CONDITIONS AND BARRIERS THE IMPLEMENTATION OF HOSPITAL MANAGEMENT INFORMATION SYSTEMS (HMIS) AND ELECTRONIC MEDICAL RECORDS (EMR). ARE HOSPITALS IN EAST JAVA READY FOR DIGITAL TRANSFORMATION?

Dewa Ngakan Gde Wahyu Mahatma Putra, Dea Nela Restina Putri, Rizaldi Al Ghibran, Anggun Syafira Kinanti

Abstract


Based on the Minister of Health Regulation number 24 of 2022, all health service facilities in Indonesia including hospitals were required to implement electronic medical records before 31st December 2023. However, from 2.595 hospitals in Indonesia there were still 304 hospitals that had not implemented HMIS, and 993 hospitals had not implemented EMR. East Java has the highest number of hospitals, but most of its EMR (75.85%) have not been integrated with the SatuSehat platform. So, it is necessary to research to find out what the barriers in the application of HMIS and EMR in hospitals in East Java based on human, organizational, and technological factors. This research used the narrative literature review and thematic analysis approach to organize relevant themes and subthemes from a thorough subject reading. The results stated that barriers from human factors were: limited capabilities, knowledge, and accuracy of Hospital IT personnel in data input, development and implementation, and lack of understanding of the code of work ethics, especially in the digital sector. Barriers based on organizational factors: no regulation/SOP/policy to use HMIS and EMR, lack of training and socialization for hospital employees. Barriers based on technological factors were limited hardware, and software features, and network in HMIS and EMR implementation. Implementation of HMIS and EMR offers substantial benefits. Still, there are significant human resources, organizational, and technological challenges that must be overcome so that the implementation of HMIS and EMR can be implemented properly.


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DOI: http://dx.doi.org/10.32883/hcj.v9i2.3079

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