Security system testing on electronic integrated antenatal care (e-iANC)

Electronic Integrated Antenatal Care (e-iANC) was built as a web-based application to assist midwives in recording Antenatal Care (ANC) data including Patient Registration; Anamnesis; Physical Examination; Laboratory Test, Screening of Risk Pregnancy; Communication, Information and Education; Treatment and follow-up; Patient Disposition. To ensure e-iANC becomes a safe system, security system testing was needed. Our goals were to test the security system by using the Open Web Application Security Project (OWASP). It was conducted in computer laboratory at Universitas Esa Unggul Jakarta in August 2017. The OWASP detect include Injection, Broken Authentication and Session Management, Cross-Site Scripting (XSS), Insecure Direct Object References, Security Misconfiguration, Sensitive Data Exposure, Missing Level Access Control, Cross Site Request Forgery (CSRF), Using Known Vulnerable Components, Unvalidated Redirects and Forwards. The results indicated the risk level of e-iANC was the low category in the aspect of Cross-Domain JavaScript Source File Inclusion, Private IP Disclosure, XSS Protection Not Enabled Web Browser

Intention and Usage of Computer Based Information Systems in Primary Health Center

The computer-based information system (CBIS) is adopted by almost all of in health care setting, including the primary health center in East Java Province Indonesia. Some of softwares available were SIMPUS, SIMPUSTRONIK, SIKDA Generik, e-puskesmas, etc. Unfortunately they were most of the primary health center did not successfully implemented. This study applied the Unified Theory of Acceptance and Use of Technology (UTAUT) to assess intention and usage of CBIS in East Java. It was a cross-sectional survey, conducted on February-Maret 2015. A total 30 of user CBIS were identified and questioners were distributed which 100% completed. The user’s CBIS intention was significantly influenced by performance expectancy, effort expectancy and social influence. CBIS usage was significantly influenced by user’s intention and facilitating conditions. UTAUT results indicated that the facilitating conditions have a major impact to use of CBIS in primary health center. The results of this study can be helpful to the East Java provincial Health Office to adjust their program strategies and tactic for providing user’s CBIS facilities in order to implement CBIS successfully

Analisis Faktor yang Mempengaruhi Kualitas Data Sistem Informasi Rumah Sakit (SIRS) Online dengan PRISM Framework

Teknologi informasi memiliki peranan penting untuk meningkatkan efisiensi pelayanan kesehatan khususnya bagi rumah sakit. Satu program pemerintah yang memanfaatkan teknologi informasi yaitu Sistem Informasi Rumah Sakit (SIRS) online. Implementasinya ditujukan bagi semua rumah sakit seluruh Indonesia dengan melaporkan rekapitulasi kegiatan pelayanannya. Data pelaporan harus dilaporkan dengan tenggat waktu, kelengkapan, dan keakuratannya yang baik untuk membantu pembuatan kebijakan, dan bisa dikatakan bahwa data tersebut berkualitas. Terdapat metode untuk mengukur data yang berkualitas salah satunya Performance of Routine Information System Management (PRISM) framework. Beberapa penelitian mengkaji kerangka PRISM, namun peneliti belum menemukan penelitian serupa di Indonesia. Tujuan penelitian ini bermaksud untuk mengetahui faktor yang mempengaruhi kualitas data dengan PRISM framework. Penelitian ini adalah penelitian kuantitatif dengan rancangan cross-sectional. Populasi penelitian yaitu; a) Data sekunder pelaporan SIRS online sebanyak 2798. b) Hasil penyebaran kuesioner sebanyak 100. Sampel diambil dari hasil penggabungan data sekunder dan kuesioner berjumlah 78. Teknik analisis data yang digunakan adalah SEM-PLS dengan model PRISM framework. Berdasarkan pengujian terdapat 3 hipotesis berpengaruh signifikan satu sama lainnya, yaitu; faktor organisasi terhadap faktor perilaku, faktor organisasi terhadap proses SIK rutin, dan proses SIK rutin terhadap kualitas data. Disimpulkan bahwa faktor organisasi merupakan kunci pemanfaatan data SIRS online yang berkualitas.Kata Kunci: Kualitas Data, PRISM Framework, SIRS Online, SIK Rutin Information technology has important role to play in increasing the efficiency of health services, especially for hospitals. One government program that utilizes information technology is online Hospital Information System (HIS). The implementation itself is aimed at all hospitals throughout Indonesia by reporting the recapitulation of their service activities. The Reported data must be reported with due time, completeness and accuracy to assist policy making, and it can be said the data have a good quality. There are methods for measuring quality data, one of which is the Performance of Routine Information System Management (PRISM) framework. Several studies have reviewed based on the PRISM framework, but researchers have not found similar studies in Indonesia. The purpose of this study is to determine the factors that affect data quality using PRISM framework. This research is quantitative study with cross-sectional study design. The research population, which are; a) Reported online HIS secondary data as many as 2798. b) The results of distributing questionnaires as many as 100. Samples were taken from the combination of secondary data and questionnaire data totaling 78. The data analysis technique used is SEM-PLS analysis technique with PRISM framework model. Based on the test of 6 variables, there are 3 hypotheses which significantly influence each other, namely; organizational factors on behavioral factors, organizational factors on RHIS processes, and RHIS processes on data quality. Broadly speaking, it can be said that organizational factors are the keys in utilizing the quality of online HIS data.Keyword: Data Quality, PRISM Framework, Online HIS, RHI

