Implementation of Technical Assistance in the Application of Medical Records in Midwifery Independent Practice (TPMB) in Simalungun and its Impact on Service Quality

Authors

  • Marice Simarmata Universitas Pembangunan Panca Budi

Keywords:

Medical Records, Independent Practice Of Midwives, Technical Assistance, Quality of Service, Simalungun

Abstract

The Independent Midwife Practice (TPMB) in Simalungun Regency plays a leading role in maternal and child health services, but still faces various obstacles in the implementation of medical records, both in terms of completeness, accuracy, and readability. This research aims to describe the context of TPMB and the challenges of implementing medical records, describe the design of technical assistance, and analyze its impact on the quality of midwifery services within the framework of the latest regulations, namely Law No. 17 of 2023 concerning Health, Permenkes No. 24 of 2022 concerning Medical Records, Permenkes No. 28 of 2017 concerning Permits and Implementation of Midwife Practices, Permenkes No. 18 of 2022 concerning the Implementation of One Data in the Health Sector through the System Health Information, and Kepmenkes HK.01.07/MENKES/1423/2022 concerning Guidelines for Variables and Meta Data in the Implementation of Electronic Medical Records. The research used a qualitative approach of case studies on several TPMBs with midwife informants, health center/agency officers, and medical record document review. Data was collected through in-depth interviews, observations, and document studies, then analyzed thematically. The results show that limited facilities, variations in documentation competencies, high workload, and lack of supervision cause medical record practices to not comply with standards and regulations. Technical assistance which includes initial assessment, focused training, supervision-mentoring, SOP drafting, and feedback audits has been proven to improve the completeness and neatness of medical records, improve the care process, strengthen the continuity of care, and support accountability and readiness for integration into health information systems. It was concluded that technical assistance is an effective strategy and in line with national regulations to improve the quality of medical records and the quality of midwifery services in TPMB, and has the potential to be replicated in other regions.

References

. Amaliah, R., & Tamri, T. (2018). Hubungan kualitas rekam medis dengan mutu pelayanan rawat jalan pasien di Poli Kebidanan RSIA Satya Bhakti di Depok tahun 2017. Jurnal Untuk Masyarakat Sehat (JUKMAS), 2(1).

. Barokah, L., Zolekhah, D., & Ilmi, L. R. (2024). Migration of Midwifery Care Documentation to Medical Records. Lentera Perawat, 5(2), 267–271.

. Donabedian, A. (1980). Explorations in Quality Assessment and Monitoring. Volume I: The Definition of Quality and Approaches to Its Assessment. Ann Arbor: Health Administration Press.

. Hansen, L., & Oktamianti, P. (2025). Implementation of Electronic Medical Records and its Implications for the Effectiveness of Health Services in Indonesia: Narrative Review. Jurnal Health Sains, 6(9). https://doi.org/10.46799/jhs.v6i9.2704

. Hossain, M. K., Sutanto, J., Handayani, P. W., Haryanto, A. A., Bhowmik, J., & Frings-Hessami, V. (2025). An Exploratory Study of Electronic Medical Record Implementation and Recordkeeping Culture: The Case of Hospitals in Indonesia. BMC Health Services Research, 25, 249. https://doi.org/10.1186/s12913-025-12399-0

. Ikawati, F. R. (2024). Efektivitas penggunaan rekam medis elektronik terhadap peningkatan kualitas pelayanan pasien di rumah sakit. Ranah Research: Journal of Multidisciplinary Research, 6(3), 288–294.

. Indonesia. (2023). Undang-Undang Republik Indonesia Nomor 17 Tahun 2023 tentang Kesehatan. Jakarta: Pemerintah Republik Indonesia.

. Karp, C., Edwards, E. M., & Tappis, H. (2024). Quality Improvement in Maternal and Reproductive Health Services. BMC Pregnancy and Childbirth, 24, 21. https://doi.org/10.1186/s12884-023-06207-y

. Kementerian Kesehatan Republik Indonesia. (2017). Peraturan Menteri Kesehatan Republik Indonesia Nomor 28 Tahun 2017 tentang Izin dan Penyelenggaraan Praktik Bidan. Jakarta: Kementerian Kesehatan RI.

