International Journal Papier Advance and Scientific Review

International Journal Papier Advance and Scientific Review

Analysis of the Relationship between Completeness of Completion of Medical Record Documents for Surgical Patients and Compliance with INA-CBG's Tariff Standards

Yazarlar: ["Arifah Devi Fitriani", "Asriwati Amirah", "Mei Sryendang Sitorus"]

Cilt - , Sayı Cilt 3 Sayı 1 , 2022 , Sayfalar -

Konular:-

DOI:10.47667/ijpasr.v3i1.137

Anahtar Kelimeler:INA-CBG’s,Medical Record Documents,Completeness

Özet: The aim of this study was to analyze the relationship of the completeness of the surgical inpatient medical records filling to the suitability of the INA-CBG’s Tariff Standards. The analyzed forms are the Exit Patient Summary Form (Medical Resume) Surgery Report, Anesthesia Report, Hospitalization Warrant and Diagnostic Support Examination. This study is a quantitative study with a cross sectional design. The sample size in the study was 96 medical records. The measuring instrument used was a check sheet list. Data were analyzed bivariate with Chi-square Test and multivariate with Multiple Logistic Regression Test. The results of the Bivariate Analysis obtained a completeness relationship for filling out the Surgery Report form (P-Value 0.001) Anesthesia Report (P-Value 0,000) and the Hospitalization Warrant (P-Value 0.004) with the suitability of the INA-CBG Tariff Standards, and there is no completeness relationship for filling out the Exit Patient Summary form (Medical resume) and Examination of Diagnostic Support with the suitability of INA-CBG Tariff Standards. The Multivariate Analysis revealed that the completeness of the Anesthesia Report Form is the dominant factor affecting the suitability of INA-CBG’s Tariff Standards with P (Sig) 0.006 < 0.05, Odds Ratio (OR) = 21.000, Coefficient Value B = 3.045). With this research, it is hoped that regular socialization and training will emphasize the completeness of the documents needed for claiming.


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