ACCREDITATION OF MEDICAL RECORDS IN PRIMARY CARES

Sri Wahyuningsih Nugraheni, Hendratna, Arlita Diasika Nanda

Abstract


Accreditation for primary cares is required and regulated in the Republic of Indonesia Minister of Health Regulation Num. 46 of 2015 Article 3. Although primary cares have been accredited, the management of medical records in primary cares has not been perfectly marked by lack of security and confidentiality of patient medical records. Therefore, research on the management of medical records based on accreditation is very important to create good administration. The aim of this study was to evaluate management of medical records in primary cares based on accreditation for primary cares and applicable legislation. Research is a qualitative research, so data collection is done by participatory and systematic observation, non-guided interviews and discussions, and documentation. Data processing starting from editing data continue triangulation data. Analysis and presentation of data is done qualitatively and quantitatively. Observations were made on the management of medical records in primary cares, interviews with medical record managers in primary cares, and reviews of medical record documents and supporting documents in the medical record management process. Result indicated that Standard criteria 8.4.1 and 8.4.2 are partially fulfilled, while the standard criteria 8.4.3 and 8.4.4 are fulfilled overall. Partially fulfilled and fulfilled overall element of accreditation assessment in primary cares are influenced by regulation, commitment of managers in doing activities based on regulations and synchronizing regulations in primary cares with nationally and internationally legislation.

Keywords : primary cares, accreditation, medical records


Full Text:

PDF

Article Metrics

Abstract view : 29
PDF - 13

References


Menkes RI. 2015. Peraturan Menteri Kesehatan No.46. Tahun 2015 Tentang Akreditasi Puskesmas, Klinik Pratama, Tempat Praktik Mandiri Dokter, dan Tempat Praktik Mandiri Dokter Gigi.Jakarta

Depkes RI.2006. Pedoman Penyelenggaraan Rekam Medis. Jakarta

World Health Organization.2005. International Statistical Classification of Diseases and Related Health Problems Tenth Revision:Geneva

Giyana,F. 2012. Analisis Pengelolaan Rekam Medis Rawat Inap di RSUD Kota Semarang, Universitas Diponegoro

Shofari, B.2004. Pengelolaan Rekam Medis Sebagai Suatu Sistem: Bapelkes Gombong

Budi,S.2011.Manajemen Unit Kerja Rekam Medis.Yogyakarta: Quantum Sinergis Media

Ulfa, H.M. 2015. Analisis Pengelolaan Rekam Medis di Puskesmas Harapan Raya Kota Pekanbaru .STIKES Hang Tuah Pekanbaru

Purba,Erlinday. 2016. Analisis Faktor-Faktor Penyebab Keterlambatan Pemulangan Berkas Rekam Medis Dari Instalasi Rawat Inap Ke Unit Instalasi Rekam Medis Di Rumah Sakit Vina Estetica Medan Periode Mei-Juli Tahun 2016. Jurnal Ilmiah Perekam Dan Informasi Kesehatan Imelda, 2 (1): 111

Menkes RI. 2008. Peraturan Menteri Kesehatan No.269/MENKES/PER/III/2008. Tentang Rekam Medis.Jakarta


Refbacks

  • There are currently no refbacks.


Copyright (c) 2019 Proceeding International Conference