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Widiyanto, Wahyu Wijaya

Politeknik Indonusa Surakarta

Author-ID : 1231742

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HOT-FIT-Based Evaluation of the Outpatient Registration System at RSUD Komodo Fransiska Defriani Nahu Pandur; Wahyu Wijaya Widiyanto
International Journal of Health and Social Behavior Vol. 2 No. 2 (2025): May: International Journal of Health and Social Behavior
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/ijhsb.v2i2.387

process standardization, and system optimization. The study concludes that the HOT-FIT model is This study evaluates the performance of the outpatient registration information system at RSUD Komodo using the Human-Organization-Technology Fit (HOT-FIT) framework. Hospital Information Systems, particularly in the outpatient registration process, are crucial for supporting service efficiency and data accuracy. However, RSUD Komodo has experienced several challenges in the implementation of its SIMRS module, including system slowdowns, sudden monitor failures, and unstable internet connectivity during service hours. These issues hinder operational effectiveness and risk compromising service quality. The objective of this research is to assess system performance comprehensively across human, organizational, and technological dimensions. A qualitative descriptive design was employed, involving in-depth interviews with five key informants: registration staff, IT personnel, coder, head of the medical records unit, and head of the casemix team. The findings show that in the human dimension, users lacked sufficient training and adaptation strategies. In the organizational aspect, weak coordination and the absence of standardized procedures were identified. In the technology dimension, hardware malfunctions and slow system performance significantly disrupted services. These interconnected issues reveal the need for capacity buildingan effective tool for evaluating hospital information systems, offering a structured approach to identifying and resolving performance gaps in outpatient service modules.

Evaluation of Electronic Medical Record System Implemen-tation in Outpatient Services at RSUD Weda Syahrul Syahrul; Wahyu Wijaya Widiyanto
International Journal of Health and Social Behavior Vol. 2 No. 2 (2025): May: International Journal of Health and Social Behavior
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/ijhsb.v2i2.388

The implementation of Electronic Medical Records (EMR) in healthcare institutions aims to improve the efficiency, accuracy, and accessibility of medical data. RSUD Weda, a regional hospital in Indonesia, has adopted an EMR system in its outpatient services to replace conventional manual processes. However, this transition has faced several challenges, including inadequate training, unstable network infrastructure, and inconsistent adherence to Standard Operating Procedures (SOPs). This study aims to evaluate the performance of the EMR implementation using a qualitative descriptive method based on the 5M framework—Man, Material, Machine, Method, and Money. Data were collected through interviews, direct observation, and document analysis involving stakeholders such as medical staff, administrators, and IT personnel. The findings indicate that while users acknowledge improvements in data accuracy and accessibility, key issues remain, particularly in training quality, infrastructure readiness, and system reliability. The study also observed gradual improvements in SOP compliance and reduced system failures over time. These results suggest that successful EMR adoption requires a balance of technical infrastructure, human resource readiness, financial support, and continuous system monitoring. The use of the 5M framework proved effective in identifying multidimensional challenges and offering holistic insights into the implementation process. This study contributes to the broader literature on EMR evaluation by providing contextualized evidence from a district-level hospital and offers practical recommendations for enhancing EMR system performance in similar healthcare settings.

PERSEPSI PPA TERHADAP PENERAPAN REKAM MEDIS ELEKTRONIK RAWAT JALAN DI RSJ GRHASIA Rahayu, Muji; Wahyu Wijaya Widiyanto; Pradiska Budi, Agustyarum
Journal Health Information Management Indonesian (JHIMI) Vol. 4 No. 1 (2025): April (Journal Health Information Management Indonesian)
Publisher : Sekretariat Program Studi Sarjana Terapan Manajemen Informasi Kesehatan Politeknik Indonusa Surakarta.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46808/jhimi.v4i1.164

Abstrak —Profesional Pemberi Asuhan meyakini atau mempersepsikan banyak kendala dalam penggunaan Rekam medis elektronik, termasuk tidak mudahnya penggunaannya. Hubungan antara variabel kemanfaatan dan kemudahan penggunaan terhadap sikap pengguna saat mulai implementasi rekam medis elektronik rawat jalan di RS Jiwa Grhasia Yogyakarta merupakan tujuan dalam penelitian ini. Metode yang digunakan adalah kuantitatif. Data dikumpulkan dengan membagikan kuisioner dan dilakukan uji statistik regresi linier berganda. Penelitian ini membuktikan adanya hubungan yang positif dan signifikan antara variabel kemanfataan dan sikap pengguna dan angka signifikansi yang dihasilkan yaitu 0.001<0.05. Hubungan yang diperoleh adalah positif dan signifikan antara persepsi kemudahan penggunaan dan sikap pengguna dengan nilai 0.003<0.05. Sedangkan kontribusi persepsi kemanfaatan dan kemudahan penggunaan rekam medis elektronik terhadap sikap pengguna adalah sebesar 61,9%, dan 39,1% sisanya dijelaskan oleh variabel yang tidak terdapat pada penelitian ini. Studi ini merekomendasikan bahwa ketika mengembangkan RME, perlu mempertimbangkan aspek kegunaan dan kemudahaan sehingga PPA terdorong untuk menggunakan RME untuk mendokumentasikan pelayanannya. Seperti harapan dari PPA yaitu RME dapat dengan cepat menyajikan data yang diperlukan.

