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Khalida Hilwa; Pembimbing: Besral; Penguji: Artha Prabawa, Dhafina Nurmalina
Abstrak:
Skripsi ini membahas tentang rancangan pengembangan rekam medis di klinik Avenue 8 Dental Care. Klinik ini berada di dua lokasi berbeda dengan jenis pencatatan rekam medis berbeda, Klinik Jakarta menggunakan rekam medis elektronik dan klinik Bintaro menggunakan rekam medis manual. Penggunaan dua sistem yang berbeda antara dua klinik menciptakan dua database berbeda dan tidak saling terhubung sehingga dokumen rekam medis pasien menjadi terpisah diantara kedua sistem. Tujuan dari skripsi ini adalah membuat rancangan pengembangan rekam medis elektronik di klinik Avenue 8 Dental Care yang bermanfaat untuk meningkatkan mutu pelayanan di Klinik Avenue 8 Dental Care. Penelitian ini menggunakan metode kualitatif dan rancangan sistem dilakukan dengan menggunakan tahapan System Development Life Cycle (SDLC). Pengumpulan data dilakukan dengan melakukan wawancara mendalam dan observasi. Hasil akhir penelitian ini berupa rancangan rekam medis elektronik di klinik Avenue 8 Dental Care terutama di klinik Bintaro yang masih menggunakan rekam medis manual.
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.
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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.
S-11828
Depok : FKM UI, 2025
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Yesti Mulia Eryani; Pembimbing: Pujiyanti; Penguji:
Abstrak:
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Latar belakang: Perkembangan teknologi informasi di bidang kesehatan telah mendorong rumah sakit untuk menyelenggarakan Rekam Medis Elektronik (RME) guna meningkatkan mutu pelayanan, efisiensi kerja, dan keselamatan pasien. Kerangka PIECES merupakan kerangka kerja yang mengklasifikasikan masalah, peluang, dan arahan menjadi 6 kategori yang dapat memberikan panduan yang komprehensif dan seluruh faktor penting diperhatikan dalam melakukan evaluasi sehingga dapat diidentifikasi area-area yang membutuhkan perbaikan dan dapat mengukur dampak terhadap organisasi secara menyeluruh dalam evaluasi sistem RME. Penerapan RME di RS Andhika berjalan sejak 2022 namun sampai saat ini belum berjalan maksimal dan masih ditemukan kendala dalam pelaksanaannya seperti formulir yang tidak lengkap, hak akses staf tidak aktif masih ada, adanya dobel rekam medis dan capaian pengisian rekam medis di RS Andhika baru mencapai 93% dengan standar 100%. Tujuan: Penelitian ini bertujuan untuk menganalisis penerapan RME di RSU Andhika Jakarta Selatan menggunakan metode PIECES yang mencakup enam aspek terdiri dari Performance, Information and Data, Economics, Control and Security, Efficiency, dan Service. Metode: Penelitian ini merupakan penelitian kualitatif dengan teknik pengumpulan data dilakukan melalui observasi, wawancara mendalam serta telaah dokumen. Hasil: Hasil menunjukkan bahwa pada aspek Performance, sistem RME telah memberikan informasi yang cukup tetapi masih ditemukan kendala teknis dan kelengkapan data. Information and Data dinilai cukup informatif namun fleksibilitas dan kesesuaian data dengan kebutuhan masih perlu ditingkatkan. Pada aspek Economics, ditemukan tantangan terkait keterbatasan integrasi dan tingginya biaya operasional. Control and Security sudah mengatur hak akses, namun masih ditemukan kelemahan dalam autentikasi pengguna. Efficiency menunjukkan sistem cukup mudah dipelajari namun tidak memberi notifikasi kesalahan. Aspek Service menunjukkan akurasi cukup baik, namun masih terdapat ketidakkonsistenan data di beberapa jenis data. Kesimpulan: Penerapan RME di RS Andhika saat ini belum optimal yang masih diperlukan perbaikan dalam setiap aspek yang mempengaruhi dilihat dari segi Performance, Information and Data, Economic, Control and Security, Efficiency, dan Service dengan melakukan perencanaan, evaluasi, dan monitoring dalam penerapan rekam medis elektronik serta berupaya untuk selalu melakukan perbaikan.
