HIS Implementation in Small Hospital

https://doi.org/10.22146/jisph.71310

Resia Perwirani(1*)

(1) Gadjah Mada University
(*) Corresponding Author

Abstract


Background: Budi Rahayu Hospital at Magelang City has implemented HIS in partnership with the SIMKES FKKMK laboratory of Gadjah Mada University since April 2021. During the initial four months of implementation, Budi Rahayu Hospital experienced various challenges. For understanding and overcome the challenges, it is necessary to construct a strategy of HIS implementation, and then offer a proper recommendation based on study.

Methods: This study is a descriptive qualitative with action research design that describe four stages of action research i.e Diagnosing, Planning, Action, and Evaluation. On the Diagnosing stage, Author arrange an interview and discussion with Hospital Team. Next, Author plan a strategy to generate suitable recommendations for the successful implementation of HIS. In the Action stage, author conduct an implementation review and assistance. Author also manage an UAT as a evaluation stage distributed to respondents using a questionnaire. The study is performed by observing of HIS implementation from September – December 2021. The subject of this study is chosen purposively from departments involved, with total 20 end-users respondents on multiple service units to capture data in a real environtment when HIS is used for healthcare services to patients.

Results: Strategic actions for smooth implementation is active involvements and collaboration from developer team and hospital team monitored by regional health services. the hospital team and developer team formed an online communication group as a place to discuss the problems encountered. There are monitoring activities that involved by regional health services, so the timeline that has been set runs according to the target and the hospital gets optimal benefits of HIS implementation. System acceptance is important for the further development of  HIS. The score of HIS acceptance at Budi Rahayu Hospital is 70% based on 85% scenario that execute successfully. Based on system performance, continues maintenance and communication among implementation team, HIS can be accepted with condition of continuous improvement and adjustment.

Conclusions: Active involvements and collaboration from developer team and hospital team, performance improvement and availability of the system is very crucial for user acceptance, satisfaction and overall success of HIS implementation.

 

Keywords: HIS, Implementation, UAT

Keywords


HIS, Implementation, UAT

Full Text:

