27 research outputs found

    Berpetualang ke Karawang Yuuk!

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    Dalam buku Seri Jejak Purbakala kali ini, Kak Arki akan mengajak kalian berpetualang ke masa lalu di daerah Karawang. Kalian akan Kak Arki ajak memecahkan misteri tentang asal usul leluhur kita yang berada di Karawan

    Tanggung Jawab Perusahaan Penerbangan terhadap Kerugian Barang Bagasi Tercatat Penumpang pada Penerbangan Domestik (Studi pada Pt.garuda Indonesia Airlines Medan)

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    Air transport is an activity is the transportation of passengers and goods in one or more travel from one airport to another airport, which is one of the important means of air transport then has to be laid out in such a way so that it is able to manifest the protection security, the safety of passengers, baggage and goods are recorded, which has responsibility for passenger and baggage items listed, as listed in Articel 144 and 146 Chapter Law Number 1 Year 2009 on a Flight that is the basis of the carrier against the baggage items listed passengers who suffered losses during the flight, having regard to the magnitude of the damages given to transport to passengerd listed in the regulation of the minister of transportation Number 77 in 2011 About The Responsibility of air freight Carrier. Therefore, this thesis seeks to analyze the legal protection of baggage items listed passengers, the loss of the carrier's responsibility and how a dispute over luggage goods recorded a loss of passengers

    Analisis Ketepatan Kode Diagnosis Pada Kasus Penyakit Infeksi Saluran Pernapasan di Rumah Sakit Umum Daerah Ajibarang

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    Koding adalah salah satu kegiatan pengolahan data rekam medis dengan memberikan kode dengan huruf atau angka atau kombinasi huruf dan angka yang mewakili komponen data. Koding adalah kegiatan memberikan kode diagnosis utama dan diagnosis sekunder sesuai dengan ICD-10 Versi Tahun 2010 yang diterbitkan oleh WHO serta memberikan kode tindakan/prosedur sesuai dengan ICD-9-CM Versi Tahun 2010. Ketepatan dalam koding diagnosis penyakit dan tindakan merupakan hal yang harus diperhatikan oleh tenaga perekam medis, kualitas data yang dikode merupakan hal penting bagi perekam medis. Tujuan dalam penelitian ini adalah untuk mengetahui tingkat ketepatan koding pada kasus penyakit infeksi saluran pernapasan di RSUD Ajibarang. Penelitian dilakukan dengan metode analisis kuantitatif deskriptif dengan sampel berupa 90 rekam medis pasien penyakit infeksi saluran pernapasan pada bulan Agustus-Oktober 2023 di RSUD Ajibarang. Hasil penelitian ini menunjukkan dari 90 rekam medis kasus penyakit infeksi saluran pernapasan di RSUD Ajibarang pada bulan Agutus-Oktober 2023 yang diteliti, terdapat 19 rekam medis dengan kode tidak tepat (21,11%) dan 71 rekam medis dengan kode tepat (78,89%) yang diidentifikasi faktor ketidaktepatannnya menggunakan 5M (Man, Money, Material, Method, dan Machine).Coding is one of the activities of processing medical record data by providing codes with letters or numbers or a combination of letters and numbers that represent data components. Coding is the activity of providing codes for the main diagnosis and secondary diagnosis in accordance with the 2010 version of ICD-10 published by WHO and providing action and procedure codes in accordance with the 2010 version of ICD-9-CM. Accuracy in coding disease diagnoses and actions is something that must be considered by medical recorders. The accuracy of coded data is crucial for medical recorders. The purpose of this research was to ascertain the level of coding accuracy in cases of respiratory tract infections at Ajibarang Hospital. The research was conducted using the descriptive quantitative analysis method with a sample of 90 medical records of patients with respiratory tract infections in August–October 2023 at RSUD Ajibarang. The conclusion of this research showed that of the 90 medical records of respiratory tract infection cases at Ajibarang Regional Hospital in August–October 2023 studied, there were 19 medical records with inappropriate codes (21.11%) and 71 medical records with appropriate codes (78.89%), which were identified as inaccurate factors using 5M (man, money, material, method, and machine)