Background: The development of information technology in the health sector has encouraged hospitals to organize Electronic Medical Records (EMR) to improve reciprocal services, work efficiency, and patient safety. The PIECES framework is a framework that classifies problems, opportunities, and directions into 6 categories that can provide comprehensive guidance and all important factors are considered in conducting evaluations so that areas that need improvement can be identified and the impact on the organization as a whole can be measured in the EMR evaluation system. The implementation of EMR at Andhika Hospital has been running since 2022, but until now it has not been running optimally and there are still obstacles in its implementation such as incomplete forms, inactive staff access rights still exist, there are double medical records and the achievement of filling in medical records at Andhika Hospital has only reached 93% with a standard of 100%. Purpose: This study aims to analyze the implementation of EMR at Andhika Hospital, South Jakarta using the PIECES method which includes six aspects consisting of Performance, Information and Data, Economics, Control and Security, Efficiency, and Service. Method: This study is a qualitative study with data collection techniques carried out through observation, in-depth interviews and document review. Results: The results show that in the Performance aspect, the RME system has provided sufficient information but there are still technical constraints and data completeness. Information and Data are considered quite informative but anxiety and alignment of data with needs still need to be improved. In the Economic aspect, challenges were found related to limited integration and high operational costs. Control and Security have regulated access rights, but there are still weaknesses in user authentication. Efficiency shows that the system is quite easy to learn but does not provide error notifications. The Service aspect shows fairly good accuracy, but there is still data inconsistency in several types of data. Conclusion: The implementation of RME at Andhika Hospital is currently not optimal and still needs improvement in every aspect that affects it in terms of Performance, Information and Data, Economic, Control and Security, Efficiency, and Service by planning, evaluating, and monitoring in the implementation of electronic medical records and trying to always make improvements.
B-2534
Depok : FKM UI, 2025
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Khairunnisa Callista Ardinigrum; Pembimbing: Masyitoh; Penguji: Popy Yuniar, Novita Dwi Istanti
Abstrak:
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Satu Sehat sebagai platform integrasi data akan memiliki kemampuan interoperabilitas berbasis rekam medis elektronik (RME). Peraturan Menteri Kesehatan Nomor 24 Tahun 2022 mengintruksikan seluruh rumah sakit untuk dapat mengimplementasikan RME yang sesuai standar interoperabilitas yang dirilis pemerintah. Rumah Sakit Bhayangkara Tk. I R. Said Sukanto masih mempersiapkan RME yang terintegrasi baik dalam internal pelayanan maupun Satu Sehat. Penilaian kesiapan diperlukan untuk mengidentifikasi kendala dan optimalisasi implementasi RME. Penelitian ini ditujukan untuk mengetahui dan menganalisis kesiapan rumah sakit dalam mengimplementasikan Rekam Medis Elektronik (RME) dalam mendukung Satu Sehat meninjau aspek budaya organisasi, manajemen dan kepemimpinan, operasional, dan teknis. Metode penelitian yang dilakukan adalah penelitihan kualitatif dengan pengumpulan data melalui wawancara mendalam, observasi, telaah data sekunder, dan focus group discussion. Hasil penelitian ini menemukan bahwa secara keseluruhan rumah sakit siap dalam mengimplementasikan RME yang dapat terintegrasi dengan Satu Sehat dari keempat aspek tersebut serta telah terdafar pada Satu Sehat. Meski demikian, terdapat bebeapa hal yang dapat ditingkatkan dalam implementasi RME diantaranya, penyusunan dan pendokumentasian SPO dan alur kerja RME, penambahan tenaga IT dan rekam medis, sosialisasi KLPRM, pembaharuan buku pedoman RME, penyusunan blue print manajemen TI, mitigasi risiko downtime, serta penyusunan KPI yang mengevaluasi vendor.
