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All Journal E-Dimas: Jurnal Pengabdian kepada Masyarakat JOURNAL OF APPLIED INFORMATICS AND COMPUTING Jurnal Inotera Jurnal Manajemen Informasi dan Administrasi Kesehatan Jurnal ULTIMATICS JURTEKSI CCIT (Creative Communication and Innovative Technology) Journal Indonesian of Health Information Management Journal (INOHIM) SENSITEK Jurnal Ners Science Midwifery Jurnal Informa: Jurnal Penelitian dan Pengabdian Masyarakat Infokes : Jurnal Ilmiah Rekam Medis dan Informasi Kesehatan Jurnal Teknik Informatika (JUTIF) International Journal of Computer and Information System (IJCIS) Jurnal Abdi Mas Adzkia International Journal of Community Service Jurnal Pengabdian dan Edukasi Sekolah (Jubaedah) Indonesian Journal of Health Information Management (IJHIM) PELS (Procedia of Engineering and Life Science) International Journal of Health Science (IJHS) Techno Journal Health Information Management Indonesian Jurnal Ilmiah Sistem Informasi dan Ilmu Komputer Indonesian Journal of Health Information Management Services (IJHIMS) Prosiding Seminar Informasi Kesehatan Nasional JENGGALA: Jurnal Riset Pengembangan dan Pelayanan Kesehatan International Journal Of Public Health International Journal Of Health And Social Behavior International Journal of Health and Medicine International Journal of Information Engineering and Science Jurnal Rekam Medis dan Informasi Kesehatan Indonesia Green Health: Journal of Health Sciences, Nursing and Nutrition International Journal of Health Science
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Evaluating electronic medical record implementation using the HOT-FIT model at UPTD Puskesmas Ungaran Kurniawati, Novi Ika; Widiyanto, Wahyu Wijaya
Science Midwifery Vol 13 No 1 (2025): April: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i1.1896

Abstract

This study evaluated the implementation of Electronic Medical Records (EMR) at UPTD Puskesmas Ungaran using the Human-Organization-Technology Fit (HOT-FIT) model. The research employed a descriptive qualitative approach to explore how human readiness, organizational support, and technological infrastructure influenced EMR adoption. Data were collected through in-depth interviews, observations, and document analysis involving twelve healthcare professionals. Thematic analysis revealed that most users had limited training and lacked confidence in using the system, often leading to partial documentation. Organizationally, there was minimal supervision, unclear standard operating procedures, and no internal technical support. Technologically, the system frequently experienced downtime and integration failures with national platforms such as Pcare BPJS. These findings indicate that the EMR implementation remains fragmented and procedural, rather than transformative. The study concluded that the success of EMR adoption requires not only system availability but also holistic readiness across all HOT-FIT dimensions. Practical recommendations include ongoing capacity-building, improved policy enforcement, and user-centered system development. This study provides insight for policymakers and healthcare managers to enhance EMR sustainability in primary care settings.
Evaluating registration staff understanding of electronic medical record use Nurnanik, Iis; Widiyanto, Wahyu Wijaya
Science Midwifery Vol 13 No 1 (2025): April: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i1.1897

Abstract

This study aimed to evaluate the understanding of registration staff regarding the use of Electronic Medical Records (EMR) at Puskesmas Bringin, a primary healthcare center in Semarang Regency. Despite the growing emphasis on digital transformation in health services, the success of EMR implementation largely depends on how well frontline staff comprehend and engage with the system. Using a qualitative descriptive method, data were collected through in-depth interviews and direct observations with selected registration officers. The findings revealed varying levels of understanding among staff, influenced by differences in digital literacy, training exposure, and system accessibility. Some staff demonstrated strong conceptual and operational knowledge of EMR, while others relied on peer support or manual records due to uncertainty in system navigation. Technical barriers and limited organizational support further impacted their ability to fully utilize EMR functions. The study concluded that improving staff understanding requires targeted training, user-friendly system design, and continuous mentoring. These efforts are essential to ensure the successful integration of EMR in primary healthcare services and to support better health data management at the grassroots level.
Readiness analysis of electronic medical record implementation in inpatient services using the DOQ-IT Method at Pusri Hospital Palembang Budiantono, Budiantono; Widiyanto, Wahyu Wijaya
Science Midwifery Vol 13 No 1 (2025): April: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i1.1899