    REALISASI MODUL KENDALI POSISI DENGAN PID UNTUK MENDUKUNG PRAKTIKUM DASAR SISTEM KONTROL

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    Tugas Akhir ini telah berhasil merealisasikan modular servo system yang bisa digunakan sebagi kit praktikum. Kit Praktikum ini digunakan untuk melakukan kontrol posisi yang dikendalikan menggunakan sebuah motor DC dan dikopel pada sebuah generator DC. Pada saat melakukan kontrol posisi, saya harus mengetahui plant yang akan dikontrol. Dalam hal ini, plant yang dikontrol adalah motor dan sensor roda sebagai pendeteksi posisi. Desain yang diinginkan adalah perubahan posisi motor dapat tepat waktu atau error steady state bernilai nol. Selain itu saya menginginkan motor dapat dikontrol yang mendapat pengaruh dari luar dengan eror steady state mendekati nol. Hal ini diperlukan penambahan kontroler yang tepat, sehingga dapat menghasilkan sistem yang diingkan seperti PID yang memiliki sifat menghilangkan error steady state, mempercepat rise time, menambah settling time, dan memperkecil overshoot. Pada praktikum, juga terdapat LabVIEW sebagai perangkat lunak komputer untuk pemrosesan dan visualisasi data dalam bidang akuisisi data kendali instrumentasi. Kata Kunci : PID, LabVIEW, modular servo system, Dasar Sistem Kontrol, Kontrol Posisi

    The Competency of Administrative Court in Adjudicating State Financial Losses Report Dispute in Indonesia

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    The debate on the absolute competency of the State Administrative Court in Indonesia to set the dispute over the State Financial Losses Report (LHPKKN) is proved to have caused dissenting opinion. The judgments between one administrative court to other court in Indonesia cause main problem of achieving justice and legal certainty. This research examines the issue of absolute competence of the Administrative Court in adjudicating disputes on the State Financial Losses Report published by the Financial and Development Monitoring Agency (BPKP). This article uses normative legal research and implement the statute approach, conceptual approach, and case approach. These approaches are used to discern and analyze several related legal materials or documents scientifically. The aims and objectives of this research are to find a legal solution on how this classic issue has to be approached and solved. As a result, it is found through this article that the Administrative Court has absolute competence in deciding disputes on the Report on the Calculation of State Financial Losses issued by the Financial and Development Monitoring Agency, which is supported by several fundamental reasons

    Dampak pandemi Covid-19 terhadap portofolio saham bisnis logistik transportasi laut di Indonesia

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    The Covid-19 pandemic has had an impact on the global economy, particularly in the logistics industry, which includes Indonesia. The goal of this study is to identify the portfolio performance of the top five Indonesian companies in the logistics sector, particularly sea transportation, and analyze the impact before and during the pandemic using a Monte Carlo simulation of the optimal risk asset portfolio two years before the Covid-19 pandemic and two years during the pandemic. Covid-19. Before (during) the Covid-19 pandemic, the optimal portfolio weight value of BULL.JK 4,99% (0,05%), PSSI.JK 92,01% (34,65%), SMDR.JK 1,40% (31,12%), TMAS.JK 1,29% (30,42%) dan WINS.JK 0,31% (3,77%). Based on the sharpe ratio, the performance of the transportation sector stock portfolio provided a high return compared to risk during the Covid-19 pandemic, from 41.71% to 297.59%, with a level of volatility that tends to be stable before and after the Covid-19 pandemic, from 41.65% to 44.56%. Based on these findings, it can be concluded that the logistics sector in sea transportation can improve performance during the Covid-19 pandemic and is worthy of investment as an investor consideration

    PORTFOLIO OPTIMIZATION MODELING IN THE CONSUMER GOODS INDUSTRY

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    Portfolio optimization refers to the process of choosing the proportions of assets to be placed in a portfolio. The objective of this research is to analyze the performance of various portfolio optimization models. This study uses Statistical Calculation R software to analyze the performance of portfolio optimization models, including Monte Carlo with Sharpe Ratio. We will analyze the multi-asset data of the 5 con-stituent consumer goods stocks listed on the Indonesia Stock Exchange (IDX) for 1 year and a half. Then use R to test the stock performance of the model. By using additional risk indicator to assess equity performance, such as volatility, Sharpe ra-tio (SR), risk parity (RP) the result shows that ICBP.JK with 41.5% SR and 28.1% RP that could be a recommendation to invest stocks in this consumer goods industry

    Analisis Faktor Penyebab Pending Klaim Rawat Inap Akibat Koding Rekam Medis Di Rumah Sakit Umum Daerah (RSUD) Dr. Soedirman Kebumen