Satu Sehat as a data integration platform will have interoperability capabilities based on electronic medical records (RME). Minister of Health Regulation No. 24 of 2022 instructs all hospitals to be able to implement RME that complies with interoperability standards released by the government. Bhayangkara Tk. I R. Said Sukanto Hospital is still preparing an integrated RME in both internal services and Satu Sehat. Readiness assessment is needed to identify obstacles and optimize EMR implementation. This study aimed to determine and analyze the hospital's readiness to implement Electronic Medical Records (EMR) in supporting Satu Sehat by reviewing aspects of organizational culture, management and leadership, operational, and technical. The research method used was qualitative research with data collection through in-depth interviews, observation, secondary data review, and focus group discussions. The results of this study found that overall the hospital is ready to implement RME that can be integrated with Satu Sehat from all four aspects and has been registered with Satu Sehat. However, there are several things that can be improved in the implementation of RME, including the preparation and documentation of SOP and RME workflows, the addition of IT and medical records personnel, socialization of KLPRM, updating the RME guidebook, preparing an IT management blue print, mitigating downtime risks, and preparing KPIs that evaluate vendors.
S-11538
Depok : FKM-UI, 2024
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Pek Vania Mugland Devi; Pembimbing: Wiku Bakti Bawono Adisasmito; Penguji: Wachyu Sulistiadi, Purnawan Junadi, Sri Amrini, Agus Rahmanto
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Penelitian ini bertujuan untuk menganalisis kesiapan penerapan rekam medis elektronik di RSUD Beriman Balikpapan dengan metode ITPOSMO. Sampel penelitian 94 pegawai RSUD Beriman Balikpapan. Penelitian ini merupakan penelitian mixed method dengan data kuantitatif yang juga didukung dengan wawancara, kajian data dan observasi. Analisis menunjukkan bahwa kesenjangan terbesar pada dimensi processes, kemudian diikuti oleh management systems and structures, technology, staffing and skills, information, other resources, dan objective and value. Dari hasil penelitian juga didapatkan Overall rating yang diperoleh adalah 24,03. Nilai tersebut masuk ke dalam kategori 15 – 28 pada tabel overall rating yang menyatakan bahwa implementasi RME di RSUD kemungkinan hanya berhasil sebagian, dan mungkin akan terus demikian kecuali mengambil tindakan untuk menutup kesenjangan antara design system oleh Kemenkes dengan kondisi realitas yang ada. Kesimpulan, hasil kesenjangan antara realita pada RSUD dan desain oleh Kemenkes secara adalah 24,03 dimana implementasi RME di RSUD kemungkinan hanya berhasil sebagian dan perlunya tindakan lanjut untuk menutup kesenjangan yang ada. Kesiapan RSUD untuk penerapan RME dan terintegrasi dengan Platform SATUSEHAT hanya siap sampai fase pertama dan belum siap untuk fase selanjutnya. Faktor kegagalan di 7 dimensi masih banyak ditemukan dan lebih besar dibandingkan faktor keberhasilan disetiap dimensinya. Langkah strategis dan rekomendasi untuk rumah sakit berdasarkan kerangka ITPOSMO antara lain Aspek Human (penguatan SDM dan sosialisasi), Aspek Teknis (penyusunan SOP dan Standar Terminologi, Memperkuat keamanan data dan optimalisasi Perangkat Keras), dan Aspek Organisasi (Melibatkan Stakeholder dan Pembentukan Tim percepatan, Evaluasi dan Perbaikan berkelanjutan).
This study aims to analyze the readiness to implement electronic medical records at the Beriman Hospital in Balikpapan using the ITPOSMO method. The research sample was 94 employees of RSUD Beriman Balikpapan. This research is a mixed method research with quantitative data which is also supported by interviews, data studies and observations. The analysis shows that the biggest gap is in the processes dimension, followed by management systems and structures, technology, staffing and skills, information, other resources, and objectives and values. From the research results, the overall rating obtained was 24.03. This value falls into the 15 – 28 category in the overall rating table which states that the implementation of RME in RSUD is likely to only be partially successful, and may continue to be so unless action is taken to close the gap between the system design by the Ministry of Health and the existing reality conditions. In conclusion, the gap between the reality in RSUD and the design by the Ministry of Health is 24.03, where the implementation of RME in RSUD is likely only partially successful and further action is needed to close the existing gap. RSUD's readiness to implement RME and integrate with the SATUSEHAT Platform is only ready for the first phase and is not ready for the next phase. Failure factors in the 7 dimensions are still widely found and are greater than success factors in each dimension. Strategic steps and recommendations for hospitals based on the ITPOSMO framework include Human Aspects (strengthening human resources and socialization), Technical Aspects (preparation of SOPs and Terminology Standards, Strengthening data security and optimizing Hardware), and Organizational Aspects (Involving Stakeholders and Forming Acceleration Teams, Continuous Evaluation and Improvement).
