SUMMARY The effects of several modifications on TiO2 P25 in producing hydrogen from glycerol–water mixture have been investigated. Prior to further modification, TiO2 underwent hydrothermal treatment at 130°C for several hours to obtain nanotube shape. TiO2 nanotubes (TiNT) was then doped with platinum (Pt) and nitrogen (N) by employing photo‐deposition and impregnation method, respectively. SEM and XRD results showed that Pt‐N‐TiNT was successfully obtained as pure anatase crystal structure. The effects of glycerol content to photocatalytic activity of hydrogen production have also been studied, result in 50%v of glycerol as the optimum concentration correspond to the stoichiometric volume ratio of glycerol reforming. The results of photo‐production test showed that TiNT (nanotube) could enhance hydrogen generation by two times compared with unmodified P25 (nanoparticle). Meanwhile, simultaneous modification of TiNT by Pt and N dopants (Pt‐N‐TiNT) lead to activity improvement up to 13 times compared with P25. The output of this study may contribute toward finding an alternative pathway to produce H2 from renewable resources. Copyright © 2012 John Wiley & Sons, Ltd.
Pending atau sering disebut dengan unclaimed yang artinya tidak terklaim atau tertunda. Hal ini disebabkan terdapat kasus yang ditatalaksanakan di rumah sakit tersebut diragukan kesimpulan medisnya karena ketidakcocokan atau ketidaklengkapan data-datanya. Tujuan penelitian ini untuk menganalisis penyebab unclaimed berkas BPJS pasien rawat inap berdasarkan identifikasi input dan proses. Jenis penelitian ini menggunakan metode kualitatif dengan fenomenologi. Waktu penelitian dilakukan pada bulan Februari-Juli 2018 di RSU Imelda Pekerjaan Indonesia Medan. Populasi yaitu rekam medis BPJS rawat jalan yang dipending pada bulan Februari-Juli 2018 sebanyak 490 berkas. Sampel diambil secara proposional stratified random sampling yang berjumlah 83 berkas. Informan kunci berjumlah 6 orang yang terdiri dari 1 orang kepala ruangan BPJS RSU IPI,3 orang petugas koder BPJS RSU IPI dan 2 orang petugas administrasi BPJS. Data dikumpulkan melalui wawancara dan observasi. Untuk analisis data dirangkum secara deskriptif melalui reduksi data, penyajian dan penarikan kesimpulan. Hasil penelitian ini menunjukkan penyebab unclaimed berkas BPJS pasien rawat inap di Rumah Sakit Umum Imelda Pekerja Indonesia (RSU IPI) Medan adalah jumlah SDM, sarana, teknologi, perencanan berupa ketersediaan SOP, dan evaluasi. Berdasarkan 83 berkas BPJS yang terpending ada 45% berkas BPJS dikarenakan dari kesalahan pengkodingan, 22% dikarenakan dari indikasi medis dan 33% dikarenakan administrasi. Disarankan untuk pihak rumah sakit agar menambah jumlah SDM, perbaikan terhadap sarana dan teknologi, perencanaan dan evaluasi sehingga dapat menurunkan jumlah unclaimed berkas BPJS pada rumah sakit.
The implementation of medical records carried out at the puskesmas requires management in managing all existing activities with the aim of creating good health services, in accordance with procedures and guidelines. To achieve the goal of processing medical records, 5 elements of management are needed, namely man, money, material, machine, and method. The purpose of this study was to determine the management elements of man, money, material, machine, and method in the implementation of medical records carried out at the Medan Johor Health Center. This type of research uses qualitative research methods with a phenomenological approach. The study was conducted from May to July 2020. The population was all medical record officers at the Medan Johor Health Center. The research sample amounted to 5 people who were taken by saturated sampling. The research instrument is an interview guide and recorded using an audio recorder and a check list sheet for observation. The results showed that the man element was 5 people and none of them had a medical record background and had never received training, the money element was the funding obtained from JKN and APBD, the material element was that a family folder was used to store all patient forms, while the use of tracers and register books has not been used to control the borrowed files out of the storage rack, and the filling cabinet is used as a tool to store medical record files, the machine element is a primary care application to register patients, the SIMPUS application is used for reporting, the method element is Not all SOPs in medical records exist. The advice given is to provide training to medical record officers so that their officers better understand the importance of medical records.
