KEAKURATAN KODE TINDAKAN KASUS BEDAH PASIEN RAWAT INAP BERDASARKAN ICD-9-CM DI RUMAH SAKIT PANTI RAPIH YOGYAKARTA
Background: The procedure codes is one of the obligations of the medical records officer. In determining the procedure coding, medical records officer shall determine the rules of the ICD-9-CM. If the charging of procedure coding is not accurate, it can lead to difficulties and errors in the indexin...
| Main Authors: | , |
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| Format: | Thesis |
| Published: |
[Yogyakarta] : Universitas Gadjah Mada
2014
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| Subjects: |
| _version_ | 1826046799835561984 |
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| author | , ANGGA RASEPTA ARDYANTA , Nuryati, S.Far., MPH |
| author_facet | , ANGGA RASEPTA ARDYANTA , Nuryati, S.Far., MPH |
| author_sort | , ANGGA RASEPTA ARDYANTA |
| collection | UGM |
| description | Background: The procedure codes is one of the obligations of the medical
records officer. In determining the procedure coding, medical records officer shall
determine the rules of the ICD-9-CM. If the charging of procedure coding is not
accurate, it can lead to difficulties and errors in the indexing process and the
process of reporting and presentation of these statistics. Determination of the
procedure codes is determined by the ability of officers in charge of procedure
codes. In the coding, we need a audit of codes or evaluation. Audit of codes done
so that the results of the coding process and the resulting accurate, timely, in
accordance with the rules, regulations and policies applicable legislation. In Panti
Rapih Hospital Yogyakarta, procedure of codes has not been done audit of codes
or evaluation.
Objective: To determine the accuracy of the implementation and investigate the
percentage of procedure codes inpatient surgical cases, as well as knowing the
factors that affect the inaccuracies of the procedure codes inpatient surgical
cases.
Methodology Research: The research used a qualitative descriptive design was
cross-sectional, population in this study, the subjects were medical records officer
40 people, as many as 26 surgeons. Object of study includes all data from the
existing measures in the data sheet Diary Room Service Activity Surgery (Report
of Operations) of 4925 procedure of codes. Samples of subjects in this study
include 1 coding officer of JAMKESMAS, 1 coding officer of inpatient, Chief
Medical Record Installation Panti Rapih Yogyakarta and 1 surgeon. Object
sample data collection techniques with interviews, documentation and
observation studies.
Results: The implementation of the encoding of procedures in Panti Rapih
Hospital was performed using computerized Hospital Information System (SIRS)
Inpatient coding is done by officers at the processing of data. Encoding process
is done by looking at the procedures in the Daily Activity Data Room Services
Surgery (Report of Operations) of the operating room. Encoding facility coding is
used in the implementation of ICD-9 book-CM Volume 3, medical dictionary, a
standardized list of abbreviations, a list of international abbreviation. The
accuracy of the procedure codes on SIRS Hospitalization for 57.12%. Factors
influencing of inaccuracies of procedure codes is medical record officers, had
never done renewal program or update the database of Inpatient on the SIRS,
had never performed an audit or evaluation of coding. |
| first_indexed | 2024-03-13T22:59:07Z |
| format | Thesis |
| id | oai:generic.eprints.org:122313 |
| institution | Universiti Gadjah Mada |
| last_indexed | 2024-03-13T22:59:07Z |
| publishDate | 2014 |
| publisher | [Yogyakarta] : Universitas Gadjah Mada |
| record_format | dspace |