B-2444
Depok : FKM-UI, 2024
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Afni Fatmasari; Pembimbing: Mardiati Nadjib; Penguji: Puput Oktamianti, Tris Eryando, Tulus Muladiyono, Setiaji
Abstrak:
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Rekam Medis Elektronik (RME) merupakan sistem informasi elektronik yang bertujuan untuk mengumpulkan, menyimpan, memroses, dan mengakses data catatan medis pasien secara elektronik. Rumah Sakit Umum Daerah (RSUD) Serpong Utara mulai menerapkan RME sejak Agustus 2023, namun belum semua unit menerapkan RME secara penuh. Untuk meningkatkan penggunaan RME, RSUD Serpong Utara perlu melakukan evaluasi penerapan RME. Studi ini bertujuan untuk mengevaluasi penerapan RME di RSUD Serpong Utara berbasiskan model Human, Organization, Technology Fit (HOT-Fit). Penelitian ini mengadopsi metode campuran (mixed method) dengan pendekatan kuantitatif melalui survei kuesioner dengan 131 responden, sementara pendekatan kualitatif melalui wawancara semi terstruktur yang melibatkan 6 informan. Data kuantitatif dianalisis dengan metode partial least square-structural equation modeling (PLS-SEM) sedangkan data kualitatif dianalisis dengan metode analisis tematik. Hasil penelitian menunjukkan terdapat hubungan bermakna antara teknologi dengan manusia dan organisasi, hubungan yang bermakna antara organisasi dengan manfaat, namun tidak terdapat hubungan yang bermakna antara manusia dengan manfaat. Penelitian ini mengimplikasikan bahwa penerapan RME di RSUD Serpong Utara masih perlu ditingkatkan agar dapat memaksimalkan manfaat yang diperoleh dengan memperhatikan aspek manusia seperti penguatan pelatihan dan tenaga ahli, aspek teknologi seperti perbaikan pada dukungan teknis, serta aspek organisasi seperti fasilitas pendukung RME.
Electronic Medical Records (EMDR) is an electronic information system that aims to collect, store, process, and access patient medical record data electronically. Serpong Utara Regional General Hospital (RSUD) has started implementing EMR since August 2023, but not all units have fully implemented EMR. To increase the use of EMR, RSUD Serpong Utara needs to evaluate the implementation of EMR. This study aims to evaluate the implementation of EMR at RSUD Serpong Utara based on the Human, Organization, Technology Fit (HOT-Fit) model. This study adopted a mixed method with a quantitative approach through a questionnaire survey with 131 respondents, while a qualitative approach through semi-structured interviews involving 6 informants. Quantitative data were analyzed using the partial least square-structural equation modeling (PLS-SEM) method while qualitative data were analyzed using the thematic analysis method. The results of the study showed that there was a meaningful relationship between technology and humans and organizations, a meaningful relationship between organizations and benefits, but there was no meaningful relationship between humans and benefits. This study implies that the implementation of RME at RSUD Serpong Utara still needs to be improved in order to maximize the benefits obtained by paying attention to human aspects such as strengthening training and experts, technological aspects such as improvements in technical support, and organizational aspects such as RME supporting facilities.
