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S E M IN A R N A S IO N A L P O R M IK I BAN D U N G , 18 FEBR U AR I 2009

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1. 2.

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D asar H ukum B e n t u k P e la y a n a n In fo rm a s i K e s U n it K e r ja M I K M a n a je m e n R K E

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1. 2. 3.

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1.

R K E

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O t o m a t is a s i R M

(a u to m a te d

m e d ic a l r e c o r d ) y g m a s ih b e r u p a
k e r t a s d a n b e r is i le m b a r a d m & p e n d u k u n g k lin is ( la b ) K o m p u t e r is a s i R M ( c o m p u t e r iz e d p a t ie n t r e c o r d ( C P R ) R e k a m M e d is E le k t r o n ik ( E le c t r o n ic

2. 3. 4.

m e d ic a l r e c o r d )
Rekam K e s e h a t a n E le k t r o n ik

( E le c t r o n ic h e a lt h r e c o r d )

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1.

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b e r b a s is k e r t a s ( p a p e r b a s e d d o c u m e n t) R M m a n u a l & r e g is t r a s i k o m p u t e r is a s i M IK te rb a ta s S I te rp a d u C o m p u t e r iz e P a t ie n t RM

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M IK d e n g a n R K E

R M

b e r b a s is k e r t a s (p a p e r b a s e d d o c u m e n t)

R M m a n u a l (P B D ): R M y g b e r is i le m b a r a d m in is t r a s i d a n m e d is y g d io la h d it a t a / a s s e m b lin g d a n d is im p a n s e c a r a m a n u a l

R M

m a n u a l d a n r e g is t r a s i k o m p u t e r is a s i

R M b e r b a s is k o m p u t e r is a s i, t e r b a t a s p d s is t e m p e n d a f t a r a n ( a d m is s io n ) , d a t a p a s ie n m a s u k , p in d a h d a n k e lu a r . P e n g o la h a n t e r b a t a s p d s is t e m r e g is t r a s i s e c a r a k o m p u t e r is a s i. L e m b a r a d m in is t r a s i & m e d is d io la h m anual

M IK T e rb a ta s R M y g d io la h m e n ja d i in f o r m a s i d a n p e n g e lo la a n n y a s e c a r a k o m p u t e r is a s i y g b e r ja la n d a la m s a t u s is t e m s e c a r a o t o m a t is d i u n it k e r ja M I K

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I n fo r m a s i T e r p a d u

C o m p u t e r iz e P a t ie n t R e c o r d (C P R )

C P R y g d is u s u n d g m e n g a m b il d o k u m e n la n g s u n g d a r i s is t e m im a g e d a n s t r u k t u r s is t e m d o k u m e n y g t e la h b e r u b a h .

M IK den g a n R K E

S is t e m p e n d o k u m e n t a s ia n t e la h b e ru b a h d a ri R M E R K P sam p ai t in g k a t y g p a lin g a k h ir d a r i p e n g e m b a n g a n S IK RKE

R E K A M K E S E H A T A N ELE K T R O N IK

K e g ia t a n m e n g k o m p u t e r is a s i is i r e k a m k e s e h a t a n d a n p r o s e s e le k t r o n is a s i y g b e rh u b u n g a n d e n g a n n y a .

D I TIN G K A T B E R A P A K A H K IT A B E R A D A ?

H IB R ID IS A S I

M IK ?

U N I T K E R JA M I K

M e r u p a k a n u n it k e r ja y g d ik e lo la s e b a g a i p e la y a n a n p e n u n ja n g a d m in is t r a t if R S s e c a r a p r o f e s io n a l y g b e r o r ie n t a s i p d k e b u t u h a n in f o r m a s i k e s b a g i p e m b e r i la y a n a n k e s d a n in s t a n s i la in y g b e r k e p e n t in g a n .

