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Jurnal Administrasi Kesehatan Indonesia

ISSN 23033592

Vol. 1 / No. 4 / Published : 2013-04

TOC : 1, and page :282 - 290

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Original Article :

Process evaluation on medical record reporting and information usage at usada hospital sidoarjo

Author :

  1. Tiara Andani*1
  2. Thinni Nurul Rochmah*2
  1. Mahasiswa Fakultas Kesehatan Masyarakat
  2. Dosen Fakultas Kesehatan Masyarakat

Abstract :

Information in the medical record could be used for various purposes, such as treatment decisions for patients, evidence of legal services provided and the evidence on the performance of human resources in health care facilities. Preliminary research has found that incomplete medical record in Usada Sidoarjo Hospital of 76,67% and 90,42%.This study aimed to evaluate the process of report creation and utilization of information in medical Record Unit Usada Hospital Sidoarjo.This was cross-sectional study. Data was collected through observation as well as interviewing to the hospital middle level management which then compared with Guidelines for Hospital Medical Record in Indonesia. The process of recapitulation of patients visits, hospital activity reported, and internal reported hospitals were already fits with the guidelines. While the resumes settlement process, daily inpatient census reporting, morbidity reported process, and external reported hospitals still were not in line with the guideline. Some effort can be made to improve the reporting process. Medical record officer could use ICD-10 application to getting the medical record code. Moreover to increase performance in external reporting, it needs to strengthen the role of each unit in organizational structure of medical record.

Keyword :

evaluation, hospital, information, medical record, report,

References :

  1. Budi, S.C, (2011). Manajemen Unit Kerja Rekam Medis. Yogyakarta : Quantum Sinergis Medis
  2. Arifiyanti, I., (2013). Pengolahan Data Rekam Medis di RSU Haji Surabaya. Surabaya : Universitas Airlangga
  3. Davis, G. B., (1985). Kerangka Dasar Sistem Informasi Manajemen Bagian I Pengantar. Jakarta : PT Pustaka Binaman Pressindo
  4. Scoot, G. M., (2004). Prinsip-Prinsip Sistem Informasi Manajemen. Jakarta : PT RajaGrafindo Persada
  5. Supriyanto, S., & Anita, N., (2007). Perencanaan dan Evaluasi. Surabaya : Airlangga University Press


Archive Article

Cover Media Content

Volume : 1 / No. : 4 / Pub. : 2013-04
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