Microsoft Access (also known as Access) is an application used to process databases. The implementation of storage at the Primary Health Center is still manual if the patient's medical record file is not found on the storage shelf, the officer will make a temporary file which will cause the accumulation of files on the shelf. There is still a misplaced medical record file (Missfile) due to the absence of a tracer being stored as a control for releasing medical record files and borrowing medical record files. The purpose of this research is how to design a tracer using Microsoft Access in the medical record unit at Primary Health Center, Padang. This research is about designing a tracer in the medical record unit at Primary Health Center in Padang. This type of research is Research and Development, conducting in-depth interviews, observation, and testing at the storage area and interviews with 1 head of administration, 1 head of medical records, and 2 storage officers. This research was conducted from 25 July to 2 August 2019 at Padang Primary Health Center. Based on the research results, it was found that the identification of tracer data elements in a computerized manner was more complete in implementing the application by developing the UML (Unified Modeling Language) method, namely by using use case diagrams and activity diagrams, as well as data flow diagrams. Efficiency is obtained by means of manually, 1 and computerized 3.5 so that the tracer efficiency is more computerized while the effectiveness is in accordance with what the officers expect. The conclusion in this study found that the officers were satisfied and the application was as expected because it was easy to use. Judging from the test results, this tracer application can be used, seen from the expectations and satisfaction of the officers, the data is appropriate and can improve performance, effectiveness, and efficiency in service. Therefore, the researchers hope that this application can be implemented in services and developed again in the future.

The implementation of the National Health Insurance starting in January 2014 made a change in the payment system from the Retrospective Paymant System to the Prospective Payment System with INA-CBG's rates. The difference in INA-CBG's rates and hospital rates is a fundamental problem so that hospitals must make efforts to achieve quality and cost control. the purpose of this research was to determine the Analysis of Differences in Tariff for Health Service Based on sustability of Diagnosis on the admision and discharge summary form (RM1) with INA-CBGs Verification at Hospital Dr. Reksodiwiryo Padang. The results of the study found that the accuracy of disease diagnosis and patient medical treatment was on the RM1 form (21.7%), on the INA-CBGs verification (56.5%). Differences in disease diagnosis and patient medical treatment on RM1 form with INA-CBGs verification (63.0%), and differences in health service fees based on accuracy of patient diagnosis and medical treatment on RM1 form with INA-CBGs verification (63.0%) . There is a significant relationship between the difference in the Tariff of health services with the accuracy of diagnosis on the RM1 form and the INA-CBGs verification which is quite large, due to the discrepancy in writing the diagnosis on RM1 with the INA-CBGs verification.

Rekam medis berkualitas dapat dilihat dari ketepatan dan kesesauian diagnosa di pelayanan kesehatan mengingat sangat pentingnya ketepatan dan kesesauian kode diagnosa. Tujuan penelitian untuk mengetahui, mengidentifikasi, menilai, dan menginterpetasikan terkait dengan gambaran kesesuaian dan ketepatan kode diagnosa pasien rawat inap dengan ICD-10 berdasarkan tinjauan literature review. Metode yang digunakan yaitu studi literature riview dengan Metode analisis deskriptif dilakukan dengan analisis teknik review literatur diantaranya mencari kesamaan (compare), ketidaksamaan (contrast), pandangan (critize), bandingkan (synthesize), dan ringkasan (summarize) dengan sumber pustaka yang digunakan adalah 6 jurnal. Hasil dari literatur review yang penulis talaah yaitu masih di temukan ada ketidaksesuaian dan ketidaktepatan pengkodean diagnosa pasien di fasilitas kesehatan di karenakan hambatan pelaksanna SOP dan komuniksi antar pengcode/coder dan tenaga medis yang sehingga berdampak pada ketepatan dan kesesuaian kode diagnosa berdasarkan ICD-10. Diharapkan pada penelitian selanjutnya agar peneliti bisa memahami terhadap tahapan literature review dan metode ananlisis data dalam penelitian terkait tentang ketepatan dan kesesauian kode diagnosa pasien rawat inap serta penyenggaraan rekam medis di tinjau dari sisi input, proses, dan output untuk melihat lebih jelas penyebab terjarjadinya ketidak lengkapan dan ketidak sesauian kodefikasi.