U N I T K E R JA M I K

T R A D IS IO Fokus M anual M e m p ro m e la c a k

N AL U n it K e r ja ses dan RM

K O M P U T E R IS A S I Fokus m e m p ro se s d a n m e n ca ri in f o r m a s i T it ik s e n t r a l p e k e rja a n te rp u s a t p d b u t ir a n in f o r m a s i ta n p a b a ta s a n ru a n g & w a k tu

U N I T K E R JA M I K

n g u m p u lk a n n ja g a n a ta n g o la h n g e v a lu a s i n g a n a lis is d a t a / in f p a s ie n b e r k u a lit a s in f o r m a s i M e n y e b a r k a n ( d is e m in a s i) p ih a k b e rw e n a n g

M M M M M M

e e e e e e

K E S A T U : sta n d a r p e n g e lo la a n S IK D A S A R & W A JI B K E D U A : b e r k a it a n d g ilm u m e d is / k e s , b a h a s a I n g g r is , s t a t is t ik d a s a r ( B O R , L O S , B T O , T O I ) , k o r e s p o n d e n s i m e d is , k la s if ik a s i p e n y / t in d a k a n / o b a t , a n a lis a .

l a n ju t a n K E T I G A : P e n g e m b a n g a n --> P r o f e s io n a lis m e M I K & A u d it m e d is - - A n a lis is . I lm u m e d is , m e t o d o lo g i p e n e lit ia n , s t a n d a r y a n m e d , t e k n ik p e n g o la h a n d a t a ( E p i I n f o , S P S S ) & s t a t is t ik la n j u t .

S is te m

In f o r m a s i K e s e h a t a n

K o m p o n e n /s u b s is te m --- S I-P K M /S IR S B u k a n h a n ya p e n ca t a t a n - - - a r s i p P e n ye l e n g g a r a a n I n f o r m a s i K e s e h a t a n s e ja k m e n d a f t a r , b e r o b a t ja la n , d ir a w a t

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I n fo r m a s i K e s e ha t a n

1. 2. 3. 4. 5. 6. 7. 8.

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9 1 1 1 1 1

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R K E

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r e n c a n a a n ( P l a n n i n g) n g o r g a n i s a s i a n ( Or ga n i z i n g) n g g e r a k k a n ( Ac t u a t i n g) n g a w a s a n ( C o n t r o l l i n g) a l u a s i ( E va l u a t i n g)

M A N A JE M E N

R K E

F U N G S I U N I T K E R JA M IK B E R B E D A T id a k b e rk a T id a k RM T id a k T id a k ada penanganan s RM a d a fo to c o p y b e rk a s a d a p e n y im p a n a n a d a p e n ja ja ra n

D ir e k s i P e la n g g a n D a ta S i s t e m In f o r m a s i K e s e h a ta n P e m a s a ra n In f o r m a s i K e p e ra w a ta n

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P E N T IN G N Y A P E N G E L O L A A N IN F O R M A S I K E S E H A T A N SE C A R A P R O FE S IO N A L

SD M Y A N G H A N D A L D I B ID A N G M A N A JE M E N I N F O R M A S I K E S E H A T A N

IP T E K K E S E H A T A N IN F O K E S Y G D IB U T U H K A N M A N A JE M E N

PE R U B A H A N PE R A N & F U N G S I P R O F E S IO N A L

K O M P E T E N S I A D M IN IS T R A T O R IN F O R M A S I K E S E H A T A N

1 2 3 4 5 6 7

K o n g r e s IV P O R M IK I, 2 0 0 3 . K la s if ik a s i p e n y a k it d a n tin d a k a n .A s p e k h u k u m R M d a n e t ik a p r o f e s i . M a n a j e m e n in f o r m a s i k e s e h a t a n . M e n ja g a d a n m e n in g k a t k a n m u t u . S t a t is t ik k e s e h a t a n . K e m it r a a n p r o f e s i . M a n a je m e n u n it k e r ja M I K

P R A K T IS I M IK

H AR U S BER U BAH !

M e m p e r s ia p k a n d ir i: B a h a s a I n g g r is ? P e n g u a s a a n I lm u M I K T e r m in o lo g i m e d is K la s if ik a s i p e n y a k it / t in d a k a n T e k n o lo g i in f o r m a s i A n a lis is d a t a

A H LI M IK

p r o fe s i o n a l i s m e

M e n g ik u t i p e r k e m b a n g a n t e k n o lo g i in f o r m a s i d i b id a n g k e s . M e n in g k a t k a n p e n g e t a h u a n & k e t r a m p ila n d i b id a n g M I K M e m p e r b a ik i s ik a p d a n p e r ila k u

P E N G A D A A N

R K E

P e re n c a n a a n m a ta n g m e lib a t k a n s e t ia p m a n a je r M e n e lit i r e f e r e n s i p a r a p e n ju a l p ro d u k S e s u a ik a n d g k o n d is i, k e m a m p u a n in s t a n s i y a n k e s ( p e r s ia p a n m e n t a l, d is ip lin ) F a s ilit a s p e n u n ja n g s e c a r a k o n t in y u A n g g a r a n y a n g c u k u p & b e r la n ju t .

