This document summarizes a study that evaluated the accuracy of diagnosis and procedure coding in Panti Rapih Hospital in Yogyakarta, Indonesia during the implementation of the country's National Health Coverage Insurance program. The study found that the accuracy of diagnosis codes was 44.56% based on ICD-10 standards and procedure codes was 57.12%. Factors affecting inaccurate coding included a lack of coder training, an outdated ICD-10 database, and a lack of internal coding audits. The document provides background on Indonesia's health insurance program and the roles of hospitals, medical coders, and an independent verifier in the coding process.
The document provides an overview of Fortis Hospital in Noida, India including its history, vision, mission, values, organizational structure, facilities and departments. It discusses the hospital's information system and provides recommendations to improve various modules. The summary focuses on key details while maintaining brevity.
Information system to enhance medical services quality in IndonesiaIJECEIAES
The consequence of disproportionate distribution and placement of Doctor in Indonesia is affecting people who live in rural area. Patient have to travel to city to receive medical treatment and must encounter another different problem such as: patients often have to wait a long time in the doctor's office even sometimes do not get the service because of holiday or rejected because the queue is full. Medical record in some cases may lost due in Indonesia mostly medical record recorded manually (paper based). Therefore doctor treatment is not optimal because doctor can no longer inspect patient illness history and any treatment that have been conducted before. This research proposes a new concept to help people who live in rural area to get better medical treatment. People could register and monitor doctor service queue via smart phone. System expanded with medical record management facilities to improve service quality of patient. Research object was doctor service in Sulawesi, Indonesia. This research indicates system could increase time efficiency, energy, and cost efficiency for patient and also the doctor. Additionally current system will be optimal if supported with stable internet network.
Health management information systems for universal health coverageMEDx eHealthCenter
This document discusses Thailand's development and use of health management information systems (HMIS) to achieve universal health coverage. It outlines how Thailand utilized existing civil registration and identification systems to enroll beneficiaries in insurance schemes. Standardized data formats and datasets were also crucial to processing insurance claims and reimbursements to hospitals. Over time, Thailand continued to invest in and expand its HMIS, establishing standards and datasets to evaluate quality of care, monitor disease prevention programs, and conduct health systems research. Lessons for other countries developing HMIS for universal coverage include strengthening civil registration, designing interoperable systems that utilize transaction data, and maximizing use of data for policymaking.
Hospital management system is a computer system that helps manage the information related to health care and aids in the job completion of health care providers effectively.
Hospital Management System brings together all the information and processes of a hospital, in a single platform.
It presents you with a unified 360-degree view for managing patients, doctors, inventory, appointments, billing information, finances and much more.
The system automatically generates a highly-efficient process and makes it quick. Thereby, allowing hospitals to provide quality service in addition to professional medical care.
In a nutshell, Hospital Management System (HMS) creates a frictionless approach towards managing the entire hospital and solves all complexities in the process
The document discusses the rise of private sector participation in healthcare in India and the need for professionally trained hospital administrators. It notes an increasing demand for healthcare services, willingness to pay for services, and an entrepreneurial spirit has led to growth in the healthcare industry. However, there is currently not a large enough pool of trained hospital administrators. The document proposes strategies for developing this skills market, including promotion programs and creating administrator positions and acceptance of their roles in hospitals.
This document provides an overview of a hospital information system implementation report submitted by Aditya Kumar Varshneya for their post graduate diploma program. The report discusses the implementation of a hospital management system called Insta HMS at two hospitals in India - Sparsh Diagnostica Pvt Ltd in Kolkata and Swami Vivekanand Regional Spine Centre. It describes the standard implementation process used including collecting initial data, designing solutions, and proceeding with implementation. The aim of the report is to understand the implementation process and identify any issues to improve future implementations and support.
The document provides an overview of the healthcare industry in India. It discusses various aspects of the industry including emerging diseases, infrastructure issues, the growth of the health insurance market, medical tourism, Ayurveda, surgical equipment, pharmaceuticals, and the top pharmaceutical companies. It also includes survey results on perceptions of healthcare infrastructure and recommendations to improve the industry.
The document provides an overview of Fortis Hospital in Noida, India including its history, vision, mission, values, organizational structure, facilities and departments. It discusses the hospital's information system and provides recommendations to improve various modules. The summary focuses on key details while maintaining brevity.
Information system to enhance medical services quality in IndonesiaIJECEIAES
The consequence of disproportionate distribution and placement of Doctor in Indonesia is affecting people who live in rural area. Patient have to travel to city to receive medical treatment and must encounter another different problem such as: patients often have to wait a long time in the doctor's office even sometimes do not get the service because of holiday or rejected because the queue is full. Medical record in some cases may lost due in Indonesia mostly medical record recorded manually (paper based). Therefore doctor treatment is not optimal because doctor can no longer inspect patient illness history and any treatment that have been conducted before. This research proposes a new concept to help people who live in rural area to get better medical treatment. People could register and monitor doctor service queue via smart phone. System expanded with medical record management facilities to improve service quality of patient. Research object was doctor service in Sulawesi, Indonesia. This research indicates system could increase time efficiency, energy, and cost efficiency for patient and also the doctor. Additionally current system will be optimal if supported with stable internet network.
Health management information systems for universal health coverageMEDx eHealthCenter
This document discusses Thailand's development and use of health management information systems (HMIS) to achieve universal health coverage. It outlines how Thailand utilized existing civil registration and identification systems to enroll beneficiaries in insurance schemes. Standardized data formats and datasets were also crucial to processing insurance claims and reimbursements to hospitals. Over time, Thailand continued to invest in and expand its HMIS, establishing standards and datasets to evaluate quality of care, monitor disease prevention programs, and conduct health systems research. Lessons for other countries developing HMIS for universal coverage include strengthening civil registration, designing interoperable systems that utilize transaction data, and maximizing use of data for policymaking.
Hospital management system is a computer system that helps manage the information related to health care and aids in the job completion of health care providers effectively.
Hospital Management System brings together all the information and processes of a hospital, in a single platform.
It presents you with a unified 360-degree view for managing patients, doctors, inventory, appointments, billing information, finances and much more.
The system automatically generates a highly-efficient process and makes it quick. Thereby, allowing hospitals to provide quality service in addition to professional medical care.
In a nutshell, Hospital Management System (HMS) creates a frictionless approach towards managing the entire hospital and solves all complexities in the process
The document discusses the rise of private sector participation in healthcare in India and the need for professionally trained hospital administrators. It notes an increasing demand for healthcare services, willingness to pay for services, and an entrepreneurial spirit has led to growth in the healthcare industry. However, there is currently not a large enough pool of trained hospital administrators. The document proposes strategies for developing this skills market, including promotion programs and creating administrator positions and acceptance of their roles in hospitals.
This document provides an overview of a hospital information system implementation report submitted by Aditya Kumar Varshneya for their post graduate diploma program. The report discusses the implementation of a hospital management system called Insta HMS at two hospitals in India - Sparsh Diagnostica Pvt Ltd in Kolkata and Swami Vivekanand Regional Spine Centre. It describes the standard implementation process used including collecting initial data, designing solutions, and proceeding with implementation. The aim of the report is to understand the implementation process and identify any issues to improve future implementations and support.
