Information System for Calculating Medical Record Personnel in the Industrial Revolution Era 4.0

Medical recorders and health information are some of the health workers who are included in the "medical technical" group where the task of medical recorders and health information is to manage patient data into health information that is useful for decision making. Planning for the needs of health personnel must be following the needs in the field in terms of type, qualification, quantity, and procurement. Excess health personnel will result in unproductive use of work time, while a shortage of health workers will result in excessive workloads so that in planning the needs of health workers an analysis of the workload is required. This study was conducted to obtain information on the ideal number of medical record health personnel using workload calculations. This research method is based on the calculation method of Work Load Indicator Staff Need (WISN) through the implementation of a website-based information system at XYZ Hospital. Based on the results of this study, it shows that the ratio of <1 HR in the unit is not sufficient and not following the workload, namely the number of human resources in the Old Patient TPPRJ with a ratio value of 0.33; RJ coding ratio value 0.41; and Analysis with a ratio value of 0.38. Lack of officers at TPPRJ for Old Patients, RJ Coding, and Analysis resulted in poor service, so it is necessary to add medical personnel to that section when conditions are crowded.

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Tinjauan Kemampuan Tenaga Kesehatan pada Pengelolaan Sistem Informasi Kesehatan (SIK) Di Puskesmas Sulamadaha Kecamatan Pulau Ternate Tahun 2013

Jurnal Kesehatan Poltekkes Ternate ◽

10.32763/juke.v7i2.81 ◽

2018 ◽

Vol 7 (2) ◽

pp. 29

Author(s):

Samad Hi Husen ◽

Irma B Lewa

Keyword(s):

Information System ◽

Health Information ◽

Health Professionals ◽

Work Experience ◽

Health Personnel ◽

Health Workers ◽

Health Information System ◽

Education And Training ◽

Health Centers ◽

And Training

Abstract : Health information system is an information management at all levels of government systematically for service delivery to the public. Legislation that mentions the health information system is Kepmenkes No. 004/Menkes/SK/I/2003 on the policy and strategy of decentralization in health and Kepmenkes No. 932/Menkes/SK/VIII/2002 on the implementation of the instructions of health information reporting system development district / the city. It's just the two of contents Kepmenkes contains weaknesses which are both just looked at the health information system from the point of the field of health management, do not utilize state of the art technology and no information relating to the national information system. Information and communication technology are also not yet elaborated so that the data presented are not appropriate and not timely. Based on the background of the problem, it can be argued formulation of the problem "How Ability Health Workers In SIK in PHC Sulamadaha Management District of Ternate Island" viewed from the aspect of education and training, motivation, and work experience. General Purpose To determine the ability of health professionals in the management of health information in health centers Sulamadaha District of Ternate Island. Specific Objectives To determine the ability of health professionals in the management of health information in health centers Sulamadaha District of Ternate Island in terms of aspects of education and training, to determine the ability of health personnel in the management of health information in health centers Sulamadaha District of Ternate Island viewed from the aspect of motivation and to determine the ability of health personnel in the management of SIK The PHC Sulamadaha District of Ternate Island viewed from the aspect of work experience.

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Penerapan Sistem Data Cleansing untuk Mencegah dan Menghilangkan Duplikasi Rekam Medis

Jurnal Pengabdian Kepada Masyarakat ◽

10.22146/jpkm.51073 ◽

2020 ◽

Vol 6 (4) ◽

Author(s):

Nur Rokhman ◽

Annisa Maulida Ningtyas ◽

Marko Ferdian Salim ◽

Dian Budi Santoso

Keyword(s):

Information System ◽

Health Services ◽

Health Information ◽

Medical Record ◽

Health Information System ◽

Appropriate Technology ◽

Medical Record Data ◽

Data Cleansing ◽

Record Data ◽

Effectiveness And Efficiency

Health Information System is a system that integrates the collection, processing, reporting of data, and use of information needed to increase the effectiveness and efficiency of health services through better management at all levels of health services. Kulon Progo Health Office is one of the Health Services that has utilized the Health Information System in organizing its health transactions. However, the implementation of the Health Information System still has shortcomings, namely that it was found that a patient has many medical record numbers or often referred to as duplicated medical record data. Community service activities are carried out through the use of appropriate technology at the Kulon Progo Health Office. This activity aims to implement data cleansing techniques using the "RESIK" framework to help prevent and detect duplication of medical records and provide training to medical recorders in cleaning data. The training was attended by 105 participants, each of whom was a representative of the Puskesmas staff in the Kulon Progo Health Office area. The “RESIK” framework was then piloted at Puskesmas Sentolo 2 as the location for the implementation of the system. From this activity, duplicate medical record data can be found at Puskesmas Sentolo 2, and then cleaning is carried out. Kulon Progo Health Office is advised to implement data cleansing using the "RESIK" framework at all Puskesmas in the Kulon Progo area.