Perancangan Sistem Informasi Pelayanan Antenatal Terpadu (Sipat)

Hasil Survei Demografi Kesehatan Indonesia tahun 2012 AKI 359 per 100.000 kelahiran hidup naik dibandingkan tahun 2002 sebesar 307 per 100.000 kelahiran hidup. Angka tersebut berbanding terbalik dengan pencapaian cakupan pelayanan pada periode yang sama, yaitu angka pencapaian cakupan periksa kehamilan (92%-98%); persalinan oleh tenaga kesehatan (66%-83%); persalinan di fasilitas pelayanan kesehatan (40%-63%). Saat ini pencatatan hasil pemeriksaan antenatal masih sangat lemah, sehingga data tidak dapat dianalisa untuk peningkatan kualitas pelayanan antenatal. Penelitian bertujuan merancang prototype Sistem Informasi Pelayanan Antenatal Terpadu (SIPAT). Perancangan SIPAT dengan metode System Development Life Cycle (SDLC). Wawancara mendalam dan Focus Group Discussions (FGD) dilakukan untuk memperoleh data yang diperlukan. Prototipe SIPAT berbasis web dirancang dengan menggunakan PHP 5 dan Javascript, Firebird database, and Apache web server. Prototype SIPAT berbasis web dirancang bagi bidan dalam melakukan pencatatan ANC terpadu secara elektronik yang meliputi registrasi pasien; anamnesis dan pemeriksaan fisik; laboratium; penatalaksanaan kebidanan termasukKIE; diagnosis dan saran tindak lanjut. Output berupa informasi kesehatan individual skor risiko kehamilan metode Poedji Rochjati dan grafik pertumbuhan BB bumil berdasarkan IMT sebelum hamil. Informasi kesehatan aggregat berupa Kohort Ibu dan laporan PWS ANC. Kesimpulan penelitian SIPAT menghasilkan informasi kesehatan bumil individual dan agregat yang diperlukan bidan dalam manajemen ANC terpadu

Number of ANC Visits at RSIA AMC Metro Based on Mother's Age and Parity

WHO declared COVID-19 as a pandemic on March 11, 2020. Obstacles found in ANC services during the COVID-19 pandemic were pregnant women afraid of contracting COVID-19 if they had to carry out ANC examinations at health services. ANC examinations play an important role in preventing and detecting pregnancy complications. Predisposing factors are one of the factors that influence the behavior of pregnant women in making ANC visits. Some of which are included in the predisposing factors are age and parity. This study aims to determine the effect of age and maternal parity on the number of ANC visits during the COVID-19 pandemic at RSIA AMC Metro. The sample consisted of 100 pregnant women who visited ANC between January and October 2022, and data analysis with multiple logistic regression. The majority of pregnant women were aged 20-35 years (71%), had given birth 2-4 times (36%), and made 1-5 ANC visits (82%). However, the study found that neither age nor maternal parity significantly affected the number of ANC visits during the pandemic at RSIA AMC Metro

Audit Kode Klinis Pasien Rawat Inap Jaminanan BPJS Kesehatan Di Rumah Sakit Tipe C Dan D Wilayah DIY

