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Hospital Management Information System (SIMRS) implementation aims to improve efficiency, effectiveness, professionalism, performance, access and services at hospitals. Information on the system is used by hospital management as a supporting tool in decision making and administration at the hospital. SIMRS evaluation is needed to understand system performance in order to help improve the quality of care and costs, as well as to determine the safety and effectiveness of SIMRS. Successful implementation of SIMRS is influenced by human factors, environmental factors, and technological factors. Evaluation method of the SIMRS benefits on human factors, organization, and technology suitability (HOT-Fit) is capable and useful in conducting a comprehensive SIMRS evaluation study. The purpose of this study was to find out the results of SIMRS implementation with analyzed using the Human Organization Technology (HOT) ? Fit model at the Sultan Muhammad Jamaludin I Hospital. This research method was a qualitative research with a descriptive approach. Informants were selected by purposive sampling as many as 6 people, consisting of 5 people from the service unit and 1 person from Information and Technology (IT) staff at the hospital. Data collection was carried out through in-depth interviews, observation, and document review. The results of the study found that in general the implementation of SIMRS at Sultan Muhammad Jamaludin I Hospital has been going well with several obstacles encountered in its implementation. Human factors indicate that the use of SIMRS has been running well and user satisfaction have been felt with the system, but there is still a lack of training in providing training to all users. Organizational factors indicate that the organizational structure and environment have supported the implementation of SIMRS, but there is no routine maintenance schedule yet and no antivirus on SIMRS computers and networks, and there is a less of computer equipment and there is no Standard Operating Procedure for SIMRS implementation in units. Technological factors, system quality is constrained by network connection disturbances caused by internet signal problems and the security features has not utilized, the quality of information is in accordance with user needs, the quality of service has be perceived as good but the guidelines and manuals for the use of SIMRS in units have not been disseminated. SIMRS Benefit Factor has shown effectiveness and efficiency for users and hospitals in its implementation. Sultan Muhammad Jamaludin I Hospital recomended to make an SOP and add computer equipment number in the implementation of SIMRS, improve training and distribute SIMRS usage modules to all employees in the unit, and implement a security system in SIMRS.
Tesis ini menganalisis faktor SDM, faktor teknis (hardware, software, dan koneksi jaringan), faktor saluran komunikasi (proses sosialisasi-pelatihan dan pendampingan), dan faktor manajemen yang berperan dalam keberhasilan sistem informasi manajemen rumah sakit di bagian keuangan RSIJ Cempaka Putih. Tesis ini merupakan penelitian kualitatif. Hasil penelitian menunjukkan kendala dari keberhasilan sistem informasi manajemen rumah sakit adalah faktor SDM tipe Laggard, faktor teknis berupa rumah sakit tidak memiliki source dari software yang digunakan dan saat awal implementasi tidak dilakukan cut-off sehingga informasi yang dihasilkan tidak valid, dan tidak adanya kebijakan manajemen dalam penghargaan dan sanksi. Disarankan agar dilakukan evaluasi terhadap user dan rotasi SDM, menempatkan SDM dengan pendidikan S1, mengerti keuangan akutansi, menguasai Microsoft Office, dan memilki tipe early majority, dilakukan cut-off, membuat kebijakan berupa pemberian penghargaan dan sanksi, serta untuk pengembangan dengan vendor supporting system agar dilakukan pembelian source software.
This thesis analyzes the human resource factors, technical factors (hardware, software, and network connections), the factor of communication channels (the process of socialization- training and mentoring), and management factors that play a role in the success of hospital information systems management in the financial section of RSIJ Cempaka Putih. This method used is qualitative research. The results showed the constraints for a successful hospital management information system are human resource factor with Laggard type, technical factors in the form of hospitals do not have the source of the software used and the cut-off is not done when initial implementation so that the resulting information is invalid, and the absence management policies in the rewards and punishments. It is recommended that an evaluation of the user and the rotation of human resources is done, placing human resource with undergraduate degree, understands financial accounting, masters Microsoft Office, and has an early majority type, made the cut-off, make policy in the form of rewards and punishments, and for development in order to contract with the vendor, including the purchase source software.
Kata Kunci : SIMRS, Evaluasi, Pengembangan Sistem, Analisis PIECES(Performance, Information, Economic, Control, Efficiency, Service).
Hospital Management Information System (SIMRS) has been implemented since2012 in RSK Dr. Rivai Abdullah and has never been evaluated. This study aims toobtain an evaluation of the SIMRS in Dr. Rivai Abdullah hospital. This is aqualitative research methods with descriptive analytical approach SIMRS in Dr.Rivai Abdullah hospital. The evaluation showed that the absence of policy such asworking team SIMRS, not yet guidelines or Standard Operational Procedure (SOP)regarding SIMRS, and training is done only once. RSK Dr. Rivai Abdullah in thepreparation process SIMRS development through cooperation with the Ministry ofHealth. Hardware is sufficient except in Poliklinik. Based on the analysis PIECES(Performance, Information, Economics, Control, Efficiency, Service) concluded theperformance was pretty standard and not too complicated, the transmission speedand data access is not fast enough, the information displayed is quite good, froman economic point of IT personnel that there is still less than the minimum amountrequired, control and security is enough secure. Suggested management supportoptimized especially regarding SIMRS policy, the establishment of the workingteam SIMRS, manufacture guidelines or SOP SIMRS, fulfillment of IT, ensuring thequality of network connectivity, training and socialization held back on SIMRS.
