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Penelitian bertujuan untuk mengetahui pengaruh budaya organisasi dan status kesehatan terhadap kinerja dosen di Politeknik Kesehatan Kementerian Kesehatan Jakarta II. Penelitian dilakukan pada dosen tetap selama bulan Mei sampai Juni 2012. Berdasarkan evaluasi yang pernah dilakukan sebelumnya kinerja pada aspek pengajaran, penelitian, pengabdian masyarakat belum mencapai maksimal. Berkaitan hal tersebut maka perlu dilakukan penelitian untuk mengetahui ada/tidaknya peningkatan kinerja. Merupakan penelitian kuantitatif menggunakan metode cross sectional dan pengambilan sampel secara proportionate stratified random sampling. Kuesioner dengan 20 pertanyaan untuk mengukur indikator profesionalisme, kepedulian, kondisi mental dan aktivitas berolah raga. Pemeriksaan langsung berat badan dan tinggi badan untuk mengukur BMI. Analisis data menggunakan SEM-SmartPLS. Sampel berjumlah 67 dosen yang diambil dari 103 dosen. Analisis dilakukan antara variabel eksogen dengan endogen pada model yang diajukan. Budaya organisasi mempengaruhi kinerja 11,4% dan status kesehatan memberi pengaruh 25,2% terhadap kinerja. Prediksi model penelitian 8,7%. Variabel budaya organisasi dan status kesehatan signifikan berpengaruh terhadap kinerja.
The objective of this research was to evaluate the influence of organization culture and health status to lecturer performance at Health Polytechnic Jakarta II Ministry of Health. Samples of this research were permanent lecturers at Health Polytechnic Jakarta II Ministry of Health in May-June 2012. Based on previous evaluation on lecturer performance at the same place for education, research and community perpetuation, the result had not reached maximum. That is why there should be another research to evaluate this lecturer performance. This is a quantitative cross-sectional research. Samples were collected using proportionate stratified random sampling. Questioner consisted on 20 questions for assessing indicator for professionalism, care, mental condition, and exercise activity. Direct examination was carried out on weight, height assessing BMI. Data analyses were done using SEM-SmartPLS. Samples were 67 lecturers from 103 lecturers. Analyses were carried out between exogenous and endogenous variables on proposed models. Organization culture influenced 11.4% and health status influenced 25.2% on lecturer performance. Prediction model on this research was 8.7%. Organization Culture and health status variables influenced lecturer performance significantly.
Masalah kematian maternal dan noenatal masih merupakan masalah pokok yang dihadapi oleh bangsa Indonesia, dimana AKI di Indonesia tahun 2005 sebesar 262 per seratus ribu kelahiran hidup. Salah satu penyebab kematian tersebut akibat masih rendahnya cakupan persalinan oleh tenaga kesehatan dan masih tingginya persalinan ditolong oleh tenaga non kesehatan (dukun bayi). Proporsi angka cakupan persalinan oleh tenaga kesehatan di Kabupaten Garut tahun 2006 adalah 67,4% sementara sisanya oleh dukun bayi. Pencapaian tersebut tidak sejalan dengan pencapain hasil cakupan K4 pada tahun yang sama sebesar 85,4%, hal ini menunjukkan adanya kesenjangan antara kedua hasil cakupan tersebut. Idealnya, kenaikan cakupan K4 diikuti pula oleh kenaikan cakupan persalinan. Kesenjangan tersebut telah mengindikasikan telah terjadinya unmet need persalinan, yaitu ketidaksesuaian antara keinginan dengan kenyataan mengenai tenaga penolong persalinan. Tujuan penelitian ini adalah untuk mengetahui determinan unmet need persalinan di Kabupaten Garut tahun 2007. Penelitian menggunakan data sekunder dari hasil survei data dasar pengembangan model pelayanan kesehatan neonetal esensial di Kabupaten Garut tahun 2007 oleh Pusat Penelitian Kesehatan (PPK-UI) dan Pusat Kajian Promosi Kesehatan FKM-UI. Metode penelitian adalah Cross Sectional, dengan populasi adalah ibu-ibu yang mempunyai bayi 0-11 bulan yang tinggal menetap di 10 Kecamatan di Kabupaten Garut. Sampel yang berjumlah 246 orang, diambil menggunakan metode cluster probability proportionate size. Hasil penelitian menunjukkan dari 246 responden yang mempunyai keinginan untuk melahirkan oleh tenaga kesehatan 21,1% terjadi unmet need persalinan dan 78,9% sesuai dengan keinginannya (met need). Paritas merupakan faktor yang berhubungan dengan unmet need persalinan (p = 0,049), dimana iu yang mempunyai paritas tinggi berpeluang 2 kali untuk unmet need persalinan dibandingkan dengan ibu yang mempunyai paritas rendah setelah dikontrol oleh faktor pendidikan ibu, status ANC dan status ekonomi (OR = 2, 95% CI = 1,0 ? 3,8). Berdasarkan hal di atas, disarankan untuk lebih meningkatkan kegiatan KIE pada saat pemeriksaan kehamilan (ANC) sehigga pengetahuan ibu hamil tentang kehamilan, persalinan dan KB dapat lebih meningkat, disamping meningkatkan kegiatan penyuluhan kesehatan secara berkesinambungan kepada masyarakat, terutama tentang tanda bahaya kehamilan dan persalinan.