B-2502
Depok : FKM UI, 2025
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Afiana Salma Andhani; Pembimbing: Septiara Putri; Penguji: Amal Chalik Sjaaf, Kesumadewi
Abstrak:
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Dalam rangka mengoptimalkan penerapan RME di Indonesia, pemerintah mewajibkan seluruh fasilitas kesehatan di Indonesia menerapkan dan mengintegrasikan sistem RME dengan platform nasional SATUSEHAT. Hingga saat ini, belum diketahui bagaimana penerapan RME di suatu fasilitas kesehatan setelah menggunakan sistem RME yang telah terintegrasi dengan SATUSEHAT, terutama dari sisi petugas sebagai pengguna. Oleh sebab itu, penelitian ini dilakukan dengan tujuan mengetahui penerapan RME yang terintegrasi dengan platform SATUSEHAT berdasarkan persepsi petugas pelaksana di salah satu rumah sakit yang telah terkoneksi dengan SATUSEHAT, yaitu RS Fatmawati melalui RME Transmedic. Penelitian menggunakan desain penelitian kualitatif dengan mengadopsi metode UTAUT (Unified Theory of Acceptance and Use of Technology). Data penelitian diperoleh melalui wawancara mendalam, observasi, dan telaah dokumen. Penelitian memperoleh hasil bahwa penerapan RME Transmedic di RS Fatmawati belum optimal. Hal ini disebabkan petugas masih mempelajari sistem dan terdapat kendala yang sering dihadapi oleh petugas. Mayoritas kendala menyita waktu petugas sehingga efisiensi waktu kerja petugas menurun. Penurunan efisiensi waktu ini mempengaruhi produktivitas dan sikap petugas terhadap penerimaan RME secara sukarela. Meski begitu, kondisi sosial dan fasilitas di RS Fatmawati telah memberikan dukungan yang cukup positif terhadap penerapan RME. Hanya saja, masih terdapat beberapa kendala yang perlu diselesaikan dan beberapa kebutuhan yang perlu diadakan, salah satunya pelatihan rutin. Melalui penelitian ini, diharapkan pihak Transmedic mampu menyelesaikan kendala dan melengkapi fitur yang sudah ada maupun belum ada serta pihak RS Fatmawati memberikan pelatihan rutin guna meningkatkan pengetahuan dan kompetensi petugas.
To optimize the implementation of Electronic Medical Records (EMR) in Indonesia, the government has mandated that all healthcare facilities in Indonesia implement and integrate the RME system with the national SATUSEHAT platform. However, it is unclear how EMR is applied in a healthcare facility after integrating the system with SATUSEHAT, particularly from the perspective of staff as users. Therefore, this study aims to understand the implementation of EMR integrated with the SATUSEHAT platform based on the perceptions of staff at a hospital connected to SATUSEHAT, specifically Fatmawati Hospital through the Transmedic EMR system. This research employs a qualitative design adopting the Unified Theory of Acceptance and Use of Technology (UTAUT) method. Data were collected through in-depth interviews, observations, and document analysis. The study found that the implementation of the Transmedic EMR at Fatmawati Hospital is not yet optimal. This is due to the staff still familiarizing themselves with the system and frequently encountering obstacles. Most of these obstacles consume the staff’s time, thereby reducing their work efficiency. This decrease in efficiency affects the staff’s productivity and their voluntary acceptance of the EMR. Despite this, the social and facility conditions at Fatmawati Hospital provide positive support for the EMR implementation. However, several issues need to be resolved, and certain needs must be met, including routine training sessions. This study hopes that Transmedic can address the issues and enhance the existing and missing features, and Fatmawati Hospital can provide regular training to improve the staff’s knowledge and competence.
