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Journal : Indonesian of Health Information Management Journal (INOHIM)

PENGARUH INDONESIAN DIAGNOSTIC RELATED GROUP (INA-DRG) TERHADAP KELENGKAPAN PENGISIAN RESUME MEDIS PASIEN JAMKESMAS DI RSUD KALIANDA LAMPUNG SELATAN Shanti, Yani Haida; Maryati, Yati; Hosizah, Hosizah
Indonesian of Health Information Management Journal (INOHIM) Vol 1, No 1 (2013): INOHIM
Publisher : Indonesian of Health Information Management Journal (INOHIM)

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Abstract

AbstractThis article discusses about Indonesian influence diagnostic related group (ina-drg) to resume charging completeness medical patients in hospitals Kalianda jamkesmas South Lampung. In the health care system was an enacted JAMKESMAS payment pattern by applying INA-DRG system. Financing system diagnosis related group (DRG) is a system or method of payment by the funders of health care providers (health providers) for convening services, large costs are not calculated based on the type or amount of health services being offered to each patient, but by agreement price according to the diagnosis of diseases in which a group of patients who are being treated are located. INA-DRG (Diagnostic Related Group Indonesian) using the basics in coding using ICD 9 CM to ICD 10 and the action to diagnose the disease, the pattern of the rates specified amount of an average patient stay and long stay patients in accordance with the code of the disease suffered by patients treated so long hospitalization was determined and adjusted to the prevailing rates in the INA-DRG. Medical resumes charging completeness prior to implementation of INA-DRG still shows that there is still low awareness of health practitioners in the medical resume charging completeness. This is because there is no requirement in terms of the completeness of filling the whole medical resume. Completeness of medical resumes charging after INA-DRG implementation has already shown that there are very significant and meaningful changes, but there are certain parts that are still not discovered the change, namely the charging of physical examination items. There INA-DRG influence on the completeness of patient medical resume charging JAMKESNASKeywords: ina-drg, resume medic, implementation
PENGARUH INDONESIAN DIAGNOSTIC RELATED GROUP (INA-DRG) TERHADAP KELENGKAPAN PENGISIAN RESUME MEDIS PASIEN JAMKESMAS DI RSUD KALIANDA LAMPUNG SELATAN Shanti, Yani Haida; Maryati, Yati; Hosizah, Hosizah
Indonesian of Health Information Management Journal (INOHIM) Vol 1, No 2 (2013): INOHIM
Publisher : Indonesian of Health Information Management Journal (INOHIM)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (124.411 KB)

Abstract

AbstractThis article discusses about Indonesian influence diagnostic related group (ina-drg) to resume charging completeness medical patients in hospitals Kalianda jamkesmas South Lampung. In the health care system was an enacted JAMKESMAS payment pattern by applying INA-DRG system. Financing system diagnosis related group (DRG) is a system or method of payment by the funders of health care providers (health providers) for convening services, large costs are not calculated based on the type or amount of health services being offered to each patient, but by agreement price according to the diagnosis of diseases in which a group of patients who are being treated are located. INA-DRG (Diagnostic Related Group Indonesian) using the basics in coding using ICD 9 CM to ICD 10 and the action to diagnose the disease, the pattern of the rates specified amount of an average patient stay and long stay patients in accordance with the code of the disease suffered by patients treated so long hospitalization was determined and adjusted to the prevailing rates in the INA-DRG. Medical resumes charging completeness prior to implementation of INA-DRG still shows that there is still low awareness of health practitioners in the medical resume charging completeness. This is because there is no requirement in terms of the completeness of filling the whole medical resume. Completeness of medical resumes charging after INA-DRG implementation has already shown that there are very significant and meaningful changes, but there are certain parts that are still not discovered the change, namely the charging of physical examination items. There INA-DRG influence on the completeness of patient medical resume charging JAMKESNASKeywords: ina-drg, resume medic, implementation
Tinjauan Ketepatan Kode Diagnosis Kasus NIDDM (Non Insulin Dependent Diabetes Mellitus) Pasien Rawat Inap di Rumah Sakit Pertamina Jaya Tahun 2016 Ernawati, Ernawati; Maryati, Yati
Indonesian of Health Information Management Journal (INOHIM) Vol 5, No 1 (2017): INOHIM
Publisher : Indonesian of Health Information Management Journal (INOHIM)

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Abstract

AbstractDiagnostic coding should be appropriate, because if it is improper will affect to the clinical data management, cost recovery, as well as the matters relating to health care. Based on this case, the researcher conducted research on the accuracy of diagnosis code at Pertamina Jaya Hospital by taking NIDDM case of inpatient in 2016. The purpose of this study is to get an idea of the accuracy of coding diagnosis case of NIDDM (Non Insulin Dependent Diabetes Mellitus) in 2016. The research started from June to August 2017. The research method used is descriptive. Researcher took 59 samples obtained from the formula of proportion estimation. Based on the total of 59 samples studied, there were 58 less precise NIDDM codes (98.31%) and 1 exact NIDDM code (1.69%). For the smallest digit accuracy is on the 4th digit (complication) with the exact number of 4 codes (6.78%) and the largest digit accuracy is on the dagger and asterisk (etiology and manifestation) with the exact number of 49 codes (83,06%). It can be concluded that the coding of NIDDM case diagnosis in Pertamina Jaya Hospital is still relatively low. The main factor that becomes obstacle in coding of diagnosis is knowledge factor of coder with nursing background. The coder should be a graduation of Diploma degree of Medical Record that has the competence of coding diagnosis.Keywords : medical record, diagnostic code, NIDDMAbstrakPengkodean diagnosis harus tepat, karena jika tidak tepat akan mempengaruhi manajemen data klinis, penagihan kembali biaya, beserta hal-hal yang berkaitan dengan asuhan pelayanan kesehatan. Berdasar hal tersebut, peneliti melakukan penelitian mengenai ketepatan kode diagnosis di RS Pertamina Jaya dengan mengambil kasus NIDDM pasien rawat inap tahun 2016. Tujuan penelitian ini adalah untuk mendapatkan gambaran mengenai ketepatan pengkodean diagnosis kasus NIDDM (Non Insulin Dependent Diabetes Mellitus) tahun 2016. Penelitian dimulai dari bulan Juni - Agustus 2017. Metode penelitian adalah metode deskriptif. Peneliti mengambil 59 sampel yang didapatkan menggunakan rumus estimasi proporsi. Dari total 59 sampel yang diteliti, terdapat 58 kode NIDDM kurang tepat (98,31%) dan 1 kode NIDDM tepat (1,69%).  Untuk jumlah ketepatan digit terkecil yaitu ketepatan pada digit ke-4 (komplikasi) sebanyak 4 kode tepat (6,78%), dan jumlah ketepatan  terbesar yaitu pada dagger dan asterisk (etiologi dan manifestasi) sebanyak 49 kode tepat (83,06%). Dapat disimpulkan bahwa pengkodean diagnosis kasus NIDDM di RS Pertamina Jaya masih masih tergolong rendah. Faktor  utama yang menjadi kendala ketepatan kode adalah faktor pengetahuan petugas rekam medis bagian koding dengan latar belakang perawat. Sebaiknya petugas koding lulusan D-III Rekam Medis yang memiliki kompetensi pengkodean diagnosis.Kata kunci: rekam medis, kode diagnosis, NIDDM