FAKOR-FAKTOR YANG MENYEBABKAN KETIDAKLENGKAPAN PENGISIAN LEMBAR RESUME MEDIS PASIEN JKN DAN NON-JKN DI RS. MATA �Dr. Yap� YOGYAKARTA

Background: hospital health care facilities that are absolutely required by all levels of society in an effort to improve health status, both individuals and society as a whole. therefore hospitals should improve the quality of its services, including the improvement of the quality of medical records. The purpose of the medical record is to uphold the orderly administration in the context of efforts to improve health services in the hospital. Sheet medical resume is a summary or the core of the entire record of the treatment or management of medical records of the patients in the hospital, and a very important role in ensuring the quality of hospital medical implementation, especially in terms of completeness of medical record documentation. Based on early studies in hospital. Eye \"Dr. Yap\" the researchers found an incomplete medical resume sheet, while the sheet is a summary of the entire period of care and treatment of patients. Objective: To Knowing the percentage of completeness of data identification, important reports, and authentication resume sheet, to determine the factors incompleteness and efforts to improve the completeness sheet resume on file in the inpatient medical record Eye Hospital \"Dr. Yap \"Yogyakarta. Methods: type of study is a descriptive study with a qualitative approach to data collection using the technique of study documentation, interview and observation. The study design was cross-sectional. For the validation of data sources and using triangulation techniques. Using purposive sampling subjects research object while using a random sample calculations. This research was performed at the Hospital Medical Records. Eye \"Dr. Yap \"Yogyakarta. Results : Based on the studies contained documentation of patient medical resume JKN sheet complete with the percentage 71.92 % and 68.65 % NON JKN , sheet resume incomplete patient medical JKN with a percentage of 3.26 % and 1.53 % NON JKN and medical resume sheet JKN patients are not charged 24.8 % and 29.8 % NON JKN of 40 files each being analyzed . Based on interviews and observations of the causes of incompleteness contained in human resources , namely doctors , nurses . Most of the physicians who practice at the hospital . Eye \" Dr . Yap \" is a doctor , the doctor busyness in serving patients , physicians indiscipline in completing medical resume sheet , limited practice time , and doctors working in various health care . While the nurse was still less alert physicians to complete medical resume sheet also be a factor incompleteness medical resume sheet . HR factor in charging sheets on medical resume not abide by the rules , while the existing rules and is good . In addition other factors that have not been enactment of punishment and reward . The efforts made by the Installation Medical Record sheet is to verify the completeness of medical resume , medical resume sheet returns to the physician in charge , conduct meetings completeness of the medical record file and perform the communication between the officer and physician medical records