Landasan Hukum
- Undang-Undang No.23 tahun 1996 tentang Kesehatan
- Undang-Undang No. 29 tahun 2004 Tentang Praktik Kedokteran
- Peraturan Pemerintah 10 tahun 1966 tentang Wajb Simpan Rahasia Kedokteran
- Peraturan Pemerintah 32 tahun 1996 tentang tenaga kesehatan
- Peraturan Pemerintah No. 23 tahun 2004 Tentang Badan Nasional Sertifikasi Profesi
- Inpres No.3 tahun 2003 tentang Kebijakan dan Strategi Nasional tentang E-Government
- Permenkes RI No. 269/ Menkes/Per/III/2008 Tentang Rekam Medis
- Keputusan Menteri PAN No.135/Kep/M.PAN/12/2002 Tentang Jabatan Fungsional Perekam Medis dan Angka Kreditnya
- KepMen Kominfo No.57 tahun 2003 tentang Panduan Penyusunan RIP (Rancangan Induk Pengembangan)
PARADIGMA
PARADIGMA:
serangkaian asumsi, konsep, nilai,
praktek yang berubah cara pandang dan kenyataan yang ada di masyarakat terutama
dalam disiplin intelektual
- PERUBAHAN PARADIGMA
- REKAM MEDIS (DULU)
INPUT PROSES OUTPUT
TPP MR
Processing INFORMASI
OPD MR
Analysis
IPD MR
Librarians
MR Reporting
PARADIGMA LAMA & BARU
(Gemala Hatta)
TRADISIONAL
1. RUANG: UK
2. BTK FISIK RM
3. AGRGT, TAMPILAN
4. FORM & DISAIN
5. KERAHASIAAN,MELEPAS INFORMASI
BARU (VISION 2006)
BASIS INFORMASI
DATA: Def. Item, PEMODELAN,
ADMINISTRASI, AUDIT data
SECARA ELEKTRONIS, SUMBER
DIGUNAKAN SIMULTAN,
STATISTIK, TEKNIK PEMODELAN DATA
LOGICAL DATA, REKAYASA ULANG,
PENGEMBANGAN & PENUNJANG APLIKASI
SEKURITAS, AUDIT,
PROGRAM PENGAWASAN,
NILAI RISIKO,ANALISIS,
PENCEGAHAN,
UKUR PENGAWASAN.
Perubahan Paradigma MIK
(Adaptasi dari Gemala Hatta, 2004)
- Electronic medical record EMR- EHRs
- An electronic medical record (EMR) is a medical record in digital format.
- In health informatics, an EMR is considered by some to be one of several types of EHRs(Electronic health records), but in general usage EMR and EHR are synonymous. The term has sometimes included other systems which keep track of medical information, such as the practice management system which supports the electronic medical record.
- Electronic Health record
- The Electronic Health Record (EHR) is a longitudinal electronic record of patient health information generated by one or more encounters in any care delivery setting. Included in this information are patient demographics, progress notes, problems, medications, vital signs, past medical history, immunizations, laboratory data and radiology reports. The EHR automates and streamlines the clinician's workflow. The EHR has the ability to generate a complete record of a clinical patient encounter - as well as supporting other care-related activities directly or indirectly via interface - including evidence-based decision support, quality management, and outcomes reporting.
ALASAN PENGGANTIAN
1. TERMINOLOGI BARU: INFOR KLINIS DLM
BERBAGAI FORMAT
2.EVOLUSI PERAN KA RM : TANGANI
MANAJAMEN INFOKES
3.MIK :
- FOKUS PD DATA YANKES, MANAJAMENE SUMBER INFORMASI
- ALAMIAH, STRUKTUR, TERJEMAHAN DATA KEBENTUK YG DAPT DIGUNAKAN
- KEMAJUAN KES & YANKES INDIV, MASY
4. SEBUTAN :
- KEAHLIAN MIK/HIM : AHLI MIKà ADMINISTRATOR INFORMASI KESEHATAN
- UNIT KERJA : U.K MIK
5. DAMPAK TERMINOLOGI
- ESKALASI PENDAYAGUNAAN MIK U/ KUALITAS YANKES
- PERLU SOSIALISASI !!
5 TINGKAT EVOLUSI FISIK RM
- Manajamen RM : kertas, lintas pelayanan, independen
- Scanning utk pengguna
- Sistem automatisasi : data pasien eleketronik
- Integrasi sistem pelayanan lintas wilayah: electronis
- Integrasi jaringan MIK sec elektronis
- Mengapa informasi penting ?
- Manajemen (POAC)
- Introspeksi lampau & yad
- Kepentingan pihak yankes
- Pasien
- Instansi pemberi yankes
- Pihak ke-3
- Gambar 1. Diagrammatic Representation of the interrelationships that exist among the Roles
- Sumber : AHIMA, Health Information Management Technology an Applied Aproach (Chicago: 2002), p. 12
Sumber Weblog Esa Unggul
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