Implementation Analysis of Electronic Medical Records in Outpatient Services: Insights from 5M Perspective at Nur Hidayah Hospital Vivi Rahmawati; Wahyu Wijaya Widiyanto
Green Health International Journal of Health Sciences Nursing and Nutrition Vol. 2 No. 3 (2025): July : Green Health: International Journal of Health Sciences, Nursing and Nutr
Publisher : International Forum of Researchers and Lecturers

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70062/greenhealth.v2i3.189

Electronic Medical Records (EMR) are essential for improving the quality, efficiency, and continuity of healthcare services. Despite mandates requiring full implementation of EMRs in Indonesian healthcare facilities by the end of 2023, many hospitals continue to face challenges in achieving effective adoption. This study aims to analyze the implementation of EMRs in the outpatient services of Nur Hidayah Hospital, Yogyakarta, using the 5M framework: Man, Money, Machine, Materials, and Method. Employing a qualitative descriptive approach, data were collected through in-depth interviews, observations, and document analysis involving key informants from medical records staff, registration officers, and IT personnel. The findings revealed that while the availability of staff and supporting infrastructure such as computers and software was generally adequate, limitations persisted in human resource specialization, training access, and system integration. Financial planning for EMR-related needs was done through annual budgeting (RAB), but coordination between departments remained minimal. Key challenges included slow internet connectivity, limited IT staff, and lack of specific Standard Operating Procedures (SOPs) for EMR usage. Overall, the EMR system has been implemented in most outpatient units, yet not all units have fully transitioned due to technical and organizational barriers. This study concludes that optimizing EMR implementation requires not only technological readiness but also organizational alignment, continuous staff development, and robust inter-departmental coordination.

Analyzing Electronic Medical Record Adoption by Registra-tion Staff Using TAM at Tangkiling Health Center, Palang-ka Raya Nia Kurniati; 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.v2i3.496

This study investigates the adoption of Electronic Medical Records (EMR) by registration staff at Tangkiling Health Center, Palangka Raya, using the Technology Acceptance Model (TAM) framework. Out of 61 total healthcare workers, five medical record staff with educational backgrounds in midwifery, nursing, dental nursing, and non-medical high school were purposively selected as research participants. The study employed a qualitative descriptive method, combining in-depth interviews and direct field observations. Results indicate that while the staff acknowledged the usefulness of EMR in improving service efficiency and data accessibility, several barriers hindered its effective use—primarily a lack of training, limited digital literacy, unstable internet connectivity, and inadequate hardware such as computers and printers. Observations showed that only the registration unit had a single shared computer, while other units like outpatient clinics, pharmacy, and cashier still relied on manual documentation. This fragmentation has led to duplicate workloads and disrupted patient data continuity. Despite these challenges, the staff demonstrated a positive attitude and strong behavioral intention to adopt EMR if provided with sufficient infrastructure and regular training. The study concludes that successful EMR implementation in primary healthcare requires not only user acceptance but also institutional readiness, adequate resources, and integrated systems across all service units.

EVALUASI KESIAPAN IMPLEMENTASI REKAM MEDIS ELEKTRONIK DENGAN METODE DOQ-IT Isnaeni, Dwi Retno; Widiyanto, Wahyu Wijaya
Jurnal Infokes Vol 15 No 2 (2025): Jurnal Ilmiah Rekam Medis dan Informatika Kesehatan
Publisher : Universitas Duta Bangsa Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47701/sz6pxf23