The problem of neonatal and maternal deaths.is still the main problem faced by indonesian people, where the maternal death rate in Indonesia, in the year of 2005 was 262 per one hundred thousand of living birth.one of the mentioned death causes was that the child-birth coverage carried out by medical workers was still low and child- birth performed by non medical workers was still high. The percentage of child-brith coverage rate by medical workers in Garut regency in 2006 was 67,4 % meanwhile the rest was performed by conventional midwives. The mentioned achievement was not in accordance with that of the result of K4 coverage in the same year as much as 85,4 %, this case showed the presence of discrepancy between both mentioned coverage results.ideally, the raise of K4 coverage should have been followed by the raise of child-birth coverage as well. This discrepancy had indicated that unmet need child-birth had occured, that is the unconformity between desire and fact concerning medical workers for child- birth. The objectives of this research is to recognize the determinant of unmet need of child- birth in Garut regency in 2007.The kind of the research used secondary data from the result of base data survey for the development of essential neonatal health service model in Garut regency in the year of 2007 performed by Health Research Centre ( PPK-UI ) and Health Promotion Study Centre of FKM-UI.the method of the research is Cross Sectional . Population consists of the women having 0-11 month babies who settle in ten sub-districts with sample selection follows the method of 30 cluster, cluster is the rural-district with dursion criteria based on the number of population (probability proportionate size). by using c-survey, it is obtained 30 rural- districts, later 16 women are selected at random from every rural-district so that it fulfills the sample of 640 people. The number of respondents who fulfill criteria of unmet need child-birth is 246 people. The result of the research shows that from 246 respondents who have desire to give birth to by medical workers, 21.1% is unmed need child-birth and 78,9% is in accordance with their desire (met need) that is medical workers as the helper of child-birth. The result of statistics test shows significantcorrelation between parity and unmet need child-birth (p=0.049). In the meantime, the result of valid final modeling is model without interaction, later the most dominant factor as the determinant of unmet need child-birth is parity with the value of odds ratio as much as 2.0 respectively after being controlled by the factors of mothers education, ANC status and economics status (OR = 2, 95% CI = 1,0 ? 3,8). Based on the case above, it is suggested that the effort of health promotion program raise need to be performed by having health guidance acturties continuously to the community about reproduction health especially in the case of recognition towards child-birth danger signal. One of them is to raise the acturty of KIE at the time of pregnancy examination which along this time it forms education facility to improve mothers knowledge concerning their pregnancies and child-births.