Salah satu indikator yang harus diperhatikan oleh rumah sakit untuk meningkatkan pelayanan rumah sakit adalah efisiensi pelayanan rawat inap, terutama pada pemanfaatan tempat tidur. Dalam memantau tingkat efisiensi penggunaan tempat tidur ruang perawatan dapat dilihat dari grafik Barber Johnson berdasarkan hasil perhitungan Bed Occupancy Ratio (BOR), Average Length Of Stay (AvLOS), Turn Over Internal (TOI), Bed Turn Over (BTO). RSUD Dr. Pirngadi Medan memiliki jumlah tempat tidur di ruang rawat inap sebanyak 482 buah dan jumlah pasien sebanyak 11.558 pasien pada tahun 2018. Tujuan penelitian adalah mengetahui efisiensi penggunaan tempat tidur di ruang rawat inap berdasarkan grafik Barber Johnson. Jenis penelitian ini adalah deskriptif. Subyek penelitian adalah rekapitulasi sensus harian rawat inap di RSUD Dr. Pirngadi Medan Tahun 2018. Informan yaitu satu orang petugas rekam medis bagian pelaporan. Penelitian dilakukan pada bulan Februari sampai Agustus 2019. Pengumpulan data menggunakan teknik wawancara dan observasi. Hasil penelitian diperoleh perhitungan BOR tahun 2018 yaitu 37,50%, AvLOS yaitu 5,36 hari, TOI yaitu 9,51 hari dan BTO yaitu 24,00 kali. Nilai AvLOS sudah ideal karena memenuhi standar Barber Johnson tetapi nilai BOR, TOI dan BTO belum ideal karena belum memenuhi standar disebabkan karena jumlah pasien yang sedikit. Disarankan kepada petugas rekam medis di RSUD Dr. Pirngadi Medan agar memperhatikan kembali rumus yang digunakan dalam menghitung nilai BOR, AvLOS, TOI dan BTO serta membuat grafik Barber Johnson secara rutin setiap tahun sehingga dapat meningkatkan efesiensi dan efektifitas penggunaan tempat tidur di ruang rawat inap serta sebagai strategi perencanaan di tahun berikutnya.
Rejection of claims is one of the obstacles in the BPJS Kesehatan claim collection process. The purpose of this study was to determine the description of administrative verification on the rejection of BPJS Kesehatan patient claims at Tanjung Pura Hospital. This type of research is descriptive qualitative. The population is all BPJS patient medical record files that were rejected in June 2021 counted 135 files and BPJS Kesehatan claiming officers at Tanjung Pura Hospital, totaling 2 people. The samples of this study were the medical record files of BPJS patients who were rejected in June 2021 and the BPJS claiming officers who were taken by saturated sampling. The instruments used are check list sheets and interview guidelines. Data was collected by using documentation, observation and interview methods. Data analysis was done descriptively. The results showed that there were 123 claim files (2.9%) which were rejected by BPJS Kesehatan from 4,253 claim files submitted. The reason for the rejection of the claim file was because all of them did not pass the verification of the service administration which consisted of the absence of a DPJP signature on the resume and proof of service, no referral letter attached, no inpatient indication/order sheet, and no indication of anesthesia attached to the operation report. This incompleteness is due to the lack of thorough examination of the completeness of the medical record file by the data analysis section and the absence of SOPs in the implementation of the claim process. It is recommended to the hospital director to make an SOP for claiming BPJS Kesehatan and to the claims officer and data analysis to be more thorough in checking the completeness of the BPJS Kesehatan claim file.
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