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    Klaim Jaminan Kesehatan Nasional (JKN) adalah pengajuan biaya perawatan pasien peserta BPJS Kesehatan oleh pihak rumah sakit kepada pihak BPJS Kesehatan yang dilakukan secara kolektif dan ditagihkan kepada BPJS Kesehatan setiap bulannya. Setelah itu BPJS Kesehatan akan melakukan persetujuan klaim dan melakukan pembayaran untuk berkas yang layak, namun untuk berkas yang belum layak klaim atau pending (unclaimed) harus dikembalikan ke rumah sakit untuk diperiksa kembali. RSUD Dr. Soedirman Kebumen adalah rumah sakit yang bekerja sama dengan BPJS untuk memberikan pelayanan kepada pasien melalui sistem pembiayaan, dimana pada pelaksanaannya masih ditemukan masalah-masalah terutama terkait pending klaim. Kejadian pemding klaim di RSUD Dr. Soedirman Kebumen disebabkan oleh beberapa hal diantaranya administrasi, medis, koding, berkas tidak layak dan lainnya. Berdasarkan studi pendahuluan ditemukan berkas pending klaim pada bulan September 2022 sebanyak 163 dari 1041 berkas pasien rawat inap yang menggunakan Jaminan Kesehatan Nasional. Dari permasalahan tersebut maka dilakukan analisis faktor penyebab pending klaim akibat koding melalui penelitian kuantitatif dengan pendekatan fenomenologi. Hasil analisis menunjukan pengembalian berkas klaim pasien rawat inap BPJS Kesehatan di RSUD Dr. Soedirman Kebumen terjadi karena faktor perbedaan presepsi kode diagnosis dalam berkas klaim antara pihak koder rumah sakit dengan pihak verifikator BPJS Kesehatan. Selain itu kekurangan data pendukung sebagai penegakan diagnosis juga mempengaruhi keakuratan kode diagnosis yang mengakibatkan pending klaim. Berdasarkan permasalahan tersebut perlu adanya upaya yang harus dilakukan rumah sakit seperti kegiatan evaluasi terkait kinerja petugas sesuai job description yang ada dan peningkatan kualitas SDM khususnya petugas koding dengan mengadakan pelatihan serta sosialisasi mengenai pembaharuan kebijakan mengenai klaim. Pengoptimalan kegiatan dengan dibuatnya SPO terkait klaim agar dapat meminimalisir kejadian pending klaim.The National Health Insurance (JKN) claim is the submission of patient care costs for BPJS Kesehatan participants by the hospital to BPJS Kesehatan which is carried out collectively and billed to BPJS Kesehatan every month. After that, BPJS Kesehatan will approve claims and make payments for eligible files, but for files that are not yet eligible for claim or pending (unclaimed) must be returned to the hospital for re-examination. Dr. Soedirman Kebumen Hospital is a hospital that collaborates with BPJS to provide services to patients through a financing system, where problems are still found, especially related to pending claims. The incident of claiming at Dr. SoedirmanKebumen Hospital was caused by several things including administration, medical, coding, inappropriate files and others. Based on apreliminary research, it was found that the pending claim file in September 2022 was 163 of the 1041 inpatient files using the JKN. From these problems, an analysis of the factors behind pending claims due to coding was carried out through quantitative research with a phenomenological approach. The results of the analysis shows the return of BPJS Kesehatan inpatient claim file at Dr. Soedirman Kebumen Hospital occurred due to differences in the perception of the diagnosis code in the claim file between the hospital coder and the BPJS Kesehatan verifier. In addition, the lack of supporting data as an enforcement of the diagnosis also affects the diagnosis accuracy code which results in pending claims. Based on these problems, there is a need for efforts that must be made by hospitals, such as evaluation activities related to officer performance according to existing job descriptions and improving the quality of human resources, especially coding officers by conducting training and socialization regarding policy updates regarding claims. Optimization of activities with the creation of SPO related to claims in order to minimize the occurrence of pending claims

    Analisis Penyebab Pengembalian Klaim BPJS Pasien Rawat Inap Ditinjau Dari Proses Pengkodean Di RSUD Majenang

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    Pending Claim is a refund because there is no agreement between BPJS Health and FKRTL regarding coding rules and medical determination (claim dispute). The correct diagnosis and action code will determine the smooth process of submitting claims for medical services to BPJS Health and reduce the number of claim returns. This study aims to determine the causes of inpatient claim returns in terms of the coding process at Majenang Hospital. The research method used is a qualitative method with an observational descriptive design. Data was obtained from pending claims from July to September 2023. Data collection methods were observation and interviews. Majenang Hospital research results showed that 371 claims were returned and 187 claims were returned due to coding confirmation.  Factors inhibiting the accuracy of a diagnosis or action code are the use of combined codes, errors in determining the main diagnosis, differences in perception, and discrepancies in supporting results with the diagnosis. Efforts that can be made to minimize the number of claim returns include reviewing diagnosis or action codes, communicating between DPJP, the casemix team and BPJS verifiers, coding training and having an SPO.Klaim yang tertunda adalah pengembalian dana karena belum adanya kesepakatan antara BPJS Kesehatan dan FKRTL mengenai aturan penentuan koding dan medis (dispute klaim). Diagnosis dan kode tindakan yang tepat akan menentukan kelancaran proses pengajuan klaim pelayanan medis ke BPJS Kesehatan dan mengurangi jumlah pengembalian klaim. Penelitian ini bertujuan untuk mengetahui keakuratan pengkodean pada return klaim rawat inap dan faktor penghambat keakuratan pengkodean data klinis. Metode penelitian yang digunakan adalah metode kualitatif dengan desain deskriptif observasional. Sampel datanya adalah data return klaim pada bulan Juli sampai September 2023. Teknik pengumpulan datanya adalah observasi dan wawancara. Hasil penelitian RSUD Majenang menunjukkan terdapat 2.689 klaim yang diajukan pada Juli-September 2023 dan 371 klaim dikembalikan. Pengembalian klaim karena konfirmasi coding sebanyak 187 klaim. Hasil penelitian menunjukkan bahwa faktor penghambat keakuratan diagnosis atau kode tindakan adalah penggunaan kode gabungan, kesalahan dalam menentukan diagnosis utama, perbedaan persepsi, dan ketidaksesuaian hasil pendukung dengan diagnosis. Upaya yang dapat dilakukan untuk meminimalisir jumlah pengembalian klaim antara lain dengan melakukan review diagnosis atau kode tindakan, komunikasi antara DPJP, tim casemix dan verifikator BPJS, pelatihan coding dan memiliki SPO

