Analisis Pelaksanaan Pengodean Tindakan Medis Pasien JKN di RSI Siti Rahmah Padang

<p><em>Claim process proposed by a hospital, there were still returned claim documents verification of BPJS, in which medical treatment codes were not corrected. The problem was that in implementation of coding application could influence the health cost service. A goal of the research was to expose the problem of coding application in medical treatment through analysis process of input and output factors. A kind of the research was qualitative with case study approach. This research was conducted at Islamic Hospital of Siti Rahmah of Padang from February to July 2017. The research informants were about 6 persons taken with a technique of purpose sampling. The analysis of result data were from detailed interview sourced from coding data reduction to be transcription. Category of providing data, interpretation. The research result showed that medical treatment disturbance of coding implementation was not clearness of doctor’s writing as icon of medical diagnose and incomplete resume sent. Computer coding system was not maximal because of the new medical record officers. Hospital officer added the strength in policy regulation in human resources through increasing life skill such as training. The policy strength must be fixed regulation rewards and sanction for medical recorder not fulfilling the un accurate data. Besides, socialization from medical record unit about importance of medical diagnose treatment furthermore it relates with an implementation of SOP through regular watch.</em></p><p><em><br /></em></p><p>Pada proses pengajuan klaim di rumah sakit masih terdapat berkas yang dikembalikan verifikator BPJS, salah satu penyebab dikarenakan kode tindakan medis tidak tepat. Permasalahan pelaksanaan tindakan pengodean dan tindakan medis dapat mempengaruhi tarif pelayanan kesehatan. Tujuan penelitian adalah mengeksplorasi permasalahan pelaksanaan pengodean tindakan medis dengan menganalisis faktor input, proses dan output. Jenis penelitian adalah kualitatif dengan pendekatan studi kasus. Penelitian dilakukan di RSI Siti Rahmah Padang dari bulan Februari sampai Juli 2017. Informan peneltian ini berjumlah 6 orang diambil dengan teknik purposive sampling, Analisis data hasil wawancara mendalam dengan tahap transkripsi, reduksi, coding, kategori, penyajian dan interpretasi data. Hasil penelitian menunjukkan yang menghambat kelancaran pelaksanaan pengodean tindakan medis adalah ketidak jelasan tulisan dokter sebagai penegak diagnosa dan tindakan medis serta ketidak lengkapan pengisian resume. Pengodean disistem komputerisasi belum maksimal karena petugas koding masih baru. Sebaiknya rumah sakit melakukan penguatan input, dibidang SDM dengan meningkatkan keterampilan melalui pelatihan. Penguatan kebijakan melalui regulasi dan sanksi tegas bagi SDM yang tidak mengisi rekam medis dengan baik dan benar, serta perlu sosialisasi tentang pentingnya pengisian diagnosa tindakan medis sesuai kaidah ICD 9 CM dan Penguatan fungsi manajemen dalam pelaksanaan pengodean tindakan medis terutama berkaitan dengan SOP pelaksanaan melalui kegiatan pengawasan secara berkala.</p>

Performance Evaluation of a Magnetically Actuated Capsule Microrobotic System for Medical Applications

The paper aims to propose a magnetic actuated capsule microrobotic system, which is composed of a magnetically actuated microrobot with a screw jet mechanism, a driving system, and a positioning system. The magnetically actuated microrobot embedded an O-ring magnet as an actuator has potential for achieving a particular task, such as medical diagnose or drug delivery. The driving system composes of a three axes Helmholtz coils to generate a rotational magnetic field for controlling the magnetically actuated microrobot to realize the basic motion in pipe, e.g., forward/backward motion and upward/downward motion. The positioning system is used to detect the pose of the magnetically actuated microrobot in pipe. We will discuss the shape of the Helmholtz coils and the magnetic field around the O-ring magnet to obtain an optimal performance of the magnetically actuated microrobot. The experimental result indicated that the microrobot with screw jet motion has a flexible movement in pipe by adjusting the rotational magnetic field plane and the magnetic field changing frequency.

