Peran Pengetahuan dan Sikap Dokter dalam Ketepatan Koding Diagnosis berdasar ICD 10
DOI:
https://doi.org/10.21776/ub.jkb.2014.028.01.25Abstract
Berdasarkan data di RS X di Malang, sejak diterapkannya INA-CBG pada tahun 2009 masih terdapat ketidaksesuaian diagnosis dengan kode ICD-10. Tujuan penelitian ini untuk mengetahui peran faktor-faktor yang mempengaruhi ketepatan penulisan koding diagnosis ICD-10 oleh tenaga medis RS X di Malang. Desain penelitian ini menggunakan desain penelitian deskriptif kualitatif. Informan penelitian ini berjumlah 5 orang dengan menggunakan teknik wawancara mendalam (In depth interview) dan Focus Group Discussion (FGD). Hasil penelitian menunjukkan lemahnya pengetahuan, pemahaman dan sikap Dokter terhadap pentingnya akurasi koding diagnosis sesuai ICD 10 dalam manajemen di rumah sakit, meskipun sudah terpapar dengan pelatihan dan sosialisasi yang didukung dengan adanya prosedur standar. Rumah sakit perlu memperkuat pemahaman dan sikap positif Dokter terhadap akurasi koding diagnosis sesuai ICD yang didukung dengan mekanisme reward and punishment yang jelas
.Kata Kunci: Akurasi koding diagnosis,dokter, Â ICD 10, pengetahuan dan sikap
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References
Bowman ED and Abdelhak M. Coding Classification and Reimbursement Systems. In: Abdelhak M, Grostick S, and Hanken MA (Ed). Health Information: Management of a Strategic Resource. Philadelphia: WB Saunders Company; 2001.
Kasra K, Amrizal MN, and Syed MA. The Impact of Casemix System on Quality of Patient Care in a Class B Hospital in West Sumatera Province, Indonesia. BMC Health Service Research. 2012; 9(12): 2.
O'malley KJ, Cook KF, Price MD, Wildes KR, Hurdle JF, and Ashton CM. Measuring Diagnosis ICD Code Accuracy. Health Service Research. 2005; 40(5): 1620-1639.
Santos S, Murphy G, Baxter K, and Robinson KM. Organizational Factors Affecting the Quality of Hospital Clinical Coding. Health Information Management. 2008; 37(1): 25-37.
Rahman H, Hariyono W, dan Rosyidah. Kebijakan Pengisian Diagnosis Utama dan Keakuratan Kode Diagnosis Pada Rekam Medis Di Rumah Sakit PKU Muhammadiyah Yogyakarta. Kesehatan Masyarakat. 2011; 5(2): 162-232.
Huff G. Trainning Peer to Peer ICD 10. Journal of Ahima. 2014.
Stratton B. Supporting Time Pressed Physicians: AHIMA Launches Clinical Documentation for ICD 10 Online Trinning. (Online). http://www.ahima.org /~/media/AHIMA/Files/PR/N130814%20Press%20Release%20ICD-10%20Physician%20Training% 20FINAL.ashx
Indriani D, Kusnanto H, Mukti AG, dan Kuntoro. Sistem Pendukung Keputusan Klinis Untuk Efisiensi dalam Pelaksanaan INA CBGs. [Tesis]. Universitas Gajah Mada, Yogyakarta. 2012.
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