scholarly journals ANALYSIS CLAIM BPJS REVIEW FROM COMPLETENESS OF MEDICAL RECORD DOCUMENTS AND ACCURACY DIAGNOSIS CODES IN RSUD. dr. ISKAK TULUNGAGUNG

2018 ◽  
Vol 1 (1) ◽  
pp. 1-12
Author(s):  
Sukiatun Sukiatun
Keyword(s):  
Logistic Regression ◽  
Medical Record ◽  
Medical Records ◽  
Sampling Technique ◽  
Significance Level ◽  
Diagnostic Codes ◽  
Diagnosis Codes ◽  
Study Population ◽  
Diagnosis Accuracy ◽  
The Cost

Hospitals to document incomplete information, it is possible that the diagnostic codes are also inaccurate and have an impact on the cost of health services. The inaccuracies of the diagnostic codes and the completeness of the medical record will affect data and report information that ultimately affects the patient. The objective of the research was to analyze the BPJS Claim in terms of Document Record and Document Diagnosis Accuracy at RSUD dr. Iskak Tulungagung. The research design used was observational analysis. The study population was All Medical Record Document Inpatient BPJS patients in RSUD dr. Iskak Tulungagung. The sample size ware 140 by using systematic random sampling technique. Independent variable of research is Document Record and Document Diagnosis Accuracy. The dependent variable was BPJS Claims. Data was collected using Check list, then the data were analyzed using logistic regression with a significance level of α ≤ 0.05. The result showed that have the most medical record documents are incomplete resume as many as 52,1%, most have anaaccurate diagnosis code as much as 58,6% and the majority of escape document claims after verification by BPJS officials as many as 78,6%. Results logistic regression analysis obtained by vulue off overall statistics (p) 0,794, which means that documents medical records and the accuracy of diagnosis codes did not affect claims BPJS.  There are several factors that make BPJS claims that are not all medical records are subject to BPJS claims, complete medical record documents but still require clarification, any diagnosis if the code may be included on the INA CBG's software and in certain cases a copy of the investigation, action and evidence of medical device is required.

Study of Incompleteness Medical Records of Inpatient in Appendicitis Cases at Dr. Reksodiwiryo Hospital Padang

2022 ◽  
Vol 2 (1) ◽  
pp. 39-44
Author(s):  
Nurhasanah Nasution
Keyword(s):  
Medical Record ◽  
Medical Records ◽  
Research Method ◽  
Digestive Surgery ◽  
Diagnostic Codes ◽  
Diagnosis Codes ◽  
Service Information ◽  
Incomplete Filling ◽  
Existing Data

Background: Incomplete filling of medical record files for inpatients at Dr. Reksodiwiryo hospital medical records will be describe health services and the quality of medical record services. Medical record quality services include the completeness of medical record files, accuracy in providing diagnosis and diagnosis codes, as well as speed in providing service information. The requirements for quality medical records must be accurate, complete, reliable, valid, timely, usable, common, comparable, guaranteed, and easy.Methods: This research method is a descriptive with a retrospective approach or looking at existing data. This study was carried out in September 2021. The population was 70 files cases of inpatient digestive surgery. Samples were taken from 27 files of inpatients with appendicitis cases.Results: From the research that has been done, the highest percentage of incomplete identification components is found on the gender item about 81.48%, the highest percentage of incomplete important report components is obtained on the medical resume and informed consent items about 11.1%. The highest percentage of incomplete authentication components was obtained in the nursing degree about 96.3%. The highest percentage of the components of the recording method was obtained by 59.3%, there are several blank sections about 16 files. The percentage of incomplete diagnostic codes and procedures is 100%  Conclusions: the researcher suggested that the hospital can have an Operational Standart on filling out the completeness of medical records files

scholarly journals PENGARUH KUALITAS PELAYANAN, BIAYA PENDIDIKAN, DAN KELOMPOK REFERENSI TERHADAP KEPUTUSAN MAHASISWA PENDIDIKAN EKONOMI MEMILIH PADA PROGRAM STUDI PENDIDIKAN EKONOMI

