AUDIT SYSTEM INFORMATION ELECTRONIC MEDICAL RECORD AS STUDENT ONLINE LEARNING

JURTEKSI ◽  
2021 ◽  
Vol 8 (1) ◽  
pp. 49-58
Author(s):  
Wahyu Wijaya Widiyanto ◽  
Sri Wulandari
Keyword(s):  
Health Care ◽  
Information System ◽  
Medical Record ◽  
Electronic Medical Record ◽  
Quality Measurement ◽  
Field Work ◽  
Health Care Facilities ◽  
Care Facilities ◽  
Iso 9126 ◽  
Almost All

Abstract: In the current digital era, almost all health care sectors require fast, precise, detailed, and valid services. The results of observations show that during lectures, students still have difficulty understanding the flow of input, process, and output of a good application, and do not know and have an idea about Application Software in Health Care Facilities that are already running in health facilities because some students do Field Work Practices. placed in health care facilities institutions still use manual systems with paper and recording in ledgers, during the current pandemic. In this study, an electronic medical record information system was designed and built as a student learning application regarding health service applications, system accuracy test using ISO 9126, where ISO 9126 looks at Functionability, Reliability, usability, efficiency, maintainability, and portability of a good system and provides recommendations if there are findings that the system does not meet the needs. The results of this study obtained the value of the Information System that was built only 75,92593 % which is the result of quality measurement so that this application does not fall into the category of the ISO 9126 standard because there are Portability Characteristics, namely Adaptability and Installability elements are not met, for these finding recommendations for improvements are given so that the system can run perfectly. according to the need for use.            Keywords: Covid-19, Electronic Medical Records, Learning Media, ISO 9126 Abstrak: Pada era digital sekarang, hampir semua sektor pelayanan kesehatan membutuhkan pelayanan yang cepat, tepat, detail, dan valid. Hasil observasi menunjukkan bahwa selama perkuliahan mahasiswa masih kesulitan memahami alur input, proses, dan output dari suatu aplikasi yang baik, serta belum mengetahui dan mempunyai gambaran tentang Software Aplikasi di Fasilitas Pelayanan Kesehatan yang sudah berjalan di fasilitas kesehatan dikarenakan beberapa mahasiswa yang melakukan Praktek Kerja Lapangan ditempatkan di institusi fasilitas pelayanan kesehatan masih menggunakan sistem manual dengan kertas dan pencatatan di buku. Pada penelitian ini dirancang dan dibangun sebuah sistem informasi rekam medis elektronik sebagai aplikasi pembelajaran mahasiswa mengenai aplikasi pelayanan kesehatan, uji akurasi sistem menggunakan ISO 9126, dimana ISO 9126 menilik Functionability, Reliability, usability, efesiency, maintainability dan portability sistem yang baik serta memberi rekomendasi apabila ada temuan sistem yang belum sesuai kebutuhan. Hasil dari penelitian ini diperoleh nilai Sistem Informasi yang dibangun hanya 75,92593 % yang merupakan hasil pengukuran kualitas sehingga aplikasi ini tidak masuk kategori standar ISO 9126 karena ada Karakteristik Portability yaitu unsur Adaptability, dan Installability tidak terpenuhi, untuk temuan ini diberikan rekomendasi perbaikan agar sistem dapat berjalan sempurna sesuai kebutuhan penggunaannya. Kata kunci: Covid-19, Media Pembelajaran, Rekam Medis Elektronik, ISO 9126

scholarly journals Patient Clinical Data Integration in Integrated Electronic Medical Record System for Health Care Facilities in Indonesia

2017 ◽  
Vol 13 (2) ◽  
Author(s):  
Arif Kurniadi ◽  
Retno Pratiwi
Keyword(s):  
Health Care ◽  
Data Integration ◽  
Medical Record ◽  
Electronic Medical Record ◽  
Clinical Data ◽  
Data Exchange ◽  
Clinical History ◽  
Health Care Facilities ◽  
Portal System ◽  
Care Facilities