The document provides an overview of the healthcare industry in India. It discusses various aspects of the industry including emerging diseases, infrastructure issues, the growth of the health insurance market, medical tourism, Ayurveda, surgical equipment, pharmaceuticals, and the top pharmaceutical companies. It also includes survey results on perceptions of healthcare infrastructure and recommendations to improve the industry.
The presentation unfolds Information Technology's presence and exposure in the Healthcare Industry.
The technology used in this sector is of large scale and very less Big players/ Vendors are ruling the market.
This document summarizes a research study on the medical records department of a hospital in India. The study aimed to analyze the existing procedures of the medical records department to identify areas for improvement. Key findings included:
1) The department was found to be computerized and using ICD coding systems, though electronic health records could still be implemented.
2) Issues identified were insufficient staffing and limited space for storage and work.
3) Recommendations included increasing staff and storage space to address problems faced by the department.
The document analyzes factors that contribute to the slow adoption of information and communication technology (ICT) in Bangladesh's healthcare sectors. It surveys staff and patients at three hospitals - Popular Medical College Hospital, Anwar Khan Modern Medical College Hospital, and United Hospital Ltd. The surveys found that:
1) All respondents said their organizations use ICT, primarily for billing systems.
2) All respondents wanted to introduce additional healthcare information systems in the near future.
3) Most respondents agreed that investment in ICT is important, but some felt initial investment costs are very high.
The document uses the survey findings to identify barriers to and opportunities for greater ICT adoption in Bangladesh's healthcare industry.
"A study of Consumer Awareness, Strategies& Market Potential of Software Deve...Sanket Khade
• Visited various Doctors in Pune and made them aware of the Software (Doctors Opinion).
• Promoted Sales activity in Pune.
• Generated leads for Doctors Opinion.
• Project involved understanding the overall Marketing Mix for Doctors Opinion.
The Effect of Service Quality on Patient Loyalty (A Study on Inpatients of Re...IJAEMSJORNAL
This study aims at examining whether service quality influences customer loyalty, in this case, hospital’s inpatient. Service quality is represented in the form of five independent variables, which are tangibles, reliability, responsiveness, assurance, and empathy. This study is conducted at some regional hospitals in Jakarta, Indonesia, and the respondents are inpatients of the concerned hospitals. The data are analyzed by employing a multiple linear regression method. The research shows that the five independent variables simultaneously, significantly influence patient loyalty. Partially, almost all of the independent variables significantly influence it except the reliability variable.
AN EMPIRICAL STUDY ON FACTORS INFLUENCING THEPATIENTS SATISFACTION TOWARDS HE...IAEME Publication
This document summarizes a research paper on factors influencing patient satisfaction towards healthcare services at multi-specialty hospitals in Trichy, India. The study aimed to understand patient profiles, factors for hospital selection, and satisfaction levels with primary and supportive services. 748 patients from 5 hospitals were surveyed. The results showed that the majority of respondents were satisfied with primary and supportive healthcare services. Recommendations to hospital administrators and the government included staff training programs, clear billing practices, improved sanitation, physician supervision of medical services, and public health awareness campaigns.
The document discusses the development of post-graduate programs in emergency medicine in India. It provides an overview of the current status of emergency medicine in India, noting that it is a nascent specialty with few formally trained emergency physicians. It also outlines some of the key milestones in the development of emergency medicine services in India, including emergency medicine being recognized as a separate specialty by the Medical Council of India in 2009. The document examines the limited number of post-graduate seats for emergency medicine programs compared to other specialties and the large scope for further growth of emergency medicine in India given the country's health needs.
This document discusses new health insurance policies and programs in Indonesia. It provides background on the challenges consumers face in choosing plans and the role of both private insurers and the government. The government's National Health Insurance (JKN) program, run through the National Social Security Agency (BPJS), aims to provide universal healthcare coverage. BPJS oversees health and other social insurance programs. The JKN provides coverage for primary, referral, and hospital care for all Indonesian citizens and long-term residents. Certain cosmetic or experimental procedures are excluded from coverage.
This document provides an analysis of the healthcare industry in India. It includes:
1) An overview of the size and growth of the healthcare industry in India, which contributes 5.25% to GDP and is projected to grow at 23% annually.
2) A brief history of healthcare in India including Ayurveda, Homeopathy, and the introduction of Allopathy.
3) An analysis of the key players in the industry based on number of beds, including Apollo Hospitals, Fortis Healthcare, and Max Hospitals.
4) A Porter's Five Forces analysis of the industry which finds increasing competition among players and a mismatch between the growing demand and limited supply of healthcare services in
Apollo Hospitals is India's largest private healthcare group founded in 1983 by Dr. Prathap C Reddy. It operates 69 hospitals across India and overseas with over 9834 beds. Apollo provides a wide range of healthcare services including treatments for cancer, cardiac issues, and neurology. It has expanded across major Indian cities like Chennai, Delhi, Mumbai and uses a process of rigorous site selection and quality care to promote itself through various community initiatives.
Administrative Employees' Perception at Directorate of Health Affairs, Minist...iosrjce
Background: Many studies globally had studied employees' perception and its impact on job productivity.
Employees' perception is very crucial in evaluating performance improvement. The researchers in this study
tries to figure out factors that affect employees' performance and find out some solutions for existing problems.
Methods: This Study was conducted in Directorate of Health Affairs in Riyadh Region, KSA. A Simple random
sample was used to distribute 245 questionnaires. Questionnaire consisted of two parts, the study's statements
was measured using used five points Likart scale. The study was conducted from 15th Sep 2014 until 15th Nov
2014.
Results: The analysis of the data indicated that there was an overall satisfaction among employees with a
percentage of (62%). Financial factors were the most unsatisfactory aspects among employees followed by
training opportunities.
Conclusion: This study showed that there should be a full consideration to duties distribution and financial
incentives in addition to developmental initiatives in order to have very devoted employees.
A CASE STUDY ON DEVELOPING AN EFFECTIVE INFORMATION BASED HEALTHCARE SERVICES...cscpconf
The real test of technological development is to ensure whether it reaches people and the most important task is to produce, manage and deliver relevant information systems appropriately
within India. Therefore technology needs to be acquired and adapted for it to be appropriately
developed. A country like India needs to adapt and develop information systems based on their
own needs and structures, using their own methods and practices. When it comes to eGovernance projects, better cooperation is the need of the day both from public as well as
private players [1]. The Indian government is taking greater cognizance of the benefits of technology and some e-Gov projects have already been initiated and deployed in few states of
our country [1]. However, despite an improved Information Communication Technology (ICT)
in our country thanks to the efforts of our government, there are still problems which continue
to hamper the use of information and ICT in domain of healthcare in India [2]. This paper
discusses the current levels of IT and quality in health care in our country and how Information Technology (IT) might be helpful in future.
Healthcare information technology market in india sample (1)anupama0479
This document provides an overview of the healthcare information technology market in India. It discusses key definitions, segments of the HIT market, the current state of adoption in India, drivers and restraints. Some of the main points are:
- HIT includes both administrative and clinical systems used in healthcare settings. Adoption has been growing but is still limited, especially outside major cities and hospitals.
- Private healthcare is expanding rapidly which is increasing demand for HIT. Growth of medical tourism and health insurance are also driving factors.
- Barriers include the high initial costs, a lack of standards, limited knowledge about HIT applications, and underfunding of public healthcare.
