DAFTAR ISI
HALAMAN JUDUL······················································································· i LEMBAR PERSETUJUAN ··········································································· ii HALAMAN PERSEMBAHAN ······································································· iii MOTTO ···································································································· v KATA PENGANTAR ··················································································· vi DAFTAR ISI ···························································································· viii DAFTAR TABEL ······················································································· xii DAFTAR GAMBAR ··················································································· xiii DAFTAR LAMPIRAN················································································· xiv INTISARI ································································································ xv ABSTRACT ····························································································· xvi BAB I PENDAHULUAN A. Latar Belakang ················································································ 1 B. Rumusan Masalah ··········································································· 3 C. Tujuan Penelitian ··········································································· 3 D. Manfaat Penelitian ········································································· 3 E. Keaslian Penelitian ·········································································· 4 BAB II KAJIAN PUSTAKA A. Tinjauan Pustaka ··········································································· 8 1.
Rumah Sakit ·········································································· 8
2.
Rekam Medis ········································································· 8
3.
Data dan Informasi ·································································· 8
4.
Kegunaan Rekam Medis ·························································· 9
viii
5.
Pelaporan ·············································································· 10
6.
Sistem Informasi Rumah Sakit (SIRS) ········································· 10
7.
Statistik Rumah Sakit ······························································· 12
8.
Billing System ········································································· 12
9.
Pengiriman Laporan ································································ 13
10. Sumber Daya Manusia ····························································· 13 11. Unsur – Unsur Manajemen ······················································· 13 B. Landasan Teori ·············································································· 15 C. Kerangka Teori ·············································································· 16 D. Kerangka Konsep ·········································································· 17 E. Pertanyaan Penelitian ······································································ 18 BAB III METODOLOGI PENELITIAN A. Jenis dan Rancangan Penelitian ························································ 19 B. Tempat dan Waktu Penelitian ····························································· 20 C. Sumber Data Penelitian ···································································· 20 D. Definisi Konsep ·············································································· 20 E. Teknik Pengumpulan Data ······························································· 22 F.
Instrumen Penelitian ········································································ 23
G. Rencana Analisis Data ······································································ 24 H. Teknik Validasi Data ········································································· 25 I.
Rencana Penelitian ·········································································· 26
BAB IV HASIL DAN PEMBAHASAN A. Gambaran Umum Rumah Sakit Umum Daerah Wates Kabupaten Kulon Progo ···························································································· 29 1.
Sejarah Singkat Rumah Sakit Umum Daerah Wates Kabupaten
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Kulon Progo ············································································· 29 2.
Performance Rumah Sakit Umum Daerah Wates Kabupaten Kulon Progo ······················································································ 30
B. Hasil······························································································ 31 1.
Pelaksanaan Pembuatan Laporan Menggunakan Sistem Informasi Rumah Sakit (SIRS) Revisi VI di Rumah Sakit Umum Daerah Wates a.
Input laporan menggunakan Sistem Informasi Rumah Sakit (SIRS) Revisi VI ································································ 31
b.
Proses pengolahan laporan di Rumah Sakit Umum Daerah Wates ············································································· 32
c.
Output Laporan ·································································· 40
d.
Proses pengiriman laporan menggunakan Sistem Informasi Rumah Sakit (SIRS) Revisi VI ············································· 41
2.
Faktor – faktor yang mempengaruhi kelancaran dalam pembuatan laporan menggunakan Sistem Informasi Rumah Sakit (SIRS) Revisi VI di Rumah Sakit Umum Daerah Wates a.
Man (Manusia) ·································································· 45
b.
Material (Sumber Data) ······················································ 51
c.
Machine (Mesin) ······························································· 53
d.
Method (Pedoman) ···························································· 59
C. Pembahasan ·················································································· 63 1.
Pelaksanaan Pembuatan Laporan Menggunakan Sistem Informasi Rumah Sakit (SIRS) Revisi VI di Rumah Sakit Umum Daerah Wates a.
Input laporan menggunakan Sistem Informasi Rumah Sakit
x
(SIRS) Revisi VI ································································ 62 b.
Proses pengolahan laporan di Rumah Sakit Umum Daerah Wates ············································································· 63
c.
Output Laporan ·································································· 66
d.
Proses pengiriman laporan menggunakan Sistem Informasi Rumah Sakit (SIRS) Revisi VI ············································· 68
2.