Complete patient service requires continuous support of clinical history. This can be realized by integrating electronic medical record data. The limitation is the wide variety of software, formats, and data dictionaries used in healthcare facilities. This was a descriptive analysis study with cross sectional approach to find open source electronic medical record integration model for clinical data exchange between health care facilities. Respondents were doctors, nurses, pharmacists, laboratory staffs, and person in charge of hospital information system as informant for content analysis. From the study, we managed a web-based service portal to implement clinical data integration that can be accessed by clinician registered within the Ministry of Health. The patients clinical history is stored in the hospital database and requires unique OpenIDRM code on the Health Service Server to integrate it. OpenIDRM contains all of the patients medical record number, as one patient may have several different medical record numbers in several hospitals. In conclusion, clinician can access the patients clinical history by opening a web portal system through a unique OpenIDRM code.

scholarly journals Descriptive Study of Physiotherapy Services Used in the South Kalimantan Region in 2020

2021 ◽  
Vol 6 (2) ◽  
Author(s):  
Maulida Wijaya Putri
Keyword(s):  
Health Care ◽  
Health Services ◽  
Descriptive Study ◽  
Health Care Facilities ◽  
Health Centers ◽  
The South ◽  
Care Facilities ◽  
Descriptive Approach ◽  
Almost All ◽  
Therapy Manual

Health services, including physiotherapy services, are carried out in almost all health care facilities such as clinics, health centers, and hospitals. Physiotherapy services are one form of health services needed by the community. In order to provide physiotherapy services, physiotherapists can provide various types of modalities or physiotherapy services in the form of electro therapy, actino therapy, hydro therapy, manual therapy or exercise therapy. Almost all health care facilities in South Kalimantan have physiotherapy services, but there is no data on the number and types of physiotherapy services used by health care facilities in the South Kalimantan region. This study aims to determine the types of physiotherapy services that are widely used by health care facilities in South Kalimantan. This study uses a descriptive approach. Based on the results of the study, it was found that 35 respondents (67.3%) used electrotherapy very often and 30 respondents (57.7%) used actino therapy very often. These two types of physiotherapy services are the most widely used by health care facilities in the South Kalimantan region in 2020

scholarly journals PENGELOLAAN DATA REKAM MEDIS MELALUI SISTEM PENOMORAN DAN PENYIMPANAN UNTUK MENINGKATKAN MUTU PELAYANAN KESEHATAN DI KLINIK GIGI DAN UMUM PURI MEDICAL

2019 ◽  
Vol 3 (2) ◽  
pp. 135
Author(s):  
Rahmi Septia Sari
Keyword(s):  
Health Care ◽  
Medical Record ◽  
Community Service ◽  
Storage System ◽  
Patient Data ◽  
Health Care Facilities ◽  
Medical Record Data ◽  
Care Facilities ◽  
Record Data ◽  
And Storage