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Tanggung Gugat Resiko Dalam Aspek Hukum Kesehatan

SASI ◽

10.47268/sasi.v23i2.105 ◽

2018 ◽

Vol 23 (2) ◽

pp. 149

Author(s):

Arman Anwar

Keyword(s):

Health Care ◽

Health Services ◽

Medical Practice ◽

Health Personnel ◽

Health Workers ◽

Medical Personnel ◽

Hospital Staff ◽

Health Law ◽

The Republic

Health is a fundamental need for every human being in his life and to meet these needs the role of doctors and health workers is very important. Doctors and Health care in providing health services to the community is always required in order to provide the best service. So with the Hospital. However, the health services provided may result in two different possibilities of the patient being cured or even worsening the disease until death. If the patient recovers it will flow millions of praise and abundant various forms of appreciation that he receives but if that happens is the opposite then in certain conditions where the patient feels aggrieved can culminate until the lawsuit to court. In medical practice, doctors do not work alone but are also often assisted by other health workers. Likewise Hospital as a corporation employs doctors and health workers to provide health services to the community. If in the event of any medical treatment from medical personnel to medical personnel and/or Hospital to the physician and at risk of mistake or negligence in the health service, then the loss suffered by the patient may result in risks (risico aanspraklijkheid) based on Article 1367 paragraph (3) BW. In the context of health law regulated in Article 65 of Law Number 36 Year 2014 on Health Personnel, and Article 35 Paragraph 6 of Law Number 38 Year 2014 on Nursing and Article 23 Paragraph (3) point c Regulation of the Minister of Health of the Republic of Indonesia No. 2052 / Menkes / Per / X / 2011 About Practice License and Implementation of Medical Practice as well as Article 46 Act Number 44 of 2009 About Hospital that is Hospital is legally responsible for all the losses caused by negligence made by health personnel in the Hospital. Efforts to prevent it internally need to agree on the rights and obligations of each party in a specified standard of conduct that is proportionally regulated and based on equitability values, either in the form of Hospital by Law as well as the prevailing rules binding on all staff within a hospital staff (Medical staff by law).

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Tinjauan Literatur: Faktor-Faktor Penyebab Kelengkapan Pengisian Rekam Medis Rawat Inap Rumah Sakit

Jurnal Rekam Medis dan Informasi Kesehatan ◽

10.31983/jrmik.v3i2.5927 ◽

2020 ◽

Vol 3 (2) ◽

pp. 46-52

Author(s):

Putu Adiz Siwayana ◽

Ika Setya Purwanti ◽

Putu Ayu Sri Murcittowati

Keyword(s):