S-11587
Depok : FKM-UI, 2024
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Atikah Khairunnisa; Pembimbing: Wiku Bakti Bawono Adisasmito; Penguji: Amal Chalik Sjaaf, Ascobat Gani, Vika Wahyudi Anggiri, Fikri Firdaus
Abstrak:
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Rekam Medis Elektronik merupakan salah satu upaya untuk memperbaiki permasalahan terkait fragmentasi data di Indonesia. Kementerian Kesehatan melalui Permenkes No. 24 Tahun 2022 telah mewajibkan seluruh fasilitas pelayanan kesehatan untuk mengimplementasikan rekam medis elektronik terintegrasi dengan batas waktu 31 Desember 2023. Hingga saat ini terdapat 4.000 Puskesmas yang belum mengimplementasikan RME sesuai peraturan dari 10.200 Puskesmas sasaran. Salah satu penyebab yaitu kurangnya kesiapan sumber daya manusia (SDM) yang terlibat. Padahal RME dipercaya menjadi salah satu perkembangan teknologi informasi yang sangat penting dalam peningkatan kualitas pelayanan kesehatan. Penelitian dilakukan menggunakan metode kualitatif dengan jenis studi deskriptif. Informan penelitian ditentukan dengan metode purposive sampling yang terdiri dari DTO Kemenkes, Kepala Puskesmas, Tenaga Kesehatan dan Penanggung Jawab Rekam Medis. Data yang dikumpulkan berupa data primer meliputi hasil pengumpulan data dan data sekunder melalui telaah dokumen. Hasil penelitian menunjukkan bahwa SDM di lokasi penelitian telah siap dari segi pengetahuan, keterlibatan, manajemen dan keselarasan organisasi. Namun, Puskesmas diketahui belum siap dalam aspek keuangan, teknologi, operasional. Kesimpulan penelitian adalah dibutuhkan langkah strategi yang tepat untuk melakukan pengelolaan RME yang interoperabel dan meningkatkan kualitasnya secara berkelanjutan.
Electronic Medical Records (EMR) are one of the efforts to address the issue of data fragmentation in Indonesia. The Ministry of Health, through Ministerial Regulation No. 24 of 2022, has mandated all healthcare facilities to implement integrated electronic medical records by December 31, 2023. Currently, there are 4,000 Community Health Centers that have not implemented EMR as required, out of a target of 10,200 Community Health Centers. One of the main causes is the lack of readiness of the involved human resources (HR). In fact, EMR is believed to be one of the significant advancements in information technology for improving the quality of healthcare services. The research was conducted using a qualitative method with a descriptive study type. Research informants were determined using purposive sampling method, consisting of DTO Ministry of Health, Heads of Community Health Centers, Healthcare Workers, and Medical Records Officers. The collected data included primary data from data collection and secondary data through document review. The result of study indicate that the human resources at the study location are ready in terms of knowledge, engagement, management, and organizational alignment. However, the Community Health Centers is found to be unprepared in aspects of finance, technology, and operations. The study concludes that appropriate strategic steps are needed to manage the interoperable EMR (Electronic Medical Records) and improve its quality continuously.
T-7016
Depok : FKM UI, 2024
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Kayla Anissa Haztari; Pembimbing: Kurnia Sari; Penguji: Puput Oktamianti, Dimas Gatra Diantoro
Abstrak:
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Transformasi digital di bidang kesehatan menjadi prioritas nasional melalui kebijakan
Kementerian Kesehatan Republik Indonesia, salah satunya mewajibkan setiap fasilitas
pelayanan kesehatan untuk mengimplementasikan Rekam Medis Elektronik (RME)
sebagaimana diatur dalam Permenkes No. 24 Tahun 2022. Namun, keberhasilan
implementasi RME tidak hanya ditentukan oleh kesiapan organisasi sebelum
pelaksanaan, tetapi juga pasca implementasi guna memastikan keberlanjutan sistem.
Penelitian ini bertujuan untuk mengevaluasi kesiapan organisasi pasca implementasi
RME di Klinik Diana Medika serta menganalisis interaksi antara kapasitas struktural dan
psikologis. Penelitian ini menggunakan pendekatan kualitatif dengan metode wawancara mendalam. Analisis data dilakukan berdasarkan kerangka penilaian California Association of Family Physician (CAFP) dan teori kesiapan organisasi dari Weiner (2009). Hasil penelitian menunjukkan bahwa kesiapan secara psikologis di Klinik Diana Medika tergolong tinggi, yang tercermin dari komitmen terhadap perubahan dan efikasi perubahan individu. Namun, dari sisi struktural, terdapat beberapa kerentanan seperti belum adanya struktur formal pengelola RME, ketergantungan pada vendor, keterbatasan pelatihan berkelanjutan, serta belum adanya anggaran khusus. Ditemukan pula adanya kesenjangan antara pengetahuan dan tindakan (knowing-doing gap) serta fenomena gunung es, di mana kesiapan yang tampak secara psikologis tidak sepenuhnya mencerminkan kesiapan struktural. Penelitian ini menyimpulkan bahwa meskipun individu dalam organisasi memiliki kesiapan psikologis yang kuat, tetap diperlukan penguatan aspek struktural untuk mencapai implementasi RME yang optimal dan berkelanjutan.
