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KESIAPAN PENERAPAN REGISTER IMUNISASI ELEKTRONIK NASIONAL DI PROVINSI BANTEN DAN MALUKU UTARA Rahmadewi, Pama; Heryawan, Lukman; Lazuardi, Lutfan
Jurnal Kesehatan Masyarakat Vol 11, No 4 (2023): JULI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jkm.v11i4.38781

Abstract

Immunization programs have proven to be effective and efficient in providing health services, but in practice, many challenges are still encountered, among them those related to achieving immunization targets and improving immunization services. The COVID-19 pandemic has transformed Indonesia's national health system by digitizing health data. In the immunization program, in 2022, the Ministry of Health of the Republic of Indonesia launched the SehatIndonesiaKu (ASIK) application as a national Electronic Immunization Register (EIR). Readiness assessment needs to be carried out on the application of national RIE so that it is optimal. This study aims to explore readiness for implementing national EIR in Banten and North Maluku Provinces. This is a descriptive study using a qualitative design with the Rapid Assessment Procedures (RAP) method. Research informants are immunization program managers in Banten and North Maluku Provinces. The instruments used for data collection were screening questionnaires, FGD guidelines, interview questionnaires, and observation sheets. Information about the readiness to implement national RIE was obtained through focus group discussions (FGD) and interview discussions during site visits. The data was then analyzed qualitatively. The content analysis process used to determine codes, categories, and themes in this study uses OpenCode 4.02 software. The readiness to implement national EIR in terms of organizational culture can be seen from the acceptance of ASIK as a national EIR and the adoption strategies chosen in the two provinces. In the aspect of management and leadership, maintenance of the quality of immunization data has been carried out through monitoring, confirmation, validation, and evaluation. The readiness of the operational aspect can be seen from the implementation of ASIK, which began with national piloting for the implementation of BIAN 2022, followed by ASIK piloting for routine immunization in several selected provinces, one of which is in North Maluku Province. On the technical aspect, there are application innovations related to immunization in the regions, indicating that the regions are quite experienced with immunization information systems. The readiness for implementing national EIR is quite potential, but it needs more support from regional heads, regulations, SOPs, and workflow as a reference for implementing national EIR, improvements to national EIR applications, and other constraints outside the system, as well as increasing digital skills for immunization managers to overcome problems and maintain system continuity. A national RIE implementation strategy is recommended to support the program's success.
TANTANGAN INTEROPERABILITAS REKAM MEDIS : STUDI KASUS DI RUMAH SAKIT SINGAPARNA MEDIKA CITRAUTAMA Wahyuni, Ida; Heryawan, Lukman; Sanjaya, Guardian Yoki; Prabowo, Tony
Jurnal Manajemen Kesehatan Indonesia Vol 12, No 3 (2024): Desember 2024
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jmki.12.3.2024.229-238

Abstract

Background: Health transformation in Indonesia is aimed at achieving one health data. Health data interoperability is the key to comprehensive health services. Integration can be done if a sistem is interoperable. This case study was conducted at a local government hospital in West Java Province. Concerning the vision of national interoperability, it is important to assess interoperability readiness.Objective: To explore the interoperability challenges of medical records in RSUD SMC Tasikmalaya.Method: A qualitative research design through in-depth interviews with 11 participants to explore the interoperability of medical records based on the framework of interoperability maturity aspects.Results: The interoperability of medical records at RSUD SMC is in the preparation phase. Device standardization as a sistem compatibility requirement has been implemented. Currently, hospitals are faced with technical interoperability challenges, both compliance with medical record data variables, sistem quality challenges, and medical record information quality, as well as data security in hospitals. For this reason, maturity support is needed in aspects of information technology leadership and governance to strengthen digital investment and vendor cooperation. The functionality of human resources in the implementation of information sistems through the support of human resource capacity building for front and back-end developers, medical record experts, and data engineers is in line with the strengthening of technology infrastructure. Conclusion: To improving  quality of the RME interoperability, management of the three aspects of leadership and governance, HR, and technology in hospitals is urgently needed for further strategies for organizational interoperability.