Indonesian Journal of Health Information Management Services

PELATIHAN DAN UPDATING KODING KLINIS UNTUK KEPERLUAN REIMBURSEMENT KLAIM INA-CBGs PADA RUMAH SAKIT SWASTA

Dyah Ernawati — 2025-10-31

Case-mix coding is a critical task for hospital staff, especially those in the medical records department and the case-mix unit responsible for managing JKN patient claims. To ensure accuracy in INA-CBGs reimbursement claims, training and skill development in clinical coding are essential. The UDINUS Community Service Team conducted a comprehensive training program involving knowledge sharing, interactive discussions, and practical mentoring on clinical coding enforcement and reimbursement processes. The training covered basic clinical coding concepts, application of ICD-10 and ICD-9CM standards, case analysis aligned with reimbursement regulations, hands-on coding practice, and concluded with a post-test. A total of 54 participants from diverse healthcare roles including medical record officers, doctors, nurses, and non-health personnel actively engaged in the sessions. Evaluation results indicated significant improvement in participants’ understanding of medical terminology and their ability to accurately apply clinical codes according to established guidelines. Additionally, the training highlighted the importance of clinical coding for effective hospital case-mix management. In summary, proficiency in medical terminology is vital for medical record officers to ensure precise clinical code assignment that supports high-quality health information data within healthcare institutions.

KOMUNIKASI EFEKTIF DAN SISTEM INFORMASI GEOGRAFIS PADA TENAGA KESEHATAN PROGRAM PENGELOLAAN PENYAKIT KRONIS KABUPATEN SEMARANG

Widya Ratna Wulan — 2025-10-31

Effective communication training for Prolanis health workers is essential to improve the quality of interactions between health workers and patients. Good communication can influence patients' adherence to medication, understanding of their health condition, and following the chronic disease management program with discipline. In addition, Geographic Information System (GIS) training is becoming increasingly relevant in the context of Prolanis. By utilizing GIS, health workers can more effectively map the distribution of chronic diseases in Semarang Regency. This mapping aids in evidence-based decision-making, allowing health resources to be allocated more efficiently. GIS enables the identification of areas with high disease prevalence, so that interventions can be focused on areas that require more attention. It also supports preventive efforts to curb the increase in chronic disease cases. The implementation of Effective Communication and Geographic Information System (GIS) training for Prolanis health workers in Semarang Regency has several strategic objectives, both in the context of increasing the competence of health workers, strengthening the health service system, and contributing to the Merdeka Learning Campus Merdeka (MBKM) program, the Main Performance Indicators (KPI) of higher education, and the focus of community service.

SOSIALISASI KELENGKAPAN DAN KETEPATAN PEMERIKSAAN FISIK DAN PENUNJANG MEDIS MEMPENGARUHI KEAKURATAN KODE PNEUMONIA DI RS.BENGKULU

Nofri Heltiani — 2025-10-31

Ministry of Health of the Republic of Indonesia Number HK.02.02/Menkes/514/2015 states that pneumonia is one of the diseases that often causes medical disputes due to disagreements between BPJSKesehatan and Advanced Health Facilities regarding medical issues that are not in accordance with the Clinical Practice Guidelines. This is due to incompleteness and inaccuracy of the results of physical examinations and medical support (thorax radiographs) recorded in the patient's medical record, so that the process of coding the diagnosis of pneumonia becomes inaccurate. This Community Service Activity aims to provide an overview to casemix officers about the effect of incompleteness and inaccuracy of medical information reviewed from the results of physical examinations and medical support on the accuracy of pneumonia diagnosis codes at Bengkulu Hospital. The method used is socialization and interactive discussion targeting the Head of Casemix and 9 casemix officers. The results of the evaluation through pretest and posttest showed an increase in knowledge and understanding of casemix officers before and after being given socialization by 61% with an average pretest of 56.00 and posttest to 90.00. This activity needs to be carried out as an effort to improve the quality of health services and increase the awareness and understanding of casemix officers regarding the importance of completeness and accuracy of physical examinations and medical support in supporting code accuracy.

DIGITALISASI DATA SKRINING KESEHATAN MASYARAKAT MELALUI APLIKASI PENCATATAN BERBASIS KOMPUTER

Wahyu Wijaya Widiyanto — 2025-10-31

Recording the results of community health screening is still mostly carried out manually, which often leads to errors and hinders data analysis and reporting. This community service activity aims to introduce and implement a computer-based recording application to support the digitalization of health screening data. The methods used included community education, basic health screening such as measuring height and blood pressure, and recording the results into a simple application developed using data processing software. The results of the activity showed increased recording speed, easier data recap, and more accurate information processing compared to manual recording. The community also gained a better understanding of the importance of regular health screening and the benefits of using information technology. In conclusion, the implementation of a computer-based recording application can improve the effectiveness of health screening data management and strengthen the role of information technology in community health services.