Digital transformation in the health sector has become a national priority under the policy of the Ministry of Health of the Republic of Indonesia, one of which mandates the implementation of Electronic Medical Records (EMR) in all healthcare facilities, as regulated in Ministerial Regulation No. 24 of 2022. However, the success of EMR implementation depends not only on organizational readiness prior to implementation but also on post-implementation evaluation to ensure sustainability. This study aims to evaluate the organizational readiness after EMR implementation at Diana Medika Clinic and to analyze the interaction between structural and psychological readiness. The study employs a qualitative approach using in-depth interviews. Data analysis was conducted using the Californian Association of Family Physician (CAFP) framework and Weiner’s theory of organizational readiness for change (2009). The findings indicate that psychological readiness at Diana Medika Clinic is high, reflected in strong commitment to change and high efficacy among staff. However, structural readiness shows several vulnerabilities, such as the absence of a formal EMR management team, dependency on vendors, limited ongoing training, and the lack of a dedicated budget. The study also identified a knowing-doing gap and an iceberg phenomenon, where the visible psychological readiness does not fully reflect the underlying structural conditions. In conclusion, although individuals in the organization demonstrate strong psychological readiness, structural aspects must be strengthened to achieve optimal and sustainable EMR implementation
S-12057
Depok : FKM UI, 2025
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Rowena Sofia Zepanya; Pembimbing: Septiara Putri; Penguji: Wachyu Sulistiadi, Riza Srie Ambari
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Penelitian ini mengeksplorasi penerimaan sumber daya manusia kesehatan (SDM Kesehatan) terhadap Rekam Medis Elektronik (RME) pada klinik-klinik di DKI Jakarta tahun 2024. Jenis penelitian ini adalah kualitatif dengan desain studi kasus. Penelitian dilakukan melalui wawancara mendalam dengan tenaga kesehatan dan staf administrasi, serta analisis dokumen dan regulasi terkait. Kerangka teori yang digunakan adalah Modified Unified Theory of Acceptance and Use of Technology (UTAUT), yang mengevaluasi pengaruh harapan kinerja, harapan usaha, pengaruh sosial, dan kondisi yang memfasilitasi terhadap penerimaan RME. Pengumpulan data dilakukan dengan wawancara mendalam dan telaah dokumen. Hasil penelitian menunjukkan bahwa meskipun manfaat RME diakui dalam hal peningkatan aksesibilitas data dan manajemen pasien, terdapat hambatan signifikan seperti variasi tingkat literasi digital di antara tenaga kesehatan, resistensi terhadap perubahan alur kerja, serta kekhawatiran tentang privasi data dan keandalan sistem. Harapan kinerja ditemukan sebagai faktor penting dalam penerimaan RME, di mana banyak responden percaya bahwa RME dapat menyederhanakan operasi dan meningkatkan pengambilan keputusan klinis. Namun, transisi ke sistem digital membutuhkan usaha besar, terutama bagi tenaga kesehatan dengan pengalaman terbatas pada teknologi digital, sehingga mereka menghadapi kurva pembelajaran yang menantang. Pengaruh sosial dari regulasi dan kepemimpinan institusi memainkan peran signifikan dalam mendorong adopsi RME. Kondisi yang memfasilitasi, seperti dukungan teknis dan pelatihan berkelanjutan, terbukti penting untuk mengurangi resistensi dan mempermudah proses integrasi. Validasi data dilakukan dengan triangulasi antara wawancara, observasi, dan telaah dokumen. Penelitian ini menyimpulkan bahwa adopsi RME yang berhasil memerlukan penanganan hambatan secara menyeluruh. Rekomendasi meliputi pelatihan terstruktur, dukungan teknis yang kuat, dan penciptaan budaya yang mendukung teknologi. Penelitian ini menekankan pentingnya strategi adopsi RME yang efektif untuk peningkatan layanan kesehatan dan efisiensi operasional di klinik.