Poor bone health in Indians. The case for digitization in OrthopedicsRanjit Kovilinkal
Inspite of more than 60 years history of orthopedics in India we have not been able to define optimum and the current state of bone health in our population. We have not identified the factors responsible for poor bone health and evolve state and national level strategies to improve the bone health of the nation. The poor bone health affects the work potential and performance thereby reducing productivity and adds a tremendous musculoskeletal disease burden in late youth due to weak bones. It is not only a clinical burden needing treatment but also causes a huge loss of earnings/man-day. Surgeons in India want to improve the healing times in their patients while patients in turn are willing to spend money on technologies that work. Ultimately, identifying the optimal fracture healing technology for the Indian population is of significant interest to the health care community.
A Review Role of Mobile Application for Medical Servicesijtsrd
"In advanced mobile communications and portable computation devices are now combined in handheld devices called “smart mobile phones, IPADs, Tablet PCâ€, which are also capable of running third party software. The number of smart mobile phones users is growing rapidly, including among healthcare professionals. The purpose of this study was to classify smart mobile phones based healthcare technologies as discussed in academic literature according to their functionalities, services and summarize articles in each category. Many medical applications for smart mobile phones have been developed and widely used by health professionals, doctors, consultant and patients. The use of smart phones is getting more attention in healthcare and medical services day by day. Medical service provider applications make smart mobile phones useful tools in the practice of evidence based medicine at the point of care, in addition to their use in mobile clinical communication with an correct references. Also, smart mobile phones can play a very important role in patient education, disease self management, and remote monitoring of patients. Miss. Naina S Thorat | Dr. R. V Kulkarni ""A Review- Role of Mobile Application for Medical Services"" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Special Issue | Fostering Innovation, Integration and Inclusion Through Interdisciplinary Practices in Management , March 2019, URL: https://www.ijtsrd.com/papers/ijtsrd23060.pdf
Paper URL: https://www.ijtsrd.com/computer-science/programming-language/23060/a-review--role-of-mobile-application-for-medical-services/miss-naina-s-thorat"
Medical Devices , regulations and e health solutionsshashi sinha
Medical Devices are now regulated in India. It is essential to know about the Medical Devices Regulations and how it is being implemented. Must know for all the manufacturers, importers and Distributors of Medical Devices.
The document discusses Thailand's position as a medical hub in Asia. It notes that Thailand offers state-of-the-art facilities, internationally certified medical services, excellent medical expertise, and high-standard hospitals. It also has a significant number of accredited medical facilities. The government is working to develop Thailand into an "International Health Center for Excellence" through various initiatives. Thailand has become a leading medical tourism destination, welcoming over 2.5 million international patients in 2012. It also attracts patients with traditional and alternative medicines.
The Indian healthcare industry has progressed at an impressive pace over the past few years. The private sector has emerged as a vibrant force in the industry, accounting for almost 74 per cent of the country’s total healthcare expenditure.
The Indian healthcare revenues stood at US$ 68.4 billion in 2011 and is expected to reach US$ 158.2 billion by 2017. Of the total healthcare revenues in the country, hospitals account for 71 per cent, pharmaceuticals for 13 per cent and medical equipment and supplies for 9 per cent.
India offers both a huge patient pool, favourable regulatory environment and cost advantage for conducting clinical trials. The low cost of medical services has resulted in a rise in the country’s medical tourism, attracting patients from across the world.
The Government of India has created the National Health Mission (NHM) for providing effective healthcare to both urban and rural population.
Market Research Report : Hospital Market in India 2012Netscribes, Inc.
For the complete report, get in touch with us at : info@netscribes.com
Netscribes (India) Pvt. Ltd., a knowledge consulting solutions company, announces the launch of its report – Hospital Market in India. The Indian hospital market is currently experiencing rapid growth over the last few years and it is expected to continue this trend in the near future.
The report provides a snapshot of the hospital market. It begins with an introduction section which offers a study of the types and specifications of the hospital in India. The market overview section provides an insight into the current and forecasted market size of the equipment.
An analysis of the drivers explains the factors for growth among which are the dearth in hospital beds in comparison to the demand it faces, growing healthcare industry, growing affordability among people, growing medical tourism, increasing lifestyle diseases, changing demographic structure and growing health insurance market. Key challenges include insufficient medical professionals, lack of investment in IT infrastructure and shortage of FDI flows in Indian hospitals.
The next section provides a study on the role of government that is taking measures to raise the number of hospitals both public and private and also providing financial incentives to the private players to encourage them to establish more and more hospitals.
The next section provides the Trends that are developing in the hospital market among which are growth in Secondary Care Hospitals, growing interest of foreign hospitals to start business in India, public private partnership projects, funding from private equity firms, increase in operation of mobile hospitals, domestic hospitals offshore expansion along with telemedicine and health city emergence in hospital market.
The competition section gives overview of hospitals in the country that have grown over time segmented on the basis of region. It is then followed by some hospitals that have or will soon commence operation in 2012-13. Thereafter, the report highlights the features of the major players operating in the market. It includes an elaborate profile of the major domestic players in the market along with their financial analysis. Porters Five Forces Analysis has been incorporated for a brief but effective understanding of the market scenario.
The strategic recommendations section focuses on some effective strategic decisions which can be taken up by companies to increase their market shares.
ANALYZING PATIENT MEDICAL RESUME CODING S COMPLETENESS AND ACCURACY ON THE AM...Don Dooley
The document analyzes the completeness and accuracy of coding patient medical resumes and how it affects the amount of INA-CBG claims at Dharmais Cancer Hospital in 2019. The study found medical resume completeness was highest for secondary diagnosis at 30.23%, supporting examinations at 27.91%, and physical exams/procedures at 23.26%. Coding accuracy for primary diagnosis was 90.7% and procedures was 76.7%. Incomplete and inaccurate coding affected final INA-CBG grouping and claims, resulting in Rp. 194,089,500 less than it should have been. The document discusses factors like human resources, funding, standard operating procedures, and facilities that influence medical resume completeness and coding
The presentation unfolds Information Technology's presence and exposure in the Healthcare Industry.
The technology used in this sector is of large scale and very less Big players/ Vendors are ruling the market.
This document summarizes a research study on the medical records department of a hospital in India. The study aimed to analyze the existing procedures of the medical records department to identify areas for improvement. Key findings included:
1) The department was found to be computerized and using ICD coding systems, though electronic health records could still be implemented.
2) Issues identified were insufficient staffing and limited space for storage and work.
3) Recommendations included increasing staff and storage space to address problems faced by the department.
The document analyzes factors that contribute to the slow adoption of information and communication technology (ICT) in Bangladesh's healthcare sectors. It surveys staff and patients at three hospitals - Popular Medical College Hospital, Anwar Khan Modern Medical College Hospital, and United Hospital Ltd. The surveys found that:
1) All respondents said their organizations use ICT, primarily for billing systems.
2) All respondents wanted to introduce additional healthcare information systems in the near future.
3) Most respondents agreed that investment in ICT is important, but some felt initial investment costs are very high.
The document uses the survey findings to identify barriers to and opportunities for greater ICT adoption in Bangladesh's healthcare industry.
