TINJAUAN SPESIFISITAS PENULISAN DIAGNOSIS PADA SURAT ELIGIBILITAS PESERTA (SEP) PASIEN BPJS RAWAT INAP BULAN AGUSTUS DI RUMAH SAKIT PANTI WILASA CITARUM SEMARANG PERIODE 2015 - UDiNus Repository

DAFTAR ISI

Halaman
HALAMAN JUDUL ............................................................................................................ i
HALAMAN HAK CIPTA .................................................................................................... ii
HALAMAN PERSETUJUAN ............................................................................................. iii
HALAMAN PENGESAHAN............................................................................................... iv
HALAMAN KEASLIAN PENELITIAN ............................................................................... v
HALAMAN PERSETUJUAN PUBLIKASI .......................................................................... vi
HALAMAN PERSEMBAHAN ............................................................................................ vii
RIWAYAT HIDUP ............................................................................................................. viii
PRAKATA......................................................................................................................... ix
ABSTRAK......................................................................................................................... xi
ABSTRACT ...................................................................................................................... xii
DAFTAR ISI ...................................................................................................................... xiii
DAFTAR TABEL ............................................................................................................... xvi
DAFTAR GRAFIK ............................................................................................................. xvii
DAFTAR GAMBAR ........................................................................................................... xviii
DAFTAR LAMPIRAN ........................................................................................................ xix
DAFTAR SINGKATAN...................................................................................................... xx
BAB I PENDAHULUAN ................................................................................................... 1

A. Latar Belakang ......................................................................................................... 1
B. Rumusan Masalah ................................................................................................... 2
C. Tujuan Penelitian ..................................................................................................... 2
a. Tujuan Umum .................................................................................................... 2
b. Tujun Khusus ..................................................................................................... 3
D. Manfaat Penelitian ................................................................................................... 3
a. Bagi Peneliti ....................................................................................................... 3
b. Bagi Rumah Sakit .............................................................................................. 3
c. Bagi Akademik ................................................................................................... 3
E. Keaslian Penelitian .................................................................................................. 3

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F. Ruang Lingkup Penelitian ........................................................................................ 4
BAB II TINJAUAN PUSTAKA ......................................................................................... 5
A. Rekam Medis ........................................................................................................... 5
B. Diagnosis Penyakit .................................................................................................. 6
C. Diagnosis Spesifik Menurut Huffman ................................................................... 7
D. Koding Morbiditas .................................................................................................... 8
E. Prosedur Koding ...................................................................................................... 9

F. Tujuan Koding .......................................................................................................... 9
G. Langkah – langkah Mengkode ICD 10 dan ICD 9CM .............................................. 9
H. Faktor – faktor yang Mempengaruhi Koding............................................................. 10
I.

Alur dalam Koding BPJS ......................................................................................... 12

J. Badan Penyelenggara Jaminan Kesehatan (BPJS) ................................................ 12
K. Kerangka Teori ........................................................................................................ 13
L. Kerangka Konsep .................................................................................................... 14
BAB III METODE PENELITIAN ....................................................................................... 15
A. Jenis Penelitian ........................................................................................................ 15
B. Variabel Penelitian ................................................................................................... 15
C. Definisi Operasional ................................................................................................. 15
D. Populasi dan Sempel ............................................................................................... 16
1. Populasi ............................................................................................................. 16
2. Sempel ............................................................................................................... 16
E. Instrumen Penelitian ................................................................................................ 17
F. Cara Pengumpulan Data ......................................................................................... 17
G. Pengolahan Data .................................................................................................... 17

H. Analisis Data ........................................................................................................... 18
BAB IV HASIL DAN PEMBAHASAN .............................................................................. 19
A. Pendahuluan ............................................................................................................ 19
1. Sejarah Rumah Sakit Panti Wilasa Citarum ....................................................... 19
2. Pelayanan dan Fasilitas ..................................................................................... 21
a) Pelayanan Rawat Jalan ................................................................................ 21
b) Pelayanan Rawat Inap ................................................................................. 22

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c) Pelayanan Penunjang Medis ........................................................................ 23
B. Hasil Pengamatan.................................................................................................... 24
1. Standar Prosedur Operasional Koding / Indexing .............................................. 24
2. Surat Eligibilitas Peserta (SEP) .......................................................................... 24
3. Spesifitas Diagnosis Penyakit pada SEP Pasien BPJS ...................................... 25
C. Pembahasan............................................................................................................ 26
1. Standar Prosedur Operasional Koding / Indexing .............................................. 26
2. Spesifitas Diagnosis Penyakit pada SEP Pasien BPJS ...................................... 26
BAB V KESIMPULAN DAN SARAN ............................................................................... 28
A. Kesimpulan ........................................................................................................... 28

B. Saran .................................................................................................................... 28
DAFTAR PUSTAKA
LAMPIRAN

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DAFTAR TABEL

Tabel

Halaman

Tabel 1.1 Keaslian Penelitian ........................................................................................... 3
Tabel 3.1 Definisi Oprasional ............................................................................................ 15

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DAFTAR GRAFIK
Grafik 4.1 Spesifisitas Penulisan Diagnosis pada Surat Eligibilitas Peserta (SEP)
Pasien BPJS Rawat Inap Bulan Agustus di Rumah Sakit Panti Wilasa Citarum

Semarang Periode 2015 ................................................................................................... 25

xvii

DAFTAR GAMBAR
Gambar 4.1 Standar Prosedur Operasional Koding / Indexing.......................................... 24

xviii

DAFTAR LAMPIRAN

1.

SOP Koding / Indexing Rawat Inap

2.

SEP Rawat Inap Pasien BPJS

3.

Checklist Tinjauan Spesifitas Penulisan Diagnosis Pada Surat Eligibilitas
Peserta (SEP) Pasien BPJS Rawat Inap Bulan Agustus Rumah Sakit Panti
Wilasa Citarum Semarang Periode 2015

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DAFTAR SINGKATAN

1.

RS

:

Rumah Sakit

2.

SOP

:

Standart Operasional Prosedure

3.

SEP

:

Surat Eligibilitas Peserta

4.

WHO

:

World Health Organitation

5.

BPJS

:

Badan Penyelenggara Jaminan Sosial

6.

ICD

:

International Satistical Calssification of Diseases and
Related Health Problems

7.

URM

:

Unit Rekam Medis

8.

SDM

:

Sumber Daya Manusia

9.

RM

:

Rekam Medis

10.

INA CBG’s

:

Indonesian Case Base Groups

11.

DPJP

:

Dokter Penanggung Jawab Pasien

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