<![CDATA[This study aims to analyze the sustainability process of healthcare service innovation at RSUD I Lagaligo, East Luwu Regency, by examining the role of individual actions, organizational management systems, and contextual approaches. The study employed a qualitative approach, with data collected through observation, in-depth interviews, and documentation. Eight informants were involved, representing local government, hospital management, innovators, and healthcare service users. Data analysis was conducted through data collection, reduction, presentation, and conclusion drawing. The findings indicate that healthcare service innovation in its initial stage was driven by individual initiatives as a response to local government policies requiring innovation in every regional government organization. However, the sustainability of innovation remains highly dependent on leadership policies and has not yet been fully institutionalized within the organizational system. From a management system perspective, innovation has been supported through planning, budgeting, and monitoring and evaluation, but it is still oriented toward fulfilling annual innovation competitions rather than long-term sustainability strategies. In addition, limited integration of information systems with external systems and low technological literacy among some service users constitute major obstacles to innovation sustainability. The study identifies leadership dependency and digital interoperability as two critical determinants influencing the sustainability of healthcare innovation in local public healthcare organizations. This study concludes that the sustainability of healthcare service innovation at RSUD I Lagaligo has not yet been optimal and requires strengthening of institutional management, technological integration, and alignment with local social conditions.]]>
