Pelatihan Manajemen Rekam Medis dan Informasi Kesehatan Dasar FKTP di Puskesmas Tongguh Kabupaten Bangkalan Madura

Abstract

The medical record system includes a patient acceptance system, a medical record management syste and a statistical system. The patient reception area is the firs service gate in a health care facility. Some patients decide to seek treatment at a health care facility by considering a comfortable reception area and satisfactory staff. This Community Service activity method uses the Pre-Test, training, Post-Test and monitoring methods. Giving Pre-Test to trainees. Conduct medical record management training with an estimated time of 2 (two) days in week 5 with presentation of introductory material on medical record management.  The UPT Puskesmas Tongguh still has 1 (one) officer with a medical record educational background, causing the officers to have a high workload, even though their work is assisted by other staff who come from non-meds record educational backgrounds and have never attended medical record training. The registration and enrollment system is not yet computerized, so it takes a long time for new patients to register. There are still many who do not record when borrowing in the expedition book so that their whereabouts are often not traced when needed. The storage system at the Tongguh Health Center is centralized by uniting outpatient and inpatient medical records in one folder while the alignment system is straight numerical filing (SNF). The Tongguh Health Center has not implemented retention of active to inactive medical records due to several obstacles such as a lack of human resources and a shortage of inactive medical record storage shelves.