Abstract

This study explored how ready Pusri Hospital Palembang was to implement electronic medical records in its inpatient services, using the Doctor’s Office Quality – Information Technology (DOQ-IT) framework. Using a quantitative, cross-sectional approach, data were gathered from 43 health workers and administrative staff through validated questionnaires. The assessment focused on four key areas: readiness of human resources, organizational work culture, governance and leadership, and the hospital’s technology infrastructure. Results showed that while infrastructure and governance were relatively ready, the readiness of staff and the work culture still needed improvement. Statistical analysis confirmed that all four factors significantly influenced the hospital’s overall readiness to adopt electronic medical records. Although the hospital demonstrated moderate readiness, the findings highlight the need for enhanced training and better infrastructure planning to ensure a smoother digital transition. This study offers practical insights for hospital leaders and health policymakers aiming to advance digital transformation in healthcare settings.
KEAKURATAN KODE DIAGNOSIS FRAKTUR DAN EXTERNAL CAUSES DI RSUD MARDI WALUYO KOTA BLITAR Nurhadi Nurhadi; Krisnita Dwi Jayanti; Andra Dwitama Hidayat; Sevi Oktrianadewi; Eva Firdayanti Bisono; Endah Retnani Wismaningsih; Elok Rizma Hapsari; Wahyu Wijaya Widiyanto
Jurnal Rekam Medis dan Informasi Kesehatan Indonesia Vol. 1 No. 2 (2022): Jurnal Rekam Medis dan Informasi Kesehatan Indonesia
Publisher : program studi Rekam Medis dan Infomasi Kesehatan ITSK RS dr Soepraoen Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/jurmiki.v1i2.48

Abstract

Diagnostic codification must fulfill 10 characteristics of quality data, namely one of which is accurate, namely the truth and validity of data values. External Causes are external causes of fracture cases which classify based on the place and activity of the incident. It is very important that external causes codes are documented in medical record files for financing analysis, health services and reporting. The purpose of this study was to determine the accuracy of the fracture diagnosis code and external causes at Mardi Waluyo Hospital, Blitar City in 2021. The research method used a retrospective descriptive. The sampling technique is simple random sampling, with 52 samples. The implementation of coding at Mardi Waluyo Hospital, Blitar City, was carried out by coder officers and was in accordance with the policies and standard operating procedures at the hospital. The level of accuracy of the fracture diagnosis code with a percentage of 85% is included in the category that needs improvement and external causes with a percentage of 6% is included in the unsatisfactory category. The inaccuracy of the external causes code is caused by the use of the 5th character or the activity code that has not yet been coded. The inaccuracy of the officers in coding caused the resulting code to be inaccurate, so it was suggested that filling out medical record documents must be filled in completely and clearly to support proper and accurate coding of fractures and external causes so as to produce a better percentage of accuracy.
An Assessment of Electronic Medical Record Adoption in the Emergency Unit Using HOT-FIT Model: Evidence from RSUD A.M Parikesit Lidia Putri Fitriana; Wahyu Wijaya Widiyanto
International Journal of Health and Medicine Vol. 2 No. 3 (2025): July : International Journal of Health and Medicine
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/ijhm.v2i3.454