PENGUATAN KAPASITAS BIDAN DAN KADER PUSKESMAS DUREN: TRAINING OF TRAINER MODEL PENDAMPINGAN DIGITAL PERAWATAN KEHAMILAN-NIFAS

Respati Wulandari — 2025-10-31

The phenomenon of teenage pregnancy has serious health, social, and economic impacts. Globally, 55% of pregnancies among 15-19 year olds result in unsafe abortions, including in Indonesia. Based on interviews with the midwife coordinator, BOK funds are only sufficient to hold classes for 15 pregnant women. There is a disparity between the number of pregnant women and the amount of assistance provided so far. Of the 399 pregnant women, only 18.8% (75 women) can be assisted through classes for pregnant women. The next problem is the low reading interest of mothers in KIA books. With the availability of digital educational media, it is hoped that this can be a solution to the problems occurring at the Duren Posyandu. The purpose of this activity is to increase the knowledge of midwife cadres regarding digital education models that can accommodate more pregnant women by using educational materials that are more interesting to pregnant women. The community service activity was carried out on July 31 - August 1, 2025, with 5 village midwives and 13 cadres participating. The activity began with a pre-test, followed by the community service team delivering the material, and finally a post-test. All participants in the activity experienced an increase in knowledge for 20 points, as evidenced by their post-test scores, which were higher than their pre test scores.

EDUKASI DAN IMPLEMENTASI FITUR DETEKSI RISIKO PENYAKIT DI APLIKASI SATUSEHAT DI PUSKESMAS KESUNEAN KOTA CIREBON

Lina Khasanah — 2025-10-31

Advances in digital technology in the health sector have created significant opportunities for health workers to enhance their ability to detect non-communicable diseases (NCDs) at an early stage. The use of the risk detection feature in the SatuSehat application at the primary service level is still limited because some officers do not understand how to use it and its benefits in promotive and preventive activities. This community service program aims to strengthen the knowledge and skills of Puskesmas staff in using the SatuSehat application as a tool for early detection of NCDs. The method employed was training with a participatory educational approach, involving the presentation of materials, live demonstrations, discussions, and evaluations through pre- and post-tests. The activity was conducted at the Kesunean Health Center in Cirebon City and involved 25 health workers. The results showed an improvement in participants’ knowledge, with the average pre-test score increasing from 79 to 90 in the post-test. Several participants were introduced to the early detection feature for the first time during the training and expressed strong interest in applying it. The training contributed to improving digital literacy among health workers and strengthening NCD prevention efforts at the primary care level.

STANDARDISASI ALUR PELAYANAN TUBERKULOSIS DI PUSKESMAS PEMBANTU KELURAHAN SERANGAN

Gede Wirabuana Putra — 2025-10-31

Tuberculosis (TB) remains a public health challenge in Indonesia with an incidence of 391 per 100,000 population. Kelurahan Serangan Sub-Health Center (Pustu) lacks standardized TB service flow, causing practice variations and suboptimal coordination. This activity aims to improve suspected TB case service quality through evidence-based service flow socialization and standardization. Methods included existing condition analysis, SOP development, socialization and training, guided implementation, and evaluation. Results showed 100% of health workers (6 people) participated in training with 90% satisfaction rate. SOP implementation achieved 85% adherence in daily practice. There was a 45% increase in TB service practice standardization and 35% reduction in inter-staff variations in case management. Coordination with referral facilities improved by 40% through structured communication system implementation. This activity successfully standardized TB service flow and enhanced health worker capacity in TB early detection at primary care level.

PENGENALAN INFRASTRUKTUR TEKNOLOGI INFORMASI PADA APLIKASI REKAM MEDIS ELEKTRONIK

Rohmadi Rohmadi — 2025-10-31

The knowledge of Vocational High School (SMK) students regarding Electronic Health Records (EHR), which is part of the Information Technology (IT) system, is vital in the healthcare sector. SMK graduates are expected to possess sufficient knowledge to support the implementation of this technology in the workplace, particularly in hospitals or other healthcare facilities. The problem experienced by the students is the lack of adequate material concerning information technology, specifically in the health sector. The current curriculum is focused on the general fundamentals of information technology. The activity aimed to introduce students to the IT infrastructure used in electronic health record systems, including hardware, software, and data security aspects. The method used for the activity was Health Education. The activity was held on March 19, 2025, and was attended by 101 participants. The event was interactive with discussions covering data leak prevention, how to create a public Internet Protocol (IP), and tracing servers on a domain. Participants were asked to write a material summary at the end of the activity to measure their understanding. This activity successfully increased the SMK students' understanding of IT infrastructure in EHR and is expected to strengthen graduates' readiness to meet industry needs, particularly in the health sector, as well as enhance their vigilance against cyber threats and human errors.