Puskesmas, Klinik Pratama, Tempat Praktek Mandiri Dokter, dan Tempat Praktek Mandiri Dokter Gigi. Indonesia. Available at: http://www.yankes.kemkes.go.id/assets/downloads/PMK No. 46 ttg Akreditasi Puskesmas, Klinik Pratama, Tempat Praktik Mandiri Dokter dan Dokter Gigi.pdf.
Pujilestari, A., Darnoto, S. and Kurniawan NP, A. (2016) Pelaksanaan Penyimpanan Berkas Rekam Medis Berdasarkan Unsur Manajemen 5m Di RSKIA Permata Bunda Yogyakarta. Universitas Muhammadiyah Surakarta.
Shaw, C. D., Groene, O., Botje, D., & Sunol, R. (2014). The TEMPeffect of certification and accreditation on quality management in 4 clinical services in 73 Europea hospitals, 26(March), 100–107.
Sjamsuhidajat. (2006). Manual Rekam Medis. (Sjamjuhidajat & S. Alwy, Eds.). Jakarta: Konsil Kedokteran Indonesia.
1. As an author you (or your employer or institution) may do the following:
- make copies (print or electronic) of the article for your own personal use, including for your own classroom teaching use;
- make copies and distribute such copies (including through e-mail) of the article to research colleagues, for the personal use by such colleagues (but not commercially or systematically, e.g. via an e-mail list or list server);
- present the article at a meeting or conference and to distribute copies of the article to the delegates attending such meeting;
- for your employer, if the article is a ‘work for hire', made within the scope of your employment, your employer may use all or part of the information in the article for other intra-company use (e.g. training);
- retain patent and trademark rights and rights to any process, procedure, or article of manufacture described in the article;
- include the article in full or in part in a thesis or dissertation (provided that this is not to be published commercially);
- use the article or any part thereof in a printed compilation of your works, such as collected writings or lecture notes (subsequent to publication of the article in the journal); and prepare other derivative works, to extend the article into book-length form, or to otherwise re-use portions or excerpts in other works, with full acknowledgement of its original publication in the journal;
- may reproduce or authorize others to reproduce the article, material extracted from the article, or derivative works for the author's personal use or for company use, provided that the source and the copyright notice are indicated.
All copies, print or electronic, or other use of the paper or article must include the appropriate bibliographic citation for the article's publication in the journal.
2. Requests from third parties
Although authors are permitted to re-use all or portions of the article in other works, this does not include granting third-party requests for reprinting, republishing, or other types of re-use.
3. Author Online Use
- Personal Servers. Authors and/or their employers shall have the right to post the accepted version of articles pre-print version of the article, or revised personal version of the final text of the article (to reflect changes made in the peer review and editing process) on their own personal servers or the servers of their institutions or employers without permission from JAKI;
- Classroom or Internal Training Use. An author is expressly permitted to post any portion of the accepted version of his/her own articles on the author's personal web site or the servers of the author's institution or company in connection with the author's teaching, training, or work responsibilities, provided that the appropriate copyright, credit, and reuse notices appear prominently with the posted material. Examples of permitted uses are lecture materials, course packs, e-reserves, conference presentations, or in-house training courses;
