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International WebinarHealth Polytechnic of Health Ministry Tasikmalaya, 18 July 2021
Challenges and ObstaclesMedical Records andfor
Health Information Techniciansin the
TelemedicineImplementation of
Aris Susanto, A.Md.Perkes., S.T., M.MRS.
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Participants are understanding
properly
General
Challenges and Obstacles of
MRHI Technicians in The
Implementation of
Telemedicine
ObjectivesLearning
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Special
Explain about Competency
Objectiveslearning
Explain about PMIK in The
Implementation of Telemedicine
Explain about MRHI Tech./PMIK
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Topics
Competency
PMIK in The Implementation
of Telemedicine
MRHI Tech./PMIK
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Ready for the Industrial Revolution 4.0
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Yuko HarayamaExecutive Member, Council for Science, Technology and Innovation (CSTI), Cabinet Office of Japan
Society 5.0 is an initiative merging the physical space (real world) and
cyberspace by leveraging ICT to its fullest, where we are proposing an ideal
form of our future society: a ‘super smart society’
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COMPETENCE
• Sufficient knowledge, psychomotor,
communication and decision-making skills and attitudes to enable the performance of actions and specific tasks to a defined level of proficiency.
COMPETENT
• The successful demonstration of essential knowledge, skills, attitudes and professional behaviour on a specific task, action or function in the work setting.
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INDUSTRY 4.0 COMPETENCE FRAMEWORK
Fitsilis, P. et al. “INDUSTRY 4.0: REQUIRED PERSONNEL COMPETENCES.” (2018).linktr.ee/riz_es
HEALTH WORKERSLAW OF THE REPUBLIC OF INDONESIA NUMBER 36 of 2014 ABOUT HEALTH WORKERS
Article 11
1) Health Workers are grouped into:a) medical personnel;
b) clinical psychology personnel;
c) nursing personnel;
d) midwifery personnel;
e) pharmacy personnel;
f) community health workers;
g) environmental health personnel;
h) nutritionist;
i) Physical therapist;
j) medical technician personnel; k) biomedical engineering personnel;
l) traditional health workers; and
m) other health professionals linktr.ee/riz_es
Medical Records and Health Information Technician
Medical Records and Health Information Technician is a person who has PASSED Medical Record and Health Information Education in accordance
with the provisions of the legislation(Decree of the Minister of Health of the Republic of Indonesia Number 312 of 2020)
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INTERNATIONAL STANDARD CLASSIFICATION OF
OCCUPATIONSISCO-08
MEDICAL RECORDS AND HEALTH INFORMATION
TECHNICIANS
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MEDICAL RECORDS AND HEALTH
INFORMATION TECHNICIANS,
just called
MRHITs ➔ Mister Hits ☺linktr.ee/riz_es
PROFESSIONAL STANDARDS
of MRHITs
Decree of the Minister of Health of the Republic of Indonesia Number 312 of 2020linktr.ee/riz_es
Decree of
the Minister of Health of the
Republic of Indonesia Number
312 of 2020 regarding
Medical Records and
Health Information
Professional Standards
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MRHITs COMPETENCE1. High Professionalism, Ethics and Legal
2. Self-Awareness and Self-Development
3. Effective Communication
4. Management of Health Data and Information
5. Clinical Classification, Codification of Diseases and Related Health Problems and Clinical Procedures
6. Application of Health Statistics, Basic Epidemiology, and Biomedic
7. Management of Medical Record and Health Information
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Manage of health
data and
information.
Use of the health
information system in
the management of
health data.
Utilization of data
and information to
support health
services.
Design of
health data
standards.
Management ofHealth Data and Information
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MANAGEMENT OF MEDICAL RECORD AND HEALTH INFORMATION
2Processing of data on health services and
programs manually and electronically
Presenting of data on health services and
programs manually and electronically
Data analysis of health services and
programs manually and electronically
Data utilization of health service and
programs as information/input for decision making
Management of MRHI services in health
care facilities
3
4
5
6
7Management of MRHI services in all
health facilities
1Collecting data on health services and
programs manually and electronically
8 Quality management of MRHI servicelinktr.ee/riz_es
Regulation of the Minister of Health of the Republic of Indonesia Number 269 of 2008
MEDICALRECORD
Medical Record is a file that
contains records and
documents regarding the
patient identity, examinations,
treatment, actions and other
services that have been
provided to patients.
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Management of Medical Record and Health Information (MRHI) Services is the activity of keeping, maintaining and serving medical records both manually and electronically to presenting health information in hospitals, clinical doctor practices, health insurance, health care facilities and others who provide health services and maintain records.
Regulation of the Minister of Health of the Republic of Indonesia Number 55 of 2013
Article 1 Paragraph 3
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MR HITs Rolein implementation
of Telemedicine
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Live Seed Streamer
•480p / SD / DVD Quality = Minimium 3 Mbps + audio 160 kbps•720p / HD Quality = Minimum 5 Mbps + audio 160 kbps•1080p / Full HD Quality = Minimum 7 Mbps + audio 160 kbps
•4k / Ultra HD Quality = Minimum 25 Mbps + audio 160 kbps
The above recommendations are based on testing using Facebook Live, Instagram Live, Twitch Live and others.
https://www.nusa.net.id/kb/berapa-besar-kecepatan-internet-yang-saya-butuhkan/
How much internet speed
do we need?