"A study of Consumer Awareness, Strategies& Market Potential of Software Deve...Sanket Khade
• Visited various Doctors in Pune and made them aware of the Software (Doctors Opinion).
• Promoted Sales activity in Pune.
• Generated leads for Doctors Opinion.
• Project involved understanding the overall Marketing Mix for Doctors Opinion.
The Effect of Service Quality on Patient Loyalty (A Study on Inpatients of Re...IJAEMSJORNAL
This study aims at examining whether service quality influences customer loyalty, in this case, hospital’s inpatient. Service quality is represented in the form of five independent variables, which are tangibles, reliability, responsiveness, assurance, and empathy. This study is conducted at some regional hospitals in Jakarta, Indonesia, and the respondents are inpatients of the concerned hospitals. The data are analyzed by employing a multiple linear regression method. The research shows that the five independent variables simultaneously, significantly influence patient loyalty. Partially, almost all of the independent variables significantly influence it except the reliability variable.
AN EMPIRICAL STUDY ON FACTORS INFLUENCING THEPATIENTS SATISFACTION TOWARDS HE...IAEME Publication
This document summarizes a research paper on factors influencing patient satisfaction towards healthcare services at multi-specialty hospitals in Trichy, India. The study aimed to understand patient profiles, factors for hospital selection, and satisfaction levels with primary and supportive services. 748 patients from 5 hospitals were surveyed. The results showed that the majority of respondents were satisfied with primary and supportive healthcare services. Recommendations to hospital administrators and the government included staff training programs, clear billing practices, improved sanitation, physician supervision of medical services, and public health awareness campaigns.
The document discusses the development of post-graduate programs in emergency medicine in India. It provides an overview of the current status of emergency medicine in India, noting that it is a nascent specialty with few formally trained emergency physicians. It also outlines some of the key milestones in the development of emergency medicine services in India, including emergency medicine being recognized as a separate specialty by the Medical Council of India in 2009. The document examines the limited number of post-graduate seats for emergency medicine programs compared to other specialties and the large scope for further growth of emergency medicine in India given the country's health needs.
This document discusses new health insurance policies and programs in Indonesia. It provides background on the challenges consumers face in choosing plans and the role of both private insurers and the government. The government's National Health Insurance (JKN) program, run through the National Social Security Agency (BPJS), aims to provide universal healthcare coverage. BPJS oversees health and other social insurance programs. The JKN provides coverage for primary, referral, and hospital care for all Indonesian citizens and long-term residents. Certain cosmetic or experimental procedures are excluded from coverage.
This document provides an analysis of the healthcare industry in India. It includes:
1) An overview of the size and growth of the healthcare industry in India, which contributes 5.25% to GDP and is projected to grow at 23% annually.
2) A brief history of healthcare in India including Ayurveda, Homeopathy, and the introduction of Allopathy.
3) An analysis of the key players in the industry based on number of beds, including Apollo Hospitals, Fortis Healthcare, and Max Hospitals.
4) A Porter's Five Forces analysis of the industry which finds increasing competition among players and a mismatch between the growing demand and limited supply of healthcare services in
Apollo Hospitals is India's largest private healthcare group founded in 1983 by Dr. Prathap C Reddy. It operates 69 hospitals across India and overseas with over 9834 beds. Apollo provides a wide range of healthcare services including treatments for cancer, cardiac issues, and neurology. It has expanded across major Indian cities like Chennai, Delhi, Mumbai and uses a process of rigorous site selection and quality care to promote itself through various community initiatives.
Administrative Employees' Perception at Directorate of Health Affairs, Minist...iosrjce
Background: Many studies globally had studied employees' perception and its impact on job productivity.
Employees' perception is very crucial in evaluating performance improvement. The researchers in this study
tries to figure out factors that affect employees' performance and find out some solutions for existing problems.
Methods: This Study was conducted in Directorate of Health Affairs in Riyadh Region, KSA. A Simple random
sample was used to distribute 245 questionnaires. Questionnaire consisted of two parts, the study's statements
was measured using used five points Likart scale. The study was conducted from 15th Sep 2014 until 15th Nov
2014.
Results: The analysis of the data indicated that there was an overall satisfaction among employees with a
percentage of (62%). Financial factors were the most unsatisfactory aspects among employees followed by
training opportunities.
Conclusion: This study showed that there should be a full consideration to duties distribution and financial
incentives in addition to developmental initiatives in order to have very devoted employees.
A CASE STUDY ON DEVELOPING AN EFFECTIVE INFORMATION BASED HEALTHCARE SERVICES...cscpconf
The real test of technological development is to ensure whether it reaches people and the most important task is to produce, manage and deliver relevant information systems appropriately
within India. Therefore technology needs to be acquired and adapted for it to be appropriately
developed. A country like India needs to adapt and develop information systems based on their
own needs and structures, using their own methods and practices. When it comes to eGovernance projects, better cooperation is the need of the day both from public as well as
private players [1]. The Indian government is taking greater cognizance of the benefits of technology and some e-Gov projects have already been initiated and deployed in few states of
our country [1]. However, despite an improved Information Communication Technology (ICT)
in our country thanks to the efforts of our government, there are still problems which continue
to hamper the use of information and ICT in domain of healthcare in India [2]. This paper
discusses the current levels of IT and quality in health care in our country and how Information Technology (IT) might be helpful in future.
Healthcare information technology market in india sample (1)anupama0479
This document provides an overview of the healthcare information technology market in India. It discusses key definitions, segments of the HIT market, the current state of adoption in India, drivers and restraints. Some of the main points are:
- HIT includes both administrative and clinical systems used in healthcare settings. Adoption has been growing but is still limited, especially outside major cities and hospitals.
- Private healthcare is expanding rapidly which is increasing demand for HIT. Growth of medical tourism and health insurance are also driving factors.
- Barriers include the high initial costs, a lack of standards, limited knowledge about HIT applications, and underfunding of public healthcare.
Poor bone health in Indians. The case for digitization in OrthopedicsRanjit Kovilinkal
Inspite of more than 60 years history of orthopedics in India we have not been able to define optimum and the current state of bone health in our population. We have not identified the factors responsible for poor bone health and evolve state and national level strategies to improve the bone health of the nation. The poor bone health affects the work potential and performance thereby reducing productivity and adds a tremendous musculoskeletal disease burden in late youth due to weak bones. It is not only a clinical burden needing treatment but also causes a huge loss of earnings/man-day. Surgeons in India want to improve the healing times in their patients while patients in turn are willing to spend money on technologies that work. Ultimately, identifying the optimal fracture healing technology for the Indian population is of significant interest to the health care community.
