PERANCANGAN STANDAR PROSEDUR OPERASIONAL (SPO) PENERIMAAN PASIEN RAWAT JALAN DAN PENGKODEAN DALAM PELAKSANAAN REKAM KESEHATAN ELEKTRONIK (RKE) DI RSA UNIVERSITAS GADJAH MADA
Background : According to the KARS ( 2012) as for 7 ( seven ) standard on each service consists of : Philosophy and Objectives , Administration and Management , Staff and Chief , Facilities and Equipment , Policies and Procedures , Staff Development and Education Program , and Evaluation and Quality...
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Main Authors: | , |
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Format: | Theses and Dissertations NonPeerReviewed |
Published: |
[Yogyakarta] : Universitas Gadjah Mada
2014
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Subjects: | |
Online Access: | https://repository.ugm.ac.id/129493/ http://etd.ugm.ac.id/index.php?mod=penelitian_detail&sub=PenelitianDetail&act=view&typ=html&buku_id=69885 |
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Institution: | Universitas Gadjah Mada |
Summary: | Background : According to the KARS ( 2012) as for 7 ( seven ) standard
on each service consists of : Philosophy and Objectives , Administration
and Management , Staff and Chief , Facilities and Equipment , Policies
and Procedures , Staff Development and Education Program , and
Evaluation and Quality Control . Based on observations , it is known that
RSA Gadjah Mada University is heading the accreditation process , but at
RSA Medical Record Installation UGM not have the SPO regarding the
conduct of Electronic Health Record ( EHR) .
Objective : had designed standard operating procedures (SOP)
ambulatory care admissions and coding in the implementation of
Electronic Health Record in the Gadjah Mada University Academic
Hospital.
Design Process : Results of interviews and observations are used as a
basis for making the procedure a step in the manufacture of SPO
ambulatory care admissions and coding . Results SPO made designer , to
verify the Admissions officers and officers approved coding after SPO
results that have been designed filed with the chief medical records .
Results : The draft Standard Operating Procedures (SOP]) have been
proposed to admissions officers who then carried out the verification , then
made improvements on said KIUP SPO into the form provided , then the
order of the patient's existing print cards at the end of the groove , be
finished after officers noted the identity patients in the EHR . Draft
Standard Operating Procedures (SOP) have been proposed to the officer
Encoding encoding , then verification . After that , improvements include :
add views No , Time , Code , Diagnosis , No. RM , unit and status .
Furthermore , the addition of data related to units which include : ER ,
Inpatient , Haemodialysis Installation , One Day Care Unit . |
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