    Analisis Kesesuaian Kode Diagnosis Utama Neoplasma Di Rumah Sakit Umum Daerah Dr. Soedirman Kebumen

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    Neoplasm is a disease associated with abnormal tissue development due to neoplasia, which is the process of abnormal growth and development of body tissues that grow actively with the autonomic (uncontrolled) system. Information for a patient in a hospital will not be complete and useful if it has not been processed, then coding is required. Giving special diagnosis code of neoplasm should consider 3 things to get the right code, namely topography code, morphology, and behavior. However, in its implementation, there are still many errors in the coder's determination of the neoplasm diagnosis code. This has an impact on services to patients such as errors of Action, care and treatment. This study aims to determine the description of the accuracy of topography and morphology codes in neoplasm diagnosis at Dr. Sudirman Kebumen. The type of research used is descriptive quantitative. Based on the research obtained from 178 inpatient medical records in the case of neoplasms, the samples taken were as many as 39 C codes determined that the accuracy amounted to 8 (20.51%) inaccurate category amounted to 31 (79.49%).  Inaccuracy in writing the neoplasm code due to the results of PA (anatomical pathology) that has not come out at the time of coding the disease, anatomical pathology Examination Result Sheet that often the results come late because the laboratory examination outside the hospital and the coding officer is less thorough, sometimes there is a doctor's writing that is less clear so that the difficulty of the officer in reading the diagnosis. This led to the inaccuracy of the neoplasm diagnosis code in Dr. Sudirman Kebumen in September 2020.Neoplasma adalah penyakit yang berhubungan dengan perkembangan jaringan abnormal akibat neoplasia, yaitu proses pertumbuhan abnormal dan perkembangan jaringan tubuh yang tumbuh aktif dengan sistem otonom (tidak terkontrol). Informasi untuk pasien di rumah sakit tidak akan lengkap dan berguna jika belum diproses, maka diperlukan pengkodean. Pemberian kode diagnosis khusus neoplasma harus mempertimbangkan 3 hal untuk mendapatkan kode yang tepat, yaitu kode topografi, morfologi, dan perilaku. Namun, dalam implementasinya, masih banyak kesalahan dalam penentuan kode diagnosis neoplasma oleh pembuat kode. Hal ini berdampak pada pelayanan kepada pasien seperti kesalahan Tindakan, perawatan dan pengobatan. Penelitian ini bertujuan untuk mengetahui gambaran ketepatan kode topografi dan morfologi dalam diagnosis neoplasma pada Dr. Sudirman Kebumen. Jenis penelitian yang digunakan adalah deskriptif kuantitatif. Berdasarkan penelitian yang diperoleh dari 178 rekam medis rawat inap pada kasus neoplasma, sampel yang diambil sebanyak 39 kode C menentukan bahwa akurasinya sebesar 8 (20,51 %) kategori tidak akurat berjumlah 31 (79,49 %). Ketidaktepatan dalam penulisan kode neoplasma karena hasil PA (patologi anatomi) yang belum keluar pada saat pengkodean penyakit, Lembar Hasil Pemeriksaan patologi anatomi yang seringkali hasilnya terlambat karena pemeriksaan laboratorium di luar rumah sakit dan petugas coding kurang teliti, terkadang ada tulisan dokter yang kurang jelas sehingga kesulitan petugas dalam membaca diagnosis. Hal ini menyebabkan ketidakakuratan kode diagnosis neoplasma pada Kebumen Dr. Sudirman pada September 2020
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