| spelling | oai:generic.eprints.org:1223132016-03-04T07:52:14Z https://repository.ugm.ac.id/122313/ KEAKURATAN KODE TINDAKAN KASUS BEDAH PASIEN RAWAT INAP BERDASARKAN ICD-9-CM DI RUMAH SAKIT PANTI RAPIH YOGYAKARTA , ANGGA RASEPTA ARDYANTA , Nuryati, S.Far., MPH ETD Background: The procedure codes is one of the obligations of the medical records officer. In determining the procedure coding, medical records officer shall determine the rules of the ICD-9-CM. If the charging of procedure coding is not accurate, it can lead to difficulties and errors in the indexing process and the process of reporting and presentation of these statistics. Determination of the procedure codes is determined by the ability of officers in charge of procedure codes. In the coding, we need a audit of codes or evaluation. Audit of codes done so that the results of the coding process and the resulting accurate, timely, in accordance with the rules, regulations and policies applicable legislation. In Panti Rapih Hospital Yogyakarta, procedure of codes has not been done audit of codes or evaluation. Objective: To determine the accuracy of the implementation and investigate the percentage of procedure codes inpatient surgical cases, as well as knowing the factors that affect the inaccuracies of the procedure codes inpatient surgical cases. Methodology Research: The research used a qualitative descriptive design was cross-sectional, population in this study, the subjects were medical records officer 40 people, as many as 26 surgeons. Object of study includes all data from the existing measures in the data sheet Diary Room Service Activity Surgery (Report of Operations) of 4925 procedure of codes. Samples of subjects in this study include 1 coding officer of JAMKESMAS, 1 coding officer of inpatient, Chief Medical Record Installation Panti Rapih Yogyakarta and 1 surgeon. Object sample data collection techniques with interviews, documentation and observation studies. Results: The implementation of the encoding of procedures in Panti Rapih Hospital was performed using computerized Hospital Information System (SIRS) Inpatient coding is done by officers at the processing of data. Encoding process is done by looking at the procedures in the Daily Activity Data Room Services Surgery (Report of Operations) of the operating room. Encoding facility coding is used in the implementation of ICD-9 book-CM Volume 3, medical dictionary, a standardized list of abbreviations, a list of international abbreviation. The accuracy of the procedure codes on SIRS Hospitalization for 57.12%. Factors influencing of inaccuracies of procedure codes is medical record officers, had never done renewal program or update the database of Inpatient on the SIRS, had never performed an audit or evaluation of coding. [Yogyakarta] : Universitas Gadjah Mada 2014 Thesis NonPeerReviewed , ANGGA RASEPTA ARDYANTA and , Nuryati, S.Far., MPH (2014) KEAKURATAN KODE TINDAKAN KASUS BEDAH PASIEN RAWAT INAP BERDASARKAN ICD-9-CM DI RUMAH SAKIT PANTI RAPIH YOGYAKARTA. UNSPECIFIED thesis, UNSPECIFIED. http://etd.ugm.ac.id/index.php?mod=penelitian_detail&sub=PenelitianDetail&act=view&typ=html&buku_id=62414 |
| spellingShingle | ETD , ANGGA RASEPTA ARDYANTA , Nuryati, S.Far., MPH KEAKURATAN KODE TINDAKAN KASUS BEDAH PASIEN RAWAT INAP BERDASARKAN ICD-9-CM DI RUMAH SAKIT PANTI RAPIH YOGYAKARTA |
| title | KEAKURATAN KODE TINDAKAN KASUS BEDAH PASIEN RAWAT INAP
BERDASARKAN ICD-9-CM DI RUMAH SAKIT PANTI RAPIH YOGYAKARTA |
| title_full | KEAKURATAN KODE TINDAKAN KASUS BEDAH PASIEN RAWAT INAP
BERDASARKAN ICD-9-CM DI RUMAH SAKIT PANTI RAPIH YOGYAKARTA |
| title_fullStr | KEAKURATAN KODE TINDAKAN KASUS BEDAH PASIEN RAWAT INAP
BERDASARKAN ICD-9-CM DI RUMAH SAKIT PANTI RAPIH YOGYAKARTA |
| title_full_unstemmed | KEAKURATAN KODE TINDAKAN KASUS BEDAH PASIEN RAWAT INAP
BERDASARKAN ICD-9-CM DI RUMAH SAKIT PANTI RAPIH YOGYAKARTA |
| title_short | KEAKURATAN KODE TINDAKAN KASUS BEDAH PASIEN RAWAT INAP
BERDASARKAN ICD-9-CM DI RUMAH SAKIT PANTI RAPIH YOGYAKARTA |
| title_sort | keakuratan kode tindakan kasus bedah pasien rawat inap berdasarkan icd 9 cm di rumah sakit panti rapih yogyakarta |
| topic | ETD |
| work_keys_str_mv | AT anggaraseptaardyanta keakuratankodetindakankasusbedahpasienrawatinapberdasarkanicd9cmdirumahsakitpantirapihyogyakarta AT nuryatisfarmph keakuratankodetindakankasusbedahpasienrawatinapberdasarkanicd9cmdirumahsakitpantirapihyogyakarta |