International Journal Prima Husada Health (IJPHH)

The Level of Knowledge of Emergency Department Registration Staff at Humana Prima Hospital in Providing Education to Patients About BPJS Health Regulations for Emergency Cases

Sani Fitriyani — 2024-06-30

The purpose of this study is to assess the level of knowledge of emergency department (ED) registration staff at Humana Prima Hospital in providing education to patients regarding BPJS Health regulations for emergency cases. This research employed a descriptive method with a qualitative data analysis approach, presenting findings based on interviews and direct observations. The results from interviews and observations conducted with ED registration staff at Humana Prima Hospital revealed a generally high level of knowledge. The knowledge levels were categorized as follows: Knowledge (Know) – 88.5%, Comprehension – 95%, Application – 85%, Analysis – 80%, Synthesis – 90%, and Evaluation – 87.5%. The high percentage across these categories indicates that the ED registration staff are well-equipped to deliver effective services, provide proper education, and communicate relevant information to patients about the regulations of BPJS Health coverage in emergency situations. This is particularly important, as many BPJS Health participants who seek care at the ED are not yet fully aware of the specific rules governing the use of BPJS Health for emergencies.

The Relationship of Patient Education Documentation Compliance in Medical Records as an Indicator of Service Quality in Hospitalization of the X County Hospital

Sativa Fatmawati — 2025-10-15

The quality of hospital services is highly dependent on the achievement of patient safety and professional accountability of medical personnel, where systematically documented patient education plays an important role. This study aims to assess the level of compliance of health workers in filling out patient education forms and evaluate the operational role of Medical Recorders and Health Information (PMIK) in strengthening the quality of documentation at Hospital X Sumedang Regency. A descriptive observational approach was used with a three-month observation period in three inpatient rooms (Sakura, Tanjung, and Kenanga). Internal audits are conducted to record the percentage of compliance with filling out educational forms, with PMIK playing an active role in verification and monitoring using electronic systems. The results showed that the Sakura and Tanjung spaces managed to maintain the trend of increasing documentation compliance, reflecting the effectiveness of the quality management system and the commitment of the PPA. This high compliance is in line with improving the quality of service and patient safety, according to the findings of Anugrahsari (2021) and Faluzi et al. (2018). On the other hand, the Kenanga space experienced a significant decline at the end of the period, allegedly due to a high workload, low understanding of documentation, and a lack of routine supervision. Thus, this study recommends that RS X extend internal audits to all rooms; improve direct supervision by the head of the room with regular evaluation and feedback; carry out ongoing training on educational documentation; and implementing a digital reminder and monitoring system to ensure timely filling of forms. It is hoped that with the support of more operational PMIK and these measures, RS X can improve the consistency of educational documentation, service quality, and optimal fulfillment of patient safety standards.

The Impact of Electronic Medical Record Implementation on the Effectiveness of Healthcare Services at Karangsari Public Health Center

Shavira Nuzulia Azzahra — 2025-10-15

Community health centers (Puskesmas), as primary-level healthcare facilities, bear a significant responsibility in providing essential medical services. The ongoing digital transformation, particularly through the implementation of integrated Electronic Medical Record (EMR) systems such as SIMPUS, aims to enhance service delivery. This study seeks to evaluate the impact of EMR implementation on service effectiveness at Karangsari Community Health Center. A quantitative method with a descriptive approach was employed. The population consisted of all patients, with a random sample of 20 respondents selected. Data were collected through questionnaires, observation, literature review, and interviews, and analyzed using SPSS version 25. Validity and reliability tests indicated that the research instrument was both appropriate and consistent (r_calculated > r_table; Cronbach’s α = 0.930). Correlation analysis showed a very strong relationship between EMR implementation and service effectiveness, with a correlation coefficient of r = 0.994 (p < 0.01). Regression analysis revealed that EMR implementation could potentially increase service effectiveness by a coefficient of 1.226, with the independent variable contributing 98.9% to the variation in service effectiveness (R² = 0.989). Despite the proven effectiveness and highly significant impact of EMR systems at Karangsari Community Health Center, several technical challenges were identified, including network instability, automatic credential storage issues, and the absence of electronic signature features. Recommendations include enhancing data security, improving network infrastructure, and incorporating digital signature functionality to ensure data availability, confidentiality, and integrity. These improvements are expected to further optimize EMR implementation and improve the quality of healthcare services at the Puskesmas.