. Kementerian Kesehatan Republik Indonesia. (2022a). Peraturan Menteri Kesehatan Republik Indonesia Nomor 18 Tahun 2022 tentang Penyelenggaraan Satu Data Bidang Kesehatan melalui Sistem Informasi Kesehatan. Jakarta: Kementerian Kesehatan RI.

. Kementerian Kesehatan Republik Indonesia. (2022b). Peraturan Menteri Kesehatan Republik Indonesia Nomor 24 Tahun 2022 tentang Rekam Medis. Jakarta: Kementerian Kesehatan RI.

. Kementerian Kesehatan Republik Indonesia. (2022c). Keputusan Menteri Kesehatan Republik Indonesia Nomor HK.01.07/MENKES/1423/2022 tentang Pedoman Variabel dan Meta Data pada Penyelenggaraan Rekam Medis Elektronik. Jakarta: Kementerian Kesehatan RI.

. Maryati, M., Peristiowati, Y., & Katmini, K. (2022). Determinants of Midwife Compliance in the Recording and Reporting of Maternal and Child Health Services. Journal for Quality in Public Health, 6(1), 157–163. https://doi.org/10.30994/jqph.v6i1.416

. Putri, Y. W., Saragih, T. R., & Purba, S. H. (2024). Implementasi dan dampak penggunaan sistem rekam medis elektronik (RME) pada pelayanan kesehatan. SEHATRAKYAT (Jurnal Kesehatan Masyarakat), 3(4), 255–264.

. Rahayu, A. H., Marlina, L., & Rochmawati. (2025). Midwives Readiness Factors in Maintaining Patient Confidentiality in the Digital Medical Record Era. Jurnal Kesehatan Vokasional, 10(3). https://doi.org/10.22146/jkesvo.108116

. Risneni. (2021). Buku Ajar Dokumentasi Kebidanan (Dilengkapi dengan Format dan Contoh Pendokumentasian Asuhan Kebidanan Kehamilan, Persalinan, Nifas, Bayi Baru Lahir, Bayi dan Balita, Gangguan Reproduksi dan Keluarga Berencana). Jakarta: Trans Info Media.

. Siswati, S., Ernawati, T., & Khairunnisa, M. (2024). Analisis tantangan kesiapan implementasi rekam medis elektronik di Puskesmas Kota Padang. Jurnal Kesehatan Vokasional, 9(1), 1–15.

. Wijaya, M. I. (2025). Rekam Medis: Konsep, Regulasi, dan Implementasi. Semarang: Eureka Media Aksara.

. World Health Organization. (2016). Standards for Improving Quality of Maternal and Newborn Care in Health Facilities. Geneva: WHO.

. Gladdays Naurah, Marice Simarmata, Redyanto Sidi Jambak (2024), Hak dan Privasi Pasien Rumah Sakit di Era Digitalisasi, Jurnal Coserva, 3 (12), 4798-4805,

. Irsyam Risdawati. (2024).Informed Consent dalam Praktik Medis dengan Pendekatan Nilai Keadilan. Bekasi:PT Dewangga Energi Internasional.

. Irsyam Risdawati. (2024).Pengantar Hukum Kesehatan Menavigasi Tantangan Legal Dan Etika Dalam Pelayanan Kesehatan. Bekasi:PT Dewangga Energi Internasional.

. W. Dalimunthe, I. Ismaidar, and M. Simarmata, Patient Legal Protection in the Digital Era and Study of Telemedicine Services in Indonesia DE LEGA LATA: Jurnal Ilmu Hukum.

. Kurniyawan and M. Simarmata, Penerapan Hukum Kesehatan Dalam Program Rehabilitasi Narkotika Oleh Institusi Penerima Wajib Lapor, JOURNAL OF SCIENCE AND SOCIAL RESEARCH, vol. 8, no. 2, pp. 3270–3276, 2025.

Downloads

Published

2025-10-27

Issue

2025: Proceedings of International Conference on Islamic Community Studies

Section

Articles

License

Copyright (c) 2025 Marice Simarmata

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.