Review Of Medical Records Management System And Health Information At Kulati Health Center

Abstract

Medical records are files containing notes and documents about patient identity, examinations, treatments, actions and other services that have been provided to patients. Medical records are an important part of health services for patients now and in the future. Medical records aim to help achieve normal organization in the health management improvement graph in clinics or health centers or other health management places. The purpose of this study was to analyze the medical records and health information management system at the Kulati Health Center. The subjects in this study were 1 person in charge of medical records and 1 medical records officer at the Kulati Health Center. While the object of this study was the medical records and health information management system at the Kulati Health Center. The type of research used in this study is descriptive qualitative. The Kulati Health Center is in the good category in the medical records and health information management system. The results of this study indicate that: First, officers have good coding skills because they have attended training on coding medical records. Second, medical records are stored at the Kulati Health Center centrally, by combining outpatient and emergency medical record files. Third, Kulati Health Center has never reduced medical records, only separating active and inactive medical record files because there have been no direct medical record graduates. This makes its implementation less than optimal.