bkpm_ehr

BKPM

(BUKU KERJA PRAKTEK MAHASISWA)

ELECTRONIC HEALTH RECORD 1

(Semester IV )

Disusun Oleh :

Tim Dosen Electronic Health Record 1

PROGRAM STUDI D-IV REKAM MEDIK

JURUSAN KESEHATAN

POLITEKNIK NEGERI JEMBER

TAHUN 2013

NAMA MATA KULIAH : ELECTRONIC HEALTH RECORD 1

D-IV REKAM MEDIK POLITEKNIK NEGERI JEMBER

BEBAN SKS : 2 SKS

A. DESKRIPSI MATA KULIAH

Mata Mata kuliah ini mempelajari pendokumentasian catatan kesehatan secara

elektronik beserta manfaatnya pada sarana pelayanan kesehatan.

B. Tujuan Pembelajaran :

Setelah mempelajari mata kuliah ini, mahasiswa memahami pendokumentasian catatan kesehatan secara elektronik dan manfaatnya bagi pelayanan kesehatan serta beberapa aspek pendukungnya.

C. .Garis Besar Mata Ajar :

1. Mengenal register elektronik pada pelayanan kesehatan primer dan

sekunder, berikut komponen-komponennya.

2. Pendokumentasian data biomedis pada MRI, GIS, Surveilans system, dll

3. Standar Informatika di Rumah Sakit (fungsional) dan sub sistem informasi

di RS

4. Unique identification system

5. Interoperabilitas dalam informatika kesehatan

6. Rekam Medik Elektronik

7. Sistem pendukung keputusan klinis

8. Cost benefit Informatika kesehatan

9. Health Policy Plan

PRAKTIKUM : 1

MATERI : Mengenal Register Elektronik pada Pelayanan

Kesehatan Primer dan Sekunder, berikut

Komponen-Komponennya

ALOKASI WAKTU : 60 Menit

TEMPAT : Ruang Praktikum TI

Bentuk EHR pada pelayanan kesehatan primer dan sekunder meliputi :

Pelayanan kesehatan primer :

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Komponen :........................................................................................................... ....

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Pelayanan kesehatan skunder :

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Komponen : ...............................................................................................................

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Persamaan :

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Perbedaan :

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PRAKTIKUM : 2

MATERI : Pendokumentasian Data Biomedis pada EMR,

GIS, Surveilans System, dll



1. Bedakan terminologi berikut ini :

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Contoh………………………………………………………………………

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Informasi……………………………………………………………………

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Pengetahuan………………………………………………………………...

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2. Jelaskan Data Biomedis

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3. Sebutkan komponen data biomedis pada

EMR

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SIG

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Surveilans System

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Berikan contoh pendokumentasian data biomedis yang lain:

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PRAKTIKUM : 3

MATERI : Standar Informatika di Rumah Sakit (fungsional)

dan Sub Sistem Informasi di RS



1. Sebutkan standar informatika di rumah sakit (fungsional)

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2. Sebut dan jelaskan Berbagai sub sistem informasi di rumah sakit

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PRAKTIKUM : 4

MATERI : Unique Identification System



Jelaskan Unique Identification System di rumah sakit

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PRAKTIKUM : 5

MATERI : Interoperabilitas dalam Informatika kesehatan



Berikan penjelasan tentang interoperabilitas data dalam informatika kesehatan

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Bagaimana implementasi interoperabilitas data kesehatan di Indonesia

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PRAKTIKUM : 6

MATERI : Rekam Medik Elektronik



Sebutkan menu-menu pada aplikasi rekam medik elektronik !

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Apa yang membedakan antara rekam medik elektronik dan sistem informasi

kesehatan ?

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PRAKTIKUM : 7

MATERI : Sistem Pendukung Keputusan Klinis



Sistem pendukung keputusan klinis atau clinical decision support system adalah

sistem komputer yang dirancang untuk mengambil keputusan klinis bagi dokter

terhadap pasiennya. Sistem ini bertujuan untuk mengurangi kesalahan medis.

1. Jelaskan gambaran umum CDSS :

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2. Faktor apa saja yang berkorelasi utama pada pelaksanaan CDSS:

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3. Gambaran proses CDSS secara umum:

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PRAKTIKUM : 8

MATERI : Cost Benefit Informatika Kesehatan



1. Apa saja yang diperlukan untuk menghitung cost benefit implementasi sistem

informasi kesehatan ?

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2. Bagaimana cara menghitung cost benefit implementasi sistem informasi

kesehatan ?

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PRAKTIKUM : 9

MATERI : Health Policy Plan



1. Sebutkan sumber daya informatika kesehatan!

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2. Gambar dan jelaskan tahapan pengembangan Pengembangan Sistem

Teknologi Informasi Metode SDLC (System Development Life Cycle)!

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DAFTAR PUSTAKA

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Cresswell, K., Worth, A. & Sheikh, A. (2011) Implementing and adopting electronic health record systems: How actor-network theory can support evaluation. Clinical Governance: An International Journal. [Online] 16 (4), 320–336. Available from: doi:10.1108/14777271111175369 [Accessed: 15 March 2012].

Deutscher, et al. (2008) Implementing an Integrated Health Record Process to Create a Foundation for Clinical Practice Improvement. Implementating an Integrated Electronic Outcomes and Electronic Health Record Process to Create a Foundation for Clinical Practice Improvement. 88 (2), .

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Gregory, K. (2005) Implementing an electronic records management system: A public sector case study. Implementing an Electronic Records Management System A Public Sector Case Study. [Online] 15 (2), 80–85. Available from: doi:10.1108/09565690510614229 [Accessed: 17 April 2012].

Hillestad, et al. (2005) Can electronic medical record systems transform health care? Potential health benefits, savings, and costs. Health affairs (Project Hope). [Online] 24 (5), 1103–1117. Available from: doi:10.1377/hlthaff.24.5.1103 [Accessed: 3 March 2012].

Huffman, E. (1992) Health Information Management. Sydney, Record Company.

Jannah, N. (2010) Electronic Health Records (EHR): Makara UI. 1–9.

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Kementrian-Kesehatan-RI (2008) Permenkes 269 Tahun 2008 Tentang Rekam medik.

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Malinowski, E. (2009) Advanced Data Warehouse Design from Conventional to Spatial and Temporal Applications. M.J. Carey & S. Ceri (eds.). Berlin/Heidelberg, Springer-Verlag.

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Song, P.H., McAlearney, A.S., Robbins, J. & McCullough, J.S. (2011) Exploring the business case for ambulatory electronic health record system adoption. Exploring the Business Case for Ambulatory Electronic Health Record System Adoption. 56 (3), 169–80; discussion 181–2.

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Wang, S. (2003) A cost-benefit analysis of electronic medical records in primary care. A Cost-Benefit Analysis of Electronic Medical Records in Primary Care. [Online] 114 (5), 397–403. Available from: doi:10.1016/S0002-9343(03)00057-3 [Accessed: 8 March 2012].

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Chapter 1, 2, 4, 7, 10, 11, 14, 22 and 23 . O'Carroll et al 2003.

Chapter 9. System development: Health Management Information System Analysis and

developmental methodologies. Joseph Tan 2010.

Chapter 12. The electronic HealthRecord. Toni Hebda 2009

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bkpm_ehr

Documents

handheld information

electronic

clinical practice

surveilans

business case

uu ri

primary care

benefit analysis