ABSTRAK Nama : Ida Ayu Purwaningsih Program Studi : Kajian Administrasi Rumah Sakit Judul : Analisis Penerapan Rekam Medis Elektronik Di RS Awal Bros Tangerang Tahun 2017 Pembimbing : dr. Mieke Savitri,MKes Tesis ini membahas tentang evaluasi implementasi sistem rekam medik elektronik di Rumah Sakit Awal Bros Tangerang pada tahun 2017. Perkembangan teknologi informasi yang begitu pesat telah merambah ke berbagai sektor termasuk bidang kesehatan salah satu di antaranya adalah rekam medis berbasis komputer atau rekam medis elektronik, yaitu sebuah sistem pencatatan data medis secara elektronik dan terintegrasi baik untuk rawat inap, rawat jalan, maupun medical checkup dengan tingkat keamanan yang lebih baik. Rumah Sakit melalui upaya-upaya yang konkrit dan kerjasama antar sektor berusaha menyelenggarakan sistem tersebut sesuai dengan aspek penyelenggaraan rekam medis di Indonesia dan dapat dipertanggungjawabkan. Penelitian ini bertujuan untuk mengetahui bagaimana penerapan rekam medik elektronik di RS Awal Bros Tangerang. Lokasi penelitian dilakukan di RS Awal Bros Tangerang. Penelitian dilakukan pada bulan Januari –April 2018 dengan menggunakan desain penelitian deskriptif analitik. Populasi penelitian awal adalah staf yang bekerja saat ini di RS Awal Bros Tangerang sebagai professional pemberi asuhan sebanyak 117 orang yaitu yang terdiri dari dokter spesialis, dokter umum, perawat, bidan, petugas fisioterapi, apoteker, ahli gizi dan petugas rekam medis yang memiliki akses langsung terhadap sistem rekam medis elektronik. Pengambilan data primer awal melalui metode pengisian kuesioner evaluasi rekam medik elektronik oleh para profesional pemberi asuhan, kemudian dilakukan wawancara mendalam. Hasil evaluasi penerapan rekam medis elektronik RS Awal Bros Tangerang tahun 2017 didapatkan secara umum rata-rata persepsi positif responden terhadap aspek Tata Cara Penyelenggaraan Rekam Medis Elektronik, Aspek Pencatatan Rekam Medis Elektronik, Aspek Kepemilikan Rekam Medis Elektronik, Aspek Penyimpanan Rekam Medis Elektronik dan Aspek Hukum,Etik,Disiplin dan Kerahasiaan rekam medis adalah 79,5 %. Belum semua dokter spesialis menggunakan EMR. Perlu ditingkatkan clinical leadership kepatuhan penggunaan sistem baru RME dengan mengurangi faktor-faktor yang melatarbelakangi keengganan dokter spesialis tersebut yaitu dengan pelatihan yang intens, review berkala guna perbaikan berkelanjutan, follow up segera terhadap masukan user sehingga sistem informasi yang memberikan kepuasaan bagi para penggunanya serta bermanfaat juga keharusan menggunakan dari manajemen menjadi kunci untuk mengatasi hal tersebut. Kata kunci: rekam medis elektronik, rekam medis, rumah sakit
ABSTRACT Analysis Of Electronic Medical Record Implementation in Awal Bros Tangerang Hospital Year 2017 Ida Ayu Purwaningsih a Public Health Faculty University of Indonesia b Awal Bros Tangerang Hospital a,b dr. Mieke Savitri, MKes a Background and Purpose : The rapid development of information technology has expanded to various sectors including healthcare. One of them is computer-based medical record or electronic medical record, an integrated system of medical data documentation by electronic an electronic for inpatient, outpatient, and medical checkup with a better level of security. Hospitals provide concrete efforts and collaboration between many sectors trying to organize the system in accordance with aspects of medical records in Indonesia and can be accounted for. This study aims to find out how the implementation of electronic medical records in Awal Bros Tangerang Hospital. The location of the research was conducted in outpatient and inpatient unit in Awal Bros Tangerang Hospital. The research was conducted in January-April 2018 by using descriptive analytic research design. The initial research population are clinical staff in Awal Bros Tangerang Hospital. There are 117 care professionals consisting of specialist doctors, general practitioners, nurses, midwives, physiotherapists, pharmacists, nutritionists and medical record officers who have direct access against the electronic medical records system. Initial primary data was collected through the method of filling out the questionnaire of electronic medical records evaluation by the caregiver professionals, then in-depth interviews were conducted. The result of evaluation of electronic medical record implementation of Awal Bros Hospital Tangerang year 2017 obtained generally average positive perception of respondents to the aspects of electronic medical record administration, aspects of electronic medical record documentation, electronic medical record ownership aspect, storage aspect of electronic medical and legal, ethics, discipline and confidentiality of electronic medical record aspects. It is about 79,5% (good category). Not all specialist doctors use EMR. It is necessary to improve the clinical leadership toward the new system of EMR by reducing factors behind the specialist doctor's reluctance with intense training, periodic review for continuous improvement, immediate follow-up of user inputs so that information systems provide satisfaction for the users as well as how useful this system meet up the necessity from hospital management. That will become the key to overcome it. Keywords: Electronic Medical Record, Medical Record, Hospital
Penelitian ini merupakan penelitiankualitatif dengan menggunakan data sekunder klaim tagihan pasien rawat inap BPJSRSUD Kudungga bulan Februari-Mei 2017 sebanyak 1187 klaim, dan data primerwawancara mendalam beberapa informan. Hasil dari penelitian ini didapatkan selisihpositif sebesar Rp. 755.096.435,- 13 pada penerimaan total rumah sakit pada seluruhkelas ruang perawatan, selisih positif pada jasa pelayanan sebesar Rp. 845.964.814,- 40 , dan selisih negatif pada jasa sarana rumah sakit sebesar Rp. 90.868.379,- -3.
