Dokumen Karya Ilmiah | Skripsi | Prodi Rekam Medis&Info.

Kesehatan - D3 | FKes | UDINUS | 2017

PROSEDUR PEMBUATAN DAN PEMANFAATAN INDEKS PENYAKIT

DI BAGIAN INDEKSING RSUD DR. R. SOETIJONO BLORA TAHUN
2017

FITTA RISMAWATI SETYARINI

(Pembimbing : Retno Astuti Setijaningsih, SS, MM)
Rekam Medis&Info. Kesehatan - D3, FKes, Universitas Dian
Nuswantoro
www.dinus.ac.id
Email : 422201401465@mhs.dinus.ac.id

ABSTRAK

Di RSUD Dr. R.Soetijono Blora proses pengembalian dokumen rekam medis dari bangsal tidak tepat
waktu. Sehingga dokumen yang belum kembali akan diindeks pada bulan selanjutnya dan data yang
dihasilkan kurang valid. Data Rekapitulasi bulan Januari menunjukkan terdapat 802 dokumen rekam medis
yang dikembalikan tetapi yang terindeks hanya 700. Penelitian ini bertujuan untuk mendeskripsikan prosedur
pembuatan dan pemanfaatan indeks penyakit. Penelitian deskriptif dilakukan dengan mengobservasi
kebijakan dan SOP tentang indeksing dan wawancara petugas indeksing dan kepala rekam medis, tentang.
Analisa data menggunakan analisa deskriptif.Hasil penelitian di RSUD Dr. R. Soetijono Blora menunjukkan,
petugas indeksing baru belum mendapatkan training pelaporan. SOP indeksing pada butir ketiga tidak
menjelaskan langkah menyusun indeks. Sumber data pembuatan indeks penyakit adalah lembar masuk dan
keluar (RM 1) dan lembar resume (RM 20). Semua jenis kode penyakit sudah diindeks. Pemanfaatan indeks
penyakit digunakan untuk laporan 10 besar penyakit (RL 5.3), laporan mortalitas, dan laporan morbiditas.
Saran petugas indeks baru sebaiknya diberi training tentang pelaporan atau pengolahan data rekam medis.
Dilakukan revisi ulang SOP indeksing. Indekslain sebaiknya dibuat untuk membuat pelaporan.

Kata Kunci : Indeks Penyakit, SOP, Pelaporan

Generated by SiAdin Systems � PSI UDINUS 2017

Repository | Thesis | Diploma of Medical Record - D3 | Faculty of Health Science | DINUS University | 2017

PROCEDURE MAKING AND UTILIZING DISEASE INDEX IN INDEXING

SECTION RSUD DR. R. SOETIJONO BLORA YEAR 2017

FITTA RISMAWATI SETYARINI

(Lecturer : Retno Astuti Setijaningsih, SS, MM)
Diploma of Medical Record - D3, Faculty of Health Science,
DINUS University
www.dinus.ac.id
Email : 422201401465@mhs.dinus.ac.id

ABSTRACT

In RSUD Dr. R.Soetijono Blora, medical records returning process from ward was not intime. So
documents that have not been returned will be indexed next month and data become less valid.
Recapitulation Data on January shows that there were 802 medical records returned but only 700 indexed.
This study aimed to describe procedure for making and utilizing disease index. Descriptive study was done
by observing the policy and SOPs about indexing and interviewing indexing officer and head of medical
record. Data analysis using descriptive analysis. RSUD Dr.R. Soetijono Blora indicated that new indexing
officer had not received reporting training yet. The indexing SOPs third item does not explain preparation
index steps. Sources disease index data making were inlet and outlet (RM 1) and resume sheet (RM 20). All
types of disease codes were already indexed. The use of disease index was used for 10 major diseases
report (RL 5.3), mortality reports, and morbidity reports. Suggestions , New index officer should be given
training on reporting or processing of medical record data. Revised indexing SOPs . Other indexes should be
created for reporting.

Keyword : Disease Index, SOP, Reporting

Generated by SiAdin Systems � PSI UDINUS 2017