PDF


References

Alotaibi, Y. K., & Federico, F. (2017). The impact of health information technology on patient safety. Saudi Medical Journal, 38(12), 1173–1180. https://doi.org/10.15537/smj.2017.12.20631 Amatayakul, M., & Association, A. H. I. M. (2013). Electronic Health Records: A Practical Guide for Professionals and Organizations. American Health Information Management Association. https://books.google.co.id/books?id=yr67MgEACAAJ Bradbury, H. (2015). The SAGE Handbook of Action Research (Third Edit). https://doi.org/10.4135/9781473921290 Christasani, P. D., Wijoyo, Y., Hartayu, T. S., & ... (2021). Implementation of Hospital Information System in Indonesia: A Review. Systematic Reviews in …, 12(7), 499–503. https://www.sysrevpharm.org/abstract/implementation-of-hospital-information-system-in-indonesia-a-review-82877.html Cimperman, R. (2006). UAT Defined: A Guide to Practical User Acceptance Testing (Digital Short Cut). Pearson Education. https://books.google.co.id/books?id=spr3965oVlkC Cresswell, K. M., Bates, D. W., & Sheikh, A. (2013). Ten key considerations for the successful implementation and adoption of large-scale health information technology. Journal of the American Medical Informatics Association, 20(E1), 9–13. https://doi.org/10.1136/amiajnl-2013-001684 Dalimunthe, N., & Wibisono, H. (2014). Analisis Penerimaan Sistem e-learning SMK Labor Pekanbaru dengan Menggunakan Technology Acceptance Model (TAM). Jurnal Sains Dan Teknologi Industri, 11(1), 111–117. http://ejournal.uin-suska.ac.id/index.php/sitekin/article/view/564/536 Forgacs, I., & Kovács, A. (2019). Practical Test Design: Selection of Traditional and Automated Test Design Techniques. BCS Learning & Development Limited. https://books.google.co.id/books?id=dnu5vAEACAAJ Hambling , Goethem, Pauline van., B. (2013). User acceptance testing : a step-by-step guide. BCS. http://www.books24x7.com/marc.asp?bookid=54103 Hartley, C. P., & Jones, E. (2012). EHR implementation : a step-by-step guide for the medical practice (2nd ed.). American Medical Association. Kementerian Kesehatan RI. (2013). Permenkes No.82 Tahun 2013 tentang Sistem Informasi Manajemen Rumah Sakit. Khalifa, M. (2017). Perceived benefits of implementing and using hospital information systems and electronic medical records. Studies in Health Technology and Informatics, 238(October), 165–168. https://doi.org/10.3233/978-1-61499-781-8-165 Khalifa, M., & Alswailem, O. (2015). Hospital information systems (HIS) acceptance and satisfaction: A case study of a Tertiary Care Hospital. Procedia Computer Science, 63(Icth), 198–204. https://doi.org/10.1016/j.procs.2015.08.334 Khurana, H. (2016). Software Testing. Pearson India. https://books.google.co.id/books?id=K7%5C_ODAAAQBAJ Lee, J., Kim, H.-S., & Kim, D.-J. (2019). Recent Technology-Driven Advancements in Cardiovascular Disease Prevention in Korea. Cardiovascular Prevention and Pharmacotherapy, 1(2), 43. https://doi.org/10.36011/cpp.2019.1.e7 Li, Y.-C. (Jack), Yen, J.-C., Chiu, W.-T., Jian, W.-S., Syed-Abdul, S., & Hsu, M.-H. (2015). Building a National Electronic Medical Record Exchange System – Experiences in Taiwan. Computer Methods and Programs in Biomedicine, 121(1), 14–20. https://doi.org/https://doi.org/10.1016/j.cmpb.2015.04.013 Malliarou, M., & Zyga, S. (2009). Advantages Of Information Systems In Health Service. Nursing Information System, 5(January 2009), 43–54. Marques, A., Oliveira, T., & Martins, M. F. O. (2010). Adoption of medical records management system in European hospitals. 4th European Conference on Information Management and Evaluation, ECIME 2010, 14(1), 265–274. Mauco, L., Scott, R., & Mars, M. (2016). Critical analysis of e-health readiness assessment frameworks: suitability for application in developing countries. Journal of Telemedicine and Telecare, 0, 1357633X16686548. https://doi.org/10.1177/1357633X16686548 Mehdipour, Y., & Zerehkafi, H. (2013). Hospital Information System (HIS): At a Glance. Asian Journal of Computer and Information Systems, 1(2), 2321–5658. https://www.ajouronline.com/index.php/AJCIS/article/view/334 Muriana, C., Vizzini, G., Piazza, T., Gilia, G., & Mistretta, V. (2017). Effectiveness of an electronic health record-data warehouse system implementation: Return on investment analysis. International Journal of Medical Engineering and Informatics, 9, 373. https://doi.org/10.1504/IJMEI.2017.086900 Ouiame, B. I., Khalid, C., & Omar, B. (2018). Understanding the Impact of the Cultural Factors on Hospital Information System Acceptance: A Literature Review and Proposal of a New Model. European Scientific Journal, ESJ, 14(17), 214. https://doi.org/10.19044/esj.2018.v14n17p214 Park, J. Il, Lee, H. Y., Kim, H., Lee, J., Shinn, J., & Kim, H. S. (2021). Lack of Acceptance of Digital Healthcare in the Medical Market: Addressing Old Problems Raised by Various Clinical Professionals and Developing Possible Solutions. Journal of Korean Medical Science, 36(37), 1–11. https://doi.org/10.3346/jkms.2021.36.e253 Saputri, I. S. Y., Fadli, M., & Surya, I. (2017). Implementasi E-Commerce Menggunakan Metode UCD (User Centered Design) Berbasis Web. Jurnal Aksara Komputer Terapan, 6(2), 269–278. https://jurnal.pcr.ac.id/index.php/jakt/article/view/1378 Smelcer, J. B., Miller-Jacobs, H., & Kantrovich, L. (2009). Usability of electronic medical records. Journal of Usability Studies Archive, 4, 70–84. Sudirahayu, I., & Harjoko, A. (2016). Analisis Kesiapan Penerapan Rekam Medis Elektronik Menggunakan DOQ-IT. Journal of Information Systems for Public Health, 1(2), 35–43. Taherdoost, H. (2018). A review of technology acceptance and adoption models and theories. Procedia Manufacturing, 22, 960–967. https://doi.org/10.1016/j.promfg.2018.03.137 Utarini, A. (2021). Tak Kenal Maka Tak Sayang: Penelitian Kualitatif dalam Pelayanan Kesehatan. Gadjah Mada University Press. Winardi, J. (2008). Motivasi dan Pemotivasian dalam Manajemen. PT Rajagrafindo Persada.



DOI: https://doi.org/10.22146/jisph.71310

Article Metrics

Abstract views : 1032 | views : 909

Refbacks





Copyright (c) 2022 Journal of Information Systems for Public Health

shopify traffic stats View My Stats