The quality of diagnosis codes is an important part of the hospital management level. The impact of a lack of quality diagnosis codes is the potential to reduce hospital income. A clinical coding audit needs to be conducted to review and analyze discovered errors and attempt to trace their source. The purpose of this research is to audit the code. The research approach was carried out through a quantitative descriptive approach. The research population was inpatient medical records of BPJS Health patients. Sample calculations use Slovin, with a margin of error of 10%. In this study, the clinical coding audit involved 3 coders in each hospital, coding experts from senior practitioners from Type B Hospitals and experts from academics. The results of the clinical code audit showed that the timeliness aspect was 100%, accuracy was 92.5%, completeness was 91.0%, relevance, and legitimacy were 87.5% each, while the lowest was in the reliability aspect at 80.0%. The results of the legibility aspect are in line with the results of relevance. This shows that determining clinical codes for case mix purposes must be supported by complete documentation of the patient's medical records.Kualitas kode diagnosis merupakan bagian penting dari tingkat manajemen rumah sakit. Dampak dari kurangnya kualitas kode diagnosis berpotensi menurunkan pendapatan rumah sakit. Audit pengkodean klinis perlu dilakukan untuk meninjau dan menganalisis kesalahan yang ditemukan dan berupaya menelusuri sumbernya. Tujuan dari penelitian ini adalah untuk mengaudit kode. Pendekatan penelitian dilakukan melalui pendekatan deskriptif kuantitatif. Populasi penelitian adalah rekam medis rawat inap pasien BPJS Kesehatan. Contoh perhitungannya menggunakan Slovin, dengan margin of error 10%. Pada penelitian ini, audit coding klinis melibatkan 3 orang coder di masing-masing rumah sakit, yaitu ahli coding dari praktisi senior dari Rumah Sakit Tipe B dan ahli dari kalangan akademisi. Hasil audit kode klinis menunjukkan aspek ketepatan waktu sebesar 100%, akurasi sebesar 92,5%, kelengkapan sebesar 91,0%, relevansi, dan legitimasi masing-masing sebesar 87,5%, sedangkan yang terendah pada aspek reliabilitas sebesar 80,0%. Hasil dari aspek keterbacaan sejalan dengan hasil relevansi. Hal ini menunjukkan bahwa penentuan kode klinis untuk keperluan case mix harus didukung dengan dokumentasi rekam medis pasien yang lengkap

Evaluation of the Accuracy of Medical Terminology and Its Relationship to the Accuracy of Clinical Coding in Health Facilities: Systematic Literature Review

Clinical Coding will be accurate if the proper medical language is used while writing. Clinical coding that is appropriate may help healthcare organizations with things like accurate care, billing for services, strategic planning, and statistical and financial analysis. The purpose of the study, which employed a methodical literature analysis, was to ascertain the link between the clinical coding accuracy in healthcare institutions and the correctness of medical terminology. This study is an organized review of the literature. Google Scholar, Garuda, Neliti, the Indonesian Scientific Journal Database (ISJD), Semantic Scholar, PubMed, and ScienceDirect are the databases that were used. PRISMA (Preferred Reporting Items for Systematic Review and Meta-analysis) is the strategy used for the literature selection. The Reinforcement of Observational investigation Reporting in Epidemiology (STROBE) tool was used to evaluate the caliber of the literature in this investigation. The study's findings show that the average value of clinical coding accuracy in healthcare facilities is 48%, with 14 articles having accuracy levels above or below 50%. The average value of medical terminology accuracy in healthcare facilities is 55%, with 11 articles having accuracy levels below 50. Up to 79% of the study's findings indicated a connection between the precision of clinical coding and the precision of medical language. Comparatively, 21% of respondents claimed there was no connection between clinical coding accuracy and medical terminology correctness

PERANCANGAN SISTEM INFORMASI PELAYANAN ANTENATAL TERPADU (SIPAT)

