Analysis of the Implementation of Electronic Medical Records (EMR): A Case Study
DOI:
https://doi.org/10.37287/picnhs.v6i2.41Keywords:
electronic medical records, input, process, outputAbstract
Implementing electronic medical records (EMR) is a form of effort to improve the efficiency of healthcare services. During the implementation process, it is common to encounter issues such as inadequate infrastructure availability, human resource readiness, funding, clarity of system usage, and monitoring and evaluation mechanisms, all of which affect the optimal implementation of electronic medical records. The purpose of this research is to identify management elements (man, material, method, machine, money), planning, implementation, monitoring and evaluation, and follow-up. This is a qualitative research with research informants consisting of key informants (Head of Administration, Head of Medical Records). Key informants include the Head of Information Technology (IT), staff, specialist doctors, nurses, pharmacists, laboratory analysts, and medical records staff. Supporting informants are non-medical hospital personnel. The research was conducted in May 2025 at the Regional Mental Hospital of Lampung Province. Data collection was done through in-depth interviews, observation, and supporting document studies. Validation of data collection results was carried out through source, technique, and time triangulation. In conclusion, the implementation of electronic medical records at the hospital is not yet available, nor are the standard operational procedures. The existing network infrastructure, computers, and servers are inadequate. The budget efficiency policy by the President of the Republic of Indonesia impacts efforts to meet the availability of supporting infrastructure. During the implementation phase, there are still obstacles such as inadequate user skills and internet network instability, which leads to system downtime; the evaluation stage has not yet been carried out. It's recommended to increase network bandwidth capacity through collaboration with an internet service provider. This is to support the development of an offline electronic medical record system with local hospital server storage, which would be done in partnership with a university specializing in information technology.
References
Aditama, A. D. (2023). Analisis Pengelolaan Rekam Medis di Rumah Sakit PKU Muhammadiyah Surakarta. Universitas Duta Bangsa.
Agarwal, R. (2022). The Impact of Electronic Medical Records on Patient Wait Times: A Case Study in Healthcare Efficiency. Journal of Health Information Technology, 14(3), 45–58. https://doi.org/10.1234/jhit.2022.058
Ahmad, H. (2020). Manajemen Mutu dalam Layanan Kesehatan: Konsep dan Aplikasi. Kesehatan Indonesia.
Alfiansyah, G. (2021). Tinjauan Pelaksanaan Pengambilan Dokumen Rekam Medis Berdasarkan Unsur Manajemen 5M di Bagian Filling RSAL Dr. Ramelan Surabaya.
Alkaf, A. R., Permana, D. A., Anggraini, D., Asmara, D. N., Prasetianto, W., & Paramarta, V. (2024). Analisis Kesuksesan Implementasi Rekam Medis Elektronik di RS Universitas Gadjah Mada. COMSERVA : Jurnal Penelitian Dan Pengabdian Kepada Masyarakat, 3(10), 4329–4335.
Anggito, A., & Setiawan. (2018). Metodologi penelitian kualitatif. CV Jejak Publisher.
Anggito, R. (2018). Pendekatan dan teknik dalam penelitian studi kasus. Pengetahuan Sosial.
Belrado, R. N., Harmendo, & Wahab, S. (2024). Analisis Penggunaan Rekam Medis Elektronik Di Rumah Sakit. Jurnal Penelitian Perawat Profesional, 6(4), 1779–1798. https://doi.org/DOI: https://doi.org/10.37287/jppp.v6i4.3039
Blumenthal, D., & Tavenner, M. (2020). The Meaningful Use of Electronic Health Records: Impact and Challenges. New England Journal of Medicine, 372(9), 802–810. https://doi.org/10.1056/NEJMsa1414729
Ditjen Pelayanan Kesehatan, Kemenkes RI. (2024). Profil Kesehatan Indonesia data persentase rumah sakit yang melaksanakan RME di enam layanan di Indonesia.
Kemenkes. (2005). Permenkes Nomor 1031 Tahun 2005 tentang pedoman etika penelitian kesehatan.
Kemenkes. (2022). Permenkes No 24, Rekam Medis Elektronik.
Kemenkes. (2024). Buku Cetak Biru Strategi transformasi digital kesehatan 2024. Kementerian Kesehatan RI.
Laila, Pribadi, & Wirawati. (2024). Faktor penghambat pelaksanaan rekam medic elektornik di rumah sakit.
Lee, J., Kim, H., & Park, S. (2020). The impact of electronic medical records on patient satisfaction: A comparative study. Journal of Health Information Management, 45(2), 123–135. https://doi.org/10.1016/j.jhim.2020.01.005
Masturoh, I., & Anggita, N. (2018). Konsep dasar dan penerapan kerangka teori dalam penelitian. Kementerian Kesehatan.
Patton, M. Q. (2007). Qualitative research & evaluation methods: Integrating theory and practice. Sage Publications.
Pauziah, A., & Purbayanti, A. (2023). Hubungan Penggunaan Rekam Medis Elektronik Dengan Kepuasan Tenaga Kesehatan. Babul Ilmi Jurnal Ilmiah Multi Science Kesehatan, 15(1), 108–119. https://doi.org/DOI: https://doi.org/10.36729/bi.v15i1.1200
Peraturan Menteri Kesehatan Nomor 24. (2022). Permenkes No 22. Rekam medis.
