8
Abstract Views
2
PDF Download
Articles

Optimalisasi Mutu Pelayanan Rekam Medis melalui Edukasi, Pelatihan, Pendampingan, dan Implementasi Sistem Informasi Manajemen Klinik bagi Petugas PMB Jurusan Kebidanan Poltekkes Kemenkes Yogyakarta : Optimizing Medical Record Service Quality through Education, Training, Mentoring, and Implementation of a Clinic Management Information System for Staff at the Independent Midwifery Practice (PMB), Department of Midwifery, Poltekkes Kemenkes Yogyakarta

Arif Nugroho Triutomo Poltekkes Kemenkes Yogyakarta, Indonesia Correspondence arifngrtu@gmail.com
,
Nita Budiyanti , Indonesia Correspondence nita.budiyanti@poltekkesjogja.ac.id
,
Hari Wibowo Poltekkes Kemenkes Yogyakarta, Indonesia Correspondence 01.hariwibowo@gmail.com
,
Syarah Mazaya Fitriana Poltekkes Kemenkes Yogyakarta, Indonesia Correspondence syarah.fitriana@poltekkesjogja.ac.id
Pages 114-130
Browse this journal

Abstract

Quality medical record services are an important component in supporting the efficiency and quality of healthcare delivery. A preliminary assessment at the Independent Midwifery Practice (PMB), Department of Midwifery, Poltekkes Kemenkes Yogyakarta, identified several problems, including the continued use of manual medical record documentation, suboptimal utilization of computers, relatively long registration service times, and limited storage capacity for medical record documents. This community service program aimed to improve staff knowledge and competency regarding Electronic Medical Records (EMR) through education, training, mentoring, and implementation of a Clinic Management Information System (SiKlik), while improving the quality of registration services. The program was conducted from March to October 2024 using a blended approach and involved 12 staff members at the Independent Midwifery Practice (PMB), Department of Midwifery, Poltekkes Kemenkes Yogyakarta. The activities included EMR education, demonstration and hands-on practice in using SiKlik, mentoring during system implementation in the registration process, and evaluation using pretest and posttest assessments. Service quality was evaluated through a satisfaction survey involving 30 patients who had received services before and after EMR implementation. The results showed that the mean staff knowledge score increased by 24 points, from 65 at pretest to 89 at posttest. All participants (100%) were able to operate the basic functions of SiKlik, and system utilization in daily services reached 100%. The implementation of SiKlik also improved registration service efficiency, with the mean service time decreasing from 35 minutes to 15 minutes. All patients (100%) reported that the service was faster, and overall patient satisfaction reached 100%. The education, training, mentoring, and implementation of SiKlik demonstrated positive outcomes in improving staff competency, service efficiency, and patient satisfaction. The implementation of a Clinic Management Information System can support the transition from manual to electronic medical records and contribute to improving the quality of services at the Independent Midwifery Practice (PMB), Department of Midwifery, Poltekkes Kemenkes Yogyakarta.