Quality Of Service ◽

Literature Review ◽

Medical Record ◽

Medical Records ◽

Health Workers ◽

Medical Personnel ◽

Google Scholar ◽

Incomplete Filling ◽

Evaluation And Monitoring

Every health facility, whether it is primary, secondary, tertiary, is required to maintain medical records in order to achieve administrative order. Incomplete (incomplete) medical records will affect the service process provided by health workers and have an impact on the quality of service of a hospital. This study aims to determine the factors causing the incomplete filling of inpatient medical records. This study uses a literature review method. The strategy in searching literature reviews is using Google Scholar. In the search phase, articles are limited to publications from 2015-2020. The keywords used are the factors causing incomplete medical record filling. The search results obtained 10 articles and then 5 articles were taken. The results of the literature review show that the factors causing the incompleteness of filling in medical records as a whole can be seen from the lack of knowledge, motivation and awareness of medical personnel about medical records. The meeting as a means of communication between caregivers and management has not yet been implemented to discuss evaluation and monitoring as well as sanctions for officers who do not complete medical records. lack of socialization on filling out medical records. Unsystematic arrangement of medical record forms. Limited availability of funds or budget to support medical record service activities. Conclusion Hospitals need to pay attention to the factors causing the incompleteness of filling in medical records so that filling in medical records is complete according to standards. So that the quality of service, especially the quality of patient medical records.AbstrakSetiap fasilitas kesehatan baik tingkat primer, sekunder, tersier wajib menyelenggarakan rekam medis agar tercapainya tertib administrasi. Ketidaklengkapan (Incomplete) rekam medis akan berpengaruh terhadap proses pelayanan yang diberikan oleh petugas kesehatan dan berdampak pada kualitas pelayanan suatu rumah sakit. Penelitian ini bertujuan untuk mengetahui faktor penyebab ketidaklengkapan pengisian rekam medis rawat inap. Penelitian ini menggunakan metode literatur review. Strategi dalam pencarian literatur review menggunakan Google Scholar. Pada tahap pencarian artikel dibatasi terbitan dari tahun 2015-2020. Kata kunci yang digunakan adalah Faktor Penyebab ketidaklengkapan pengisian rekam medis. Hasil penelusuran artikel didapatkan 10 artikel dan selanjutnya diambil 5 artikel. Hasil dari literatur review didapatkan faktor penyebab ketidaklengkapan pengisian rekam medis secara keseluruhan, penyebabnya dapat dilihat dari kurangnya pengetahuan, motivasi dan kesadaran dari petugas rekam medis tentang rekam medis. Belum terlaksananya rapat sebagai wadah komunikasi antara pemberi asuhan dan manajemen yang membahas evaluasi dan monitoring serta sanksi bagi petugas yang tidak mengisi rekam medis dengan lengkap. kurangnya sosialisasi pengisian rekam medis. Susunan formulir rekam medis yang tidak sistematis. Terbatasnya ketersediaan dana atau anggaran untuk mendukung kegiatan pelayanan rekam medis. Kesimpulan Rumah sakit perlu memperhatikan faktor penyebab ketidaklengkapan pengisian rekam medis sehingga pengisian rekam medis menjadi lengkap sesuai dengan standar. Sehingga mutu dari pelayanan terutama mutu rekam medis pasien.

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Thematic Map Making of the Distribution of Medical Record and Health Information Professional Based on Geographic Information System (GIS) in Riau Province Health Facilities in 2017.

Journal of Economic Info ◽

10.31580/jei.v6i1.485 ◽

2019 ◽

Vol 6 (1) ◽

pp. 9-12

Author(s):

Hariani Octaria ◽

Sy. Effi Daniati ◽

Nur Maimun ◽

Zulhendry Zulhendry

Keyword(s):

Information System ◽

Geographic Information System ◽

Health Information ◽

Medical Record ◽

Medical Records ◽

Geographic Information ◽

Health Facilities ◽

Thematic Map ◽

Information Professional ◽

Information Professionals

The thematic map making with the assistance of geographic information system for the distribution of Medical Records and Health Information (PMIK) is the most effective and efficient way in analyzing and visualizing the data and information in order to make it easier for the local government to present more interesting and informative information. This is because the data presented is in the form of map, thus making it easier to be read and understood by the local government in taking decision for fulfilling the lack of PMIK in each health service facility in the district or city of Riau Province. The purpose of this study is to present informative and interactive health information which is in accordance with the data obtained by the assistance of geographic information system. The research method used in descriptive with 197 PMIK of Riau Province as the sample. The data analysis used in this research is spatial classification analysis (reclassify). From the research result, it was known that the distribution of Medical Records and Health Information Professional (PMIK) based on the working area location of 12 districts/cities of Riau Province is as many as 294 people distributed uneven since most of the Medical Records and Health Information Professional (PMIK) is in Pekanbaru City which is 176 people. Meanwhile, the least distribution of Medical Records and Health Information Professional (PMIK) in in Meranti Island District which is 0 person. This is because Meranti Island does not belong to Riau Province but Riau Islands. The distribution of medical record and health information professionals in health facilities based on district/city service Institutions is 294 of Medical Record and health information professionals with Pekanbaru City has the highest distribution of 176 people working in both private and public health centers/ hospitals in Pekanbaru. Meanwhile, the lowest distribution of the service Institutions is in Siak District, Rokan Hilir District which is 4 people. The distribution of Medical Record and Health Information Professional in Riau Province health facilities based on data from PORMIKI DPD membership in Riau Province is 338 people distributed throughout Riau Province and Riau Islands. The distribution of Medical record and health information according to STR management, which is a permit for a health professional to be able to apply for a job according to the number of Riau PORMIKI membership management is 338 people.