Abstract

The implementation of Electronic Medical Records (EMRs) in hospital emergency units is essential to improve the speed, accuracy, and quality of services. However, various challenges hinder optimal system utilization. This study aimed to assess the adoption of EMR at the Emergency Unit of RSUD A.M Parikesit Tenggarong using the Human-Organization-Technology Fit (HOT-FIT) framework. A qualitative descriptive approach was employed involving seven purposively selected informants, including health professionals, administrative staff, and IT personnel. Data were collected through interviews, observations, and document reviews, then analyzed using the Miles and Huberman interactive model. The findings indicate that from the human aspect, the system was considered easy to use (85%), though user satisfaction remained moderate (67.14%) due to system errors and incomplete CPPT data entries. Organizationally, the hospital provided adequate infrastructure and support, though some policies require stronger enforcement. Technological aspects revealed limitations in system stability, lack of pharmacy integration, and low service quality due to frequent downtime. The study concludes that EMR implementation in the Emergency Unit has not yet achieved full effectiveness across all HOT-FIT domains. Improvements are needed in system reliability, information consistency, and inter-unit integration to optimize EMR benefits and enhance patient care delivery in critical settings.
Evaluation of Outpatient Electronic Medical Record User Satisfaction Using the EUCS Model at Sultan Fatah Regional Hospital Indonesia Ainurrizah Ainurrizah; Wahyu Wijaya Widiyanto
International Journal of Health and Medicine Vol. 2 No. 3 (2025): July : International Journal of Health and Medicine
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/ijhm.v2i3.455

Abstract

The implementation of Electronic Medical Records (EMR) in outpatient services aims to improve the efficiency, accuracy, and accessibility of clinical information. However, the effectiveness of such systems is highly dependent on user satisfaction. This study evaluated the satisfaction of health personnel using outpatient EMR at Sultan Fatah Regional Hospital, Indonesia, by employing the End User Computing Satisfaction (EUCS) model. The research addressed issues related to incomplete data, low system responsiveness, and interface usability that may affect the quality of service delivery. A qualitative descriptive method was used, involving in-depth interviews, direct observations, and document analysis from 21 informants selected purposively across multiple service units. The EUCS dimensions—content, accuracy, format, ease of use, and timeliness—were used to assess user experience. The findings indicate that users encountered problems such as incomplete patient data and duplicate records (accuracy), non-intuitive interfaces (format and ease of use), and delays in accessing medical information (timeliness). Observations and documentation review further revealed a reliance on manual backups and inconsistencies between digital and physical records. Overall, the study highlights the need for better data integration, enhanced user training, interface redesign, and system infrastructure upgrades to ensure real-time and comprehensive EMR usage. The study concludes that addressing technical and human factors through the EUCS model can enhance user satisfaction and system utilization in outpatient healthcare settings.
Evaluating Outpatient EMR Adoption Using the Technology Acceptance Model: A Case Study at RSAU dr. Siswanto, Indonesia Dimas Luthfi Pambudi; Wahyu Wijaya Widiyanto
International Journal of Health and Medicine Vol. 2 No. 3 (2025): July : International Journal of Health and Medicine
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/ijhm.v2i3.456

Abstract

Electronic Medical Records (EMRs) have become a fundamental component of healthcare digitization, offering improved accuracy, accessibility, and efficiency in patient data management. However, the adoption of EMR systems often encounters varied acceptance levels among healthcare workers, particularly in outpatient services where workflow integration is crucial. This study evaluates the implementation of an outpatient EMR system at RSAU dr. Siswanto, Indonesia, using the Technology Acceptance Model (TAM) framework. The research aims to explore users’ perceived usefulness, ease of use, attitude toward usage, behavioral intention, and actual system usage in daily operations. Employing a qualitative descriptive approach, data were collected through in-depth interviews, observations, and document analysis involving doctors, nurses, and medical record staff. The findings reveal that although the EMR system is generally perceived as beneficial for improving documentation and efficiency, several challenges persist, including incomplete feature utilization, limited training, and inconsistent user adaptation across roles. Additionally, network instability and technical downtime were noted as barriers to system reliability. Overall, the study underscores that perceived ease of use and continuous institutional support significantly influence EMR acceptance. These insights highlight the need for targeted capacity building and iterative system development to ensure effective EMR integration in outpatient settings.
Evaluating the Performance of Hospital Information Systems Using the HOT-Fit Model: A Case Study of Outpatient Registration at Nur Hidayah Hospital, Bantul Roki Mahendra; Wahyu Wijaya Widiyanto
International Journal of Health and Medicine Vol. 2 No. 3 (2025): July : International Journal of Health and Medicine
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/ijhm.v2i3.472