Analysis of Readiness and Obstacles to the Implementation of Electronic Medical Records: A Case Study of Bandung City X Clinic

Dewi Puspitasari — 2025-10-15

The era of digitalization in the health sector has driven fundamental transformation through the implementation of Electronic Medical Records (EMR), where the Indonesian government has set a mandate to adopt RME for all health care facilities by December 31, 2023, but more than 80% of health facilities in Indonesia are still untouched by digital technology This study aims to analyze the readiness and obstacles to the implementation of Electronic Medical Records at Clinic X in Bandung City as a The basis for developing an effective implementation strategy. The study used a qualitative design with an instrumental case study approach, involving three key respondents selected through purposive sampling with criterion sampling criteria, using semi-structured in-depth interview techniques and documentation studies, with data analysis using a thematic analysis approach. The level of readiness of Clinic X is still limited in terms of human resources who do not have direct experience using the RME system, inadequate technological infrastructure with only one low-spec computer unit, and organizations that do not have written policies and SOPs to support RME, with the main obstacles being limited technical skills, technological infrastructure, and finances Clinic X shows potential commitment and readiness but requires intervention strategic through gradual human resource training, strengthening technological infrastructure, and the formulation of operational policies, with implementation that must be carried out gradually and participatory according to clinical capacity.

The Influence of Electronic Medical Records on Improving the Effectiveness of Inpatient Registration Services at Humana Prima Hospital

Sani Fitriyani — 2025-10-15

The objective of this study is to examine the impact of Electronic Medical Records (EMRs) on enhancing the effectiveness of inpatient registration services at Humana Prima Hospital. This research adopts a qualitative approach, with data collected through direct interviews with inpatient registration staff. The findings indicate that the implementation of EMRs has significantly facilitated the registration process, making it easier and more efficient for staff to register inpatient admissions. However, despite these benefits, the EMR system is not yet fully effective due to recurring issues related to internet connectivity and inadequate supporting infrastructure.

Analysis of Patient Data Security Aspects in the Implementation of Electronic Medical Records (EMR) at Hospital X Bandung

Sali Setiatin — 2025-10-15

This study aims to analyze the implementation of patient data security mechanisms within the Electronic Medical Record (EMR) system at Hospital X Bandung, using the Confidentiality, Integrity, and Availability (CIA) framework. The findings indicate that the current implementation of the EMR system still faces several vulnerabilities. For instance, the absence of an auto-logout feature allows user sessions to remain active for more than six hours, significantly increasing the risk of unauthorized access. Furthermore, during network outages (downtime), medical records are reverted to manual entry, which compromises both the efficiency and accuracy of data management. In terms of access control, while individual user accounts have been introduced as part of system accountability, essential security practices—such as routine password changes—have yet to be enforced. Regarding data confidentiality, critical security measures such as data encryption and multi-factor authentication are not yet implemented, leaving the system vulnerable to privacy breaches. Concerning data integrity, the absence of an audit trail means that there is no comprehensive mechanism to track user activity or detect unauthorized modifications. Additionally, in the area of availability, the hospital relies on a basic manual backup system that lacks robustness, highlighting the need for a stronger digital disaster recovery strategy. Although Hospital X Bandung has established a basic information governance structure—including standard operating procedures (SOPs) and the appointment of an information manager—the overall implementation of information security policies remains suboptimal. The hospital has yet to conduct regular staff training, periodic system audits, or implement a structured cyber risk mitigation strategy. Therefore, there is a pressing need for a comprehensive data security framework, involving advanced technology solutions, continuous system audits, and user education, to ensure that the EMR system functions not only operationally, but also in full compliance with holistic and sustainable patient data protection standards.