Pemeliharaan dan pengambilan data rekam medis merupakan fungsi penting dalam pelayanan disetiap fasilitas asuhan kesehatan. Peningkatan tuntutan akan informasi kesehatan ini mengharuskan fasilitas untuk memelihara sistem informasi yang efektif dan efisien. Mengenai sistem penomoran, penyimpanan dan retensi dari manajemen rekam medis di Indonesia banyak jenisnya. Bentuk sistem penomoran dan penyimpanan yang baik merupakan tahap awal dalam pemberian pelayanan terhadap pasien. Pengambilan dan penyimpanan rekam medis yang tepat merupakan elemen penting dalam pemberian pelayanan. Perlu kehati-hatian dalam merencanakan sistem penomoran dan penyimpanan. Tujuan utama dalam melakukan pemberian penomoran adalah mengidentifikasi data pasien. Penulis berpendapat bahwa dengan menggunakan bentuk pemberian nomor metode apapun rahasia pasien dapat terjaga. Pemberian nomor ini dilakukan pada saat pasien mendaftar atau kontak dengan sarana pelayanan kesehatan. Hal tujuan utama dalam melakukan pemberian penomoran adalah mengidentifikasi data pasien. Pemberian nomor dilakukan pada saat pasien mendaftar atau kontak dengan sarana pelayanan kesehatan. Dalam kegiatan ini kami berusaha untuk mengoptimalkan sistem pelayanan kesehatan  di Klinik Puri Medical melalui penyuluhan tentang sistem penomoran dan penyimpanan data Rekam Medis  yang baik dan memudahkan petugas dalam pengambilan dan penyimpanan data Rekam Medis tersebut. Pelaksanaan Pengabdian kepada masyarakat ini kami menguraikan tentang pengelolaan data Rekam medis melalui tatacara sistem penomoran dan penyimpanan data Rekam Medis. Metode yang dilakukan dengan cara memberikan materi dan dipresentasikan serta didiskusikan dengan staf yang hadir dalam Pengabdian tersebut dengan beberapa tahap, antara lain dengan pemaparan materi tentang sistem penomoran dan penyimpanan yang disampaikan kepada staf/petugas bagian Rekam medik yang hadir dalam acara Pengabdian Kepada Masyarakat, setelah itu dilanjutkan dengan praktik lapangan, jika ada hal yang kurang dipahami dalam pelaksanaan maka akan dilanjutkan dengan tahap bimbingan dan konsultasi antara staf rekam medis dengan tim Pengabdian Kepada Masyarakat,tahap akhir dalam jangka beberapa minggu akan dilakukan monitoring dan evaluasi apakah ilmu yang di berikan telah teraplikasi dengan baik di klinik tersebut. Kata kunci: Rekam Medis, Penomoran, Pengarsipan, Klinik ABSTRACT Corresponding author: * [email protected]   Maintenance and retrieval of medical record data is an important function of service in every health care facility. This increasing demand for health information requires facilities to maintain effective and efficient information systems. Regarding the numbering, storage and retention systems of medical record management in Indonesia, there are many types. The form of a good numbering and storage system is the initial stage in providing services to patients. Proper collection and storage of medical records is an important element in the delivery of services. Care needs to be taken in planning the numbering and storage system. The main purpose in numbering is to identify patient data. The author believes that by using any method of giving numbers the patient's secret can be kept. Giving this number is done when the patient registers or contacts with health care facilities. The main goal in making numbering is to identify patient data. The number is given when the patient registers or contacts with health care facilities. In this activity we are trying to optimize the health service system at Puri Medical Clinic through counseling about the numbering system and storing good Medical Record data and facilitate the officers in retrieving and storing the Medical Record data. This Community Service Implementation describes the management of medical record data through the procedure for numbering and storing medical record data. The method is done by providing material and presented and discussed with the staff present at the Service with several stages, including the presentation of material about the numbering and storage system that was delivered to the staff / officers of the Medical Record section who attended the Community Service event, after it is continued with field practice, if there are things that are not understood in the implementation it will be continued with the guidance and consultation phase between the medical record staff and the Community Service Team, the final stage within a period of several weeks will be carried out monitoring and evaluation whether the knowledge provided has been applied well in the clinic. Keywords: Medical Record, Numbering, Archiving, Clinic

scholarly journals A Distributed Information System for Health Care Facilities in Nigeria: A Web-based Spatial Approach

2013 ◽  
Vol 5 (10) ◽  
pp. 1-8
Author(s):  
Adebayo PeterIdowu ◽  
Bernard Ijesunor Akhigbe ◽  
Aderonke Anthonia Kayode ◽  
Olajide Olusegun Adeosun ◽  
Tolulope B. Apanisile
Keyword(s):  
Health Care ◽  
Information System ◽  
Health Care Facilities ◽  
Web Based ◽  
Distributed Information System ◽  
Distributed Information ◽  
Spatial Approach ◽  
Care Facilities

scholarly journals TINJAUAN PELAKSANAAN NILAI GUNA REKAM MEDIS BAGI PASIEN DI RUMAH SAKIT UMUM IMELDA PEKERJA INDONESIA (RSU IPI) MEDAN TAHUN 2018

2020 ◽  
Vol 5 (1) ◽  
pp. 80-84
Author(s):  
Johanna Christy ◽  
Afni Efani Putri S
Keyword(s):  
Health Care ◽  
Medical Care ◽  
General Hospital ◽  
Medical Record ◽  
Medical Records ◽  
Health Care Facilities ◽  
Use Value ◽  
Care Facilities ◽  
Conducting Research

