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All Journal Jurnal Indonesia Sosial Teknologi Eduvest - Journal of Universal Studies
Farid Agushybana
Universitas Diponegoro, Indonesia
Aerospace Engineering Computer Science & IT Economics, Econometrics & Finance Environmental Science Health Professions Law, Crime, Criminology & Criminal Justice Neuroscience Social Sciences

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The Impact of Electronic Medical Records on BPJS Claims and Physician Performance Sharah Aulia Winarsih; Bagoes Widjanarko; Farid Agushybana
Jurnal Indonesia Sosial Teknologi Vol. 5 No. 8 (2024): Jurnal Indonesia Sosial Teknologi
Publisher : Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/jist.v5i8.1207

Abstract

With the digital transformation, Electronic Medical Records (EMR) have become crucial for operational efficiency and better healthcare. By the end of 2023, all Indonesian healthcare facilities are expected to implement EMR (Regulation No. 24, 2022). However, challenges with BPJS claims often arise post-EMR implementation. This study analyzes EMR's impact at RS A on BPJS claims and physician performance, aiming to identify mitigation strategies for these issues. Using mixed methods, this study combines primary data from 5 respondent interviews and secondary data on BPJS claims pre- and post-EMR implementation at RS A (Jan-Aug 2023). Secondary data analysis employs tables, graphs, and descriptive statistics (mean, median, and standard deviation) to detail BPJS claims patterns. The Chi-Square test is used to analyze the relationship between physician performance and BPJS claim document completeness. EMR implementation increased cases by 11.27% and nominal BPJS claims by 15.04%. Physician performance analysis showed no significant relationship between variables and BPJS claim document completeness (p > 0.05). Challenges post-EMR included data errors, lack of staff training, technical constraints, and incomplete integration of operational processes with EMR. Mitigation strategies include staff training, periodic monitoring, internal audits, process improvements, and management evaluation. EMR implementation at RS A increased cases and BPJS claims. However, challenges persist post-implementation. Effective mitigation strategies can enhance efficiency and BPJS claim quality.
Effectiveness of Hospital Management Information Systems in Improving Hospital Efficiency in Indonesia: A Scoping Review Vashti Resti Putri Firdaus; Septo Pawelas Arso; Farid Agushybana
Eduvest - Journal of Universal Studies Vol. 6 No. 3 (2026): Eduvest - Journal of Universal Studies
Publisher : Green Publisher Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59188/eduvest.v6i3.52946

Abstract

Background: Digital transformation in the health sector, including the implementation of Hospital Management Information Systems (HMIS), has become a key factor in improving the efficiency of healthcare services in Indonesia. This study aims to examine the effectiveness of HMIS in enhancing hospital operational efficiency and to identify the factors that support and hinder its implementation. Method: A scoping review method was employed, analyzing 10 selected articles from databases such as PubMed, ScienceDirect, Google Scholar, and Garuda published between 2018 and 2025. Results: The findings suggest that HMIS has the potential to enhance efficiency by automating administrative processes, integrating data systems, and reducing operational costs. However, its implementation still faces multidimensional challenges, with approximately 80% of issues arising from non-technical factors—such as the absence of standardized operating procedures, limited human resource competencies, and weak management commitment—while the remaining 20% are related to limitations in technical infrastructure. Studies by Waruwu et al. (2024) and Handayani et al. (2018) confirm that human resource training and strong leadership are critical factors for successful implementation. Conclusions: The conclusions of this study emphasize the need for a holistic approach that combines technological improvements, strengthening of human resource capacity, and the implementation of sustainable policies. Policy recommendations include the development of standardized Standard Operating Procedures (SOPs), regular training programs, infrastructure improvements, and routine evaluation mechanisms. These findings provide a comprehensive perspective for policymakers to optimize HMIS implementation and enhance hospital efficiency in Indonesia.
Co-Authors Bagoes Widjanarko Septo Pawelas Arso Sharah Aulia Winarsih Vashti Resti Putri Firdaus