Keywords: SIMRS, Evaluation, Development Systems, Analysis PIECES(Performance, Information, Economics, Control, Efficiency, Service).
Tesis ini membahas perlunya RS Tugu Ibu Depok memiliki remunerasi yang baik dan dapat menjadi salah satu opsi menyelesaikan masalah kesejahteraan finansial pegawai yang kurang memadai sehingga mampu meningkatkan kinerja pegawai pada khususnya dan mutu pelayanan pada umumnya. Penelitian ini adalah penelitian kualitatif dengan desain deskriptif analitik. Pengumpulan data yang dilakukan berdasarkan hasil wawancara mendalam. Hasil yang didapat menggambarkan bahwa saat ini indikator remunerasi yang berlaku kecuali dokter adalah pendidikan dan masa kerja, jabatan yang disandang, dan risiko kerja yang berlaku untuk unit radiologi saja. Sedangkan pengembangan model remunerasi yang dapat dilakukan RS Tugu Ibu Depok 2 yaitu : tingkat kegawatdaruratan dan risiko kerja yang mencakup seluruh pegawai. Untuk dasar penetapan remunerasi diharapkan sesuai dengan ketentuan pemerintah, kemampuan finansial internal rumah sakit, dan pesaing (rumah sakit lain). Diharapkan ada penelitian selanjutnya terhadap indikator lain seperti kehadiran atau absensi.
The focus of this study is discussed the necessity for Tugu Ibu Hospital to have a good remuneration also become one of the option to solved the lack of employees financial welfare, so it could increase employees performance particulary and the standard of service generally. This research is qualitative analytical descriptive. The data were collected by in depth interview. Theresults describe that the current remuneration indicators which applicable, except the physician, are education and years of service, position, and the risk of work applicable only for radiological unit.There were 2 indicators of remuneration could be applicable on Tugu Ibu Hospital, there were : emergency level and the risk of work that cover all employees. For basic determination of remuneration is expected accordance with government regulations, hospital financial capability, and competitors (other hospitals). The researcher expect further studies on other indicators such as the presence or absence.
Sejak kebijakan SIMRS di bagian rawat jalan diimplementasikan, SIMRS di RSU Bhakti Yudha belum pernah di evaluasi. Padahal, kebijakan harus diawasi, dan salah satu mekanisme pengawasan tersebut adalah evaluasi. Berdasarkan timing implementasi (Nugroho, 2011), seharusnya evaluasi dilakukan antara tahun ke-3 atau ke-5 sejak implementasi penuh suatu kebijakan, sedangkan saat ini implementasi kebijakan SIMRS Bhakti Yudha telah mencapai tahun ke-8. Penelitian mengenai evaluasi implementasi kebijakan SIMRS di bagian rawat jalan RSU Bhakti Yudha tahun 2012 menggunakan desain kualitatif interpretatif dengan wawancara mendalam, observasi, dan telaah dokumen. Penelitian ini menggunakan informan yang berjumlah 10 orang informan dari staf pelayanan rawat jalan hingga direktur rumah sakit. Dari hasil triangulasi sumber, metode, dan analisis diperoleh hasil bahwa saat ini kualitas sistem informasi manajemen secara keseluruhan masih belum efektif. Dari analisis Fit/Gap didapatkan hanya 11% dari aplikasi software yang digunakan yang sesuai dengan kebutuhan rumah sakit, dan 56% masih mengalami kesenjangan. Pada analisis QSPM yang didahului dengan menggunakan matriks EFAS dan IFAS serta SWOT, diperoleh bahwa rekomendasi kebijakan bagi sistem informasi manajemen RSU Bhakti Yudha adalah dengan meminimalisir kelemahan internal, yaitu dengan mengganti sistem informasi yang ada dengan sistem vendor, namun dengan penetapan rumusan kebijakan akan sistem informasi manajemen terlebih dahulu. Kata kunci: Sistem Informasi Manajemen Rumah Sakit, Evaluasi, Kebijakan, Implementasi, Rekomendasi.
The implementation of management information system policy in the outpatient ward in the RSU Yudha Bhakti has never been evaluated. In fact, the policy should be monitored, and one of these control mechanisms are evaluated. Based on the timing of implementation, the evaluation should be conducted between the third or the fifth since the full implementation of a policy, while the current policy implementation of management information system Yudha Bhakti has achieved year 8. This research on the evaluation of policy implementation in the outpatient Bhakti Yudha Hospital in 2012 wasa using an interpretive qualitative design with in-depth interviews, observation, and document review. This study used 10 informants from the operational staff of outpatient services, IT manager, hospital consultant, and the director of the hospital. From the sources, methods, and analyzes triangulation, the results obtained that the current quality of management information systems as a whole is still not effective. From the analysis of Fit / Gap, the research showed thatd only 11% of software applications used in accordance with the hospital needs, and 56% still have gaps. In the analysis that preceded QSPM by using matrix EFAs and IFAs, and SWOT, this research result in the recommendation that the management of information system in the outpatient ward of Bhakti Yudha RSU need to minimize its internal weaknesses, by replacing the existing information systems with vendor development, but with the determination of policy formulation for a system of information managementi in advance. Key words: Hospital Management Information Systems, Evaluation, Policy, Implementation, Recommendations