ABSTRAK Rekam medis adalah berkas yang berisi catatan dan dokumen tentang identitas pasien, pemeriksaan, pengobatan, tindakan dan pelayanan lain kepada pasien pada sarana pelayanan kesehatan. Tujuan penelitian ini adalah untuk mengetahui bagaimana pelaksanan nilai guna rekam medis bagi pasien. Jenis penelitian ini adalah deskriptif bertujuan menggambarkan secara sistematis fakta dan karakteristik objek dan subjek secara tepat. Waktu penelitian ini dilakukan pada bulan Juli di Rumah Sakit Umum Pekerja Indonesia Medan (RSU IPI) Tahun 2018. Populasi dalam penelitian adalah 440 berkas rekam medis. Dalam melakukan penelitian, peneliti mengambil sampel sebanyak 81 berkas rekam medis. Berdasarkan hasil penelitian yang dilakukan di RSU IPI pelaksanaan nilai guna rekam medis sudah terlaksana dengan baik, dilihat dari tersedianya ringkasan masuk dan keluar, resume, lembar operasi, identifikasi bayi, lembar persetujuan tindakan, lembar kematian pada setiapberkas pasien pulang meninggal, asuhan keperawatan didalam berkas rekam medis. Tetapi dalam pengisian berkas rekam medis petugas rekam medis belum mengimplementasikan nilai guna rekam medis dengan baik. Kesimpulannya pelaksanaan nilai guna rekam medis sudah baik namun dalam pengisian berkas rekam medis lebih di perhatikan sesuai Permenkes 269 Tahun 2008 Tentang rekam Medis sehingga pelaksaaan nilai guna rekam medis dan pengisisan berkas rekam medis berjalan lebih baik.   Kata Kunci: Rekam Medis, Nilai Guna Rekam Medis, Berkas Rekam Medis                                             ABSTRACT   Medical record is a document that contains records and documents about patient identity, examination, treatment, care and other services for patients in health care facilities. The purpose of this study was to study how the implementation of the use of medical records for patients. This type of research is descriptive which addresses the systematic problem and the appropriate characteristics of objects and subjects. When this study was conducted in July at the Medan Indonesian Workers General Hospital (RSU IPI) in 2018. The population in this study was 440 medical record documents. In conducting research, researchers took 81 samples of medical records. Based on the results of research conducted at the IPI General Hospital, the implementation of the use value of medical records has been carried out well, seen from the availability of incoming and outgoing assessments, proceeding, surgery sheets, accessing infants, action approval sheets, consent sheets on each patient's return documents, medical care care. However, in applying medical records, medical record officers have not applied the use value of medical records properly. Conclusion the reclamation of the value of the medical record has been better in the reclamation of the medical record is better with the approval in accordance with Minister of Health Regulation 269 of 2008 About the Medical Record requires the implementation of the value of the medical record and the filling of the medical record better.

scholarly journals Data utilisation and factors influencing the performance of the health management information system in Tanzania

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Leonard E. G. Mboera ◽  
Susan F. Rumisha ◽  
Doris Mbata ◽  
Irene R. Mremi ◽  
Emanuel P. Lyimo ◽  
...  
Keyword(s):  
Health Care ◽  
Information System ◽  
Data Management ◽  
Management Information System ◽  
Health Management ◽  
Health Care Facilities ◽  
Health Management Information System ◽  
Management Information ◽  
Factors Influencing ◽  
Care Facilities

Abstract Background Health Management Information System (HMIS) is a set of data regularly collected at health care facilities to meet the needs of statistics on health services. This study aimed to determine the utilisation of HMIS data and factors influencing the health system’s performance at the district and primary health care facility levels in Tanzania. Methods This cross-sectional study was carried out in 11 districts and involved 115 health care facilities in Tanzania. Data were collected using a semi-structured questionnaire administered to health workers at facility and district levels and documented using an observational checklist. Thematic content analysis approach was used to synthesise and triangulate the responses and observations to extract essential information. Results A total of 93 healthcare facility workers and 13 district officials were interviewed. About two-thirds (60%) of the facility respondents reported using the HMIS data, while only five out of 13 district respondents (38.5%) reported analysing HMIS data routinely. The HMIS data were mainly used for comparing performance in terms of services coverage (53%), monitoring of disease trends over time (50%), and providing evidence for community health education and promotion programmes (55%). The majority (41.4%) of the facility’s personnel had not received any training on data management related to HMIS during the past 12 months prior to the survey. Less than half (42%) of the health facilities had received supervisory visits from the district office 3 months before this assessment. Nine district respondents (69.2%) reported systematically receiving feedback on the quality of their reports monthly and quarterly from higher authorities. Patient load was described to affect staff performance on data collection and management frequently. Conclusion Inadequate analysis and poor data utilisation practices were common in most districts and health facilities in Tanzania. Inadequate human and financial resources, lack of incentives and supervision, and lack of standard operating procedures on data management were the significant challenges affecting the HMIS performance in Tanzania.

