Backgrounds:Jamkesmas refers to medical assistance program designed to meet the needs of low income SHRSOH ZKLFK LV IXQGHG E\ WKH IHGHUDO JRYHUPHQW 7KH SURVSHFWLYH SD\PHQW V\VWHPV LV DGRSWHG DV SD\PHQW method is called an Indonesia Case Based Groups (INA-CBGs). In an INA-CBGs, an accurate and complete clinical data is required. While the primary function of health information department is providing that an

Backgrounds: External cause code is a secondary code is used to encode diagnose the cause of the occurrence Banjarmasin Siaga Special Surgery Hospital. Objectives: orthopedic specialist surgery in RSKB Banjarmasin Siaga in 2013. Methods: This research used descriptive method with case study approach. The samples are 92 inpatient orthopedic specialist surgery with injury cases medical records from January to April 2013. Data collection techniques that had been used were observation and interviews. The research instruments are check list, interview guides, and observation guideline. This research was analyzed using univariate analysis. Results: There has been no Operational Standard Procedures of external cause coding but Operational Standard Procedures coding and disease indexing already exist, but not yet appropriate with the implementation. Completeness of external cause diagnosis writing is 82% and 18% did not completely written. External causes injury to the orthopedic specialist surgery cause by land transportation accidents is 43%, other transportation are the absence of procedures for external cause coding, the lack on media used, unsuitable human resources that needed, unreadable, incomplete, and unsuitable diagnosis with the rules, and the absence diagnosis coding audit.

research with cross sectional time approaches. Sampling techniques are used accidental sampling techniques. A method of the data used in this research are observation and interview. Based on observation we can conclude that registration for new patient that outpatient needs 7 minutes, while registration for old patient that outpatient needs 3 minutes, registration for patient that use insurance needs 3 minutes, registration patient by phone needs 3 minutes, and admission patient needs 12 minutes. Based on the calculation with WISN formula, in

The service of medical record documents, is required to provide files quickly and accurately. Based on the results of observations during street vendors at Lawang Health Center, the authors found that the implementation of medical record file storage in Lawang Health Center was not in accordance with (Standard Operational Procedure). The study was conducted to analyze the effectiveness of medical record file storage SOPs at Lawang Health Center. The type of research used is qualitative research. The phenomenology approach is used in research because it focuses on describing what is common / common to all participants when they experience a phenomenon. Data collected are interview data and documentation. There were 4 officers in the medical record room including 1 medical record graduate, 1 midwifery graduate, and 2 high school graduates who already had basic skills in managing medical record files. At the Lawang Community Health Center there was a policy but there was still no information about the obligations of the officers in carrying out the storage of medical records. The results showed that 30% had not implemented the SOP effectively so that it caused missing and difficult files to track it. In addition, the flow of medical record documents is embedded and written. The medical record room is ± 2 m x 2.5 m with a medical record file of 29200 files. This results in the process of searching the medical record file to be slow and ineffective.