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Background: In the hospital, ineffective information is caused by late referral and incomplete medical records. Decree of the Minister of Health No. 129/2008 of Hospital Minimum Service Standards explained this case. The standard said that medical record documents must be returned in 1x24hours and its completeness must be 100%. Nevertheless, Fatmawati Jakarta Hospital underwent an increase of late returns and incomplete inpatient medical record documents percentages. Objectives: Aims of this study are determining and identifying flow and needs of the development of an information system. Also, this study aims to design an information system for monitoring inpatient medical record documents. Methods: This study used a qualitative method, SDLC stages, and a prototype method approach. Results: There are problems in the current hospital information system. Also, it makes employees still need to do their works manually. Therefore, an inpatient medical record document monitoring information system was designed through some stages. Those are the system flow, database, user interface, OPS, and manualbook formings. Conclusions and Recommendations: The new information system provides some improvements in the hospital. Those are particularly in achievement and enhancement of quality indicators and standards. This is because it can overcome problems and produce quality reports. Also, it makes employees do their works efficiently. For recommendations, the hospital should support this development by facilities and infrastructure provision. They also need to socialize the operational procedure standard and manualbook. Then, they should do the process of testing the system to users and database maintenance efforts regularly .
Medical record is a source of health information management that requires gooddata, information is crucial in the determination of policy or decision making.Outpatient medical record management in UPT Puskesmas Kecamatan Cileungsimanuals still lead to many limitations and problems. This problem resulted in theinability of the processing of data into information you need quickly andaccurately. The purpose of the research is to make the design of electronicmedical record information system outpatient which can facilitate the processingof data to be made into the needed information. Information systems developmentusing Iterative, Incremental method and data collection by means of observation,review of documents and interviews. This research resulted in the logical designof the information system of the electronic medical record outpatient, accordingthe needs of users who are able to generate information quickly and accurately.Speed of information flow in primary health care help management in decisionmaking and running the functions of planning, monitoring and evaluation. Thisinformation system can be implemented with some conditions that can supportthis system properly, namely the availability of hardware and software accordingto the needs of information systems developed gradually, officer training andmanagement support in the form of funds, policies and procedures.Keywords: Electronic; Information; Medical Record; Primary Health Care;Systems.
Saat ini rumah sakit di Indonesia mengalami perubahan sebagai dampak adanya perubahan lingkungan lokal dan global, bergeser dari lembaga sosial menjadi lembaga usaha yang berarti bahwa pengelolaannya dari not for profit menjadi for profit. Rumah sakit masa kini harus menyadari kebutuhan masyarakat yang terus berubah, kemajuan teknologi, perang antar pesaing dan turunnya kesetiaan pelanggan. Oleh karena itu, dibutuhkan Sistem Informasi Pemasaran (SIP). SIP dapat membantu rumah sakit dalam pengambilan keputusan yang tepat dan akurat. SIP terdiri dari pencatatan internal, intelijen pemasaran, riset pemasaran dan analisis pendukung keputusan. Pencatatan internal bersumber dari rekam medis dan catatan keuangan rumah sakit. Delapan elemen penting dapat dihasilkan melalui SIP yaitu: Memperoleh infomasi perubahan pasar; biaya yang diperlukan; Informasi kompetisi, perubahan kebutuhan masyarakat; Menetapkan tujuan pemasaran agar jelas dan terarah; penampilan masalah yang ada; Penentuan target pemasaran yang tepat; Gambaran implementasi dari strategi yang dibuat; Beberapa Cara dan alat promosi yang bisa dipilih; Pengukuran dan pemantauan pelaksanaan cara pemasaran. Rekam Medis sebagai data internal dapat mendukung keputusan pemasaran terhadap 4 elemen di atas atau sekitar 