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Background: Digital transformation in the healthcare sector has become increasingly significant since the COVID-19 pandemic, driving the accelerated implementation of information technology, including Electronic Medical Records (RME). In Indonesia, the Ministry of Health has required all healthcare facilities, including Type C Private Hospitals, to implement RME. However, the successful implementation of RME depends not only on the existence of the system, but also on the hospital's level of digital maturity. Research Objective: This study aims to analyse the effect of digital maturity level on RME implementation in Type C Private Hospitals. Research Methodology: The research was conducted with a quantitative approach using a cross-sectional survey method of 202 health workers in Type C private hospitals. The research instrument refers to the Ministry of Health's Digital Maturity Index (DMI) with seven main dimensions, as well as five dimensions of RME implementation adapted from the Technology Acceptance Model (TAM). Data were analysed using PLS-SEM to test the validity, reliability, and relationship between variables. Research Results: The results showed that the level of digital maturity significantly influenced the success of RME implementation, with the dimensions of ‘Data Utilisation’ and ‘Availability of RME Features in health services’ being the dominant factors. This research provides a practical contribution in developing strategies to strengthen hospital digitalisation and provides input for policy makers in supporting effective and sustainable digital transformation
Saat ini rumah sakit di Indonesia mengalami perubahan sebagai dampak adanya perubahan lingkungan lokal dan global, bergeser dari lembaga sosial menjadi lembaga usaha yang berarti bahwa pengelolaannya dari not for profit menjadi for profit. Rumah sakit masa kini harus menyadari kebutuhan masyarakat yang terus berubah, kemajuan teknologi, perang antar pesaing dan turunnya kesetiaan pelanggan. Oleh karena itu, dibutuhkan Sistem Informasi Pemasaran (SIP). SIP dapat membantu rumah sakit dalam pengambilan keputusan yang tepat dan akurat. SIP terdiri dari pencatatan internal, intelijen pemasaran, riset pemasaran dan analisis pendukung keputusan. Pencatatan internal bersumber dari rekam medis dan catatan keuangan rumah sakit. Delapan elemen penting dapat dihasilkan melalui SIP yaitu: Memperoleh infomasi perubahan pasar; biaya yang diperlukan; Informasi kompetisi, perubahan kebutuhan masyarakat; Menetapkan tujuan pemasaran agar jelas dan terarah; penampilan masalah yang ada; Penentuan target pemasaran yang tepat; Gambaran implementasi dari strategi yang dibuat; Beberapa Cara dan alat promosi yang bisa dipilih; Pengukuran dan pemantauan pelaksanaan cara pemasaran. Rekam Medis sebagai data internal dapat mendukung keputusan pemasaran terhadap 4 elemen di atas atau sekitar 50% dari delapan elemen yaitu lnformasi kompetisi, perubahan kebutuhan masyarakat; Menetapkan tujuan pemasaran agar jelas dan terarah; Penampilan masalah dan pelanggan yang ada; Penentuan target pemasaran yang tepat. Di RS "A" yang sudah tersedia rekam medis elektronik kenyataannya belum optimal dijadikan basis data SIP dan laporan yang dibutuhkan oleh direktur dan wadir tidak tersedia secara rutin karena: masih dilakukan secara manual. Untuk itu perlu dirancang SIP berbasis rekam medis sehingga dapat tercapai optimalisasi manajemen pemasaran RS "A". Metode pengembangan SI yang digunakan adalah SDLC melalui tahapannya yaitu identifikasi masalah; peluang dan tujuan; penentuan syarat dan analisis kebutuhan; merancang sistem yang akan direkomendasikan; mengembangkan dan mendokumentasikan perangkat lunak; serta ujicoba dan simulasi prototipe. Hasil penelitian ini adalah diperolehnya prototipe SIP berbasis Rekam Medis yang dapat menghasilkan informasi secara rutin baik bulanan maupun tahunan dalam bentuk label, grafik dan peta guna kepentingan Direktur, Wadir Medis dan Wadir Keuangan dan Layanan Umum dalam rangka optimalisasi manajemen pemasaran RS "A" Jakarta. Beberapa indikator yang dihasilkan yaitu rata-rata kunjungan pasien RS per hari, rata-rata pasien RS per Mari, rata-rata pasien baru per hari, loyalitas pasien dan persentase pasar tertembus. Agar pelaksanaan SIP ini berjalan dengan baik dan berkelanjutan, dibutuhkan pemahaman tentang pemasaran termasuk SIP berbasis Rekam Medis oleh Unit PUP dan perlu dikembangkan Iebih lanjut analisis keputusan pemasaran berdasarkan diagnosa pasien.