Abstract

The implementation of Hospital Management Information Systems (SIMRS) has become a strategic necessity to improve healthcare service quality and operational efficiency. This study focuses on evaluating the performance of SIMRS in the outpatient registration unit of Nur Hidayah Hospital Bantul, where system disruptions, inconsistent SOP application, and limited user training were identified as core issues. The research aims to assess how well the SIMRS aligns with the Human, Organization, and Technology components through the HOT-Fit model framework. A descriptive qualitative method was employed using purposive sampling to select five informants directly involved in SIMRS operations, including registration officers, IT staff, and the head of the medical records unit. Data were collected through in-depth interviews, direct observation, and documentation, and analyzed thematically based on the HOT-Fit model. The findings show that SIMRS contributes positively to workflow efficiency and data management; however, human factors such as inconsistent training and input errors remain prevalent. Organizational support is visible but lacks structured evaluation routines, and although the technological infrastructure is generally stable, peripheral device and network issues persist. The study synthesizes that effective SIMRS performance requires not only technological readiness but also consistent organizational commitment and continuous human resource development. It concludes that strengthening user competence, formalizing SOP usage, and improving infrastructure are essential to optimize the system's functionality and alignment with the HOT-Fit model.
Assistance in Making Form Design and Recording Medical Records for Toddlers at Posyandu Kutilang, Sukowiyono Village, Kec. Padas, Ngawi Regency Wijaya Widiyanto, Wahyu; Wulandari, Sri; Fristi Firnawati , Artika
International Journal Of Community Service Vol. 1 No. 1 (2021): May 2021 (Indonesia - Malaysia )
Publisher : CV. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51601/ijcs.v1i1.8

Abstract

In the activities of Posyandu Kutilang, Sukowiyono Village, Kec. Padas, Kabupaten Ngawi, a health check was carried out by a health center health worker, but there was no form of a toddler's medical record that could be used to document the results of a health examination. The target of this community service activity is the Posyandu Kutilang posyandu participants. Guidance and consultation was carried out by Lecturers and Students of the Department of Medical Records and Health Information at the Indonusa Polytechnic Surakarta when accompanying cadres of Posyandu Kutilang, Sukowiyono Village, Kec. Padas, Ngawi Regency in documenting the health history of toddler participants. The assistance provided includes how to fill out medical record forms for toddlers, what items must be filled in, and how to manage forms. Health checks are only recorded in the agenda book for elderly examinations belonging to the Mobile Puskesmas, so that the participants of Posyandu Kutilang, Sukowiyono Village, Kec. Padas, Kabupaten Ngawi cannot monitor the results of monthly health checks. Results of Assistance in Making Form Design and Recording Medical Records for Toddlers at Posyandu Kutilang, in the hall of Posyandu Kutilang, Sukowiyono Village, Kec. Padas, Ngawi Regency was attended by 11 people. Activities started according to the agreed schedule. The training participants participated in the activity enthusiastically because they felt that this activity had a role in administrative order through the implementation of recording in the form / resume of toddler medical records.
A Quantitative Analysis of SIMKES User Satisfaction in Outpatient Units Using the EUCS Approach Adnan Syarif Mustaqim; Wahyu Wijaya Widiyanto
International Journal of Public Health Vol. 2 No. 2 (2025): June : International Journal of Public Health
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/ijph.v2i2.457

