Pencitraan (Imaging) Berkas Rekam Medis Pada Kegiata N Penyusuta N Di Rsud Kota Yogyakarta

Abstract

Medical records as one of the authentic proof of service must be stored as appropriated with predetermined time period. Based on the circular letter from director general of medical services No.hK.00.06.1.5.01160 dated March 21, 1995 has been set depreciation schedules medical record file according to the type of illness. In Yogyakarta City hospital has implemented a process of imaging (imaging) since April this 2013. This matter anticipates the various needs related to medical records, for example, medical records are still worth to be required can be found easily and can be printed again. This study describes the implementation of imaging (imaging) medical record file on shrinkage activities in hospitals in Yogyakarta.To investigate the imaging process (imaging) on the implementation of the shrinkage in the hospital medical record file of Yogyakarta, determine the factors that affect the implementation of the process of imaging (MrI) in hospitals of Yogyakarta, and identify any obstacles in the implementation process of imaging (MrI) in hospitals the city of Yogyakarta.This study is a descriptive study using a case study approach. Subjects of this study consisted of three medical records clerk and one IT officer. The object of this study is the implementation of imaging (MRI) in the depreciation file medical records in hospitals in Yogyakarta.Based on interviews and observations, imaging process (MRI) is one of the stages in the implementation of depreciation medical record file. Stages in the medical record file shrinkage in Yogyakarta City Hospital is a medical record file sorting, checking the last visit to the health Information System (hIS), the process of imaging (imaging), move the sheet of medical records into a folder, and enter the medical record sheet not worth order to the warehouse. while activity in the process of imaging (MrI) in Yogyakarta City hospital medical record sheet includes sorting, scanning, and storage. Factors that affect the implementation process of imaging (MrI) in hospitals Yogyakarta City is divided into 5 groups: the man (human resources), money, machine (engine), method (method), and materials. Obstacles in the implementation process of imaging (MrI) is the lack of human resources (hr), there is no fixed procedure and work instructions, the results of imaging (MRI) is not connected to the Health Information System (hIS) hospital Yogyakarta, there was no budget imaging tool (imaging) for large-size sheet of medical records.

Tinjauan Pelaksanaan Penyusutan dan Pemusnahan Rekam Medis di RSUD Muntilan

“…Pemusnahan rekam medis bertujuan untuk menghancurkan fisik rekam medis yang sudah habis fungsi dengan nilai guna rendah. Penghancuran berkas tersebut dilakukan dengan cara membakar, mencacah atau mendaur ulang agar rekam medis tersebut tidak dapat dikenali lagi baik dari segi isi maupun bentuknya [6].…”

Pemanfaatan Data Rekam Medis Dalam Pelaporan Bulanan Di Puskesmas Kejaksan Cirebon

“…Kegunaan utama rekam medis berkaitan langsung dengan pasien, meliputi kepentingan pasien, kepentingan pelayanan pasien, kepentingan manajemen pelayanan, kepentingan penunjang pelayanan, dan kepentingan pembiayaan. kegunaan sekunder rekam medis ditunjukan kepada hal yang berkaitan dengan lingkungan seputar pelayanan pasien yakni edukasi, peraturan, riset, pengambilan kebijakan, dan industri (Gunarti dan Muchtar, 2019) (Budi, 2011).…”

“…Puskesmas berkoordinasi dengan lintas sektor untuk meningkatkan derajat kesehatan masyarakat (Anita, Febriawati dan Yandrizal, 2019). Unit rekam medis sebagai salah satu gerbang terdepan dalam pelayanan kesehatan pada fasilitas pelayanan kesehatan sangat berperan untuk memelihara dan menjaga rekam medis, dapat sebagai salah satu ukuran kepuasan pasien dalam menerima pelayanan (Budi, 2011).…”

Perancangan Sistem Informasi Pemberkasan Klaim BPJS Gawat Darurat Menggunakan Microsoft Visual Studio

“…Sebagaimana yang dijelaskan pada (Permenkes RI, 2008), rekam medis adalah dokumen yang memberikan catatan dan dokumen tentang identitas pasien, pemeriksaan, pengobatan, tindakan, dan pelayanan lain yang telah diberikan kepada pasien. Oleh karena itu unit rekam medis memiliki tugas yang penting dalam mengumpulkan data, pemrosesan data, dan penyajian informasi kesehatan (Budi, 2011).…”