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Design and Implementation of a Web Based Health Information System

International Journal of Technology and Management Research ◽

10.47127/ijtmr.v5i3.97 ◽

2020 ◽

Vol 5 (3) ◽

pp. 1-11

Author(s):

Moses Kwasi Torkudzor ◽

Patrick Atsu Agbemabiese ◽

Wellington Amponsah

Keyword(s):

Information System ◽

Health Information ◽

Medical Record ◽

Health Information System ◽

Patient Data ◽

Data Availability ◽

Quality Data ◽

Web Based ◽

Record Keeping ◽

Design And Implementation

Health Information System aims at improving and enhancing the delivery of quality, data availability and administrative effectiveness of people’s health. Medical record has come under severe threat as a result of the manual system of medical record keeping in spite of its important functions. This system of record-keeping involves taking down patient data on pieces of paper, which are put into files and kept in cabinets. In fact, this is an improper means of documentation resulting in loss and mismatch of patient data, and time wastage. It is alsocumbersome, bulky and consumes a lot of the office space. In this paper, a complete web-based health information system is designed to solve these problems so as to enable users handle details on policies efficiently and effectively. A test of the system over various network topologies reveals that time taken to move a packet and received acknowledgment for standalone, LAN, WAN and Intranet is 3ms, 4ms, 8ms and 10ms respectively. These short periods of time show faster and efficient delivery of health activities. The Web Based HealthInformation System thus provides significant benefit to institutions as it can capture data and store it in the developed database for future use. Citation: Kwasi, T. M., Patrick, A.A, Amponsah Wellington, A. Design and Implementation of a Web-BasedHealth Information System, 2020; 5(3): 1－11. Received: August 4, 2019Accepted: September 30, 2020

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Criminal Liability for Misuse of Electronic Medical Records in Health Services

SOEPRA ◽

10.24167/shk.v5i2.2431 ◽

2020 ◽

Vol 5 (2) ◽

pp. 215

Author(s):

Prilian Cahyani ◽

Astutik Astutik

Keyword(s):

Health Services ◽

Medical Record ◽

Electronic Medical Record ◽

Electronic Medical Records ◽

Medical Practice ◽

Medical Records ◽

Health Workers ◽

Criminal Liability ◽

Medical Personnel ◽

Conceptual Approach

Electronic medical records (RME) have been used in hospitals as a substitute for or complementary to medical records in the form of paper. The obligation to make medical records is the responsibility of every doctor or dentist in carrying out the medical practice. However, the use of electronic-based medical records does not rule out the possibility of raising problems in the field of law, if some abuse it. This will raise the issue of who has the obligation to take responsibility. The problem is the background of the author to write in an article with the title "Accountability for the Misuse of Electronic Medical Record Abuse in Health Services". The formulation of the problem in this article is: 1) Setting an electronic medical record; 2) Criminal liability for the misuse of electronic medical records. The research method used is normative legal research with a statutory approach and a conceptual approach. From the discussion, it can be seen that in Indonesia the obligation to make medical records is specifically regulated in the Medical Practice Law. Furthermore, in the Ministry of Health No. 269 / MENKES / PER / III / 2008 especially Article 2 paragraph 2 states that medical records can be made electronically. However, to date, no specific regulations are governing electronic medical records. The use of electronic systems in medical records makes it necessary to heed the provisions of Law No. 11 of 2008 concerning Electronic Information and Transactions. The party who has the responsibility for the misuse of the Electronic Medical Record covers people who in this case are medical personnel or certain health workers. Hospitals can also be held responsible for the misuse of electronic medical records.

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PERANCANGAN SISTEM INFORMASI REKAM MEDIS DI RS KELUARGA HUSADA BATAM BERBASIS WEB

JURNAL TEKNOLOGI DAN OPEN SOURCE ◽

10.36378/jtos.v2i2.368 ◽

2019 ◽

Vol 2 (2) ◽

pp. 74-86

Author(s):

Oiyana Caesera

Keyword(s):

Information System ◽

Medical Record ◽

System Development ◽

Health Sector ◽

Medical Personnel ◽

Record System ◽

Web Based ◽

Medical Record System ◽

Patient Health ◽

Patient’S History

Information technology is growing rapidly in the development of even all walks of life. Every development makes it easy for the public to receive information quickly. An example in the health sector is in the medical record information system. A medical record is a unit of data from facts or evidence about a patient's history, patient's condition and previous treatments, and written by medical staff who provide health services to patients. Recording medical records by recording in the patient's book is an old method used, and a problem often encountered when using the old medical record system is found to be difficult in managing patient files. This medical record will later be used by medical personnel to add or view patient health records that have been treated. In this study a medical record system was designed using the waterfall method. Waterfall is a systematic and sequential model for information system development. Therefore the researchers developed the system using the waterfall method. The purpose of this medical record information system is to design a medical record information system that can manage patient history data and monthly reports. The system designed is very important because to prevent errors in processing patient data. This application is made based on web using the programming language HTML, PHP, and MYSQL database. So as to produce a web medical record that can be used to make the most disease reports every month, and the number of monthly patient visits using the web-based waterfall method.

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