scholarly journals IBM FABRIC MASK MAKING TRAINING FOR THE RESIDENTS OF EAST PENFUI VILLAGE, KUPANG TENGAH, KUPANG DISTRICT IN CENTRAL PANDEMI COVID-19

2021 ◽  
Vol 1 (1) ◽  
pp. 25-28
Author(s):  
Anita Lidesna Shinta Amat ◽  
Herman Pieter Louis Wungouw ◽  
Efrisca Damanik
Keyword(s):  
Health Care ◽  
Home Care ◽  
Community Service ◽  
First Aid ◽  
Health Care Facilities ◽  
Daily Activities ◽  
Modes Of Transmission ◽  
Care Facilities ◽  
Almost All ◽  
Respiratory Droplets

Covid-19 pandemic has become a global problem that has an impact on almost all levels of society, both those with income and no income. Recommendations regarding the use of masks in the community, during home care, and in health care facilities in areas need to be mobilized massively. Current information indicates that the two main modes of transmission of the COVID-19 virus are respiratory droplets and contact. The use of masks has become a culture in life and daily activities so that the need for masks has increased. Therefore, it is necessary to have a stock of masks that are clean and of good type of cloth as prevention and first aid when doing activities outside the home. The condition of the residents in Penfui Village shows that not all are able to provide a large stock of masks for at least 1 house / small family. This situation prompted the Community Service team from the Faculty of Medicine (FK) Undana to provide training in making cloth masks for the community in East Penfui Village.

scholarly journals Data Utilisation and Factors Influencing the Performance of the Health Management Information System in Tanzania

2021 ◽  
Author(s):  
Leonard Mboera ◽  
Susan Rumisha ◽  
Doris Mbata ◽  
Irene Mremi ◽  
Emanuel Lyimo ◽  
...  
Keyword(s):  
Health Care ◽  
Information System ◽  
Management Information System ◽  
Health Management ◽  
Health Care Facilities ◽  
Health Facilities ◽  
Health Management Information System ◽  
Management Information ◽  
Factors Influencing ◽  
Care Facilities

Abstract Background: Health Management Information System (HMIS) is a set of data regularly collected at health care facilities, aimed to meet the needs of statistics on health services. This study aimed to determine the utilisation of HMIS data and factors influencing the performance of health system at the district and primary health care facility levels in Tanzania. Methods: This cross-sectional study was carried out in 11 districts and involved 115 health care facilities in Tanzania. Data were collected using a standard questionnaire and an observational checklist. The collected data was cleaned, summarized into proportions and graphical presentation using STATA version 13 software. Results: This study involved 115 health facilities in 11 districts. A total of 93 health facility workers and 13 district officials were interviewed. About two-thirds (60%) of the facility respondents reported to use the HMIS data they collect. Data were mainly used for comparing performance in terms of services coverage (53%), monitoring of disease trends over time (50%), and providing evidence for community health education and promotion programme (55%). The majority (41.4%) of the facility’s personnel had not received any training on data management related to HMIS in the past 12 months. Only five out of 13 district respondents reported to routinely analyse HMIS data. Patient load was described to frequently affect staff performance on data collection and management. Less than half (42%) of the health facilities (HFs) had received supervisory visits from the district office. Nine district respondents reported to systematically receive feedback on the quality of their reports on monthly and quarterly bases from higher authorities. More than half (n=7) of district respondents reported that those responsible for HMIS activities are also responsible for other equally important activities. Conclusion: Poor data utilisation was common in most of the districts and health facilities in Tanzania. Inadequate human and financial resources, inadequate training, lack of supervision, and lack of standard operating procedures were the major challenges affecting the HMIS performance in Tanzania.

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