PERANCANGAN STANDAR PROSEDUR OPERASIONAL (SPO) PENERIMAAN PASIEN RAWAT JALAN DAN PENGKODEAN DALAM PELAKSANAAN REKAM KESEHATAN ELEKTRONIK (RKE) DI RSA UNIVERSITAS GADJAH MADA

• Main Authors: , REBINTA KARTIKA N, , Nuryati, S.Far., MPH.
• Format: Theses and Dissertations NonPeerReviewed
• Published: [Yogyakarta] : Universitas Gadjah Mada 2014
• Subjects: ETD
• 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
• Institution: 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 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 .