IMPLEMENTATION BARRIER OF HOSPITAL MANAGEMENT INFORMATION SYSTEMS AND ELECTRONIC MEDICAL RECORDS IN EAST JAVA

Abstract

Hospitals are required to implement electronic medical records before December 31, 2023 (PMK RI
No. 24 of 2022). However, of the 2,595 hospitals in Indonesia, there were still 304 hospitals that have
not implemented SIMRS, and 993 hospitals had not implemented RME. East Java is the province with
the highest number of hospitals, but most of its RMEs (75.85%) have not been integrated with the
SatuSehat platform. So it is necessary to know what are the obstacles in the implementation of SIMRS
and RME based on human, organizational, and technological factors. This study uses a narrative
approach of literature review and thematic analysis. The results of the study stated that obstacles from
human factors: limited ability, knowledge, and accuracy of hospital IT personnel in data input, limited
development and implementation, and lack of understanding of the work code of ethics, especially in
the digital sector. Organizational factor barriers: no regulations/SOPs/policies for the use of SIMRS
and RME, lack of training and socialization for hospital employees. Technological barriers are the
limitations of hardware, software, and network features in the implementation of SIMRS and RME.
The implementation of SIMRS and RME in East Java hospitals offers benefits but faces challenges
that can be overcome with the implementation of training, stakeholder commitment, technology
support, and the use of open-source SIMRS or certified vendors