2019 ◽  
Vol 4 (2) ◽  
Author(s):  
Supardin Supardin ◽  
Ninik Indawati ◽  
Walipah Walipah
Keyword(s):  
Quality Of Service ◽  
Reference Group ◽  
Sampling Technique ◽  
Economic Education ◽  
Significance Level ◽  
Cost Of Education ◽  
Study Population ◽  
The Cost ◽  
Positive Effect

This research is a quantitative approach. With explanatory type research. The study population was students of economic education class of 2015-2018 Faculty of Economics and Business, University of Kanjruhan Malang. Sampling using proportional random sampling technique with a sample of 62 students. Data collection techniques using questionnaires and documentation. Analysis of the data used is multiple linear analysis. The results showed that: (1) the quality of service, the cost of education, and the reference group jointly had a positive effect on student decisions, with an F value of 14,623 and a significance level of 0,000. (2) the quality of service has a positive effect on student decisions, with a t value of 6,039, and a significance level of 0,000. (3) the cost of education has an effect on student decisions, with a tcount of -2.093 and a significance level of 0.041. (4) the reference group has a positive effect on student decisions, with a t value of 2.172 and a significance level of 0.034. R2 Test The value of the determinant coefficient (R Square) shows R2 of 43.1%, while the remaining 56.9% is affected by other factors outside the variables of this study

scholarly journals Mixed-methods feasibility study of blood pressure self-screening for hypertension detection

BMJ Open ◽  
2019 ◽  
Vol 9 (5) ◽  
pp. e027986 ◽  
Author(s):  
Alice Tompson ◽  
Susannah Fleming ◽  
Mei-Man Lee ◽  
Mark Monahan ◽  
Sue Jowett ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Mixed Methods ◽  
Medical Record ◽  
Electronic Medical Records ◽  
Feasibility Study ◽  
Medical Records ◽  
Alternative Methods ◽  
Hypertension Detection ◽  
Technical Problems ◽  
The Cost

ObjectiveTo assess the feasibility of using a blood pressure (BP) self-measurement kiosk—a solid-cuff sphygmomanometer combined with technology to integrate the BP readings into patient electronic medical records— to improve hypertension detection.DesignA concurrent mixed-methods feasibility study incorporating observational and qualitative interview components.SettingTwo English general practitioner (GP) surgeries.ParticipantsAdult patients registered at participating surgeries. Staff working at these sites.InterventionsBP self-measurement kiosks were placed in the waiting rooms for a 12-month period between 2015 and 2016 and compared with a 12-month control period prior to installation.Outcome measures(1) The number of patients using the kiosk and agreeing to transfer of their data into their electronic medical records; (2) the cost of using a kiosk compared with GP/practice nurse BP screening; (3) qualitative themes regarding use of the equipment.ResultsOut of 15 624 eligible patients, only 186 (1.2%, 95% CI 1.0% to 1.4%) successfully used the kiosk to directly transfer a BP reading into their medical record. For a considerable portion of the intervention period, no readings were transferred, possibly indicating technical problems with the transfer link. A comparison of costs suggests that at least 52.6% of eligible patients would need to self-screen in order to bring costs below that of screening by GPs and practice nurses. Qualitative interviews confirmed that both patients and staff experienced technical difficulties, and used alternative methods to enter BP results into the medical record.ConclusionsWhile interviewees were generally positive about checking BP in the waiting room, the electronic transfer system as tested was neither robust, effective nor likely to be a cost-effective approach, thus may not be appropriate for a primary care environment. Since most of the cost of a kiosk system lies in the transfer mechanism, a solid-cuff sphygmomanometer and manual entry of results may be a suitable alternative.

scholarly journals Completeness criteria and filling of medical records in dental clinic of Cianjur General Hospital (January - April 2011)

2012 ◽  
Vol 24 (2) ◽  
Author(s):  
Annisa Rosalina ◽  
Netty Suryanti ◽  
Riana Wardani
Keyword(s):  
General Hospital ◽  
Medical Record ◽  
Medical Records ◽  
Random Sampling ◽  
Sampling Technique ◽  
Patient Treatment ◽  
Dental Clinic ◽  
The Republic ◽  
Descriptive Method ◽  
Medical Record Documentation