ABSTRAKPendahuluan: Kebutuhan masyarakat sekolah tentang media edukasi kesehatan  dalam meningkatkan personal hygiene anak masih belum banyak dikembangkan. Pendidikan kesehatan dengan menggunakan media edukasi dapat meningkatkan kemampuan kritis anak. Personal hygiene atau kebersihan diri perorangan perlu diaplikasikan pada diri pribadi serta keluarga agar terhindar dari penyakit. Tujuan penelitian ini adalah untuk menggali ide-ide atau persepsi masyarakat sekolah tentang kebutuhan untuk meningkatkan Personal hygiene pada anak di SD Sukagalih. Metode: Penelitian ini menggunakan desain kualitatif eksploratif untuk menggali ide-ide secara mendalam dari partisipan. Pemilihan partisipan menggunakan teknik purposive sample, berdasarkan kriteria inklusi. Sebanyak sembilan belas orang partisipan yang bersedia terlibat dalam penelitian ini. Pengumpulan data menggunakan teknik wawancara mendalam pada orangtua, guru, masyarakat, dan tenaga kesehatan, sedangkan pada anak-anak dilakukan focus group discussion (FGD). Waktu penelitian pada bulan September sampai dengan bulan November 2017, analisis data menggunakan teori Braun and Clarke (2006). Hasil: Penelitian didapatkan empat tema yaitu; kebutuhan akan media, kriteria media yang baik, jenis media yang dibutuhkan, dan penyitaan waktu dalam kebiasaan bermain. Diskusi: Bahwa masyarakat sekolah membutuhkan media dan metode untuk meningkatkan personal hygiene pada anak. Diperlunya kerjasama masyarakat sekolah untuk meningkatkan personal hygiene anak dan akan kebutuhan media edukasi yang dapat membantu pengetahuan, motivasi anak, dan  mendidik anak kearah yang lebih baik dalam kesehatan personal hygiene. ABSTRACTIntroduction: The needs of the school community about health education media in improving child hygiene are still not widely developed. Health education by using educational media can improve children's critical ability. Personal hygiene or personal hygiene needs to be applied to personal and family to avoid disease. The purpose of this study was to explore the ideas or perceptions of the school community about the need to improve personal hygiene in children in SD Sukagalih. Method: This study was conducted using a qualitative explorative design to explore the ideas in depth from the participants. The selection of participants was used purposive sample technique, based on the inclusion criteria. Nineteen participants were agreed to join in the study. Data collection used in-depth interview techniques for parents, teachers, communities, and health workers, while in children focus group discussions (FGDs) were conducted. During the study period from September to November 2017, data analysis used Braun and Clarke's theory (2006). Result: The research found four themes; the need for media, good media criteria, the type of media required, and the seizure of time in play habits. Discussion: That the school community needs media and methods to improve personal hygiene in children. There is a need for school community co-operation to improve the child's personal hygiene and the need for educational media that can help knowledge, motivate children, and educate children towards better health of personal hygiene.Â

Background: Online registration is a patient or patient's family registering to get an examination from a health care facility by utilizing remote technology facilities, for example a patient registering by using telephone, SMS, WhatsApp, web, and others. Because often there are problems with SIMRS which are caused by several factors. The purpose of this study is to describe the SMS gateway-based online outpatient registration systemMethods: This research method was carried out by conducting a literature review. with the literature study method. Sources of data in this study were obtained from several published journals with attention to inclusion and exclusion categories. Meanwhile, data analysis was carried out by paying attention to aspects of similarity, inequality, views, comparisons and summaries.Results: The results obtained are based on a review of several journals with literature studies related to the online registration system, namely the discovery of the advantages and disadvantages of the SIM-RS implementation system in hospitals in terms of online registration, including from the aspect of system users, low user satisfaction, utilization. technology that is still limited and the quality of information is still inaccurate. Besides, the stipulation and implementation of SOPs is not optimal.Conclusions: It is necessary to establish SOP that is more measurable and can be implemented appropriately