50% dari delapan elemen yaitu lnformasi kompetisi, perubahan kebutuhan masyarakat; Menetapkan tujuan pemasaran agar jelas dan terarah; Penampilan masalah dan pelanggan yang ada; Penentuan target pemasaran yang tepat. Di RS "A" yang sudah tersedia rekam medis elektronik kenyataannya belum optimal dijadikan basis data SIP dan laporan yang dibutuhkan oleh direktur dan wadir tidak tersedia secara rutin karena: masih dilakukan secara manual. Untuk itu perlu dirancang SIP berbasis rekam medis sehingga dapat tercapai optimalisasi manajemen pemasaran RS "A". Metode pengembangan SI yang digunakan adalah SDLC melalui tahapannya yaitu identifikasi masalah; peluang dan tujuan; penentuan syarat dan analisis kebutuhan; merancang sistem yang akan direkomendasikan; mengembangkan dan mendokumentasikan perangkat lunak; serta ujicoba dan simulasi prototipe. Hasil penelitian ini adalah diperolehnya prototipe SIP berbasis Rekam Medis yang dapat menghasilkan informasi secara rutin baik bulanan maupun tahunan dalam bentuk label, grafik dan peta guna kepentingan Direktur, Wadir Medis dan Wadir Keuangan dan Layanan Umum dalam rangka optimalisasi manajemen pemasaran RS "A" Jakarta. Beberapa indikator yang dihasilkan yaitu rata-rata kunjungan pasien RS per hari, rata-rata pasien RS per Mari, rata-rata pasien baru per hari, loyalitas pasien dan persentase pasar tertembus. Agar pelaksanaan SIP ini berjalan dengan baik dan berkelanjutan, dibutuhkan pemahaman tentang pemasaran termasuk SIP berbasis Rekam Medis oleh Unit PUP dan perlu dikembangkan Iebih lanjut analisis keputusan pemasaran berdasarkan diagnosa pasien.
Nowadays, Indonesia hospitals have many changes as the effect of local and global environmental changes, which turn from social institution into money oriented institution which means that the management is changed from not for profit becomes for profit. Recent hospitals should realize public needs which keep changing, technological advance, battle among competitors, and the decrease of customers? loyalty. That is why Marketing Information System is needed. Marketing Information System can help hospitals in taking right and accurate decisions. It contains of internal records, marketing intelligence, marketing research and decision support analysis. Internal records are taken from medical record and hospitals' financial record. Eight major elements can be produced through marketing information systems, those are: receiving of markets' changes; expenses needed; competition information, changes of publics needs; deciding clear and accurate goal of exact target markets; implementation illustration of strategy that that can be chooses; measuring and monitoring the marketing application. Medical record as the internal data can support marketing decision of 4 elements above or approximately 50% of total 8 elements which are competition information; changes of public needs: deciding clear and accurate goal of marketing; showing problems present customers; deciding exact target market. In hospital "A" where electronic medical record is already available it is not optimal to be marketing information system data based and the reports needed by the Director and Vice Director is not continuously available since it is still done manually. That is why I am needed to design marketing information system based on medical record to achieve optimal marketing management of "A" Hospital. Methodology of the development information system used is System Development Live Cycle (SDLC) through many steps which are: problem identification, opportunity and purpose; determining requirement system; developing and documenting software; and also testing and prototype simulation. This research produce marketing information systems prototype with medical record based which can produce continuous information either monthly or annually in the forms of tables, graphics and maps for the needs of the Director, Medical Vice Director, Financial Vice Director and Public Service in order to optimize the marketing management of Hospital "A" Jakarta. Some indicators produced are average of inpatient per day, outpatient per day, average new patient per day, patient loyalty and continuality and target market percentage. In order to make this marketing information system works properly, it is needed an understanding about marketing includes marketing information system with medical record based by Marketing and Development Unit and it is needed to develop further marketing decision analysis based on patient diagnose.