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Kepmenkes RI Nomor 4829 tahun 2021
Replaced by
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Article 7
Paragraph 1
Doctors and Dentists whomedical practice, through
Telemedicine, are required tomake medical records.
Regulation of the Medical Council of the Republic of Indonesia number 74 of 2020 concerning CLINICAL AUTHORITY AND MEDICAL PRACTICE
THROUGH TELEMEDICINE DURING COVID-19 IN INDONESIA
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Article 7
Paragraph 2
The medical record as referred to in paragraph (1) may be in the
form of a manual medical record in written form, or anelectronic medical record in the form of a transcript, for
each patient and stored at the Health Facilities in accordancewith the provisions of the legislation.
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MEDICAL RECORDPHILOSOPHY
ALFRED
AIR
dministration
egal
inancial
esearch
ducation
ocumentation
ccurate
nformative
esponsibility linktr.ee/riz_es
People
TechnologyProcess
SECURITY
3 SUB COMPONENTSDATA SECURITY
Wagner, Lew, 2002
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Desla Rene MancillaVice President, Academic Affairs and Certification Services,AHIMA
HIM professionals play a key role in determining the design and structure of electronic patient
record system (such as System Selection and Data Validation)
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Summary of recommendations onDigital Interventions forHealth SystemStrengthening
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WHO recommends the use of client-to-provider
telemedicine to complement, rather than replace, the delivery of health services and in
settings where patient safety, privacy, traceability, accountability and security can be monitored.
(Recommended only in specific contexts or conditions)
Availability of human resources for health (Client-to-provider Telemedicine)
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Designing what health data standards are required by the latest health services (such as designing data elements, data sets, databases, structures, and contents of health data)
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Managing health data and information, one of which is designing and implementing
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https://th.bing.com/th/id/OIP.iCQ7K1-5ZAYjdYCZ2xKNDAHaFj?pid=ImgDet&rs=1
manage quality medical record services according to the system flow to ensure
medical records are available when needed for manual, hybrid and electronic patient care
in health care facilities
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Maintain privacy, security and confidentiality of health data and information
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MRHITs are not involved in the planning process (include health care information system planning)
Insufficient/unavailable MRHI staff
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• The changing health information system especially in Indonesia
• Not yet integrated between telemedicine applications with medical records (manual or electronic)
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• The MRHI Department room is not standard and the location is not strategic.
• MRHI Department is assumed to be a work unit that does not generate income, so it gets less attention from the leader or owner.
• Mobile MRHI room.• The distance from the service unit is far
apart so that the provision of MRHI is late
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Quality of health services through telemedicine implemented in medical records
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• Not a formal certification or assessment of the quality or outcomes of a telemedicine program
• Not an accreditation or credentialing process for telemedicine
related to quality in care delivery
• No guarantee for meeting a certain clinical quality and outcome standards
• Does not incorporate external factors such as reimbursement, legal and regulatory federal and state policy as an indicator of maturity
• The lack of guidance and supervision of the implementation of
telemedicine service guidelines during the COVID-19 pandemic is carried out by the Ministry of Health, provincial health offices, and district/city health offices.
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although telemedicine makes delivery of health services easier but there must be an arrangement in which patient safety, privacy, traceability, accountability and security can be monitored
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ensure that medical records in
telemedicine services
are still made because they are one of
the evidence of service and history of subsequent patient treatment
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“NO DOCUMENTATION,
YOU DO NOTHING"
- Djoti Atmodjo -(Executive Secretary ofIndonesian Commission on Accreditation of Hospital)
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Good medical records – whether electronic
or handwritten – are essential for the
continuity of care of your patients.
Adequate medical records enable you or
somebody else to reconstruct the essential
parts of each patient contact without
reference to memory.
https://www.medicalprotection.org/uk/articles/eng-medical-records
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ArisTrainer, Lecturer, HIM Competetion Judges Head of West Java Regional Leadership Council @ Indonesian Professionals on Medical Records and Health Information Organization (PORMIKI)Team of Hospital Information System Integration, Medical Records Manager @ Pindad HospitalTeam of Monitoring and Evaluating Electronic Medical
Records Assesment @ Indonesian Health MinistryVerifier of Indonesian Standard Work Competencies on Medical Records and Health InformationCompiler of Competency Standard on Medical Records and Health Information TechniciansCEO of Jendela RMIKdigiSEKRE Founder
Kanglinktr.ee/riz_es
arissusantocoder.com
Aris Susanto Coder
@riz_es
Aris Susanto
@riz_es
arissusanto
Aris Susanto, A.Md.Perkes., S.T., M.MRS.linktr.ee/riz_es