This study explores the acceptance of health human resources (HHR) toward Electronic Medical Records (EMR) in clinics in DKI Jakarta in 2024. The research type is qualitative with a case study design. The study was conducted through in-depth interviews with healthcare professionals and administrative staff, as well as a review of relevant documents and regulations. The theoretical framework used is the Modified Unified Theory of Acceptance and Use of Technology (UTAUT), which assesses the impact of performance expectancy, effort expectancy, social influence, and facilitating conditions on EMR acceptance. Data collection was conducted through in-depth interviews and document analysis. The results indicate that while the benefits of EMR, such as enhanced data accessibility and patient management, are recognized, significant barriers exist. These barriers include varying levels of digital literacy among healthcare professionals, resistance to changes in established workflows, and concerns about data privacy and system reliability. Performance expectancy was identified as a crucial factor influencing EMR acceptance, with many respondents acknowledging that EMR can streamline operations and improve clinical decision-making. However, transitioning to digital systems requires substantial effort, especially for healthcare professionals with limited prior experience with digital technology, leading to a steep learning curve. Social influence from regulations and institutional leadership plays a significant role in driving EMR adoption. Facilitating conditions, such as the availability of technical support and ongoing training programs, are essential in reducing resistance and easing the integration process. Data validation was performed through triangulation between interviews, observations, and document analysis. The study concludes that successful EMR adoption requires comprehensive handling of these barriers. Recommendations include structured training, robust technical support, and fostering a culture that supports technology adoption. This study emphasizes the need for effective EMR adoption strategies to improve healthcare services and operational efficiency in clinics.
S-11577
Depok : FKM-UI, 2024
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Anggraina Diastri; Pembimbing: Rico Kurniawan; Penguji: Artha Prabawa, Popy Yuniar, Lutfi Rinaldi Syahbana, Arif Purnomo Aji
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Latar belakang: Transformasi digital di sektor kesehatan menjadi semakin signifikan sejak pandemi COVID-19, mendorong percepatan implementasi teknologi informasi, termasuk Rekam Medis Elektronik (RME). Di Indonesia, Kementerian Kesehatan telah mewajibkan seluruh fasilitas pelayanan kesehatan, termasuk Rumah Sakit Swasta Tipe C, untuk menerapkan RME. Namun, keberhasilan implementasi RME tidak hanya bergantung pada keberadaan sistem, tetapi juga pada tingkat kematangan digital rumah sakit. Tujuan penelitian: Penelitian ini bertujuan untuk menganalisis pengaruh tingkat kematangan digital terhadap implementasi RME di Rumah Sakit Swasta Tipe C. Metodologi penelitian: Penelitian dilakukan dengan pendekatan kuantitatif menggunakan metode survei cross-sectional terhadap 202 tenaga kesehatan di RS Swasta Tipe C. Instrumen penelitian mengacu pada Digital Maturity Index (DMI) Kementerian Kesehatan dengan tujuh dimensi utama, serta lima dimensi implementasi RME yang diadaptasi dari model Technology Acceptance Model (TAM). Data dianalisis menggunakan PLS-SEM untuk menguji validitas, reliabilitas, dan hubungan antar variabel. Hasil penelitian: Hasil penelitian menunjukkan bahwa tingkat kematangan digital berpengaruh signifikan terhadap keberhasilan implementasi RME, dengan dimensi "Pemanfaatan Data" dan "Ketersediaan Fitur RME dalam pelayanan kesehatan" menjadi faktor dominan. Penelitian ini memberikan kontribusi praktis dalam menyusun strategi penguatan digitalisasi rumah sakit dan menjadi masukan bagi pengambil kebijakan dalam mendukung transformasi digital yang efektif dan berkelanjutan.
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
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
T-7413
Depok : FKM-UI, 2025
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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