A Review Role of Mobile Application for Medical Servicesijtsrd
"In advanced mobile communications and portable computation devices are now combined in handheld devices called “smart mobile phones, IPADs, Tablet PCâ€, which are also capable of running third party software. The number of smart mobile phones users is growing rapidly, including among healthcare professionals. The purpose of this study was to classify smart mobile phones based healthcare technologies as discussed in academic literature according to their functionalities, services and summarize articles in each category. Many medical applications for smart mobile phones have been developed and widely used by health professionals, doctors, consultant and patients. The use of smart phones is getting more attention in healthcare and medical services day by day. Medical service provider applications make smart mobile phones useful tools in the practice of evidence based medicine at the point of care, in addition to their use in mobile clinical communication with an correct references. Also, smart mobile phones can play a very important role in patient education, disease self management, and remote monitoring of patients. Miss. Naina S Thorat | Dr. R. V Kulkarni ""A Review- Role of Mobile Application for Medical Services"" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Special Issue | Fostering Innovation, Integration and Inclusion Through Interdisciplinary Practices in Management , March 2019, URL: https://www.ijtsrd.com/papers/ijtsrd23060.pdf
Paper URL: https://www.ijtsrd.com/computer-science/programming-language/23060/a-review--role-of-mobile-application-for-medical-services/miss-naina-s-thorat"
Medical Devices , regulations and e health solutionsshashi sinha
Medical Devices are now regulated in India. It is essential to know about the Medical Devices Regulations and how it is being implemented. Must know for all the manufacturers, importers and Distributors of Medical Devices.
The document discusses Thailand's position as a medical hub in Asia. It notes that Thailand offers state-of-the-art facilities, internationally certified medical services, excellent medical expertise, and high-standard hospitals. It also has a significant number of accredited medical facilities. The government is working to develop Thailand into an "International Health Center for Excellence" through various initiatives. Thailand has become a leading medical tourism destination, welcoming over 2.5 million international patients in 2012. It also attracts patients with traditional and alternative medicines.
The Indian healthcare industry has progressed at an impressive pace over the past few years. The private sector has emerged as a vibrant force in the industry, accounting for almost 74 per cent of the country’s total healthcare expenditure.
The Indian healthcare revenues stood at US$ 68.4 billion in 2011 and is expected to reach US$ 158.2 billion by 2017. Of the total healthcare revenues in the country, hospitals account for 71 per cent, pharmaceuticals for 13 per cent and medical equipment and supplies for 9 per cent.
India offers both a huge patient pool, favourable regulatory environment and cost advantage for conducting clinical trials. The low cost of medical services has resulted in a rise in the country’s medical tourism, attracting patients from across the world.
The Government of India has created the National Health Mission (NHM) for providing effective healthcare to both urban and rural population.
Market Research Report : Hospital Market in India 2012Netscribes, Inc.
For the complete report, get in touch with us at : info@netscribes.com
Netscribes (India) Pvt. Ltd., a knowledge consulting solutions company, announces the launch of its report – Hospital Market in India. The Indian hospital market is currently experiencing rapid growth over the last few years and it is expected to continue this trend in the near future.
The report provides a snapshot of the hospital market. It begins with an introduction section which offers a study of the types and specifications of the hospital in India. The market overview section provides an insight into the current and forecasted market size of the equipment.
An analysis of the drivers explains the factors for growth among which are the dearth in hospital beds in comparison to the demand it faces, growing healthcare industry, growing affordability among people, growing medical tourism, increasing lifestyle diseases, changing demographic structure and growing health insurance market. Key challenges include insufficient medical professionals, lack of investment in IT infrastructure and shortage of FDI flows in Indian hospitals.
The next section provides a study on the role of government that is taking measures to raise the number of hospitals both public and private and also providing financial incentives to the private players to encourage them to establish more and more hospitals.
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The strategic recommendations section focuses on some effective strategic decisions which can be taken up by companies to increase their market shares.
Market Research Report : Hospital Market in India 2012
Similar to Evaluation of diagnosis and procedures accuracy in panti rapih hospital yogyakarta in the implementation of national health coverage insurance
ANALYZING PATIENT MEDICAL RESUME CODING S COMPLETENESS AND ACCURACY ON THE AM...Don Dooley
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Assignment 1 Legal Aspects of U.S. Health Care System Administrat.docxbraycarissa250
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Nearly 65 million surgical operations were performed in 2015 in the U.S. resulting in an estimated 200,000 deaths from complications or other post-operative issues (Ghaferi, Myers, Sutcliffe, & Pronovost, 2016). Ongoing innovation in healthcare can improve patient outcomes. According to the Harvard Business Review article, The Next Wave of Hospital Innovation to Make Patients Safer, over the past several decades, there have been three distinct waves of surgical improvement: technical advancements, standardizing procedures, and high reliability organizing.
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Evaluation of diagnosis and procedures accuracy in panti rapih hospital yogyakarta in the implementation of national health coverage insurance
1. Australian Journal of Asian Country Studies
SCIE Journals
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Evaluation of Diagnosis and Procedures Accuracy in Panti Rapih Hospital Yogyakarta in the Implementation of National Health Coverage Insurance
Nuryati
Vocational College of Medical Records, Gadjah Mada University, Bulaksumur Yogyakarta 55281, Indonesia
* E-mail of the corresponding author: nur3yati@yahoo.com
Abstract
Background: Coding, costing, clinical pathway and information technology become essential elements in health care in the National Health Coverage Insurance. Encoding is a code determining activity of the disease and procedure with appropriate measures of classification in Indonesian (ICD-10) on diseases and medical procedures in the healthcare management. Based on The Ministry of Health of The Republic of Indonesia Number 377/Menkes/SK/III/2007 on Medical Record and Health Information‘s Professional Standards, stated that the classification and diseases code, problems related to health and medical treatment is the first competence of medical record and information management professions. It shows that they should have the competencies to perform the coding activity. This reinforces the role and functions of the medical record and health information profession in The National Health Coverage Insurance. Panti Rapih Hospital Yogyakarta has five medical record and health information staffs that are responsible for carrying out such activities in healthcare coding on National Health Coverage Insurance. There is also one independent verifier of the BPJS which verifies the codes specified by the staffs.
Objective: To ascertain the implementation and evaluation the accuracy of diagnosis and procedures as well as the factors that lead to the inaccuracies of codes in Panti Rapih Hospital Yogyakarta on the implementation of National Health Coverage Insurance.
Research Methodology: This type of research was a qualitative study. Objects used by researchers were inpatient medical records of obstetrics and gynecology in 2012 as many as 339 files and all data of the existing measures in the datasheet of surgery activity (Operations Report) in 2012 as many as 4925 procedures. The techniques used to collect the data were done by interviewing doctors, nurses, medical record staffs, and independent verifier. Other data collection techniques were the study documentation in the medical records and observations related to the implementation of coding.
Results: Implementation of coding diagnoses and procedures in Panti Rapih Hospital Yogyakarta is computerized using the Hospital Information System (HIRS). Inpatient coding was done by the staffs at the data processing unit. The processes of coding were done by looking at the discharge summary and the datasheet of surgery activity (Operations Report). The accuracy of the diagnosis codes entered on the inpatient obstetrics and gynecology records was 44.56% based on ICD-10 and the procedure codes was 57.12%. Factors affecting the inaccuracies of diagnosis codes and procedures were lack of coding comprehension, the ICD-10 database was not updated in the Inpatient HIRS, also coding audits have not been conducted.
Keywords : Coding, ICD-10, accuracy, diagnosis, procedures, national health coverage insurance.
1. Introduction
Based on the Decree of the President of the Republic of Indonesia Number 12 Year 2013 concerning health insurance, is a form of health insurance is a guarantee of health coverage for participants to obtain health care benefits and protection to meet the basic needs of health care given to every person who has paid dues or dues paid by the government. To organize Health Insurance program, then formed a legal entity called the Social Security Agency, hereinafter abbreviated BPJS. While the parties who operate health care effort is called the Health Facility. Health facilities are health care facilities that are used to hold individual health care efforts, both promotive, preventive, curative and rehabilitative undertaken by the Government, Local Government, and / or Community. Health facilities consist of a first-level health facilities and advanced level referral health facilities.