P E R S IA P A N D ip e r lu k a n : S t u d i b a n d in g te la a h p e r m a s a la h a n T e lit i r iw a y a t s is t e m m a n u a l/ e le k t r o n ik y g d im ilik in y a p ik ir k a n ! s is t e m R K E y g b g m y g d iin g in k a n ? T id a k ta m b a l s u la m ja n g k a p a n ja n g K e r j a s a m a t e r t u lis in t e r n & e k s t e r n D ik la t S D M

D a y a g u n a k a n M I K - - - k u a lit a s y a n k e s A w a li : m e n g e n a l p a r a d ig m a b a r u , k e g u n a a n in f o r m a s i k e s e h a t a n , p e r a n p r o f e s io n a l I s u - is u m u t a k h ir M a n a j e r in f o k e s : t in g k a t k a n I P T E K P im p in a n : t a t a la n g k a h s t r a t e g i, p e r e n c a n a a n s e s u a ik a n d g k o n d is i sa ry a n k e s

K e p u sta k a a n

H I M , E d n a K H u f f m a n , I llio n is U S A , 1 9 9 4 H I M o f a S t r a t e g ic R e s o u r c e , S e c o n d E d it io n , M e r v a t A b d e lh a k , U S A , 2 0 0 1 H I M , C o n c e p t , P r in c ip le s a n d P r a c t ic e , A H I M A , U SA, 2002 K E P ro fe s i A IK , K o n g re s V P O R M IK I, 2 0 0 6 P a r a d ig m a M I K , G e m a la H a t t a , 2 0 0 8 P e rM e n K e s N o . 2 6 9 , 2 0 0 8

TE R IM A K A S IH A TA S P E R H A T IA N N YA

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S tru k tu r S um ber daya D a ta S is t & p ro s e d u r D ana P NuG DE uk nG ga U n N A : A d m in is t r a to r L o g is t ik G iz i K e p e ra w a ta n P e m b e lia n obat

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IN F O R M A S I: K o m p re h e n s if Lengkap A k u ra t D ip e r c a y a T e r s e d ia

P E N G A M B ILA N K E P U T U S A N

S is t e m E le k t r o n ik : s e r a n g k a ia n p e r a n g k a t d a n p ro se d u r e le k t r o n ik y g b e r f u n g s i m e m p e r s ia p k a n , m e n g u m p u lk a n , m e n g ir im k a n , d a n / a t a u m e n y e b a r k a n in f o r m a s i e le k t r o n ik

P E R E N C A N A A N R K E
K e b ija k a n P im p in a n k o n se p ra n c a n g a n d is a in m a t a n g T u ju a n h a r u s je la s s o s ia lis a s i k o m it m e n s e lu r u h b a g ia n ( b u k a n h a n y a y g t e r lib a t ) P e n g g u n a (u se r) s a n g a t p e n t in g !

P E R E N C A N A A N

R K E

M e m ilih v e n d o r M in im a l 3 v e n d o r R e fe re n s i R S m a n a y g s u d a h m enggunakan? s t u d i b a n d in g P e r t e m u a n h a s il s t u d i b a n d in g T id a k te r g e s a - g e s a m e m u t u s k a n v e n d o r y g a k a n d ik o n t r a k

P E R E N C A N A A N

R K E

M a in t e n a n c e s is t e m M oU T im p e n d a m p in g in t e r n

c o n ta c t p e rs o n
T r a in in g S D M y a n g t e r lib a t D u k u n g a n s e m u a p ih a k

P e n g e lo la M IK
S t a n d a r is a s i:
S im b o l, s in g k a t a n , k o d e , is t ila h , d ll F o r m u lir ( b e n t u k , w a r n a , u k u r a n ,d ll) W a k tu P ro se d u r

P E N G O R G A N I S A S IA N R K E
P e m b a g ia n t u g a s E f is ie n s i t e n a g a k o m p e te n M a in t e n a n c e 5 M

P E N G G E R A K K A N R K E
K e p e m im p in a n M o t iv a s i M a in t e n a n c e 5 M

