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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.

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 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.

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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.

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 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

Abstrak: ABSTRAK SIM RS di RSU Bali Royal sudah digunakan sejak tahun 2010. Tetapi pemanfaatan SIM RS masih belum optimal. Tujuan penelitian adalah untuk mengukur efektivitas implementasi SIM RS di RSU Bali Royaldengan menggunakan indikator PIECES ( Performance, Information and data, Economics, Control and security, Efficiency, Service ) di evaluasi dari sisi Informasi yang bisa dihasilkan. Rancangan penelitian yang digunakan adalah System Assessment Method. Pengumpulan data dilakukan dengan wawancara mendalam ( Indepth Interview ) menggunakan pedoman wawancara. Berdasarkan hasil wawancara mendalam dan telaah dokumen yang telah dilakukan, didapatkan hasil kinerja SIMRS RSU Bali Royal dari sisi informasi berdasarkan performance sudah baik diketahui dari indikator throughput dan respond time, dari information sudah baik bila dinilai dari outputs, inputs serta stored data, secara economics sudah baik, dari cotrolling and security keamanan data masih kurang, dari segi efficiency informasi yang didapatkan di SIMRS sudah baik, dari segi service bahwa SIMRS RSU Bali Royal sudah baik. Saran penambahan server, penerapan elektronik rekam medis, mengintegrasikan sistem dengan peralatan yang ada, adanya log out otomatis dan pemantauan rutin implementasi SIMRS ke seluruh unit. Kata kunci: Sistem Informasi Manajemen Rumah Sakit ( SIM RS ), Efektivitas, Informasi, Metode PIECES. Hospital Management Information System ( HMIS ) in Bali Royal Hospital has been used since 2010. But the utilization of HMIS is not optimal. The purpose of this research is to measure the effectiveness of HMIS implementation in RSU Bali Royal by using PIECES indicator (Performance, Information and Data, Economics, Control and security, Efficiency, Service) from the Information that can be provided by HMIS. The research design is System Assessment Method. Data collection was done by in-depth interviews (Indepth Interview) using interview guidelines. Based on the results of in-depth interviews and data processing, the results is performance of HMIS in Bali Royal in terms of information seen from the performance is good known from the throughput and respond time indicators, from the information is good assessed from outputs, inputs and stored data, economics is good, from controlling and security data security is not good , in terms of information efficiency obtained in HMIS is good, in terms of service that HMIS Bali Royal Hospital is good. Suggestion of server addition, implementation of electronic medical record, integrate system with existing equipment, automatic logout and routine monitoring of HMIS implementation to all units Keyword : Hospital Management Information System (HMIS), effectiveness, Information, PIECES.

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Penelitian ini menganalisis piutang pasien rawat jalan dalam hal nominal, lama pembayaran dan lama pelunasan, menggunakan metode deskriptif analitik. Subyek penelitian adalah seluruh dokumen kontrak kerjasama dan 3.587 nota transaksi yang terdapat pada kartu piutang tahun 2010. Hasil penelitian, bahwa nominal piutang rawat jalan tahun 2010 sebesar Rp11.012.911.833 dengan saldo piutang yang belum tertagih hingga akhir Desember 2010 sebesar 7,3%. Rata-rata lama pembayaran 55 hari , dan lama pelunasan 76 hari. Uji statistik membuktikan adanya hubungan antara: jenis instansi dengan nominal piutang, kepemilikan modal dengan lama pembayaran, jenis instansi dengan lama pelunasan, serta ada hubungan antara kepemilikan modal dan jenis usaha terhadap lama pelunasan. Sebagai saran, diperlukan evaluasi kebijakan kredit, evaluasi kinerja instansi perusahaan penjamin, perbaikan manajemen piutang serta melanjutkan penelitian analisis faktor eksternal dan internal terkait keterlambatan pelunasan piutang di RSIJ Cempaka Putih.