Hasil Survei Demografi Kesehatan Indonesia tahun 2012 AKI 359 per 100.000 kelahiran hidup naik dibandingkan tahun 2002 sebesar 307 per 100.000 kelahiran hidup. Angka tersebut berbanding terbalik dengan pencapaian cakupan pelayanan pada periode yang sama, yaitu angka pencapaian cakupan periksa kehamilan (92%-98%); persalinan oleh tenaga kesehatan (66%-83%); persalinan di fasilitas pelayanan kesehatan (40%-63%). Saat ini pencatatan hasil pemeriksaan antenatal masih sangat lemah, sehingga data tidak dapat dianalisa untuk peningkatan kualitas pelayanan antenatal. Penelitian bertujuan merancang prototype Sistem Informasi Pelayanan Antenatal Terpadu (SIPAT). Perancangan SIPAT dengan metode System Development Life Cycle (SDLC). Wawancara mendalam dan Focus Group Discussions (FGD) dilakukan untuk memperoleh data yang diperlukan. Prototipe SIPAT berbasis web dirancang dengan menggunakan PHP 5 dan Javascript, Firebird database, and Apache web server. Prototype SIPAT berbasis web dirancang bagi bidan dalam melakukan pencatatan ANC terpadu secara elektronik yang meliputi registrasi pasien; anamnesis dan pemeriksaan fisik; laboratium; penatalaksanaan kebidanan termasuk KIE; diagnosis dan saran tindak lanjut. Output berupa informasi kesehatan individual skor risiko kehamilan metode Poedji Rochjati dan grafik pertumbuhan BB bumil berdasarkan IMT sebelum hamil. Informasi kesehatan aggregat berupa Kohort Ibu dan laporan PWS ANC. Kesimpulan penelitian SIPAT menghasilkan informasi kesehatan bumil individual dan agregat yang diperlukan bidan dalam manajemen ANC terpadu

KNOWLEDGE, WORKLOAD, ATTITUDE, AND ELECTRONIC HEALTH RECORDS COMPLIANCE AMONG HEALTHCARE PROFESSIONALS

Electronic health record (EHR) has replaced conventional medical records in Indonesia. Until now, its utilization is still not optimal, and there are still frequent problems with incomplete filling of the EHR form due to individual factors. To examine the association between knowledge and workload with healthcare professionals' (HCPs) compliance in filling out HER, considering the mediating role of attitude. We performed a cross-sectional study on 80 HCPs who worked at the Intensive Care Unit of the National Cardiovascular Centre Harapan Kita. We observe the level of knowledge and workload as independent variables, attitudes as mediating variables, and compliance as the dependent variable. Primary data were obtained by using questionnaires. The association among observed variables was analyzed using path analysis. As a result, we found that knowledge, workload, and attitude simultaneously had a significant association with compliance in EHR filling. Attitude is the most dominant independent variable that directly affected compliance, while knowledge and workload were associated with compliance mediated by attitude. It was concluded that increasing HCPs' compliance in filling out the EHR would be directly associated with a positive attitude of HCPs. A higher level of knowledge and a lighter workload do not directly associate with better compliance, but affect attitude improvement. Thus improving knowledge levels and adjusting the workload will increase EHR filling compliance by mediating positive attitudes among HCPs.

PERANCANGAN SISTEM INFORMASI PELAYANAN ANTENATAL TERPADU (SIPAT)

Hasil Survei Demografi Kesehatan Indonesia tahun 2012 AKI 359 per 100.000 kelahiran hidup naik dibandingkan tahun 2002 sebesar 307 per 100.000 kelahiran hidup. Angka tersebut berbanding terbalik dengan pencapaian cakupan pelayanan pada periode yang sama, yaitu angka pencapaian cakupan periksa kehamilan (92%-98%); persalinan oleh tenaga kesehatan (66%-83%); persalinan di fasilitas pelayanan kesehatan (40%-63%). Saat ini pencatatan hasil pemeriksaan antenatal masih sangat lemah, sehingga data tidak dapat dianalisa untuk peningkatan kualitas pelayanan antenatal. Penelitian bertujuan merancang prototype Sistem Informasi Pelayanan Antenatal Terpadu (SIPAT). Perancangan SIPAT dengan metode System Development Life Cycle (SDLC). Wawancara mendalam dan Focus Group Discussions (FGD) dilakukan untuk memperoleh data yang diperlukan. Prototipe SIPAT berbasis web dirancang dengan menggunakan PHP 5 dan Javascript, Firebird database, and Apache web server. Prototype SIPAT berbasis web dirancang bagi bidan dalam melakukan pencatatan ANC terpadu secara elektronik yang meliputi registrasi pasien; anamnesis dan pemeriksaan fisik; laboratium; penatalaksanaan kebidanan termasuk KIE; diagnosis dan saran tindak lanjut. Output berupa informasi kesehatan individual skor risiko kehamilan metode Poedji Rochjati dan grafik pertumbuhan BB bumil berdasarkan IMT sebelum hamil. Informasi kesehatan aggregat berupa Kohort Ibu dan laporan PWS ANC. Kesimpulan penelitian SIPAT menghasilkan informasi kesehatan bumil individual dan agregat yang diperlukan bidan dalam manajemen ANC terpadu