Dengan persaingan antar rumah sakit baik pemerintah, swasta, dan asing yang semakin keras untuk merebut pasar yang semakin terbuka bebas, rumah sakit dituntut dapat menyajikan data dan informasi yang akurat, tersaji secara tepat waktu bagi pihak-¬pihak yang memerlukan (Depkes, 2003). Tujuan penelitian ini adalah mencari sistem informasi yang sesuai untuk dikembangkan dalam rangka memperbaiki efisiensi penyelesaian biaya rawat inap di RSUD Sekayu. Metoda penelitian yang digunakan adalah melalui pendekatan System Development Life Cycle (SDLC) dengan cara wawancara mendalam dengan informan, telaah dokumen dan observasi. Hasil penelitian didapatkan masih lambatnya penyelesaian biaya rawat inap, tidak adanya protap yang mengatur pekerjaan administratif dan penyelesaian biaya rawat inap belum memanfaatkan sistem informasi yang terotomatisasi dengan menggunakan komputer. Sistem informasi biaya rawat inap dikembangkan dengan rancangan prototipe input dan tampilan output yang berisi rincian jenis layanan dan besarnya biaya layanan. Sistem yang sudah dirancang harus terus selalu dikembangkan sesuai kebutuhan pengelolaan sistem informasi di masa datang.
Competition between government hospital, private hospital, and international hospital are getting louder to grab market which progressively free opened, hospital claimed can present accurate information and data, presented on schedule for proper sides (Health Department, 2003). The objective of this research is looking for appropriate information systems to be developed for repair the efficiency of solving inpatient fee in Sekayu Hospital. The research method is through by approaching of Systems Development Life Cycle (SDLC) with deep interview to informant, document research and observation. The results of study found that the solving of inpatient fee is still tardy, inexistence of fixed procedure which arranging administrative work and the solving of inpatient fee is not using computer automatically information systems yet. Information Systems of inpatient fee to be developed with input prototype model and output appearance that contained of service type detail and level of service fee. The systems had been performed should continuously improved depend on the needed of information systems in the future.
The high mortality rate in cervical cancer patients is caused by the majority of patientscoming to treatment already at an advanced stage. Cancer if found in the early stages ofmore than half can be prevented even can be cured. Early detection program of cervicalcancer one of them can be done through IVA test and if found the pre cervical cancerlesion followed by treatment of cryotherapy. There are still occurrences of losing follow-up in patients with positive IVA results, there are still women do not perform cryotherapydue to fear of action cryotherapy. A monitoring system is required to reduce the incidenceof losing follow up. System development using System Development Life Cycle (SDLC)with prototyping method. The development of this system involves the user in performingthe needs analysis, so that the system developed in accordance with the needs of the user,the system can be accessed either from the side of health personnel or patient, inputexamination results performed by health personnel, then automatically send smsreminder to patients with results IVA Positive who has been scheduled to take action ofcryotherapy, the system also provide sms reminder to health workers to contact andintervene patients who did not attend to cryptotherapy up to a certain time limit, for thepatient side, patients can see the results of screening there are also articles related toeducation about cervical cancer, this educational menu can knowledge of patients aboutcervical cancer. The development of this information system can improve monitoringcapability in the presence of sms reminder feature so as to reduce the incidence of losingfollow-up in patients with pre-cervical cancer lesions, in addition Patients facilitated inobtaining information related to cervical cancer screening and advanced treatment, thissystem can also increase knowledge patients with educational menus found in thisapplication.Key words:Cervical Cancer, Information System, Monitoring, SMS Reminder.
Kata Kunci: Prokrastinasi, Petugas Penyimpanan Rekam Medis, Rekam Medis
This research focuses on the procrastination behaviors of medical record officers in the provision of outpatient medical record files at Fatmawati Hospital in 2017. The aim of this research is to see the procrastination level of medical record officers and to analyze the individual, organizational, and psychological factors that may relate to the provision of outpatient medical record files at Fatmawati Hospital. This research uses quantitative methods using surveys with a cross sectional approach through a questionnaire, and also qualitative methods through in-depth interviews. The results of this study concludes that generally, the level of procrastination of medical record officers is in the medium to high category and that there are individual, organizational, and psychological factors associated with procrastination behaviors of medical record officers in the provision of outpatient medical record files at Fatmawati Hospital in 2017.
Keywords: Procrastination, Medical Record Officer, Medical