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D3 Medical Records & Health Information

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COMPETENCIES


KNOWLEDGE

  1. Knowledge of the quality and measurement methods of medical record data in healthcare facilities (P1PT1);

  2. Knowledge of developments in information technology, electronic data processing, data interoperability, and various health information system applications in healthcare facilities (P1PT2);

  3. Knowledge of the fundamentals of disease and procedure classification and coding for code validation and healthcare financing purposes in healthcare facilities (P2PT1);

  4. Knowledge of anatomy, physiology, and pathology to support disease classification and coding based on ICD-9-CM and ICD-10 (P2PT2);

  5. Knowledge of medical terminology to support disease classification and coding based on ICD-9-CM and ICD-10 (P2PT3);

  6. Knowledge of protection, security, and risk management to ensure data confidentiality and prevent misuse of electronic and non-electronic medical record data (P3PT1);

  7. Knowledge of management principles in coordinating and providing information required in healthcare services (P3PT2);

  8. Basic knowledge of managing data and information to produce health reports required in healthcare services (P4PT1);

  9. Knowledge of essential data sources required to process and present epidemiological information and internal and external reporting in healthcare services (P4PT2).



ATTITUDES

  1. Devotion to God Almighty and the ability to demonstrate a religious attitude (PS01);

  2. Upholding human values in carrying out duties based on religion, morals, and the code of ethics of medical record and health information professionals (PS02);

  3. Contributing to the improvement of community life quality, nation-building, state development, and the advancement of civilization based on Pancasila (PS03);

  4. Acting as a citizen who is proud of and loves the homeland, demonstrating nationalism and responsibility toward the nation and state (PS04);

  5. Respecting diversity in culture, perspectives, religion, beliefs, and the opinions or original findings of others (PS05);

  6. Working collaboratively and demonstrating social sensitivity and concern for society and the environment (PS06);

  7. Being law-abiding and disciplined in social and civic life (PS07);

  8. Internalizing academic values, norms, and ethics (PS08);

  9. Demonstrating responsibility for work within one’s area of expertise independently (PS09);

  10. Internalizing the spirit of independence, perseverance, and entrepreneurship (PS10);

  11. Being able to carry out medical record and health information practices ethically and with cultural sensitivity in accordance with the Indonesian Code of Ethics for Medical Record and Health Information Professionals (PS11);

  12. Demonstrating attitudes, behavior, and the ability to safeguard patient confidentiality and professional secrecy, and being accountable for professional actions to the profession, patients, and the wider community (PS12);

  13. Internalizing the PLUS culture in delivering medical record and health information practices (PS13).



GENERAL SKILLS

  1. Ability to complete broad-scope tasks and analyze data using various appropriate methods, whether standardized or non-standardized (PKU1);

  2. Ability to demonstrate quality and measurable performance (PKU2);

  3. Ability to solve work-related problems in accordance with the nature and context of the applied field of expertise based on logical, innovative thinking and independent responsibility for the results (PKU3);

  4. Ability to prepare accurate and valid reports on work processes and outcomes and communicate them effectively to relevant stakeholders (PKU4);

  5. Ability to collaborate, communicate, and innovate in professional work (PKU5);

  6. Ability to take responsibility for team performance achievements and supervise and evaluate tasks assigned to subordinates (PKU6);

  7. Ability to conduct self-evaluation of teams under one’s responsibility and manage professional competency development independently (PKU7);

  8. Ability to document, store, secure, and retrieve data to ensure validity and prevent plagiarism (PKU8).



SPECIFIC SKILLS

  1. Ability to ensure the quality of clinical and administrative data in the processes of registration, data distribution, data and information processing, storage (backup), and transfer of electronic medical record content (P1KK1);

  2. Ability to apply interoperability and compatibility concepts among health information systems (P1KK2);

  3. Ability to apply technology used in healthcare facilities (P1KK3);

  4. Ability to design health information systems in healthcare facilities (P1KK4);

  5. Ability to enter diagnosis and procedure codes for healthcare financing claims (P2KK1);

  6. Ability to implement disease classification and coding systems for health statistics purposes based on applicable ICD-10 and ICD-9-CM standards (P2KK2);

  7. Ability to ensure the validity of clinical data and information to support coding accuracy (P2KK3);

  8. Ability to determine mortality codes according to applicable classification standards (P2KK4);

  9. Ability to understand other classifications in coding according to applicable standards (P2KK5);

  10. Ability to collaborate with teams in implementing coding based on applicable standards (P2KK6);

  11. Ability to use coding-support and standardization applications in classification and coding processes (P2KK7);

  12. Ability to apply protection, security, and risk management to ensure data confidentiality and prevent misuse of electronic and non-electronic medical record data (P3KK1);

  13. Ability to implement transfer and disclosure procedures for electronic and non-electronic medical record content (P3KK2);

  14. Ability to collect health data and information in healthcare facilities (P4KK1);

  15. Ability to process and analyze health data and information in healthcare facilities (P4KK2);

  16. Ability to present health data and information in healthcare facilities for internal and external decision-making purposes (P4KK3);

  17. Ability to perform healthcare data mining using various analytical techniques and models on electronic medical record data to generate meaningful health information (P4KK4);

  18. Ability to plan health information system requirements, design electronic data flows, databases, and user interfaces (P3KK3).

 
 
 
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