Transformasi digital dalam pelayanan kesehatan mendorong fasilitas pelayanan primer, seperti puskesmas, untuk mengadopsi sistem Rekam Medis Elektronik (RME). Namun, keberhasilan implementasi RME tidak hanya bergantung pada teknologi, melainkan juga kesiapan sumber daya manusia, organisasi, serta dukungan kebijakan internal. Penelitian ini bertujuan untuk mengevaluasi kesiapan implementasi RME di UPTD Puskesmas Jimbaran, Kabupaten Semarang menggunakan pendekatan DOQ-IT. Metode yang digunakan adalah deskriptif kualitatif dengan desain studi kasus, melibatkan delapan informan kunci yang dipilih secara purposif. Data dikumpulkan melalui wawancara, observasi, dan studi dokumentasi, lalu dianalisis secara tematik. Hasil penelitian menunjukkan bahwa kesiapan infrastruktur dan sumber daya manusia berada pada kategori cukup siap, sementara kesiapan organisasi serta hambatan teknis dan operasional masih tergolong kurang siap. Evaluasi menggunakan metode DOQ-IT efektif dalam mengidentifikasi aspek yang perlu ditingkatkan sebelum penerapan RME secara menyeluruh. Kesimpulan dari penelitian ini menegaskan pentingnya dukungan kebijakan internal, pelatihan berkelanjutan, serta penguatan peran manajemen untuk mewujudkan transformasi digital layanan kesehatan primer yang berkelanjutan.

Electronic medical record acceptance using technology acceptance model at Panti Waluyo Hospital Surakarta Safitri, Rizky Nur; Widiyanto, Wahyu Wijaya
Science Midwifery Vol 13 No 4 (2025): October: 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.v13i4.2067

The adoption of Electronic Medical Records (EMR) in Indonesia has been accelerated by national regulations; however, many hospitals continue to face significant challenges such as limited infrastructure, varying levels of digital literacy among healthcare workers, and resistance to shifting from paper-based systems. These issues highlight the urgency of evaluating user acceptance in specific hospital contexts. This study evaluates the acceptance of EMR implementation at Panti Waluyo Hospital Surakarta using the Technology Acceptance Model (TAM). A descriptive qualitative design was applied through in-depth interviews, observations, and document reviews. Fifteen participants, including physicians, nurses, medical record officers, and administrative staff, were purposively selected to represent core EMR user groups. The findings indicated that 73% of respondents perceived EMR as useful in improving documentation efficiency and accuracy, while 67% agreed that the system was easy to navigate. Moreover, 80% expressed willingness to continue using EMR. Barriers identified included technical disruptions (40%) and the need for continuous training (53%). Overall, the results suggest that EMR adoption is positively accepted within the hospital, although organizational support and infrastructure improvements remain necessary. The study concludes that perceived usefulness and perceived ease of use play significant roles in shaping user attitudes and behavioral intentions, which in turn influence actual system use. Strengthening user competence, addressing digital literacy gaps, and ensuring technical reliability are essential to sustain EMR implementation in healthcare settings.

WEBSITE-BASED EXPERT SYSTEM: DIABETES MELLITUS DIAGNOSIS BY FORWARD CHAINING METHOD Wijaya, Wahyu Wijaya Widiyanto; Sri Wulandari; Zahroh, Salsabila Ummu
Prosiding Seminar Informasi Kesehatan Nasional 2022 : SIKesNas 2022
Publisher : Fakultas Ilmu Kesehatan Universitas Duta Bangsa Surakarta

Diabetes Melitus merupakan salah satu penyakit berbahaya yang disebabkan kurangnya pengetahuan masyarakat mengenai gejala penyakit yang ditimbulkan. Penelitian ini menyajikan rancang bangun aplikasi perangkat lunak sistem pakar yang dipergunakan menjadi perangkat diagnosis diabetes melitus berbasis website. Tujuan penelitian ini mendeteksi diabetes melitus berdasakan gejala yg sedang dialami oleh seseorang berdasarkan tipe penyakit diabetes melitus serta persentase kemungkinan terjadinya penyakit tersebut. Metode yang digunakan pada perancangan software sistem pakar ini memakai metode forward chaining. Tahapan dalam pengembangan software sistem ahli ini memakai Expert System Development Life Cycle (ESDLC). Hasil perancangan software sistem pakar yg digunakan untuk diagnosis penyakit diabetes melitus sesuai gejala yang diimplementasikan menggunakan akurasi hasil uji pada ahli yaitu 83,33%.

