This study analyzes the influence of service quality, employee job satisfaction, and information technology adoption on the effectiveness of administrative management at XYZ Hospital in West Java. As a medium-sized public hospital, XYZ faces notable challenges in its digital transformation journey, particularly due to limited staff training and low adoption of IT-based systems. The study adopts a quantitative causal research design, involving a survey of administrative personnel selected purposively based on their roles and responsibilities. Data collection was conducted through a structured questionnaire designed to assess perceptions related to service quality, job satisfaction, and IT usage. The analysis employed the Partial Least Squares Structural Equation Modeling (PLS-SEM) method to evaluate the relationships among the variables. The results demonstrate that both service quality and employee job satisfaction significantly contribute to improving the effectiveness of administrative management. In contrast, the influence of information technology adoption appears relatively limited, primarily due to the lack of sufficient technical capacity and readiness among the workforce. These findings emphasize the importance of enhancing non-technical factors first, such as service culture and employee engagement, before fully integrating digital systems. The practical implications suggest that hospital administrators should focus on continuous quality improvement, invest in human resource development, and provide structured IT training tailored to staff needs. This study is especially relevant in the context of healthcare system reform in Indonesia, where efficient and responsive administrative management is essential to support high-quality patient care and ensure institutional resilience in the face of evolving health sector demands.