User

Does Accreditation Status Affect Job Performance of the Electronic Medical Record Clerks at Community Health Center?

Harinto Nur Seha, Didik Tamtomo, Endang Sutisna Sulaeman

Abstract

Background: Primary care doctors and other staff working in primary care require comprehensive and accurate data on patients at the point-of-care if they are to provide high quality health services to their patients. Electronic patient records are an effective method of achieving this objective, by dispensing with the need to use difficult to access, and often illegible, paper-based records. This study aimed to analyze the effect of accreditation status on job performance of the electronic medical record clerks at community health center.

Subjects and Method: This was an analytic observational study with a cross-sectional design. The study conducted for 25 puskesmas (community health centers), in Yogyakarta, from March to June 2018. A sample of 200 patient medical records was selected by simple random sampling. The dependent variables were completeness and accuracy of medical record. The independent variables were tenure and multi task as level 1 in the multilevel model (MLM). Accreditation status of puskesmas was taken as level 2 in the MLM. The data were collected by questionnaire and analyzed by MLM.

Result: Longer tenure (b= 1.03; 95% CI= 0.30 to 1.77; p= 0.006) and single task occupation (b= 4.21; 95% CI= 6.23 to 2.20; p<0.001) were positively associated with completeness of electronic medical record. Likewise, longer tenure (b= 0.54; 95% CI= 0.079 to 1.01; p= 0.022) and single task occupation (b= 2.14; 95% CI= 3.42 to 0.87; p= 0.001) were positively associated with accuracy of medical record medical record. Accreditation status of puskesmas showed negligible contextual effect on completeness (ICC= 0.36%) and accuracy (ICC= 1.17%) of the electronic medical record.

Conclusion: Longer tenure and single task occupation are positively associated with completeness and accuracy of medical record. Accreditation status of puskesmas shows negligible contextual effect on completeness and accuracy of the electronic medical record.

Keywords: completeness, accuracy, tenure, occupation, accreditation status, community health center, electronic medical record

Correspondence: Harinto Nur Seha. Medical Record and Health Information, School of Health Polytechnics Permata Indonesia, Yogyakarta. Email: harinto_ns@permataindonesia.ac.id. Mobile: +62 85749724513.

Journal of Health Policy and Management (2018), 3(1): 56-62
https://doi.org/10.26911/thejhpm.2018.03.01.08

Full Text:

PDF

References

Batini C, Scannapieco M (2006). Data Quality: Concepts, Methodelogies and Techniques, Germany: Springer.

Bovee CL, John VT (2001). Bussines in Action: Step into the world of opportunity in the 21th century. Prentice Hall. Inc. New Jersey.

Direktorat Jenderal Pengendalian Penyakit dan Penyehatan Lingkungan. (2017). Laporan HIV Triwulan I Tahun 2017. Jakarta.

Indar I, Indar, Naiem MF (2013). Faktor yang Berhubungan dengan Kelengkapan Rekam Medis di RSUD H. Padjonga DG. Ngalle Takalar. Jurnal AKK, 2(2): 10–18.

Kementerian Kesehatan Republik Indonesia (2014). Pedoman pengobatan antiretroviral. Peraturan Meteri Kesehatan Republik Indonesia, Nomor 87 Tahun 2014, 1–121. https://doi.org/10.1017/CBO9781107415324.004.

Mailool CM, Pondaag L, Lolong J (2017). Hubungan Faktor Personal Dengan Kinerja Perawat Pelaksana di Instalasi Rawat Inap RSU Pancaran Kasih GMIM Manado. eJournal Keperawatan, 5(1).

Mathai N, Shiratudin MF, Sohel F (2017). Electronic Health Record Management: Expectations, Issues, and Challenges. Journal of Health & Medical Informatics, 8(3). https://doi.org/10.4172/21577420.1000265.

Nelson GS, Technologies T, Hill C (2017). A Practical Guide to Healthcare Data: Tips, traps, and techniques.

Nurhaidah, Harijanto T, Djauhari T (2016). Faktor-Faktor Penyebab Ketidaklengkapan Pengisian Rekam Medis Rawat Inap di Rumah Sakit Universitas Muhammadiyah Malang Factors Affecting Incomplete Inpatient Medical Record Completion at Muhammadiyah University Hospital Malang. Jurnal Kedokteran Brawijaya, 29(3), 258–264.

Ridho KM, Rosa EM, Suparniati E (2013). Analisis Faktor - Faktor yang Mempengaruhi Kepatuhan Pengisian Rekam Medis di Rumah Sakit Gigi dan Mulut Pendidikan UMY. Jurnal Medicoeticolegal Dan Manajemen Rumah Sakit, 2(2): 1–18.

Riyantika D (2018). Analisis Faktor-Faktor Penyebab Ketidaklengkapan Pengisian Lembar Resume Medis Pasien Rawat Inap, 7(1): 69–73.

Sari RP, Satrio B (2016). Reny Permata Sari Budhi Satrio Sekolah Tinggi Ilmu Ekonomi Indonesia (STIESIA) Surabaya. Jurnal Ilmu Dan Riset Manajemen.

Syarah (2016). Pengaruh Akreditasi Terhadap Kelengkapan Pengisian Resume Pasien Rawat Inap di RS PKU Muhammadiyah Yogyakarta Unit I.

Ulfa SN, Widjaya L (2017). Faktor-Faktor Yang Mempengaruhi Kelengkapan Diagram Fishbone Di Rumah Sakit Pertamina Jaya. Jurnal INOHIM, 5.

UNAIDS (2017). UNAIDS Data 2017. Joint United Nations Programme on HIV/ AIDS. https://doi.org/9789291739455.

Wang RY, Strong DM (1996). Beyond Accuracy: What DataQuality Means to Data Consumers. Journal of Management Information System, 12(4):5-34.

World Health Organisation (2017). Treat All: Policy Adoption and Implementation Status in Countries Hiv Treatment and Care, (November 2017). Retrieved from http://apps.who.int/-iris/bitstream/10665/259532/1/WHO-HIV-2017.58-eng.pdf?ua=1%0A

Refbacks

  • There are currently no refbacks.