P E N G A WA S A N R K E

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P U P A P H A E N G U M P LA N IN FO R E M A S U K M A S I N S E NE G AH MA E N G O L A P EK TA AN N B IL A N N A LIS IS K E P U T U

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ID E N T IT A S K U N JU N G A N D A T A K E S

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I n fo r m a s i k e s e ha t a n
B e rm a n fa a t: K e p e n t in g a n p a s ie n P e n in g k a t a n p e la y a n a n k e s P e n g a m b ila n k e p u t u s a n p im p in a n P ih a k k e - 3 ( e k s t e r n a l, a s u r a n s i, p o lis i, p e n g a ila n , d ll)

P e t u n ju k p e n t i n g d a l a m k o m p u t e r is a s i R M :

1. 2.

3. 4. 5.

H a n y a p e r s o n il y g b e r w e n a n g m e m a s u k k a n in f o r m a s i m e d is d lm k o m p u t e r S e t ia p p e r s o n il h a n y a m e n g a k s e s d a t a te r t e n t u y g s e s u a i d g m e n g g u n a k a n s e c u r i t y l e ve l te rte n tu T id a k a d a in f o r m a s i y g d ib u k a t a n p a s e ij in p a s ie n D a t a y g t e l a h t u a d p t d i h a p u s s e t e l a h m e m b e r it a h u k a n k p d d o k t e r & p a s ie n n y a T e r m i n a l o n -l i n e h a n y a d p t d i g u n a k a n o l e h o ra n g yg b e rw e n a n g

K o m p u t e r i s a s i R M ha r u s m e n e r a p k a n s is t e m :

1.

2.

3. 4.

M e n g u r a n g i k e m u n g k in a n k e b o c o r a n in f o k e s S e t ia p p e m a k a i m e m ilik i P I N & p a ssw o rd B a ta s a n a k s e s R M p e tu g a s te rte n tu S is t e m h r s d a p a t m e n d e t e k s i: K a p a n a d a o ra n g m e n g a k s e s d a ta t e r t e n t u , m e r u b a h , k a p a n d ir u b a h , s ia p a y g m e r u b a h , d ll

P E N G E R T IA N

R e k a m M e d is : b e r k a s y g b e r is i c a t a t a n d a n d o k u m e n t e n t a n g id e n t it a s p a s ie n , p e m e r ik s a a n , p e n g o b a t a n , tin d a k a n d a n p e la y a n a n la in k e p a d a p a s ie n p a d a sa ry a n k e s. R e k a m K e s e h a t a n : w a d a h in f o r m a s i y a n k e s p a s ie n

P E N G E R T IA N

T r a n s a k s i E le k t r o n ik : p e r b u a t a n h u k u m y g d ila k u k a n d g m e n g g u n a k a n k o m p u t e r , ja r in g a n k o m p u t e r , d a n / a t a u m e d is e le k t r o n ik la in n y a . T e k n o lo g i I n f o r m a s i: s u a t u te k n ik u n t u k m e n g u m p u lk a n , m e n y ia p k a n , m e n y im p a n , m e m p r o s e s , m e n g a n a lis is , d a n / a t a u m e n y e b a r k a n in f o r m a s i

P E N G E R T IA N

I n f o r m a s i E le k t r o n ik : s a t u a t a u s e k u m p u la n d a t a e le k t r o n ik , te r m a s u k te t a p i tid a k te r b a t a s p d tu lis a n , s u a r a , g a m b a r , p e t a , r a n c a n g a n , fo t o , e le c t r o n ic d a t a i n t e r c h a n ge ( E D I ) , s u r a t e l e k t r o n i k ( e l e c t r o n i c m a i l ) , t e l e g r a m , t e l e x, te le c o p y a t a u s e je n is n y a , h u r u f , t a n d a , a n g k a , k o d e a k s e s , s im b o l, a t a u p e r f o r a s i y g te la h d io la h y g m e m ilik i a r t i a t a u d a p a t d ip a h a m i o le h o r a n g y g m a m p u m e m a h a m in y a .

E le k t r o n is a s i m e n g h a s ilk a n y g d ir a n c a n g u t k m e n d u k u p e n g g u n a d g b e rb a g a i k e m u d a h a n fa s ilit a s b a g i: k e le n g k a p a n d a n k e a k u r a d a ta m e m b e ri ta n d a w a s p a d a s e b a g a i p e r in g a t a n t a n d a s is t e m p e n d u k u n g k e p u t u s a n k lin ik m e n g h u b u n g k a n d a ta d g p e n g e t a h u a n m e d is s e r t a b a n t u la in n y a .

