<![CDATA[H. Hanafie Regional General Hospital in Muara Bungo has implemented EMR, but still encounters challenges such as limited equipment, uneven user training, and slow system performance, which can hinder service delivery and data quality. Furthermore, these gaps impact the quality of collected public health data, thus reducing the region'sability to plan evidence-based programs. This study aims to evaluate theimplementation of EMR based on the HOT-Fit and PIECES (Performance, Information, Economy, Control, Efficiency, Service) models. The research used a qualitative approach with a case study design through in-depth interviews, observations, and document reviews. The research location in H. Hanafie Regional General Hospital, on November 2025. The results show that Human still faces a competency gap due to limited training; Organizations lack infrastructure and human resources, which affects service queues; from Technology, an unstable network and slow applications were found. PIECES analysis, the quality of information was assessed as good and accurate, performance and reporting were not optimal. Suggestions for procuring facilities and infrastructure, upgrading applications, and adding training activities.]]>
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