Analisis Pelaksanaan Pengodean Tindakan Medis Pasien JKN Di RSI Siti Rahmah Padang

<p><em>Claim process proposed by a hospital, there were still returned claim documents verification of BPJS, in which medical treatment codes were not corrected.The problem was that in implementation of coding application could influence the health cost service.A goal of the research was to expose the problem of coding application in medical treatment through analysis process of input and output factors. A kind of the research was qualitative with case study approach. This research was conducted at Islamic Hospital of Siti Rahmah of Padang from February to July 2017.The research informants were about 6 persons taken with a technique of purpose sampling. The analysis of result data were from detailed interview sourced from coding data reduction to be transcription. Category of providing data, interpretation. The research result showed that medical treatment disturbance of coding implementation was not clearness of doctor’s writing as icon of medical diagnose and incomplete resume sent. Computer coding system was not maximal because of the new medical record officers. Hospital officer added the strength in policy regulation in human resources through increasing life skill such as training. The policy strength must be fixed regulation rewards and sanction for medical recorder not fulfilling the un accurate data. Besides, socialization from medical record unit about importance of medical diagnose treatment furthermore it relates with an implementation of SOP through regular watch.</em></p><p><em><br /></em></p><p>Pada proses pengajuan klaim di rumah sakit masih terdapat berkas yang dikembalikan verifikator BPJS, salah satu penyebab dikarenakan kode tindakan medis tidak tepat. Permasalahan pelaksanaan tindakan pengodean dan tindakan medis dapat mempengaruhi tarif pelayanan kesehatan. Tujuan penelitian adalah mengeksplorasi permasalahan pelaksanaan pengodean tindakan medis dengan menganalisis faktor input, proses dan output. Jenis penelitian adalah kualitatif dengan pendekatan studi kasus. Penelitian dilakukan di RSI Siti Rahmah Padang dari bulan Februari sampai Juli 2017. Informan peneltian ini berjumlah 6 orang diambil dengan teknik purposive sampling, Analisis data hasil wawancara mendalam dengan tahap transkripsi, reduksi, coding, kategori, penyajian dan interpretasi data. Hasil penelitian menunjukkan yang menghambat kelancaran pelaksanaan pengodean tindakan medis adalah ketidak jelasan tulisan dokter sebagai penegak diagnosa dan tindakan medis serta ketidak lengkapan pengisian resume. Pengodean disistem komputerisasi belum maksimal karena petugas koding masih baru. Sebaiknya rumah sakit melakukan penguatan input, dibidang SDM dengan meningkatkan keterampilan melalui pelatihan. Penguatan kebijakan melalui regulasi dan sanksi tegas bagi SDM yang tidak mengisi rekam medis dengan baik dan benar, serta perlu sosialisasi tentang pentingnya pengisian diagnosa tindakan medis sesuai kaidah ICD 9 CM dan Penguatan fungsi manajemen dalam pelaksanaan pengodean tindakan medis terutama berkaitan dengan SOP pelaksanaan melalui kegiatan pengawasan secara berkala.</p><p><em><br /></em></p>

The Consistency of the Medical Expert System CADIAG-2

CADIAG-2 is a well known rule-based medical expert system aimed at providing support in medical diagnose in the field of internal medicine. Its knowledge base consists of a large collection of IF-THEN rules that represent uncertain relationships between distinct medical entities. Given this uncertainty and the size of the system, it has been challenging to validate its consistency. Recent attempts to partially formalize CADIAG-2’s knowledge base into decidable Gödel logics have shown that, on formalization, the system is inconsistent. In this paper, the authors use an alternative, more expressive formalization of CADIAG-2’s knowledge base as a set of probabilistic conditional statements and apply their probabilistic logic solver (Pronto) to confirm its inconsistency and compute its conflicting sets of rules under a slightly relaxed interpretation. Once this is achieved, the authors define a measure to evaluate inconsistency and discuss suitable repair strategies for CADIAG-2 and similar systems.

Medical Image Display Based on DICOM

Modern medical diagnose has higher demand for image archiving and communication, the medical image display technology is mainly studied under the Windows platform. According to the analysis of the DICOM 3.0 standards and file formats, the general idea of the conversion from DICOM format to BMP format is proposed. Based on the object-oriented programming idea, a format conversion class called CDicomConvert is designed by using Visual C++. The class encapsulates many data and methods for DICOM image processing, and the class CDib is also improved. The result of the software running shows that it can convert the DICOM file to BMP format, and the medical image can be displayed under Windows.

The Consistency of the Medical Expert System CADIAG-2

CADIAG-2 is a well known rule-based medical expert system aimed at providing support in medical diagnose in the field of internal medicine. Its knowledge base consists of a large collection of IF-THEN rules that represent uncertain relationships between distinct medical entities. Given this uncertainty and the size of the system, it has been challenging to validate its consistency. Recent attempts to partially formalize CADIAG-2’s knowledge base into decidable Gödel logics have shown that, on formalization, the system is inconsistent. In this paper, the authors use an alternative, more expressive formalization of CADIAG-2’s knowledge base as a set of probabilistic conditional statements and apply their probabilistic logic solver (Pronto) to confirm its inconsistency and compute its conflicting sets of rules under a slightly relaxed interpretation. Once this is achieved, the authors define a measure to evaluate inconsistency and discuss suitable repair strategies for CADIAG-2 and similar systems.