Panti Rapih Hospital of Yogyakarta as advanced level referral health facilities in collaboration with the BPJS as Social Security Agency of Health in implementing health care in the National Health
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Insurance. Based on the Ministry of Health of the Republic of Indonesia Number 71 Year 2013 concerning health care in the National Health Insurance, that one of service form that given by the government is attendant administration. Administration services consisting of patient enrollment fee and other administrative costs that occur during the process of patient care or health care.
According to the American Health Information Management Association in Hatta (2008), the officer is able to assign codes coding disease and appropriate action in accordance with the classification in force in Indonesia (ICD 10 and ICD-9-CM) on diseases and medical procedures in the care and health management. The standard classification code used in the determination of the action is the International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) Volume 3. According HCIA (1992), ICD-9-CM Volume 3 consists of a number of numerical codes without the use of character alphabet. Classification procedure published as itself volume as volume 3 of ICD-9-CM classification procedures and contain of Tabular List and Alphabetic Index.
According to Hatta (2008), refer to ethics of coding and the desire to achieve high quality, encoded data that is helpful publishing details of the bill appropriate care costs and reduce the risk of related health care facility management. In designing the program in coding compliance (compliance in coding), one of which held the activities of internal auditing and monitoring. Every health care organization must have policies and procedures to create a guideline, set the encoding process and ensure the consistency of the coding results. Every health care organization should establish an audit program / monitoring to review the coding accuracy based on existing rules.
Coding, Costing, Clinical Pathway and Information Technology become essential elements in health care in the National Health Insurance. Coding is a set of activities and measures of disease codes with appropriate classification applied in Indonesia (ICD-10) on diseases and medical procedures in the care and health management. Based on the Ministry of Health of the Republic of Indonesia Number 377/Menkes/SK/III/2007 on Professional Standards Medical Record and Health Information, stated that the classification and code diseases, problems related to health and medical treatment is the first competence Professions and Medical Record and Health Information. It shows that Profession Medical Record and Health Information have the competencies to perform the coding activity. There are no other professions of all types of health professionals who have competence to carry out activities of coding, in addition Professions Medical Record and Health Information. This reinforces the role and functions of the Professions Medical Record and Health Information Recorder in health care in the National Health Insurance.
Panti Rapih Hospital of Yogyakarta has five staff Medical Record and Health Information that is responsible for carrying out activities in health care coding on National Health Insurance. There is one independent verifier of the BPJS which verifies the code specified by trained Medical Record and Health Information conducting the coding. Therefore, more research needs to be done to ascertain the implementation of diagnosis coding in Panti Rapih Hospital of Yogyakarta on the implementation of National Health Insurance.
This study aims to ascertain the implementation and evaluation the accuracy of diagnosis and procedures as well as the factors that lead to inaccuracies in coding in Panti Rapih Hospital of Yogyakarta on the implementation of National Health Insurance.
This type of research is a qualitative descriptive. Objects used by researchers were inpatient medical records of obstetrics and gynecology in 2012 as many as 339 files and all data of the existing measures in the datasheet of surgery activity (Operations Report) in 2012 as many as 4925 procedures. The techniques used to collect the data were done by interviewing doctors, nurses, medical record staffs, and independent verifier. Other data collection techniques were the study documentation in the medical records and observations related to the implementation of coding.
2. The Implementation of Coding Diagnosis and Procedures in Panti Rapih Hospital
The implementation of coding in Panti Rapih Hospital be reviewed based on the five elements of management, including man, money, material, machine, and method.
1. Man
a. The parties involved in the encoding in Panti Rapih Hospital of Yogyakarta include patients, physicians, medical records personnel and health information coding part, internal verifier and independent verifier.
b. Patients who were all patients referred to the BPJS health services on the condition
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he suffered in Panti Rapih Hospital of Yogyakarta. Patients served BPJS Health Hospital Nursing Neat Yogyakarta at 20% of the total patients.
c. The doctor is all the doctors who performed patient services in the BPJS in Panti Rapih Hospital of Yogyakarta.
d. Officers medical records and health information in question is the officer conducting patient diagnosis coding BPJS Health in Panti Rapih Hospital of Yogyakarta. There are five officers involved coding. The entire coding clerk is D3 Medical Record, pass the test credentials, and attended training coding and there are already certified.
e. Independent verifier is the party that verifies the diagnosis code generated for any diagnosis coding officer upheld by physicians who serve patients. Independent verifier is from BPJS Health. There is an independent verifier for Panti Rapih Hospital of Yogyakarta, which is a doctor.
f. Internal verifier is the party that verifies the diagnosis code specified by the coding clerk before reported to the independent verifier. There is an internal verifier derived from Panti Rapih Hospital of Yogyakarta, which is a doctor.
2. Money
a. Installation Medical Record of Panti Rapih Hospital of Yogyakarta is not experience problems related to money. The financial arrangements in Panti Rapih hospital is done centrally.
b. The financial arrangements of the center have been set up payroll clerk overall coding. The amount of the salary received by the clerk coding has been adjusted to the workload. That is, there is no special treatment (wage increase) related to income received by each officer encoding even though they have strong roles and functions in the health services in the National Health Insurance.
3. Material
a. Diagnosis was established by doctors who provide care to patients is a matter that is encoded by the coding clerk.
b. In the implementation, the officer encoding encodes in accordance with established diagnosis by the doctor who examined the patient. But in certain circumstances, the officer does not necessarily encode encoding in accordance with established diagnosis by the doctor. For example, when the diagnosis is less completed, any determination of the primary diagnosis and additional diagnoses, and in the event of over-coding.
c. To overcome the problem of encoding time of diagnosis is less complete, coding officer may recommend to the physician by means of consultations related conditions that have not been included in the diagnosis established by the physician after a review of the patient's medical record file. If the proposal is accepted, then the doctor is responsible for the added diagnostic and coding clerk adds the added diagnosis codes. Problems incomplete diagnosis is established, usually caused by the diagnosis delivered to the clerk of encoding is not a final result yet. So that after the file reached the Medical Record Installation and further studied, it still found some things that have not been included in the diagnosis had been established previously.
d. To overcome the problem of incorrect determination of the primary diagnosis and additional diagnoses, coding clerk re-applying the selection rules contained in the ICD-10. However, the officer does not necessarily apply coding rules are re-selection. Discussion with the doctor who did the examination of these patients remains to be done first. If the proposal is accepted, then the doctor is responsible for the added diagnostic and coding clerk adds the added diagnosis codes. One of the main problems of determining diagnosis and additional diagnoses are usually caused by the lack of physician carefulness put (write) a diagnosis of primary diagnosis in the appropriate fields and an additional diagnosis. Doctors also do not have enough time to write in the appropriate fields accordingly, so that all of diagnosis is put (written) in the appropriate fields.
e. To solve the problem when there is over-coding, coding officer gave a warning to the physician. Since the beginning of every patient who comes to Panti Rapih Hospital, has
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estimated the amount of resources that would be spent to serve each of these patients. Estimate the amount of resources that would be spent if the thresholds that have occurred over coding. If the limit has been exceeded, it has happened over coding. When there is over-coding, the coding officer gave a warning to the doctor in order to make improvements to the effectiveness and efficiency of service. This problem usually occurs due to some condition of the patient, the doctor just look at the patient's clinical symptoms to determine the diagnosis, without the need to use the investigation. So long as the doctor is still seeing patients clinical symptoms have not improved, then the service will continue to be provided. It is also a separate issue related to the interests of the diagnosis BPJS Health. Doctors only make a diagnosis based on clinical symptoms, without the use of investigations. On the other hand, independent verifier requires information related investigation. As a consequence, often frequent rejection of an independent verifier claims.