Introduction: The medical record documentation of patient treatment Provides the which in turn, must be maintained Clearly, concisely, comprehensively and accurately. Medical record and its filling criteria must be based on the regulation of the Minister of Health of The Republic of Indonesia No. 269/Menkes/Per/III / 2008 regarding to the medical record. The research was Aimed to unveil the completeness of both criteria and filling on medical records at the General Hospital’s Dental Polyclinic of Cianjur District. Methods: Survey-based descriptive method was applied within the research. Its Data was acquired through the examination on medical records and interviews. Random sampling was conducted to run the sampling technique. 89 pieces of outpatient’s medical records were embodied as samples. Results: Based on the research results, it is discovered that 6 out of 12 criteria (50%) are not listed within the medical record. Thus, the filling on medical records of 100% is found incomplete. Conclusion: Medical records Dental Clinic Regional General Hospital Cianjur according to standards Permenkes No. 269/2008 not inlude on complete criteria according to standards Permenkes No. 269/2008.

scholarly journals PENGARUH KUALITAS AUDIT DAN KEPEMILIKAN INSTITUSIONAL TERHADAP COST OF DEBT (Studi Empiris Pada Perusahaan Manufaktur Yang Terdaftar Di BEI Periode 2012-2015)

2019 ◽  
Vol 7 (1) ◽  
pp. 1-9
Author(s):  
Anton Robiansyah ◽  
Dwi Novita ◽  
Furqonti Ranidiah
Keyword(s):  
Audit Quality ◽  
Stock Exchange ◽  
Sampling Technique ◽  
Institutional Ownership ◽  
Least Square ◽  
Cost Of Debt ◽  
Analysis Tool ◽  
Manufacturing Companies ◽  
Significance Level ◽  
The Cost

Anton Robiansyah, Dwi Novita, Furqonti Ranidiah; This study aims to analyze the effect of audit quality and institutional ownership on the cost of debt. The population in this study are all manufacturing companies listed on the Stock Exchange in 2011-2014. The type of research used in this study is empirical research. The sampling technique used was purposive sample and selected 72 unit analysis companies. The data analysis tool in this test uses OLS (ordinary least square), which wants to see the effect of audit quality and institutional ownership on the cost of debt.Based on the results of this study indicate that audit quality has a negative effect on the cost of debt with a significance level of 0.014 which means that the company that chooses the BIG4 KAP has a good reputation and this is seen as a positive thing for the creditor. Whereas institutional ownership does not affect the cost of debt with a significance level of 0.847 indicating that the presence or absence of institutional ownership of companies - companies in Indonesia does not affect the institutional ownership relationship and the cost of debt.

scholarly journals The efficient of beds used based on graphic Barber Johnson at Semen Padang Hospital in 2017

2019 ◽  
Vol 6 (12) ◽  
pp. 5071
Author(s):  
Sayati Mandia
Keyword(s):  
Statistical Analysis ◽  
Length Of Stay ◽  
Medical Record ◽  
Medical Records ◽  
Average Length ◽  
Sampling Technique ◽  
Occupancy Rate ◽  
Bed Occupancy ◽  
Average Length Of Stay

Background: Quality of hospital services can be seen from the bed usage. Statistical analysis of efficiency bed usage can be mesured based on inpatient medical records. To determine the efficiency requires four parameters namely bed occupancy rate (BOR), average length of stay (ALoS), turnover interval (TI), and bed turnover (BTR). parameters can be presented using Graphic Barber Johnson. This study aims to determine the efficiency of bed usage at Semen Padang Hospital in 2017.Methods: This research was conducted at Semen Padang Hospital, West Sumatera, Indonesia from January to December 2017. The study used a descriptive method with a qualitative approach. The data was collected from medical records department. The population is all abstraction data of in-patient medical record in 2017, 9796 medical record used total sampling technique. Data analysis was performed by calculating the values of ALoS, BOR, BTR, and TI. Data will be presented based on graphic Barber Johnson. Excel 2010 and graphic Barber Johnson method were applied for data analysis.Results: Number of daily inpatient censuses in 2017 are 31227 and number of service days are 31362. Number of beds 144. Statistical analysis results obtained total BOR 60%, BTR 67 times, TI 2 days and ALoS 3 days. The highest value of bed occupancy rate is 66% on August.Conclusions: Based on statistical, value of bed occupancy rate (60%) and turnover interval (2 days) are efficient at Semen Padang Hospital in 2017. Average length of stay (3 days) and bed turnover rate (67 times) are not efficient.