Analysis of Pending BPJS Outpatient Claims to Support the Quality of Health Service Payments at Hospital X

Erix Gunawan — 2025-10-15

BPJS Health claims for outpatient services often encounter obstacles, one of which is claims with pending status. Delays or pending BPJS claims have an impact on the smooth flow of payments, reducing the quality of healthcare services in hospitals. This study aims to analyze the factors causing delays in BPJS outpatient claims and their implications for the quality of health service payments at Hospital X in Bandung. The method used is qualitative with a descriptive approach. Data collection techniques included in-depth interviews with the head of outpatient claims and observation of claims management processes. Total population of outpatient claims that were pending from January to March 2025. The sampling technique used is total sampling, which involves collecting all pending claim data from January to March 2025. The analysis was conducted using the 5M method (Man, Machine, Material, Method, and Money) to identify the factors causing claim delays. The results show that there are several factors causing claims to be pending, including aspects related to man, machine, material, and method. In this case, improvements are needed in various aspects to support the quality of healthcare payments in hospitals optimally.

An Analysis of the Effectiveness of Electronic Medical Records in Outpatient BPJS Services at the CA Center Polyclinic, Al-Ihsan Regional Public Hospital

Sani Fitriyani — 2025-10-15

The purpose of this research is to determine the effectiveness of electronic medical records (EMR) in outpatient BPJS patient services. The method used in this study is qualitative with a descriptive approach, and data collection techniques include interviews and observation. Based on the results, the study shows that in terms of duties and functions, the implementation can be considered effective. The staff apply the EMR system properly, and its usage is also perceived as effective by the personnel. Obstacles such as internet connectivity issues can still be managed well. Furthermore, from the aspect of planning or programs, the system is also deemed effective, as RSUD Al-Ihsan has successfully achieved its planned programs and has clear future plans. From the perspective of regulations and policies, the EMR implementation is considered effective because the staff adhere to and implement it in accordance with applicable government regulations as well as internal or third-party policies. Lastly, in terms of objectives and ideal conditions, the system is said to be effective because it has achieved the goals of delivering optimal, timely, and beneficial healthcare services for patients, with ideal conditions proceeding as planned by RSUD Al-Ihsan.

ANALYSIS OF BPJS PATIENT COMPLIANCE & NON-COMPLIANCE WITH FOLLOW-UP SCHEDULES (SKDP) AT THE INTERNAL MEDICINE CLINIC OF HUMANA PRIMA HOSPITAL

Sani Fitriyani — 2025-10-15

This study aims to analyze the level of compliance and non-compliance of BPJS patients with the doctor's control schedule (SKDP) at the internal medicine clinic at Humana Prima Hospital, as well as to identify the factors and impacts involved. This study employed a quantitative research method with a cross-sectional approach, involving a sample of 96 patients out of a total population of 2,420 BPJS patients at the internal medicine outpatient clinic from February to April 2025. The results of the study indicate that the compliance rate at Humana Prima Hospital is relatively high, with 75% of patients adhering to the follow-up schedule, while 25% did not comply. Intrinsic factors such as patient motivation and knowledge, as well as extrinsic factors such as family support and healthcare provider support, play a significant role in improving patient adherence to follow-up schedules. Meanwhile, non-adherence is influenced by insufficient patient knowledge, service quota limitations, follow-up schedules at other healthcare facilities, inadequate reminder systems, and patient busyness, which are common issues at Humana Prima Hospital. The positive impact of patient compliance is the smooth administration and BPJS claims process, while non-compliance leads to claim rejection, forcing patients to pay for services out-of-pocket. These findings emphasize the importance of patient education and reminder systems to improve adherence to follow-up schedules, thereby optimizing service delivery and BPJS claims processes at Humana Prima Hospital.

Comparison of Morbidity Rates of Communicable and Non-communicable Diseases at Humana Prima Hospital

Sani Fitriyani — 2025-10-15

This study aims to compare morbidity rates between infectious and non-communicable diseases at Humana Prima Hospital, and analyze the relationship between gender and age with the type of disease suffered by patients. A quantitative approach with a cross-sectional design was used in this study. Data were collected from patients medical records during the period January to April 2025. A total of 100 samples were randomly selected from a population of 6,809 patients. The analysis showed that the prevalence of non-communicable diseases was higher (65%) than communicable diseases (35%). There was a significant association between gender and disease type (p=0.001), with male patients more likely to suffer from communicable diseases, while females were more prone to non-communicable diseases. In addition, the age distribution showed that the age group above 50 years dominated the number of patients. In terms of reporting, the reporting systems for communicable and non-communicable diseases have different processes and time limits, potentially affecting data accuracy and completeness. Therefore, system optimization is crucial to improve the validity of epidemiological data, which can then be used as a basis for decision-making in the health sector.