4. Machine
a. Equipment that used in the process of diagnosis coding in Panti Rapih Hospital of Yogyakarta include computing devices equipped with INA-CBGs grouper applications, programs consist of coding the ICD-10 and ICD-9-CM electronic, and SIMRS
b. There are two computers that are used for coding diagnoses in Panti Rapih Hospital of Yogyakarta.
c. Application grouper used for coding diagnoses in Panti Rapih Hospital of Yogyakarta INA-CBG's is 4.0.
d. Application grouper and SIMRS not integrated, so it must work twice.
5. Methods
a. Cooperation between Hospital Panti Rapih Yogyakarta with BPJS started date of January 1, 2014.
b. In general, there is no difference between before and after the encoding process Hospitals Nursing cooperation with Panti Rapih Hospital of Yogyakarta with BPJS Health. The difference lies in the presence of process efficiency that occurs, both the efficiency of the examination and the efficiency of the drug.
c. There is related Standard Procedure Operational (SPO) Medical BPJS patient diagnosis coding. SPO has not set the associated reward and punishment.
d. Yet there (still in the drafting process) associated coding guide patients BPJS Health
3. Evaluation of Accuracy codification Diagnosis and Action
Encoding conducted by four officers who were in the medical record data section. Three of the officers of each coding have responsibility, which is in charge of encoding the ER (IGD), outpatient, inpatient, a data processing clerk to help the work of all officers encoding. Hospital coding clerk in charge of implementing encoding only in accordance with the existing organizational structure, so there is no double duty in the execution of the work.
There are two officers coding inpatient in Panti Rapih Hospital of Yogyakarta, one educational background D3 Medical Record and have training of trainers ICD-10. Officers coding educational background is not D3 Medical Record also attended training seminars or seminars but in general the medical record management.
Human resources are responsible officers who are able to work optimally to achieve organizational goals. The paradigm shift profession of medical records into the health information management profession has brought changes to the importance of human resource development particularly the profession that has been going out for the job.
Based on the Decree of the Minister of Health number 377/Menkes/SK/III/2007 on Professional Standards Medical Record and Health Information, medical and health information recording is a person who has completed formal education of Medical Records and Health Information that has competence recognized by the government and the profession as well as has duties, responsibilities, authority, and full rights to perform service activities of medical records and health information in healthcare facilities.
Based on the Decree of the Minister of Health number 377/Menkes/SK/III/2007 which states that the
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qualifications of medical record education is set in the education of medical and Health Information. But there is official in Panti Rapih Hospital that has not a graduate of Medical Records and Health Information, although the officers have completed training to support job. This is consistent with the statement of Hatta (2008) human resources personnel, especially during this profession to pursue that field must follow the training, coaching, and development first.
Based on the results of observations conducted by researchers at the Medical Records Installation in Panti Rapih Hospital of Yogyakarta, the facilities used to support the implementation of coding in Panti Rapih Hospital is by using the SIRS program menu coding, ICD-10 volumes 1 and 3, ICD-9 CM, Dictionary medicine, standardized list of abbreviations, dictionary stands for International, and English dictionaries.
According to Abdelhak, et al (2001), "computer software called an encoder is available to assist in the coding-process". Based on the study of the documentation to the SPO number RSPR/S5P2/SPO.24 Panti Rapih Hospital of Yogyakarta (2009), about coding and Indexing, diagnosis codes and coding implementation measures have been hospitalized patients is computerized. The SPO is mentioned in the code where the disease has been no search code using ICD-10 disease manually and immediately put the code into the computer. In the Panti Rapih Hospital of Yogyakarta coding implementation is using a useful facility to support the encoding process, which is in line with SPO RSPRS/S5P2/SPO.24 numbers, and in accordance with the theory of Abdelhak, et al (2001).
Encoding process is done by using a program that is already contained in the computer. If there is a diagnosis that is shortened, then the officer will look at the list of abbreviations that have been standardized by the hospital or look it up in the list of abbreviations International.
The implementation of the encoding is done after the completion of medical record file in assembling. If the file is found incomplete medical records in the diagnosis and act charge, or found a diagnosis and action is not clearly legible, medical records clerk will restore files and medical records pertinent to ask the doctor about diagnosis and action.
According to Abdelhak, et al (2001), medical records personnel in performing coding must use ICD- 10. Panti Rapih Hospital of Yogyakarta implementation of coding implemented using SIMRS encoding menu. This is consistent with the theory Abdelhak, et al (2001) which states "computer software called an encoder is available to assist in the coding-process".
According to Abdelhak, et al (2001), the coding should be done in sequence to avoid mistakes in doing so. Before performing the encoding process, the officer must check the completeness of the medical record medical record sheets and completeness of physician records, especially records of the diagnosis written on the summary sheet in and out and already there is a doctor's signature.
Panti Rapih Hospital of Yogyakarta encoding performed after complete medical record file in assembling is by checking the completeness of the medical record sheets and completeness of records, especially records of physician diagnosis written in the summary sheet in and out. This is consistent with the theory Abdelhak, et al (2001) prior to the encoding process, the officer must check the completeness of the medical record medical record sheets and completeness of physician records, especially records of the diagnosis written in the summary sheet entry and exit of existing physician signature.
After checking the completeness of the medical records clerk medical record sheets and completeness of physician notes. If the doctor does not understand writing, medical records clerk at Panti Rapih Hospital of Yogyakarta ask the doctor who acts as a conduit of diagnosis. This is in accordance with Abdelhak, et al (2001) when the officer confronted with obstacles in the medical record coding or found a diagnosis, the doctor responsible for helping.
In the Installation Medical Record Panti Rapih Hospital of Yogyakarta, policies governing the coding procedure already contained in the SPO and RSPR/S5P2/SPO.24 numbers, but the procedure remains the coding between the coding procedure inpatient, outpatient, and emergency care.
With the procedure remains the work can be carried out according to the correct rules efficiently (Sabarguna, 2008). Based on the results of the study indicate that the procedure remains in Panti Rapih Hospital of Yogyakarta set of coding and Indexing already exists, it is appropriate theory (Sabarguna, 2008), but the procedure is still the one encoding the encoding procedure inpatient, outpatient, and emergency department. Procedure still remains to be one and the revision process for accreditation prepare.
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3.1 The Accuracy of Diagnosis Codes and Action on Inpatient Panti Rapih Hospital of Yogyakarta
To determine the percentage of accuracy of diagnosis codes and procedures, researchers conducted a study of the documentation of the medical record and Files 339 to 469 in the diagnosis entry summary sheet out and act on the data sheet 4925 operations.
