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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.
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 .
Penelitian ini bertujuan untuk lmunisasi merupakan upaya yang efektif dan diperlukan oleb semua daerah untuk menurunkan angka kematian. kesakitan dan kecacatan bayi dan Balita. Program imunisasi memperkenalkan PWS sebagai alat pantau cakupan. PWS secara nyata sangat berguna untuk memantau kecenderungan pencapaian cakupan program dalam periode tertentu dan segera dilakukan koreksi serta. ditindakJanjuti. Cakupan imuniss.si bayi di Aceh Utara dari tahun 2004 sampai dengan tahun 2006 cenderung rnengalami peningkatan kecuati irnunisasi Hepatitis B. Namun cakupan imunisasi Kabupaten Aceh Utara Tahun 2006 masih rendab dibandingkan dengan cakupan Provinsl Nanggoe Aceh Darussa1am. Dampak masih rendahnya cakupan ini yaitu masih tingginya angka kesakitan dan kematian yang disebabkan o!eh penyakit yang dapat dicegah dengan imunisasi (PD3l), Pennasalahan pada sistem informasi berpengaruh terhadap perencanaan. Penelitian pengembangan ini menggunakan metode incremental iteratif dari model prototype, melalui beberapa tahapan yaitu analisis, penmeangan, pengkodean dan ujicoba. Identifikasi dan analisis masalah sistem dilakukan dengan wawancara mendalam, telaah dokumen dan observasi pada dinas kesehatan dan Puskesmas. Hasil analisis sistem dapat mengidentifikasi pennasaiahan yang ada pada sistem yang sedang berjalan serta beberapa alternatif solusi pada input, proses dan output. Output yang dihasilkan berupa laporan bulanan, berisi informasi monitoring vaksin, logistik vaksin, laporan PD3I, kulkas vaksin, drop out. target cakupan imunisasi, kebutuhan vaksin, alat suntik, safety box dan desa UCI. Perancangan prototype dilakukan dengan monggunakan bahasa pomrograman PHP dan basis data mysqi yang bersifat open source. Prototype ini masih mempunyai keterbatasan sehingga dibutuhkan pengembangan lebih lanjut. Pengembangan Prototype yang bersifat a.plikatlf dapat menjadi alat manajemen untuk peningkatan program imunisasi dengan penguatan perencanaan, monitoring dan evaluasi. Output yang dihasilkan dapat dijadikan informasi untuk mendukung pengambilan keputusan dalam penanggulangan penyakit yang dapat dicegah dengan imunisasi.
immunization is an effective way and needed by all of districts to decrease infant and under five children mortality, morbidity and disability rates. Immunization program introduces PWS as a coverage monitoring tool. PWS is clearly useful in monitoring the trend of program coverage achievement in given period, so the correction and follow up can be done immediately. Infant immunization coverage tends to increase in Aceh Utara from 2004 to 2006, except for Hepatitis B. However, immunization coverage in Aceh Utara District in 2006 was still lower compared to Nanggroe Aceh Darussalam Province. Consequences of this lower coverage are mortality and morbidity rates due to immunization preventable disease (PD31) are still high. Issues in information system have an impact on planning, implementation, monitoring and evaluation of the program. Processing and analyzing of immunization PWS data were performed in a simple way through immunization and analysis of system problem were conducted by depth interviewdocument study, and observation in health district office and heaJth center. The result of system analysis can identifY the existing issue in the world system and some solution alternatives in input, process and output. The output is in monthly reporting form, consisting vaccine monitoring information, vaccine logistic, PD3I report, vaccine refrigerator, drop out, immunization coverage target, vaccine requirement, injection tool. safety box and UCI village. Prototype design is performed by using PHP programming language and open source mysql data base, This prototype still has limitations so that further development is needed. Applicable prototype development can be a management tool to improve immunization program by reinforce the planning, monitoring and evaluation. Output resulted from this development can be used as an information to support decision making in immunization preventable disease prevention.
Asuhan Keperawatan (Aske merupakan suatu pendekatan yang dilakukan seorang perawat terhadap kliennya. Motu Asuhan keperawatan di RSUD Dr. H. Abdul Moeloek Lampung masih diternokan pendokumentasian asuhan keperawatan pada rekam medik pasien yang asih belum terisi; masih adanya masyarakat yang merasa belum puas terhadap pelayanan yang dibe ·kan oleh perugas diruangan (20,3%); kelohan tentang pelayanan sebanyak 21,9%; 70% dari 20 pasien mengatakan perawat yang kurang ramah dalam menangani pasien, 75% dari 20 pasien merasa tidak diperhatikan oleh perawat. Hal ini perlu sekali mendapat perhatian dari semua pihak terkait:; dan menempatkan Pemantauan Motu Askep (PMA) sebagai kegiatan yang penting dilaksanakan secara berkesinambungan. Dalam pelaksanaannya, PMA belum didukung dengan sistem informasi pengolahan data yang masih dilakukan secara manual, belum ada analisis tiap penelitian adalah Ruang Rawat Inap yang ada di Rumah Sakit Umum Daerah Dr. H. Abdul Moeloek Propinsi Lampung. Sebagai hasil dari penelitian ini adalah diperolehnya prototipe Sistem lnformasi Pemantauan Mutu Asuhan Keperawatan yang diharapkan dapat effektif dan effisien dalam penyediaan informasi yang dibutuhkan. lnformasi yang diperoleh akan dirancang agar benar-benar relevan. cepat, tepat dan akurat, serta dapat lebih bennanfaat. terutama untuk kepentingan perencanaan peningkatan mutu pada umumnya, dan pemantauan Askep pada khususnya, sehingga dapat tercapai optimalisasi pemantauan mutu Askep di rumah sakit tersebut Agar pelaksanaan sistem infonnasi ini dapat berjalan dengan baik dan berkelanjutan, dibutuhkan pengembangan prototipe yang berbasis jaringan.
Asuhan Keperawatan (Askep) represent an approach to do a nurse to its clien. Quality of Askep in Dr. H. Abdul Moeloek :cam pung hospital still found documentation of asuhan keperawatan on IJ&.tient record which still not yet loaded; there is still of society which feel not et satisfied to service given in a hospital (03%); sigh about ice counted 2 J,goA,; 70% from 20 patient tell less friendly nurse in handling patient, 75% from 20 patient feel not be paid attend on by nurse. This matter very important to get attention from all related partieand place Monitoring Quality of Askep ( PMA) as activity which is important to be implementation chronically. In its implementation, PMA not yet been supported with infonnation system. data-processing which still (done/cond ucted) manually. there is no analysis every treatment upbringing step and also monitoring instrument quality of standard not yet altogether used to assess quality o askep. For that require to develop of monitoring. This research was result a prototype of Information System Monitoring Quality of Askep. This system is expected to supply any needed information effectively earn and effektif of efficient in is ready of required information. obtained infonnation will be designed to really relevant, quickly, precisely and is accurate, and also earn more useful, especially for planning of make-up of quality in general, and monitoring of Askep especially, so that can reach by monitoring quality of Askep. For implementation of this information system can walk better and have continuation, required by development of prototype being based on network.