PERANCANGAN PROSEDUR KERJA DAN INSTRUKSI KERJA UNIT REKAM MEDIS DI PUSKESMAS GONDOKUSUMAN II YOGYAKARTA

Background: Medical Record is an important document of a patient that contains a history of the patient's pain. Thus requires a management and organization of medical records properly and in accordance with standard procedures (work procedures and work instructions). Management and delivery of medical records conducted by medical records personnel (medical recorder) or an administrative officer in the health service. In the case that the designer take on the issue of the absence of some work procedures and work instructions on the unit medical record that is causing some of the medical record officers doing their duties in accordance with their perception - each. At the health center II Gondokusuman Yogyakarta will also hold ISO 9001: 2008, which is a prerequisite certification is the work procedures and work instructions. Thus, the designer would like to help to design work procedures and work instructions unit medical record that does not exist is on reporting, coding, manufacture and depreciation SKM file medical records, while the existing ones are working procedure and work instructions on registration and filing. Objective: Designing work procedures and work instructions medical records in the health center II Gondokusuman Yogyakarta. Design Method: the draft is done by analyzing the medical records of activities and then plan the design needs work procedures and work instructions after the final design stage is the design and realization of acceptance of the draft plan needs through workplace procedures and work instructions. Results: The design of the working procedure coding sudahdibuatantara other diseases, work procedures depreciation medical record file, the working procedure of making a Certificate of Medical, Work procedures SP2TP Reporting, Data Entry Work Instructions to SIMPUS examination, Work Instructions Writing Diagnosis Codes to File Medical Records, Work Instructions Preparation of Certificate of Pain, Work Instructions Making Health Certificate, Certificate of Making Work Instruction Death, Work Instructions Making drug-Free Letters, Making Work Instruction List descriptions Depreciation, Making Work Instructions Minutes Depreciation, Instruction KerjaPembuatan LB 1, LB 2 KerjaPembuatan Instruction, instructions KerjaPembuatan 3 LB, 4 LB KerjaPembuatan instructions, Work Instructions W1, W2 Work Instructions, Work Instructions LT 1, LT 2 Work Instruction, Work Instructions Making LT 3. existence of this draft on the medical records coding services, creation of a medical certificate, reporting and shrinkage file medical records in the health center of Yogyakarta Gondokusuman II will follow the appropriate regulations agreed standards