Outpatient Medical E-Resume in Support INA-CBGs Claims for Covid-19 Patients at Hospital

  • Fitria Santika Politeknik Piksi Ganesha
  • Nurul Azmi Gumanti Politeknik Piksi Ganesha
  • Leni Herfiyanti Politeknik Piksi Ganesha
  • Candra Mecca Sufyana Politeknik Piksi Ganesha
Keywords: Medical E-Resume, INA-CBGs, Outpatient, Prototype, Black-box

Abstract

The lack of information needed to fulfill the claim requirements of Indonesia Case-Based Group (INA-CBGs) for Coronavirus Diseases (Covid-19) outpatients caused claim disputes, thus hampering the claim process for Covid-19 patients at Hospital. The existence of an electronic medical resume is believed to be a solution and make the claim process more effective. This study aimed to produce an electronic-based outpatient medical resume that fits the needs of Hospital X. The prototype method was chosen because it is suitable for developing systems quickly, and the results are easier to adjust because Hospital X can provide input in the system development process. Based on system testing using the black-box method, the medical e-resume system developed has overcome dispute claims at Hospital.

Downloads

Download data is not yet available.

References

[1] Departemen Kesehatan Republik Indonesia, Pedoman Penyelenggaraan Pelayanan Rumah Sakit. Jakarta: Kementrian Kesehatan RI, 2010.
[2] C. A. S. Araujo, M. M. Siqueira, and A. M. Malik, “Hospital accreditation impact on healthcare quality dimensions: A systematic review,” Int. J. Qual. Heal. Care, vol. 32, no. 8, pp. 531–544, 2020.
[3] K. Marzuki, A. Apriani, and N. G. A. Dasriani, “Pemberdayaan Pengrajin Perak Melalui Market Place sebagai Media Penjualan Online di Desa Ungga, Kabupaten Lombok Tengah,” ADMA J. Pengabdi. dan Pemberdaya. Masy., vol. 1, no. 2, pp. 107–114, 2021.
[4] Permenkes, “Peraturan Menteri Kesehatan Republik Indonesia NOMOR: 269/MENKES/PER/III/2008 Tentang Rekam Medis.” Kementrian Kesehatan RI, Jakarta, pp. 1–7, 2008.
[5] I. Suhartina, “Analisis Kuantitatif Ketidaklengkapan Pengisian Resume Medis Berdasarkan Program Quality Assurance (Suatu Studi di Rumah Sakit Delta Surya Sidoarjo),” J. Kesehat. Vokasional, vol. 4, no. 2, pp. 80–89, 2019.
[6] W. P. Nugraheni, A. H. Zahroh, and R. K. Hartono, “Best Practice of Hospital Management Strategy To Thrive in the National Health Insurance (Jkn) Era,” J. Adm. Kesehat. Indones., vol. 9, no. 1, pp. 9–22, 2021.
[7] Permenkes, “Permenkes No. 52 Tahun 2016 tentang Standar Tarif Pelayanan Kesehatan Dalam Penyelenggaraan Program Jaminan Kesehatan.” Kementrian Kesehatan RI, Jakarta, pp. 1–912, 2016.
[8] Permenkes, “Permenkes No. 27 Tahun 2014 tentang Petunjuk Teknis Sistem Indonesian Case Base Groups (INA-CBGs).” Kementrian Kesehatan RI, Jakarta, pp. 1–50, 2007.
[9] Permenkes, “Peraturan Menteri Kesehatan Republik Indonesia Nomor 40 Tahun 2012.” Kementrian Kesehatan RI, Jakarta, pp. 1–58, 2012.
[10] Kepmenkes, “Menteri Kesehatan Republik Indonesia Nomor: 129/Menkes/SK/II/2008 Tentang Standar Pelayanan Minimal Rumah Sakit.” Kementrian Kesehatan RI, Jakarta, pp. 1–55, 2008.
[11] J. L. Harris, M. T. Al-Bataineh, and A. Al-Bataineh, “One to One Technology and its Effect on Student Academic Achievement and Motivation,” Contemp. Educ. Technol., vol. 7, no. 4, pp. 368–381, 2020.
[12] I. A. Ismail, “Understanding quantitative and qualitative research methods : A theoretical perspective for young researchers Understanding Quantitativeand Qualitative ResearchMethods : A TheoreticalPerspective for Young Researchers,” Int. J. Res., vol. 8, no. 2, pp. 70–87, 2021.
[13] K. Marzuki, , A.-, and L. Z. Azhar mardedi, “Evaluasi Penerapan Teknologi Informasi E-Learning Pada Kampus Swasta Menggunakan Cobit 4.1 (Study Kasus Prodi Ilkom Universitas Bumigora),” J. Bumigora Inf. Technol., vol. 1, no. 2, pp. 161–166, 2019.
[14] L. Busetto, W. Wick, and C. Gumbinger, “How to use and assess qualitative research methods,” Neurol. Res. Pract., vol. 2, no. 1, pp. 1–10, 2020.
[15] R. Rashkovits and I. Lavy, “Mapping Common Errors in Entity Relationship Diagram Design of Novice Designers,” Int. J. Database Manag. Syst., vol. 13, no. 1, pp. 1–19, 2021.
[16] Diego Bonetti; Aldo von Wangenheim, “Technical Report: Systematic Literature Review of Software Testing in Healthcare Evaluation of Educational Games for Computing Education View Project,” 2021.
[17] B. A. Priyaungga, D. B. Aji, M. Syahroni, N. T. S. Aji, and A. Saifudin, “Pengujian Black Box pada Aplikasi Perpustakaan Menggunakan Teknik Equivalence Partitions,” J. Teknol. Sist. Inf. dan Apl., vol. 3, no. 3, pp. 150–157, 2020.
Published
2021-11-26
How to Cite
Santika, F., Gumanti, N., Herfiyanti, L., & Sufyana, C. (2021). Outpatient Medical E-Resume in Support INA-CBGs Claims for Covid-19 Patients at Hospital. MATRIK : Jurnal Manajemen, Teknik Informatika Dan Rekayasa Komputer, 21(1), 87-98. https://doi.org/https://doi.org/10.30812/matrik.v21i1.1401
Section
Articles