There is no Figure or data content available for this article

References

  • 1. World Health Organization. Global strategy on digital health 2020-2027. Geneva; 2020.
  • 2. Zharima C, Griffiths F, Goudge J. Exploring the barriers and facilitators to implementing electronic health records in a middle-income country: a qualitative study from South Africa. Front Digit Health. 2023 Aug 4;5:1207602. doi:10.3389/fdgth.2023.1207602 PubMed PMID: 37600481; PubMed Central PMCID: PMC10437058.
  • 3. Badan Kebijakan Pembangunan Kesehatan | BKPK Kemenkes. Badan Kebijakan Pembangunan Kesehatan | BKPK Kemenkes [Internet]. [cited 2025 Aug 13]. Policy Brief – Implementation Research 2024: Memperkuat Implementasi Rekam Medik Elektronik yang terhubung dengan SATUSEHAT Platform di Daerah. Available from: https://www.badankebijakan.kemkes.go.id/policy-brief-ir-2024/
  • 4. Lin HL, Wu DC, Cheng SM, Chen CJ, Wang MC, Cheng CA. Association between Electronic Medical Records and Healthcare Quality. Medicine (Baltimore). 2020 Jul 31;99(31):e21182. doi:10.1097/MD.0000000000021182 PubMed PMID: 32756096; PubMed Central PMCID: PMC7402715.
  • 5. Gedikci Ondogan A, Sargin M, Canoz K. Use of electronic medical records in the digital healthcare system and its role in communication and medical information sharing among healthcare professionals. Inform Med Unlocked. 2023 Jan 1;42:101373. doi:10.1016/j.imu.2023.101373
  • 6. Yang J, Liu F, Yang C, Wei J, Ma Y, Xu L, et al. Application of Donabedian Three-Dimensional Model in Outpatient Care Quality: A Scoping Review. J Nurs Manag. 2025;2025:6893336. doi:10.1155/jonm/6893336 PubMed PMID: 40313787; PubMed Central PMCID: PMC12045680.
  • 7. Lee M, Kim K, Shin Y, Lee Y, Kim TJ. Advancements in Electronic Medical Records for Clinical Trials: Enhancing Data Management and Research Efficiency. Cancers. 2025 May 2;17(9):1552. doi:10.3390/cancers17091552 PubMed PMID: 40361478; PubMed Central PMCID: PMC12071135.
  • 8. Anggereni K, Sari RI. Efektivitas Implementasi Rekam Medis Elektronik (RME) dalam Meningkatkan Efisiensi Administrasi Kesehatan. Vol. 6. 2025;6(1).
  • 9. Samur R, Hartono B, Daud AG. Pengaruh Penggunaan Aplikasi Rekam Medis Elektronik (RME) Terhadap Efisiensi Kerja Tenaga Kesehatan Di Fasilitas Kesehatan Tingkat Pertama. Vol. 5. 2025;5(2).
  • 10. Hidayat AR. Pemberdayaan Petugas Rekam Medis Dalam Peranan Rekam Medis Elektronik (RME) Terhadap Sistem Informasi Manajemen Rumah Sakit Di Rumah Sakit Permata Bunda Yogyakarta. J Pengabdi Masy Permata Indones. 2024 Apr 30;4(1):1–6. doi:10.59737/jpmpi.v4i1.285
  • 11. Ningsih KP, Purwanti E, Markus SN, Santoso S, Husin H, Zaini M. Upaya Mendukung Keberhasilan Implementasi Rekam Medis Elektronik Melalui Digitalisasi Rekam Medis. J Empathy Pengabdi Kpd Masy. 2022 Sep 2;3(1):61–70. doi:10.37341/jurnalempathy.v0i0.107
  • 12. Maulana M, Bhre Diansyah Dinda Khalifatulloh. Pemberdayaan Petugas Rekam Medis Dalam Analisis Kebutuhan SIM Klinik Bagian Registrasi Pasien. J Pengabdi Masy Ilmu Komput. 2024 Sep 3;1(3):112–9. doi:10.70248/jpmik.v1i3.976
  • 13. Putri FR, Wulandari S, Swardani AS, Dwinimastuti TR. Pelatihan dan Pendampingan Implementasi Rekam Medis Elektronik Nusa Medis untuk Meningkatkan Efisiensi Layanan di Klinik Baety Rahma. PaKMas J Pengabdi Kpd Masy. 2025 Nov 10;5(2):548–57. doi:10.54259/pakmas.v5i2.4093
  • 14. Prananda A, Fitrianingsi J, Palu B, Amir A. Penerapan Pencatatan Rekam Medik Berbasis Elektronik Dan Konvensional Terhadap Mutu Pelayanan Kesehatan Di Ruang Rawat Inap Rsud Labuang Baji Makassar Tahun 2024. Vol. 6. 2025;6(1).
  • 15. Popescu C, EL-Chaarani H, EL-Abiad Z, Gigauri I. Implementation of Health Information Systems to Improve Patient Identification. Int J Environ Res Public Health. 2022 Nov 18;19(22):15236. doi:10.3390/ijerph192215236 PubMed PMID: 36429954; PubMed Central PMCID: PMC9691236.
  • 16. Chotimah SN. Implementasi Sistem Informasi Kesehatan di Fasilitas Pelayanan Kesehatan Indonesia: Literature Review. J Rekam Medis Manaj Infomasi Kesehat. 2022 Jun 6;2(1):8–13. doi:10.53416/jurmik.v2i1.67
  • 17. Andriyanto S, Muharni S, Adriyanto H, Nugroho TA, Setiawan S, Aminudin N. Peningkatan Kompetensi Petugas Rekam Medis melalui Implementasi Rekam Medis Elektronik di UPTD Puskesmas Bumiratu. J Pengabdi Masy Teknol Kesehat Sains JPMTKS. 2026 Apr 30;2(1):37–43. doi:10.52060/2840rj55
  • 18. Wati L, Chalista KA. Manfaat Rekam Medis Elektronik Terhadap Manajemen Kinerja Perekam Medis. Vol. 15. 2026;15(1).
  • 19. Susanto AB, Yaniawati RP, Sukajie B. Efektivitas Rekam Medik Elektronik Di Klinik Kusuma Medical Center Batukajang Kalimantan Timur. IndOmera. 2024 Oct 2;5(10):1–9. doi:10.55178/idm.v5i10.394
  • 20. Putri RA, Astriana M, Zahrany N. The Effect of Electronic Medical Records on the Efficiency of Health Service Administration in Public Health Centres. Vol. 1. 2025;1(1).
  • 21. Addo K, Agyepong PK. Evaluating the Health Information system implementation and utilization in healthcare delivery. Health Informatics J. 2024 Oct 1;30(4):14604582241304705. doi:10.1177/14604582241304705
  • 22. Liambo S, Fitrianingsih J, Carsel S. Pengaruh Implementasi Sistem Informasi Manajemen Rumah Sakit Terhadap Kepuasan Pasien Di RSUD Kota Kendari. Vol. 3. 2025;3(2).
  • 23. Alzghaibi H, Hutchings HA. The Impact of Leadership and Management on the Implementation of Electronic Health Record Systems in the Primary Healthcare Centers. Healthcare. 2024 Oct 10;12(20):2013. doi:10.3390/healthcare12202013 PubMed PMID: 39451429; PubMed Central PMCID: PMC11507143.
  • 24. Muh Ihsan Kamaruddin, A. Syamsinar Asmi, Wa Ode Novi Angraeni, Wahyudi Hardi, Jessy Andre Mangaya Takke. Analyzing the implementation of health information systems to improve service efficiency in community health centers. J Ilm Kesehat Sandi Husada. 2025 Dec 12;14(2):415–24. doi:10.35816/jiksh.v14i2.287
  • 25. Reski A, Dewi ST. Hubungan Kesiapan Sumber Daya Manusia, Infrastruktur Teknologi, dan Dukungan Manajemen Terhadap Implementasi Platform SATUSEHAT pada Layanan Primer Blud Uptd Puskesmas Kemaraya Tahun 2025. Vol. 7. 2026;7(1).
There is no Supplemental content for this article.

How to Cite This

Article Metrics

Download Statistics

Other Statistics

Verify authenticity via CrossMark

Copyright and Permissions

Creative Commons License

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Data Availability

All data generated during this study are included in this published article [and its supplementary information files].
 

Information

Current Issue