ANALISIS PENERAPAN REKAM MEDIS ELEKTRONIK DI FKTP MENGGUNAKAN METODE TECHNOLOGY ACCEPTANCE MODEL (TAM) Widiyanto, Wahyu Wijaya; Suparti, Sri; Budi, Agustyarum Pradiska; Sunandar, Ahmad
Prosiding Seminar Informasi Kesehatan Nasional 2023 : SIKesNas 2023
Publisher : Fakultas Ilmu Kesehatan Universitas Duta Bangsa Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47701/sikenas.vi.2842

Rekam medis elektronik (RME) telah menjadi solusi yang semakin populer dalam pengelolaan informasi kesehatan di berbagai fasilitas kesehatan. RME memungkinkan penyimpanan, akses, dan pertukaran data pasien secara elektronik, yang bertujuan untuk meningkatkan efisiensi, akurasi, dan kualitas pelayanan kesehatan. Pada tingkat Fasilitas Kesehatan Tingkat Pertama (FKTP), seperti klinik, puskesmas, dan FKTP kecil, penerapan RME juga diharapkan dapat memberikan manfaat yang signifikan. Namun, implementasi RME di FKTP masih menghadapi tantangan tertentu. Salah satunya adalah tingkat penerimaan dan adopsi RME oleh staf medis dan tenaga kesehatan di FKTP. Penggunaan RME memerlukan perubahan dalam cara kerja tradisional dan kebiasaan pengarsipan data pasien, yang mungkin tidak mudah diterima oleh semua pihak terkait. Oleh karena itu, diperlukan analisis yang komprehensif untuk memahami faktor-faktor yang mempengaruhi penerimaan dan penggunaan RME di FKTP. Penelitian ini bertujuan untuk menganalisis penerapan sistem rekam medis elektronik Nusa Medis di FKTP menggunakan pendekatan Technology Acceptance Model (TAM). Metode penelitian ini menggunakan pendekatan kualitatif dengan mengumpulkan data melalui wawancara dengan staf medis dan tenaga kesehatan yang terlibat dalam penerapan RME di FKTP. Hasil penelitian menunjukkan bahwa penerapan RME di FKTP menghadapi beberapa hambatan, termasuk keterbatasan keterampilan teknis staf medis, ketidakpastian tentang keamanan data, dan resistensi terhadap perubahan dari beberapa pihak. Namun, faktor-faktor seperti manfaat yang dirasakan, kemudahan penggunaan, dan dukungan organisasi ternyata berpengaruh positif terhadap penerimaan dan penggunaan RME oleh staf medis dan tenaga kesehatan.

Enhancing EMR Programming through a TPACK-Based Interactive Application in Health Informatics Education widiyanto, Wahyu Wijaya; Nugroho, Suryanto; Widyaningrum, Bajeng Nurul
Jurnal Inotera Vol. 10 No. 2 (2025): July - December 2025
Publisher : LPPM Politeknik Aceh Selatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31572/inotera.Vol10.Iss2.2025.ID547

This study explores the potential of an interactive learning application, designed using the Technological Pedagogical Content Knowledge (TPACK) and Self-Regulated Learning (SRL) frameworks, to enhance student competence in basic Electronic Medical Record (EMR) programming within health informatics education. Using a quasi-experimental pretest-posttest design, the research involved 64 third-semester students in a vocational Health Information Management program. Participants were divided into two groups: an experimental group utilizing the interactive application and a control group receiving traditional instruction. Data were collected through achievement tests, motivation surveys, and usage log analysis. Results revealed that the experimental group demonstrated significantly higher learning achievement (M = 78.6 vs. 65.9), improved motivation (Likert mean = 4.35), and stronger self-regulated learning behaviors (87.1% module completion and 81% repeated simulations). These findings suggest that interactive tools grounded in pedagogical frameworks can effectively bridge abstract programming logic with clinical relevance, fostering both engagement and autonomous learning. The study contributes a scalable and replicable model for integrating simulation-based programming instruction in health informatics curricula.

Co-Authors Ade Amallia Adnan Syarif Mustaqim Ahmad Sunandar Ainurrizah Ainurrizah Amelia Fitriasari Andrianto Afandi Annisaa Miftakhul Jannah Arfeni Warongan, Vicky Aries Widiyoko Arif Surono Arifah Damayanti Arini Vika Sari Arum Astika Sari Arumawati, Arachis Aryawan Eka Syahputra Astri Sri Wariyanti 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 Joko Mulyono Krisnita Dwi Jayanti Kurniawati, Novi Ika Kusrini Kusrini Kusumawati, Pingki Dwi Lestari, Dewi Amelia Licia, Rizka Lidia Putri Fitriana Marjono Marjono 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 Risa Kurnia Wati Rizka Licia Rizka Licia Robi Wariyanto Robi Wariyanto Abdullah Roki Mahendra Safitri, Rizky Nur Salsa Bila Karin Santoso, Azis Aji Sari , Arum Astika Sari, Yayak Kartika 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 Vivi Rahmawati Wahyu Ratri Sukmaningsih Wicaksono, Aliansi Widiyoko, Aries Widiyoko, Aries Widiyoko Yoga Dwi Pambudi Yudha Christianto F. Zahroh, Salsabila Ummu Zainal Arifin

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