Review Accuracy of Codefication to Support The Quality Top Ten of Disease in Cimahi Hospital

Abstract

Codefication must be implemented properly and
correctly by the rules of the International Statistical
Classification of Disease and Related Health Problems
Tenth Revision (ICD-10) because it is one source of data
that will be used for decision making to prevent mortality
due to morbidity. The purpose of this study to determine
the accuracy of inpatient morbidity codification to
support the quality of the report ten illnesses in Cimahi
Hospital in 2019. This research uses a descriptive method
with quantitative data and descriptive quantitative
research design. The population used in this study is the
inpatient medical records in particular morbidity already
codification and have multiple diagnoses in the period
from January until the Month in February 2019 with a
sample of 100 medical records. The sampling technique
used a purposive sampling method. The analysis showed
that the amount of code that is accurate as much as 23%
(23 medical records) and inaccurate by 77% (77 (seventyseven)
medical records). As for some of the factors that lead
to inaccurate diagnosis codes in Cimahi Hospital includes
policies and standard operating procedure that has not
been able to accommodate and ensure the accuracy of the
results codification. Implementation codification not by
the rules should be. Officers codification not abstracting
medical records and did not apply the classification of the
rule contained in the ICD10 book. Suggestions should be
made of technical guidelines codification and revisions
to the standard operating procedure, in addition to the
need for the application of the rules of morbidity coding
and abstraction of medical records and improved worker
performance by holding seminars and training coder,
regular meetings at least 1 (one) month to discuss the
problems and obstacles at the time of codification.