scholarly journals Factors affecting the documentation of spoken safety-netting advice in routine GP consultations

2021 ◽  
pp. BJGP.2021.0195
Author(s):  
Peter Jonathan Edwards ◽  
Ian Bennett-Britton ◽  
Matthew Ridd ◽  
Matthew Booker ◽  
Rebecca Kate Barnes
Keyword(s):  
Logistic Regression ◽  
Medical Record ◽  
Medical Records ◽  
Secondary Analysis ◽  
Observational Coding ◽  
Factors Affecting ◽  
Factors Associated ◽  
Legal Implications ◽  
Safety Netting

Background: Previous studies have reported how often safety-netting is documented in medical records, but it is not known how this compares to what is verbalised and what factors might influence the consistency of documentation. Aim: To compare spoken and documented safety-netting advice (SNA) and explore factors associated with documentation. Design and setting: Secondary analysis of GP consultations archive. Method: Observational coding involving classifying and quantifying medical record entries and comparison with spoken SNA in 295 video / audio recorded consultations. Associations were tested using logistic regression. Results: Two-thirds of consultations (192/295) contained spoken SNA which applied to less than half of problems assessed (242/516). Only one-third of consultations (94/295) had documented SNA which covered 20% of problems (105/516). The practice of GPs varied widely from those that did not document their SNA, to those that nearly always did so (86.7%). GPs were more likely to document their SNA for new problems (p=0.030), when only a single problem was discussed in a consultation (p=0.040) and when they gave specific, rather than generic SNA (p=0.007). In consultations where multiple problems were assessed (n=139), the frequency of spoken and documented SNA decreased the later a problem was assessed. Conclusion: GPs frequently do not document safety-netting advice they have given to patients which may have medico-legal implications in the event of an untoward incident. GPs should consider how safely they can assess and document more than one problem in a single consultation and this risk should be shared with patients to help manage expectations.

scholarly journals PENGARUH KELENGKAPAN PENGISIAN FORMULIR TRANSFER PASIEN INTERNAL TERHADAP MUTU REKAM MEDIS

2021 ◽  
Vol 10 (2) ◽  
pp. 124-131
Author(s):  
Indar Farwanti Wahyuni
Keyword(s):  
Medical Record ◽  
Medical Records ◽  
Random Sampling ◽  
Health Workers ◽  
Sampling Technique ◽  
Simple Random Sampling ◽  
Patient Transfer ◽  
Literature Study ◽  
Number Of Patients

Abstract Internal patient transfer is the process of transferring patients from one room to another in a hospital while still being oriented towards quality and patient safety. The results of the observations showed that the filling of the internal patient transfer form was not optimal so that there were still incomplete forms due to the large number of patients and the weak coordination between health workers. To determine the effect of the completeness of filling out the internal patient transfer form on the quality of medical records. The research method used is quantitative with a descriptive approach. Data collection techniques used are observation, questionnaires and literature study. The sampling technique was simple random sampling technique so as to obtain a sample of 91 internal patient transfer forms. From the results of observations, 22% of the internal patient transfer forms were found that were not completely filled in, especially in the signature and clear name. The two variables have a strong relationship. The effect of the variable completeness of the internal patient transfer form on the medical record quality variable is 90.1% and the remaining 9.9% is influenced by other factors. Based on these studies, it can be concluded that the lack of accuracy and coordination of nurses, doctors and other officers in filling out internal patient transfer forms so that this affects the quality of medical records in the aspect of accuracy. Keyword : Completeness, Internal Patient Transfer Form, Medical Record Quality   Abstrak Transfer pasien internal merupakan proses pemindahan pasien dari satu ruangan ke ruangan yang lain di dalam satu rumah sakit dengan tetap berorientasi pada mutu dan keselamatan pasien. Hasil observasi menunjukkan bahwa belum optimalnya pengisian formulir transfer pasien internal sehingga masih terdapat formulir yang tidak lengkap disebabkan oleh faktor dari banyaknya pasien dan lemahnya koordinasi antara tenaga kesehatan. Untuk mengetahui pengaruh kelengkapan pengisian formulir transfer pasien internal terhadap mutu rekam medis. Metode penelitian yang digunakan yaitu kuantitatif dengan pendekatan deskriptif. Teknik pengumpulan data yang digunakan adalah observasi, kuesioner dan studi pustaka. Teknik pengambilan sampel adalah teknik simple random sampling sehingga memperoleh sampel sebanyak  91 formulir transfer pasien internal. Dari hasil observasi ditemukannya formulir transfer pasien internal yang belum terisi lengkap sebanyak 22% terutama pada tandatangan dan nama jelas. Kedua variabel memiliki hubungan yang kuat. Pengaruh variabel kelengkapan formulir transfer pasien internal terhadap variabel mutu rekam  medis sebesar 90,1% dan sisanya 9,9% dipengaruhi oleh faktor lain. Berdasarkan penelitian tersebut dapat disimpulkan bahwa kurangnya ketelitian dan koordinasi perawat, dokter dan petugas lain dalam pengisian formulir transfer pasien internal sehingga hal ini mempengaruhi mutu rekam medis pada aspek keakuratan. Kata kunci: Kelengkapan, Formulir Transfer Pasien Internal, Mutu Rekam Medis