Below are the results data coding diagnoses and inpatient measures, for more detail can be seen in the table below:
Table 1Results of Analysis the Accuracy of Diagnosis Code and Action
No
Criteria
Diagnosis
Procedures
Total
%
Total
%
1
A
209
44,56
377
57,12
2
B
16
3,41
62
9,39
3
C
44
8,95
63
9,55
4
D
88
18,76
68
10,30
5
E
114
24,30
90
13,64
Total
469
100,00
660
100,00
From Table 1 it can be seen above the percentage of inaccuracy in determining the diagnosis code entered on the summary sheet out inpatient obstetrics and gynecology. From 339 files it can be obtained 469 in the diagnosis entry summary sheet out who analyzed contained 44.56% of patients disease corresponding code / specific to the ICD-10 disease code which only consists of 3 characters as much as 4 3.41%, disease code wrong the fourth character as much as 8.95%, the disease code does not match the ICD-10 as much as 18.76%, and the code is not coded as disease 24.30%. Criterion A (code appropriate procedures / specific) action code 377 or as much of 57.12% of the total number, while for criterion B (right up to the second digit code) code as much as 62% of procedures or at 9:39, criterion C (right up to the third digit code) code or as much as 63% by 9:55. Criterion D (improper procedures code) code as much as 68% or as much as 10:30 and criterion E (no code procedures) or as many as 90 codes of 13.64%.
Criteria "A", according to the WHO (2004) that the four-character subcategories used for identification of the most appropriate, for example where different variations on the three categories of characters for a single illness or disease that stands alone in the category of three characters for the group condition. According to WHO (2002), medical records personnel are required to use a three- digit code or four digits of the ICD-10.
The accuracy of diagnosis codes with the criteria "A" on the entry summary sheet out inpatient obstetrics and gynecology amounted to 44.56%. The accuracy of diagnosis codes to ICD-10 needs to be improved because by Hatta (2008), the implementation of ICD-10 coding system is used for:
a. Index listing of disease and actions in health means service.
b. Input for medical diagnosis reporting systems
c. Facilitate the storage and retrieval of data related of characteristics diagnosis patient and service providers
d. The basic ingredients in the grouping DRGs (diagnosis-related groups) for payment of a service charge billing system
e. National and international reporting morbidity and mortality
f. Tabulation of data for the evaluation of health services planning medical services.
g. Determine the type of services that should be planned and developed according to the needs of the times
h. Analysis of health care financing
i. For epidemiological and clinical research
Criteria "B", the code included in this category is used in the reporting process requires only three
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characters. For inpatient morbidity itself, reporting to the health department uses three character categories. Three categories characters are characters that must be reported to the WHO from each country (WHO, 2002).
In Panti Rapih Hospital of Yogyakarta, there are several criteria "C" code is written to a disease that only these three characters do not affect the reporting of morbidity diagnosis codes are three characters that must be reported to WHO. However, this is not it an issue for the purposes of research and education regarding the disease, since both require specificity (specification).
Criteria "E", the code included in this category are dual diagnosis, but a few copies in the diagnosis entry summary sheet out not coded. By Hatta (2008), for a reporting group of the analysis is the single cause of morbidity are taken is the main condition code, while the indexing code for all of these conditions should be recorded, encoded and then stored in order to meet local needs wider.
According to Abdelhak (2001), the suitability of the data and information presented in the required information was instrumental in the decision-making process. To be able to produce good data and information and can be used as a basis for management decision making, it takes an active role in the officer doing data processing.
From the calculation accuracy of the researchers associated with the action code, still found a code that is not appropriate and not filled. The highest percentage of accuracy lies in the procedures code ―A‖ criteria (code appropriate actions / specific) action code 377 or as much of 57.12% of the total.
Based on the accuracy of analysis procedures code in Panti Rapih Hospital of Yogyakarta there are actions that are not appropriate for criterion ―D‖(not exact code) as much as 68% or improper 10:30. There are also procedures that are not encoded code for criterion ―E‖ (unallocated procedures code) as much as 90 or 13.64%. Medical records officer should strive to minimize inaccuracies procedures code is the responsibility of the medical records officer acts as a coder.
Based on Farzandipour (2009), the accuracy is divided over the accuracy of the main digit and the fourth digit, the accuracy of the comparison between coding personnel who have had experience with that yet, the comparison code using the database by using the book ICD-9-CM and re-checking code in the list table by using the alphabetical index only. The difference in the present study conducted in Panti Rapih Hospital of Yogyakarta is researchers split criterion to 5 criteria in determining the accuracy of the code of procedures, the criterion A (specific code / right), criterion B (two-digit code on the right), criterion C (three- digit code on the right ), criterion D (not exact code), and the criterion E (code not filled).
Medical records personnel responsible for the accuracy of a diagnosis code that has been established by medical personnel (Budi, 2011). Panti Rapih Hospital of Yogyakarta there are not yet accurate diagnosis corresponding ICD-10, medical records officers should seek to minimize inaccuracies due to the accuracy of diagnosis codes is the responsibility of the medical records officer as giving a diagnosis code.
4. Conclusion
a. Implementation of coding diagnoses and procedures in the Installation Medical Record Panti Rapih Hospital of Yogyakarta done by coding 2 officers, one officer act as inpatient coding JAMKESNAS patients, and the other act as clerk for inpatient coding. Background D3 Medical Record and outside of medical records. The encoding process of Panti Rapih Hospital of Yogyakarta has been computerized.
b. Analysis of the accuracy of the diagnosis code and the procedures has not reached its full potential, the results of the analysis of the accuracy of 44.56% diagnosis codes are codes that are in accordance with the ICD-10 and there are 377 or 57.12% of code procedures are in accordance with the ICD-9-CM.
c. Factors causing inaccurate coding and diagnosis codes and procedures inpatient surgical cases in Panti Rapih Hospital of Yogyakarta are the Human Resources (HR), database update ICD-10 and ICD-9-CM, and have not done an evaluation / audit of diagnosis codes and procedures.
References
Abdelhak, M. (2001), "Health Information Management Of Strategic Resource". Sydney: W.B.Saunders Company.
Budi, S.C. , (2011). Occupational Medical Record Management Unit. London: Synergistic
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Quantum Media.
Farzandipour, M. (2009). Evaluation of Factors Influencing Accuracy of Principal Procedure Coding Based on ICD-9-CM. Online Research Journal Perspectives in Health Information Management. Iran: Kashan University of Medical Sciences. Retrieved from http://www.ncbi.nlm.nih.gov dated June 12, 2013
Hatta, G.R. , (2008). Guidelines for Health Information Management in Health Care Facilities. Jakarta: UI Press.
Health Care Innovation Award (HCIA). , (1992). International Classification of Diseases, 9th Revision Clinical Modification Volume 3. Maryland: HCIA.
Huffman, E. (1994). Health Information Management. Illinois: Physisian `s Record Company. Panti Rapih Yogyakarta. 2009 Handbook of Medical Record Services (BPPRM) in 2009. Yogyakarta.
Panti Panti Yogyakarta. , 2009. Profile Panti Neat Hospital Yogyakarta in 2009. Yogyakarta.
Panti Panti Yogyakarta. , 2009. Standard Operating Procedures (SOPs) in 2009. Yogyakarta
WHO. , 2002. Medical Records Manual: A Guide for Developing Countries. Regional Office For The Western Pacific: World Health Organization.