Faktor – faktor yang mempengaruhi kelancaran dalam pembuatan laporan menggunakan Sistem Informasi Rumah Sakit (SIRS) Revisi VI di Rumah Sakit Umum Daerah Wates a.
Man (Manusia) ·································································· 70
b.
Material (Sumber Data) ······················································ 72
c.
Machine (Mesin) ······························································· 73
d.
Method (Pedoman) ···························································· 79
BAB V KESIMPULAN DAN SARAN A. KESIMPULAN················································································· 82 B. SARAN ·························································································· 83 DAFTAR PUSTAKA LAMPIRAN
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DAFTAR TABEL
Tabel 1. Performance RSUD Wates Kabupaten Kulon Progo ···························· 30 Tabel 2. Hasil Observasi terkait pengolahan laporan di Rumah Sakit Umum Daerah Wates ···································································· 37 Tabel 3. Hasil Observasi terkait output laporan di Rumah Sakit Umum Daerah Wates ·············································································· 41 Tabel 4. Prosentase Kelengkapan Pengisian Register pada Unit Pelayanan ········ 49 Tabel 5. Prosentase Pengembalian Berkas Rekam Medis ································ 50 Tabel 6. Perbedaan item – item kolom pada SIMKES RSUD WATES dan SIRS online Revisi VI ···································································· 56 Tabel 7. Perbedaan penggolongan umur ······················································ 57 Tabel 8. Hasil observasi terkait prosedur tetap pembuatan laporan di Rumah Sakit Umum Daerah Wates ·································································· 59
xii
DAFTAR GAMBAR
Gambar 1. Kerangka Teori Penelitian ··························································· 16 Gambar 2. Kerangka Konsep Penelitian ······················································· 17 Gambar 3. Tampilan SIMKES RSUD WATES untuk RL 1 Data Dasar Rumah Sakit ············································································ 35 Gambar 4. Tampilan SIMKES RSUD WATES untuk RL 2 Data Ketenagaan ········ 35 Gambar 5. Tampilan SIMKES RSUD WATES untuk RL 3 Data Kegiatan Pelayanan Rumah Sakit ················································ 36 Gambar 6. Tampilan SIMKES RSUD WATES untuk RL 4 Data Morbiditas Pasien ···················································································· 36 Gambar 7. Tampilan SIMKES RSUD WATES untuk RL 5 Data Bulanan ············· 37 Gambar 8. Tampilan SIMKES RSUD WATES ················································ 38 Gambar 9. Tampilan untuk Jenis – Jenis Laporan dalam SIMKES RSUD WATES ········································································· 39 Gambar 10. Tampilan untuk Laporan SIRS (RL1-RL5) dalam SIMKES RSUD WATES ········································································· 39 Gambar 11. Tampilan awal (home) website Ditjen BUK ··································· 42 Gambar 12. Tampilan Login system untuk masuk masuk ke dalam SIRS online ··················································································· 42 Gambar 13. Tampilan untuk pilihan laporan pada SIRS online (RL1-RL5) ··········· 43 Gambar 14. Tampilan tabel RL4a pada SIMKES RSUD WATES ······················· 55 Gambar 15. Tampilan tabel RL4a pada Program SIRS online Revisi VI ·············· 55 Gambar 16. Tampilan tabel RL4b pada SIMKES RSUD WATES ······················· 55 Gambar 17. Tampilan tabel RL4b pada Program SIRS online Revisi VI ·············· 56
xiii
DAFTAR LAMPIRAN
Lampiran 1. Izin Penelitian Lampiran 2. Pengantar Wawancara Penelitian Lampiran 3. Persetujuan Subjek Penelitian Lampiran 4. Pedoman Wawancara Lampiran 5. Hasil Wawancara Lampiran 6. Check List Observasi Lampiran 7. Check List Dokumentasi Lampiran 8. Protap Pelaporan Rumah Sakit Lampiran 9. Protap Sensus Penyakit Rawat Jalan Lampiran 10. Protap Sensus Harian Pasien Rawat Inap Lampiran 11. Protap Pengisian Rekam Medis yang Lengkap dan Benar Lampiran 12. Evaluasi Kelengkapan Isi Rekam Medis Lampiran 13. Protap Pengisian Laporan Data Inventaris (RL 3)
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