scholarly journals The Implementation of Electronic Medical Record (EMR) in The Development Health Care System in Indonesia

2021 ◽  
Vol 4 (3) ◽  
Author(s):  
Nuke Amalia ◽  
Muh Zul Azhri Rustam ◽  
Anna Rosarini ◽  
Dina Ribka Wijayanti ◽  
Maya Ayu Riestiyowati
Keyword(s):  
Health Care ◽  
Information Technology ◽  
Medical Record ◽  
Electronic Medical Record ◽  
Medical Records ◽  
Health Sector ◽  
Developed Countries ◽  
The United States ◽  
Long Time ◽  
The Cost

The development of information technology is now growing rapidly, including in the health sector. According to WHO, medical record is an important compilation of facts about a patient's life and health. The development of information technology in medical records is the electronic medical record (EMR). Developed countries, such as the United States and Korea have implemented EMR for a long time. In developing countries such as Indonesia, the development of EMR is still in progress because its implementation requires many factors to build a system or replace from manual medical records. Eventually, it is hoped that in the future all health care will use the EMR to resume patient datas from admission to discharge. The purpose of this study is to analyse the implementation and preparation of EMR in health care in Indonesia. This study is a literature review on the implementation and preparation of EMR in health care in Indonesia. The review is dome from 28 literature sources (Google-Scholar database). Total of 8 articles were obtained from 2017 to 2021. The results show that there are benefits after switching to EMR, even though some health care only used EMR in certain units. The highest benefit is reducing the cost of duplicating paper for printing. Also there is still limited human resources and tools for implementing EMR in Indonesia. The implementation of this EMR will enable the improvements of the service quality of the health care itself, especially in Indonesia.

scholarly journals PENGARUH BEBERAPA FAKTOR STATUS SOSIAL EKONOMI TERHADAP KINERJA KARYAWAN KOPERASI CU CINTAKASIH TIGAPANAH KABUPATEN KARO

2020 ◽  
pp. 109-118
Author(s):  
Anitha P. Tinambunan
Keyword(s):  
Data Collection ◽  
Random Sampling ◽  
Sampling Technique ◽  
F Test ◽  
Significance Level ◽  
Level Of Education ◽  
Study Population ◽  
Dominant Influence

This study aims to 1. Determine whether the level of education, income and type of work has a positive and significant effect on the performance of the employees of the Cooperative CU Cinta Kasih Tigapanah Kab. Karo; 2. Knowing which factors are the most dominant influence on the performance of employees of the Cooperative CU Cinta Kasih Tigapanah Kab. Karo Data collection techniques carried out through interviews, documentation and questionnaires. The study population was all employees of the Cooperative CU Cinta Kasih Tigapanah Kab. Karo numbering 200 people (July 2019). The sampling technique uses Proportional Random Sampling where the research sample is taken from each work field in the Cooperative CU Cinta Kasih Tigapanah Kab.Karo. Based on the results of the F test it is known that the value of Fcount is 44,291> Ftable 3,145 with a significance level of 0,000

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