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M E D IS RS H U SAD A

1972: SED ER H AN A 1991: BEN TU K LEM BA R A N 1 9 9 3 : P E M B E N A H A N S IS T E M R M /IN F O -K E S 1994: RAN CAN G AN SR M --- K O M P U T E R IS A S I 2000: PEN G EM BAN G AN SR M 2 0 0 3 : M O D E R N IS A S I S R M

H AM BA TAN

S IS T E M M A N U A L K E C E P A T A N P E L A YA N A N TER BA TA S P E R A W A T A N K E R T A S T R A D IS IO N A L R A K TER BU KA SD M TER B A TAS LA M A S IM P A N K E R T A S T E R B A T A S

REKAM

M E D IS

K A T A R E K REKAM AN P A S I E N YG D IT U LIS O D AN PEN U M A N U A L/E

A M M E D I S H A N YA D I T U JU K A N T E N T A N G D A T A /IN F O R M A S I D I H A S I L K A N S A R A N A YA N K E S LEH TEN AG A KESEH A TAN N JA N G L E K T R O N IS

U P A Y A M O D E R N IS A S I SIS T E M P E N Y IM P A N A N R E K A M M E D IS

K O M P U T E R IS A S I R E K A M M E D IS E L E K T R O N I C F I L I N G S YS T E M E L E K T R O N IK R E K A M M E D IS

M e n u ju r e k a m ya n g b a i k :

m e d i s /i n fo -k e s

D u k u n g a n b e rb a g a i p ih a k S t r u k t u r o r g a n is a s i SD M F a s ilit a s d a n s a r a n a Pedom an S is t e m D ana

BAH AN M ASU KAN F o r m u lir t d k b e r w a r n a g e la p U k u r a n fo r m u lir s t a n d a r T u lis a n je la s d a n t e r b a c a W a r n a t in t a h it a m / b ir u t u a W a r n a t in t a s t ik e r je la s L e m b a r a n t id a k r u s a k D is ip lin S D M

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1.

A K S E S : la n g s u n g , m e k a n is m e p e n g a w a s a n t e r h a d a p k e r a h a s ia a n in f o r m a s i m e la lu i t e k n o lo g i p e n g o n t r o l ( k o d e s a n d i, k a r t u a k s e s , ta n d a , a la t b io m e t r ik d a n k e t a t n y a p e n g g u n a a n k o m p u t e r d i u n it d a n r e s t r ik s i y g b e r p e r a n ( r o le b a s e d )

2.

F L E K S I B I L I T A S : m u d a h d ig u n a k a n u n t u k p e n g g u n a y g b e r b e d a , ta m p ila n d a t a / in f o r m a s i d p t m e n g ik u t i k e m a u a n p e n g g u n a . T id a k a d a m a s a la h k a r e n a d a t a / in f o r m a s i d p t t e r s a m b u n g k e t e m p a t la in y g s u d a h m e n g g u n a k a n s is t e m R K E

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3. 4.

TER H U BU N G D EN G AN BER BAG AI S U M B E R : m u d a h d it r a n s f e r E F I S I E N : d a t a y g tid a k te r s t r u k t u r la n g s u n g d iu b a h m e n j a d i t e r s t r u k t u r . A d a p ro g ra m p e rb e n d a h a ra a n k a ta d a n p e r a n g k a t k o d e . D a t a d ik u m p u k a n d a la m b e n t u k s t a n d a r d a n d ia n a lis is s e c a r a e f is ie n

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m e n g u m p u lk a n , m e n y im p a n , m e n y a m p a ik a n d a t a & in f o r m y a n k e s p a s ie n y g b e r k u a lit a s m e m p e r h a t ik a n a s p e k h u k u m u t k m e n ja m in fu n g s i- f u n g s i R

m e n g o la h , a s i k e g ia t a n tin g g i d g & e t ik a p r o f e s i M IK .

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7 P E R A N

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M a n a je r M I K S p e s ia lis d a t a k lin is K o r d in a t o r in f o r m a s i p a s ie n M a n a je r k u a lit a s d a t a A d m in is t r a s i s u m b e r d a t a R is e t d a n s p e s ia lis p e n u n ja n g k e p u tu s a n