Rencana tindak lanjut yang akan dilakukan rumah sakit adalah melakukan upaya kendalimutu dan kendali biaya dengan efisiensi rumah sakit, meningkatkan jumlah kunjunganpada ruang perawatan yang memberikan selisih positif, standardisasi pelayanan melaluipenerapan clinical pathway dan formularium obat serta melakukan pengembanganSIMRS. Upaya kendali mutu dan biaya harus dilakukan rumah sakit sebagai langkahstrategis dalam implementasi program JKN.
Kata Kunci: Tarif Rumah Sakit, Tarif INA-CBG's, Perbedaan, Jasa Pelayanan, JasaSarana
With the implementation of the National Health Insurance JKN program on January 1,2014, the hospital is faced with two tariffs, namely hospital tariff based on unit cost inaccordance with BLU mandate, and INA CBG 39 s tariff which is the package rate to bepaid for patient care of BPJS. There is a difference in the health service payment system, the difference between the payment system resulted in differences in hospital admissionsbetween INA CBG 39 s tariffs and hospital claims based on hospital tariffs, hospital servicesand services.
This research is a qualitative research using secondary data claims of BPJSinpatients of RSUD Kudungga in February May 2017 as many as 1187 claims, andprimary data of in depth interviews of several informants. The results of this study founda positive difference of Rp. 755,096,435, 13 on total hospital admissions for allclasses of treatment rooms, positive difference in service cost of Rp. 845,964,814, 40 , and the negative difference in hospital facilities is Rp. 90.868.379, 3.
Thefollow up plan to be performed by the hospital is to make quality control and cost controlefforts with hospital efficiency, increase the number of visits in the treatment room whichprovide positive difference, standardization of services through the implementation ofclinical pathway and drug formulary and develop SIMRS. Efforts to control the qualityand cost must be done by the hospital as a strategic step in the implementation of JKNprogram.
Keywords Hospital Rates, INA CBG's Rates, Differences
Kata Kunci : Kelengkapan Berkas Rekam Medis, Retrospective Review, Concurrent Review
One of the parameters to determine the quality of health services in the hospital is the quality of medical record services that is about the completeness of recording medical records. A good medical record quality indicator is the completeness of its content, accurate, punctual, and legal aspects fulfillment. A complete medical record will provide convenience for the provision of information in the hospital. The medical record services at Kasih Ibu General Hospital Denpasar in the implementation are still facing some problems, to wit the return of medical record file that is more than the deadline specified and the completeness of the medical record file. The evaluation results for the third quarter report in 2017 showed that the average length of medical record file returns from July to September 2017 which is more than 1x24 hours is 22% while less than 1x24 hours was 78%. On average incompleteness charging inpatient medical record file at the General Hospital Kasih Ibu Denpasar in July to September 2017 was 73%. The purpose of this study was to determine differences in the completeness of the document review is based on a retrospective review and concurrent review of the patient's complete medical record file Sectio Caesaria (inpasif action) and pneumonia (by conventional measures) Kasih Ibu Hospital in Denpasar. The type of research used in this research is using quantitative approach method by comparing two (2) population that is Retrospecttive Review and Concurrent Review. The study was conducted on the medical records of Sectio Caesaria patients and on the medical records of patients with Pneumonia. Determination of population is done based on clinical pathways in Kasih Ibu Hospital Denpasar. There is a difference to the completeness of the medical record file between the retrospective review and the concurrent review. The data obtained shows that the number of medical record completeness with concurrent review method is higher than in the retrospective review method. This is because the medical recorder to check the completeness of the file when the patient is still inpatient and provide a sign or note on the file that is not complete so that when the doctor visits it is easier to complete the medical records file
Keywords: Medical File Recordings, Retrospective Review, Concurrent Review