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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

Abstract

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

Abstract

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

Abstract

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

Abstract

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.