Efficiency of patient medical record services: An analysis of document flow at Pertamina Central Hospital in Jakarta, Indonesia

Abstract

The Medical Record Unit is often the first department to introduce the quality assurance of a hospital (WHO, 2002). The professional medical records must contain all the relevant facts needed for patient care and other uses. The medical records are assembled after the discharge of the patient to facilitate the flow of patient’s information regarding the patient’s past and present illnesses, diagnosis, treatments and outcomes (Malhotra, 2009, p.240). The main problem faced by the Medical Record Unit at Pertamina Central Hospital (Rumah Sakit Pusat Pertamina/RSPP) is due to the delay submission of the documents to the Medical Records Unit after discharge. Hence, this study will bring up the issues, particularly in the section that carries out the monitoring of medical records documentation of discharged patients. The purpose of the monitoring is to improve the quality of health services that are in harmony with the mission and vision of the hospital. The aim of this study is to examine the efficiency in handling the patient medical records in RSPP. Therefore, the most appropriate analysis is through the document flow to the Medical Record Unit. The outcomes are expected to identify the problems related to the inpatients’ medical record documents and to analyze alternative solutions for the problems encountered by monitoring the flow of inpatient's medical records document at Pertamina Central Hospital. Keywords: Hospital, Medical Record Unit, EMR, Healthcare, Indonesia.