Specificity and precision in writing the main diagnosis will give the accuracy of diagnosis code, and proper code will give an impact on the appropriate of the cost using INA-CBGs. Research objectives was to analyze the specificity and precision in writing the main diagnosis and the accuracy of main diagnosis code based on ICD-10, also the claims of financing in the case of Diabetes Mellitus (DM) in RSJ Dr. Radjiman Wediodiningrat Lawang, as well as analyzed their relationship. This type of research was a cross sectional correlasional. Independent variables were the specificity and precision in writing the main diagnosis and the accuracy of main diagnosis code, and the dependent variable was the claim of financing. The number of samples analyzed were 50 inpatient medical record document (MRD) of DM cases which hospitalization from January to September 2017, selected by simple random sampling. The results showed the unspecific and unprecise in writing the main diagnosis of DM disease had a risk 1.6 times greater impacting the inaccuracy the main diagnosis code of DM disease (95% CI: 1.05 - 2.30) and 1.8 times greater resulting in the claims for financing treatment not accordance (95% CI: 1.03 - 3.12). An internal verification team is needed for submission of financing claims, consisting of elements from the medical committee, medical recorders and other related elements, as well as conducting periodic monitoring and evaluation of how to write the main diagnoses and their coding.

The patient's satisfied is an indicator that can be used to see the quality of health services. A health service can be said to be of high quality if it satisfies the expectations of the patient. Good service quality will form user commitment to reuse a service. The purpose of this study was to determine the effect of outpatient satisfaction on interest in revisits at Hospital X in Madiun City. This research is a quantitative analytic study with a cross sectional approach. This study was conducted on 100 outpatients at Hospital X in Madiun City using a questionnaire. The data collected were analyzed by univariate and bivariate. The chi square test was used in bivariate analysis. The results showed that 99% of outpatients were satisfied with the services provided and 97% of patients who were interested in making revisits. However, there was no effect of outpatient satisfaction on the interest in revisits at Hospital X in Madiun City (p Value = 1,000).

In the city of Malang, there are currently 109,368 geriatrics. However, Malang Primary Health Care (PHC) coverage of geriatrics screening remains low at the end of 2021 (26%). In accordance with the Malang District Health Office’s approval, Google Forms were used for the geriatrics’ data gathering. The purpose of this study was to analyse the difference in geriatric data coverage before and after using SIM Lansia Apps’. This study used a quantitative study design. The population in this study were all Malang city cadres with 57 cadres participating. There were two parts to the data gathering process: the first was to collect the geriatrics’ data after two months of app use, and the second was to conduct a Technology Acceptance Model (TAM) Test with 12 closed-ended questions to ask respondents about their opinions of using the SIM Lansia Apps’. The data was analyzed using the statistic Z test to compare the pre-app use and post-app use coverage data, and the TAM response was categorized using a Likert scale. After utilizing the app, the coverage of geriatric screening data increased by roughly 43.79% (May-July) using SIM Lansia, and the Z test indicated that this increase was statistically significant (P value = 0.000). Five dimensions of the TAM Test revealed that all respondents agree on Perceived Usefulness, Perceived Ease of Use, Attitude Toward Using Technology, Behavioral Intention to Use, and Actual Use of Technology in using SIM Lansia Apps’. The apps showed effectiveness and efficiency in increasing geriatrics’ data gathering coverage in every PHC in Malang City. Keywords: Geriatric, Cadre, SIM Lansia Apps, Primary Health Care (PHC)

Currently, the patient registration system at the Primary Health Care (PHC) in Malang City still uses a manual registration system with various existing problems, like the emergence of queues and patients jostling in the waiting room, so it takes longer for health services. This study aimed to design a prototype application for online patient registration at the Malang City Health Center. The method used is Research and Development Prototyping. The manufacturing stages start from (1) the identification of basic needs, (2) developing a working prototype, (3) using a prototype (trial), and (4) revising and improving the prototype. The instrument used in this study was an interview guide conducted with two Heads of PHC (Dinoyo and Rampal Celaket) and nine Registration Officers at two Health Centers to determine the need for designing a prototype online registration application. Observations were made regarding the existing IT systems (Hardware and Software) in both PHC, the facilities and infrastructure that support IT systems (rooms, internet networks, etc.) and the documents supporting the processes. The results of this prototype design were in the form of a list of functional and non-functional requirements, business process flow diagrams, data flow diagrams, Entity Relationship Diagrams, and Interface Design, including programming language and user interface. Based on the results of the online patient registration prototype design, it enters the initial stage of using a system design that is by user needs but has yet to reach the implementation stage. However, this prototype can be used as a reference in developing an integrated online registration system with existing information systems at the PHC. Keywords: Prototype, Online Registration, Smartphone, Primary Health Care, Patient