Hospitals, as healthcare service providers, are required to improve the quality and efficiency of their services, one of which is through the implementation of Electronic Medical Records (EMR). This transformation impacts the workload of staff, particularly in the Medical Records Unit. This study aims to analyze the workload and staffing needs of the Medical Records Unit at Dr. Sitanala Central General Hospital using a descriptive quantitative approach with the Health Workload Analysis (ABK-Kes) method. Data were collected through observation and interviews with six staff members using observation sheets, interview guidelines, and informed consent forms. The results show that the Available Working Time (AWT) is 72,000 minutes per year, exceeding the national standard. There are 11 core tasks and 3 supporting tasks, with the highest Standard Workload (SWL) found in the recording and filing activity (72,000), and the Standard Supporting Task (SST) value is 1.2. Based on achievements, SWL, and SST, a total of four staff members are needed to balance the workload. Currently, only one staff member remains due to staff rotation, resulting in a shortage of three personnel. Therefore, Dr. Sitanala Hospital needs to recruit three additional medical record officers with a minimum qualification of a D3 in Medical Records to maintain optimal service and manageable workloads.

Puskesmas is a functional health organization as well as a center for community health development. The Klender urban health center currently uses an online registration system and offline registration. This study aims to determine the online and offline outpatient registration system at the Klender Village Community Health Center in 2023. This research is a qualitative research. In this study, researchers directly observed the process of outpatient registration. Retrieval of research data is done by observation and interviews with registration officers. The results of the study found that online registration uses the Jaksehat application, patients do not need to come to the health center to register, patients come to the health center to validate queue numbers to the polyclinic only. Calling patients who register online is prioritized with a system of calling queue numbers 1-5, 11-15 and so on. Offline registration is done by having patients come directly to the puskesmas and queue to register. For calling patients, register offline after patients register online with queue numbers 6-10, 16-15, etc. The problems found in registration were the separate queues for patients who registered online and offline and there was a mismatch in calling patients according to the serial number of the queue. The conclusion in this study is that online registration of outpatients uses the Jaksehat application and offline registration is carried out using the system used by the puskesmas. It is expected that the puskesmas will separate the queues of patients who have registered online with patients who have registered offline.
 
 

Prompt return of patient medical records is an important step in the health records processing workflow. Speed is the key to meeting quality processing standards. The hospital sets a deadline for returning medical records within 2x24 hours after the patient is discharged. Delays can be caused by various factors, which are classified under the 5M management elements: man, materials, machines, methods, and money. The aim of this research is to identify aspects that are the root of the problem in delays in the process of returning medical records to the hospital. The methodology used is a literature review, with analysis of 17 journal articles from the Google Scholar database. The study results showed that human factors such as staff shortages, incomplete doctor signatures, and inadequate staff educational qualifications were the main causes of delays. Material factors often result in incomplete documents. The machine factor is related to the significant distance between the inpatient department and the medical records department. Meanwhile, the method factor, namely SPO socialization has not been carried out and the implementation of job descriptions has not been maximized.

Medical record is a document that contains patient identity data, treatment, examination, action, and other services that have been given to patients. In order for medical records to be maintained, supervision is needed in medical records. The purpose of this study was to find out how the oversight of the medical record alignment system with the Standard Operating Procedures at the Jakarta Islamic Hospital Cempaka Putih. This research method uses a descriptive method with qualitative analysis, conducting observations and interviews that aim to provide an overview and see directly a state of the supervision process during the alignment of medical records in the filing room of the Jakarta Islamic Hospital Cempaka Putih. This research was conducted in a storage room with 5 informants. The results of the study showed that the supervisory process was aligned with the supervisory element, namely determining the size of the implementation, there was a deficiency, namely there was no mention of tasks in the job description in controlling medical records. In measuring the actual implementation, there are inappropriate implementations such as misfiles and there are several tracers that are still hanging. In measuring behavior, officers do not yet have definite standards or tools to measure officer performance behavior. Obstacles in the alignment of medical records through the 5M factor, namely, the lack of number of officers in the filing room, the occurrence of misfiles and staff errors in writing unclear numbers. Materials namely, there are a lot of maps that are too thick. Machines, that is, there are still many tracers hanging on storage racks whose time limit has passed the stipulation. Methods, that is, the Hospital does not yet have an SOP for alignment supervision and there is only a Medical Record alignment system in the SOP for storing and returning Medical Records.

kepuasan pasien adalah suatu fase perasaan pasien yang timbul sebagai akibat dari kinerja pelayanan kesehatan yang didapat setelah pasien membandingkan dengan apa yang dirasakan. Pasien akan merasa puas jika kinerja layanan kesehatan yang diperoleh sama atau melebihi harapan. Dampak dari kepuasan pasien yang rendah terhadap pelayanan di pendaftaran rawat jalan yaitu dapat menyebabkan pasien tidak akan kembali berobat ke puskesmas dan menyebabkan pengunjung puskesmas berkurang. Peneliti akan melakukan penelitian dengan pasien dibagian pendaftaran rawat jalan di puskesmas kecamatan kepulauan seribu utara. Penelitian ini bertujuan untuk mengetahui tingkat kepuasan pasien terhadap pelayanan petugas pendaftaran rawat jalan di puskesmas kecamatan kepulauan seribu utara. Metode penelitian yang digunakan adalah deskriptif kuantitatif dengan menggunakan model pengambilan sampel accidental sampling, dengan cara menyebarkan angket kepada 97 responden yang diukur pada 5 dimensi mutu pelayanan yaitu bukti fisik (tangibles), kehandalan (reliability), ketanggapan (responsiveness), asuransi (assurance), dan empati (empathy). Dari penelitian tersebut diketahui bahwa persentase kepuasan untuk dimensi bukti fisik (tangibles) 84,5%, kehandalan (reliability) 85,6%, ketanggapan (responsiveness) 78,4%, asuransi (assurance) 74,2%, dan empati (empathy) 80,4%. Dengan demikian diketahui tingkat kepuasan pasien terhadap pelayanan petugas pendaftaran rawat jalan di Puskesmas Kecamatan Kepulauan Seribu Utara sebesar 86,6% dan yang menyatakan tidak puas sebesar 13,4%. Berdasarkan dari hasil tingkat kepuasan yang diperoleh belum mencapai standar pelayanan minimal puskesmas yang telah dititipkan oleh menteri kesehatan yaitu ≥90%. Diharapkan kepada pihak puskesmas untuk meningkatkan kualitas pelayanan khususnya di tempat pendaftaran pasien rawat jalan.

Patient satisfaction is the same as the results of the assessment in the form of emotional responses ranging from feelings of pleasure or satisfaction obtained by patients because of the fulfillment of expectations or desires in using or receiving services. The impact of low patient satisfaction on services at outpatient registration is that it can cause a decrease in the quality of hospital services and result in a decrease in patient visits at the hospital. The purpose of this study was to determine the level of patient satisfaction with the services of outpatient registration officers at Bhakti Kartini Hospital. The method used is descriptive quantitative by distributing questionnaires to 106 respondents measured on 5 dimensions of service quality. From these studies it is known that the percentage of satisfaction to the dimensions of reliability 81.1%, responsiveness 84.9%, assurance 84%, empathy 79.2%, and the physical tangibles 82.1%. Thus, it is known that the level of patient satisfaction with the services of outpatient registration officers at Bhakti Kartini Hospital is 83% and those who are dissatisfied are 17%. Based on the results, the level of satisfaction obtained has not yet reached the minimum hospital service standard that has been set by Kepmenkes 129 in 2008 which is at least 90%.