Nowadays, Indonesia hospitals have many changes as the effect of local and global environmental changes, which turn from social institution into money oriented institution which means that the management is changed from not for profit becomes for profit. Recent hospitals should realize public needs which keep changing, technological advance, battle among competitors, and the decrease of customers? loyalty. That is why Marketing Information System is needed. Marketing Information System can help hospitals in taking right and accurate decisions. It contains of internal records, marketing intelligence, marketing research and decision support analysis. Internal records are taken from medical record and hospitals' financial record. Eight major elements can be produced through marketing information systems, those are: receiving of markets' changes; expenses needed; competition information, changes of publics needs; deciding clear and accurate goal of exact target markets; implementation illustration of strategy that that can be chooses; measuring and monitoring the marketing application. Medical record as the internal data can support marketing decision of 4 elements above or approximately 50% of total 8 elements which are competition information; changes of public needs: deciding clear and accurate goal of marketing; showing problems present customers; deciding exact target market. In hospital "A" where electronic medical record is already available it is not optimal to be marketing information system data based and the reports needed by the Director and Vice Director is not continuously available since it is still done manually. That is why I am needed to design marketing information system based on medical record to achieve optimal marketing management of "A" Hospital. Methodology of the development information system used is System Development Live Cycle (SDLC) through many steps which are: problem identification, opportunity and purpose; determining requirement system; developing and documenting software; and also testing and prototype simulation. This research produce marketing information systems prototype with medical record based which can produce continuous information either monthly or annually in the forms of tables, graphics and maps for the needs of the Director, Medical Vice Director, Financial Vice Director and Public Service in order to optimize the marketing management of Hospital "A" Jakarta. Some indicators produced are average of inpatient per day, outpatient per day, average new patient per day, patient loyalty and continuality and target market percentage. In order to make this marketing information system works properly, it is needed an understanding about marketing includes marketing information system with medical record based by Marketing and Development Unit and it is needed to develop further marketing decision analysis based on patient diagnose.
The study discussed the design of the development of medical records at the Avenue 8 Dental Care clinic. The clinic is located in two different locations with different types of medical records, the Jakarta Clinic uses electronic medical records and the Bintaro clinic uses manual medical records. The use of two different systems between the two clinics creates two different databases and are not interconnected so that the patient's medical record documents become separate from the development of electronic medical records at the Avenue 8 Dental Care clinic that are useful for between the two systems. The purpose of this study is to design the development of electronic medical records at the Avenue 8 Dental Care Clinic that are useful to improve the quality of service at the Avenue 8 Dental Care Clinic. This research uses qualitative methods and system design is done using the System Development Life Cycle (SDLC) stage. Data collection is done by conducting in-depth interviews and observations. The final results of this study were in the form of electronic medical records at the Avenue 8 Dental Care clinic, especially at the Bintaro clinic, which still uses manual medical records.
Background: In the hospital, ineffective information is caused by late referral and incomplete medical records. Decree of the Minister of Health No. 129/2008 of Hospital Minimum Service Standards explained this case. The standard said that medical record documents must be returned in 1x24hours and its completeness must be 100%. Nevertheless, Fatmawati Jakarta Hospital underwent an increase of late returns and incomplete inpatient medical record documents percentages. Objectives: Aims of this study are determining and identifying flow and needs of the development of an information system. Also, this study aims to design an information system for monitoring inpatient medical record documents. Methods: This study used a qualitative method, SDLC stages, and a prototype method approach. Results: There are problems in the current hospital information system. Also, it makes employees still need to do their works manually. Therefore, an inpatient medical record document monitoring information system was designed through some stages. Those are the system flow, database, user interface, OPS, and manualbook formings. Conclusions and Recommendations: The new information system provides some improvements in the hospital. Those are particularly in achievement and enhancement of quality indicators and standards. This is because it can overcome problems and produce quality reports. Also, it makes employees do their works efficiently. For recommendations, the hospital should support this development by facilities and infrastructure provision. They also need to socialize the operational procedure standard and manualbook. Then, they should do the process of testing the system to users and database maintenance efforts regularly .
