Elemen Penyelenggaraan Rekam Medis Elektronik Dalam Pemenuhan Standar Akreditasi di UPTD Puskesmas Watubelah Kabupaten Cirebon

Abstract

Background: Community Health Centers as first-level service facilities are required to organize
electronic medical records (EMR) in accordance with the provisions of Minister of Health Regulation
Number 24 of 2022. The implementation of EMR is part of fulfilling accreditation standards,
specifically standard 3.8 for the implementation of medical records in criterion 3.8.1 for the
governance of the implementation of medical records.
Objective: To determine the suitability of the implementation of electronic medical records at the
UPTD Watubelah Community Health Center, Cirebon Regency based on standard 3.8 criteria 3.8.1
in assessment element 1, namely the implementation of medical records.
Method: This research used a descriptive method, with the object being the web-based ePuskesmas
Klaster application. The research instrument used a checklist and direct observation as the data
collection technique.
Results: The results of this study were that of the 10 assessment elements assessed in the
implementation of electronic medical records, 10 elements (100%) met the standards and 5 of the
contents of the 10 assessment elements (16%) did not meet the standards.

Conclusion: Non-compliance with standards due to not fulfilling the regulations of the Minister of
Health Regulation No. 24 of 2022 and KMK No. 165 of 2023. This is due to the unavailability of
features in the ePuskesmas Cluster, such as electronic signatures, cloud computing support systems
and data backups that have not been upgraded, and changes to the RME guidelines have not been
made. Adding features to the ePuskesmas Cluster application must be submitted directly to the vendor.
Currently, requests for adding features to the ePuskesmas Cluster application are no longer available.