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All Journal Jurnal Manajemen Informasi dan Administrasi Kesehatan
Widjaja, Lily Widjaja
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Computer Science & IT Health Professions Medicine & Pharmacology Public Health

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Analisis Pelaksanaan Alih Media Rekam Medis Manual ke Elektronik di Pelayanan Rawat Inap RS Bhakti Mulia Mawardi, Arilla Nugrahi; Sonia, Dina Sonia; Widjaja, Lily Widjaja; Rumana, Nanda Aula Rumana
Jurnal Manajemen Informasi dan Administrasi Kesehatan Vol. 8 No. 2 (2025): JMIAK
Publisher : Program Studi D3 Rekam Medis dan Informasi Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32585/jmiak.v8i2.7525

Abstract

The transition from manual medical records to electronic medical records (EMR) is a strategic policy of the Indonesian Ministry of Health through Ministerial Regulation No. 24 of 2022, which requires all healthcare facilities to implement digital recording. This study aims to investigate the implementation of the transition from physical documents to an electronic system in the inpatient unit at Bhakti Mulia Hospital. The research method used is qualitative descriptive, with data collection techniques including observation and interviews with six informants from the medical records unit. The research findings indicate that the hospital has established Standard Operating Procedures (SOPs) for the transition to electronic medical records, as well as retention policies for inactive documents, in accordance with national regulations. The transition process has been ongoing since 2022, supported by infrastructure such as scanners, computers, and the SIMRS application. Supporting factors are evaluated using the 5M management approach (People, Budget, Methods, Equipment, and Materials). As a result, implementation has not been optimal due to limitations in human resources, technical constraints with equipment, communication challenges, and human errors in the completeness of medical record documentation. It is recommended to increase the number and quality of human resources according to qualifications, provide further training, conduct regular system evaluations, and align communication between units. Therefore, support from management and regular evaluations are needed to ensure that the media transfer process can run optimally.
Co-Authors Mawardi, Arilla Nugrahi Rumana, Nanda Aula Rumana Sonia, Dina Sonia