This study analyzes the outpatients accounts receivables in nominal terms, the length of payments and the length of repayment using the analytical descriptive method. The subjects are all contract documents and the 3.587 memorandum containing card transaction receivables in 2010. The results, outpatient account receivables for 2010 are Rp11.012.911.833 with the balance of account receivable that have not collectible until the end of December 2010 by 7.3%. The average length of payment is 55 days, and the length of repayment is 76 days. The statistical test proves the relationship between: the types of institutions with a nominal accounts, the ownership of capital with the length of payment,the type of institution with the length of repayment, and there is also a relationship between the ownership of capital and the type of business to the length of repayment. It is suggested that credit policy evaluation, corporate guarantee agencies' performance evaluation, improve account receivable management, and continuing research of the internal and external factors related to the management of account receivable in RSIJ CempakaPutih are needed.

Abstrak: Sistem Informasi Manajemen Rumah Sakit (SIMRS) telah dilaksanakan sejak tahun2012 di RSK Dr Rivai Abdullah dan belum pernah dilakukan evaluasi terhadapsistem tersebut. Penelitian ini bertujuan untuk memperoleh evaluasi mengenaisistem informasi manajemen rumah sakit di pelayanan rawat jalan RSK Dr. RivaiAbdullah. Metodologi penelitian yang digunakan dalam penelitian ini adalahmetode penelitian kualitatif dengan pendekatan deskriptif analitik terkait SIMRS diPelayanan Rawat Jalan RSK Dr. Rivai Abdullah. Dari hasil evaluasi didapatkanbahwa belum adanya kebijakan berupa Tim Kerja SIMRS, belum adanya pedomanatau standar operasional prosedur (SOP) mengenai SIMRS, dan pelatihan hanyasekali dilakukan. RSK Dr Rivai Abdullah dalam proses persiapan pengembanganSIMRS dengan melakukan kerjasama dengan Kementerian Kesehatan. Perangkatkeras (hardware) yang ada sudah mencukupi kecuali di Poliklinik (Instalasi RawatJalan). Berdasarkan analisis PIECES (Performance, Information, Economics,Control, Efficiency, Service) dapat disimpulkan performa sudah cukup standar dantidak terlalu rumit, kecepatan pengiriman dan pengaksesan data belum cukup cepat,informasi yang ditampilkan sudah cukup baik, dari segi ekonomi tenaga teknisiSIMRS yang ada masih kurang dari jumlah minimal yang dibutuhkan, kontrol dansekuritas sudah cukup aman. Disarankan dukungan pihak manajemen lebih optimalterutama kebijakan mengenai SIMRS, pembentukan Tim Kerja SIMRS, pembuatanpedoman SIMRS, pemenuhan tenaga teknisi, terjaminnya kualitas konektivitasjaringan, diadakan pelatihan dan sosialisasi kembali mengenai SIMRS.
Kata Kunci : SIMRS, Evaluasi, Pengembangan Sistem, Analisis PIECES(Performance, Information, Economic, Control, Efficiency, Service).

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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).

Abstrak: Pengukuran kinerja rumah sakit dapat memberikan dasar yang kuat bagi penyelesaian masalah yang ada dan sangat dibutuhkan untuk peningkatan mutu pelayanan kesehatan. Tesis ini menilai kinerja RSUD Cempaka Putih menggunakan Malcolm Baldrige For Performance Excelence berdasarkan tujuh kriteria yaitu Leadership, Startegy Planning, Costumers Focus, Meassurement, analysis and Management Knowledge, Work Focus, Operation Focus dan Result. Penelitian ini adalah penelitian kualitatif dengan mengumpulkan informasi mengenai kinerja organisasi melalui wawancara mendalam, observasi, telah dokumen dan diskusi kelompok terarah. Berdasarkan hasil penelitian, dalam setiap kriteria juga dijabarkan peluang perbaikan yang dapat dilakukan oleh rumah sakit untuk meningkatkan kinerja mutu organisasi.

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Measurement of hospital performance can provide a strong foundation for solving existing problems and is needed to improve the quality of care service. This thesis assesses the quality performance of hospital organization using Malcolm Baldrige for Performance Excellence based on seven criteria: Leadership, Strategy Planning, Costumers Focus, Measurement, Analysis and Management Knowledge, Work Focus, Operation Focus and Result. This research is based on a qualitative research by collecting information about organizational performance through in-depth interviews, observation, document review, and focus group discussion. Based on the results of the study, in each criteria also elaborated opportunities for improvement that can be done by the hospital to improve the quality performance of the organization.