<![CDATA[The implementation of a Document Management System (Documentum) at Class C Hospital Bogor aims to improve policy information governance and the quality of decision-making. This study analyzes the influence of information quality and ease of access on decision usefulness, with user adoption serving as an intervening variable. This quantitative associative study involved 163 employees who use Documentum, selected via an online questionnaire. Data were analyzed using Partial Least Squares-Structural Equation Modeling (PLS-SEM) with a bootstrapping procedures. The results indicate that information quality and ease of access do not have a significant direct effect on decision usefulness; however, both have a positive and significant effect on user adoption, and user adoption significantly affects decision usefulness. User adoption was found to fully mediate the influence of information quality and ease of access on decision usefulness. These findings confirm that the system's benefits for decision-making are realized through adoption and sustained usage. Management is advised to encourage system adoption through awareness-raising, training, improvements to technical system reliability, and integration into work procedures.]]>
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