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Analisis Kesiapan Penggunaan Rekam Medis Elektronik dI Instalasi Rawat Jalan RSUD Bahteramas Provinsi Sulawesi Tenggara Ramadhan, Devi Emrianti; Permanasari, Adhistya Erna; Sanjaya, Guardian Yoki
Jurnal Sistem Informasi Kesehatan Masyarakat Vol 9, No 1 (2024)
Publisher : Divisi SIMKES, HPM, Fakultas Kedokteran, Kesehatan Masyarakat, UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jisph.86493

Abstract

Latar belakang: Semakin berkembangnya transformasi digital di dunia kesehatan, pemerintah menuntut seluruh fasilitas layanan kesehatan terutama rumah sakit untuk mengimplementasikan rekam medis elektronik sebagai upaya dalam mempermudah pelayanan Kesehatan. Di RSUD Bahteramas sendiri dalam proses implementasi rekam medis elektronik di instalasi rawat jalan yang tentunya banyak hal yang perlu dipersiapkan seperti kesiapan sumber daya manusia, infrastruktur, tata kelola kepemimpinan dan budaya kerja organisasi. Tingkat kesiapan suatu fasilitas pelayanan Kesehatan dalam implementasi rekam medis elektronik perlu dilakukan agar bisa membantu dalam mengoptimalisasi penerapan rekam medis elektronik. pengukuran kesiapan penerapan rekam medis elektronik di RSUD Bahteramas menggunakan Electronic Health Record (EHR) Assessment and Readiness Starter Assessment oleh Doctor’s Office Quality-Information Technology (DOQ-IT).Tujuan : Menganalisis kesiapan RSUD Bahteramas dalam menerapkan rekam medis elektronik di instalasi rawat jalan.Metode: Jenis penelitian yang digunakan dalam penelitian ini adalah penelitian deskriptif dengan pendekatan kualitatif. pengumpulan data dilakukan dengan wawancara mendalam dan observasi mengukur tingkat kesiapan penerapan rekam medis elektronik di instalasi rawat jalan menggunakan EHR Assessment and Readiness Starter Assessment oleh Doctor’s Office Quality-Information Technology (DOQ IT). Informan dalam penelitian ini berjumlah 11 orang.Hasil: Hasil analisis dalam penerapan rekam medis elektronik di RSUD Bahteramas dinilai cukup siap, dilihat dari beberapa area penilaian diantaranya sumber daya manusia berada pada range II, budaya kerja organisasi berada pada range III, tata Kelola kepemimpinan berada pada range III dan infrastruktur berada pada range III. Akan tetapi masih diperlukan perhatian seperti penambahan komputer dokter, perbaikan jaringan serta keterlibatan pasien dalam mendukung penerapan rekam medis elektronik.Kesimpulan: Secara keseluruhan kesiapan penerapan rekam medis elektronik di RSUD Bahsteramas berada pada range II dalam interpretasinya menunjukkan bahwa, ada kemampuan yang baik di beberapa komponen kesiapan, namun ada pula beberapa kelemahan di beberapa komponen, sehingga diperlukan identifikasi dan antisipasi lebih lanjut pada komponen yang lemah, agar implementasi bisa tetap berjalan baik.
Digital capabilities of health workers to use electronic medical records: Digital maturity self-assessment in Indonesian hospitals Sanjaya, Guardian Yoki; Ramadhan, Devi Emrianti; Mutamakin, Agus; Sitompul, Taufiq; Sulistiyowati, Dian; Istiqlal, Haidar
International Journal of Health Literacy and Science Vol. 1 No. 2 (2023): International Journal of Health Literacy and Science
Publisher : Health Science UDINUS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60074/ihelis.v1i2.43

Abstract

Digital skills influence the successful implementation of information systems and electronic medical records (EMR) in health care facilities. The Ministry of Health measures digital maturity levels to identify gaps in improving digital transformation, including the digital skill of health workers in hospitals in 2022. The digital maturity in all hospitals in Indonesia was measured quantitatively based on the 7 components of Hospital Information Systems Maturity Model (HISMM). The low response rate was anticipated with a number of efforts such as outreach, capacity building and a circular letter from the Ministry of Health. Internal and external consistency was conducted to ensure the quality of the self-assessment. Specifically, the level of digital skills was analysed by calculating the average score of one components of digital maturity, namely Human Resources, Skills and Use of Hospital Information Systems. There are 11 parameters for assessing the level of digital literacy, perceived usefulness and encouragement to use RME in hospitals. All parameters were assessed using a 5-point scale and were analysed quantitatively. The response rate was 31.9% (973 out of 3,052 hospitals) where overall average of digital maturity level was 2.6. Hospital type A, higher accreditation status and located in Jawa-Bali has relatively high maturity level compare to others. The digital skills of health workers in hospitals are relatively high, with the majority already using the hospital information system. This was align with the perception of the ease of use and usefulness of using a hospital information system. Even though there have been several digital health champions in the hospital, health workers have not been fully involved in the process of developing information systems in hospitals and not many hospitals have utilized HIS to assess the performance of health workers. It is clearly that health workers in hospitals are capable and quite aware of the use of digital technology. However, their role needs to be increased to support the development of appropriate digital technology.