Abstract

The implementation of health information systems such as SIMKES (Sistem Informasi Manajemen Kesehatan) plays a crucial role in enhancing administrative efficiency and service delivery in primary healthcare centers. However, user satisfaction remains a key indicator of system effectiveness, especially in outpatient service units. This study aims to evaluate the satisfaction level of health personnel toward the implementation of SIMKES at the outpatient unit of Teguhan Health Center, Ngawi, Indonesia. Employing a descriptive quantitative method, this research involved a census of 17 respondents using a validated questionnaire based on the End-User Computing Satisfaction (EUCS) model, which comprises five dimensions: content, accuracy, format, ease of use, and timeliness. The data were analyzed using frequency distribution and mean scoring to categorize satisfaction levels. Results showed that the overall satisfaction score was 73.58, indicating that users were generally satisfied with the system. All five EUCS dimensions were categorized as satisfactory, with the highest rating in the format dimension and the lowest in timeliness. Despite the overall positive assessment, users reported issues related to system speed, technical bugs, and limited guidance for system navigation. The findings suggest that while SIMKES supports outpatient service delivery effectively, improvements are needed in system responsiveness and user support to enhance satisfaction and usability. This study contributes to the ongoing evaluation and development of health information systems in resource-limited primary care settings.
Co-Authors Adnan Syarif Mustaqim Afandi, Andrianto Ahmad Sunandar Ainurrizah Ainurrizah Amallia, Ade Amelia Fitriasari Annisaa Miftakhul Jannah Arfeni Warongan, Vicky Aries Widiyoko Arifah Damayanti Arum Astika Sari Arumawati, Arachis Aryawan Eka Syahputra Bajeng Nurul Widyaningrum Budi, Agustyarum Pradiska Budiantono, Budiantono Canggih Ajika Pamungkas Dhimas Permana Putra Dimas Luthfi Pambudi DWI ISKANDAR edy susanto Eko Purwanto Elok Rizma Hapsari Endah Retnani Wismaningsih Erma Pradnyani, Putu Eva Firdayanti Bisono Fendy Prasetyo Nugroho Fitria Rohmatun W Fransiska Defriani Nahu Pandur Fristi Firnawati , Artika Galuh Nugrahaning Budi, Galuh Gede Wirabuana Putra Habibi, Musta’inul HANIF AL FATTA Hasna Khoirunnisa Putri Hidayat, Andra Dwitama Igiany , Prita Devy Igiany, Prita Devy Inka Sasti Isnaeni, Dwi Retno Krisnita Dwi Jayanti Kurniawati, Novi Ika Kusrini Kusrini Kusumawati, Pingki Dwi Lestari, Dewi Amelia Licia, Rizka Lidia Putri Fitriana Markus Utomo Sukendar Mathar, Irmawati Mochammad Arief Darmawan Moh Arif Yunianto Muhammad Fajrian Noor Muji Rahayu Muqorobin - Muqorobin Muqorobin Muqorobin Muqorobin Nia Kurniati Nizam Husen, Mohd Novratilova, Sinta Nugroho, Suryanto nur adi satriyo pradista Nurhadi Nurhadi Nurnanik, Iis Oda Jeki Pangesti Pamungkas, Canggih Ajika Pariyasto, Sofyan Pradiska Budi, Agustyarum Prita Devy Igiany Putra, Dwi Anantama Putri Lestari, Adriana Rahmawati, Anggita Raihan Dicky Ardiansyah ramadhan, annisa Rizka Licia Rizka Licia Robi Wariyanto Robi Wariyanto Abdullah Roki Mahendra Safitri, Rizky Nur Salsa Bila Karin Santoso, Azis Aji Sari , Arum Astika Sari, Arini Vika Sevi Oktrianadewi Sofyan Pariyasto Sri Lestari Sri Suparti Sri Wulandari Sri Wulandari Sri Wulandari Sri Wulandari SRI WULANDARI Sulistyati, Hanifah Shobri Sunandar, Ahmad SURYANI Suryani . Susena, Edy Syafitri Hasanah Syahrul Syahrul vicky arfeni warongan, vicky arfeni Vika Sari, Arini Vivi Rahmawati Wahyu Ratri Sukmaningsih Wariyanti, Astri Sri Wati, Risa Kurnia Wicaksono, Aliansi Widiyoko, Aries Widiyoko, Aries Widiyoko Yoga Dwi Pambudi Yudha Christianto F. Zahroh, Salsabila Ummu Zainal Arifin