Implementasi Rekam Medis Elektronik Berkontribusi pada Peningkatan Biaya Operasional di RSUP Surakarta

https://doi.org/10.22146/jisph.72274

Resia Perwirani(1*)

(1) RSUP Surakarta
(*) Corresponding Author

Abstract


Latar belakang: Rumah Sakit termotivasi mengimplementasikan RME karena adanya harapan manfaat yang didapatkan termasuk RSUP Surakarta yang mulai menerapkan RME di Unit Rawat Jalan sejak April 2022. Implementasi RME memerlukan analisis mendalam berkaitan dengan dampak positif maupun negatif yang mengiringinya, dalam hal ini terkait dengan biaya operasional yang dikeluarkan sebagai sarana evaluasi dan pembelajaran yang bermanfaat untuk bahan pengambilan keputusan strategis.

Metode: Jenis penelitian bersifat deskriptif dengan pendekatan kualitatif, peneliti menggambarkan biaya operasional sebelum dan sesudah implementasi RME, kemudian memperkaya analisis dengan data kualitatif. Penelitian dilaksanakan di RSUP Surakarta, dengan waktu pelaksanaan April - September 2022. Cara pengumpulan data melalui telaah dokumen dan wawancara. Objek dalam penelitian ini adalah data besaran biaya yang dianggarkan pada unit rekam medis dan unit rawat jalan untuk rencana belanja tahunan. Subjek dalam penelitian ini adalah para pemangku kepentingan serta para pengguna yang terkait implementasi RME.

Hasil: Implementasi RME berkontribusi pada peningkatan biaya operasional di RSUP Surakarta dengan total sebesar 56%. Narasumber menganggap bahwa implementasi RME dapat menghemat penggunaan kertas. Temuan yang kontradiktif menunjukkan adanya lag-effect, yang dapat diartikan sebagai jeda waktu kemanfaatan implementasi teknologi dapat dirasakan. Strategi RSUP Surakarta dalam implementasi RME meliputi penggunaan OSS untuk penghematan biaya. Selain itu perencanaan pengembangan RME menjadi bagian tak terpisahkan dari Renstra Rumah Sakit, yang disusun dengan timeline waktu, sesuai kompleksitas rumah sakit.

Kesimpulan: RSUP Surakarta belum menginisiasi penghitungan cost-effectiveness analysis. Peneliti merekomendasikan RS melaksanakan penghitungan dengan metode yang paling memungkinkan, untuk mengetahui efektivitas biaya dalam implementasi RME, sehingga dapat digunakan untuk bahan perencanaan pengembangan RME kedepan.

 

Kata kunci: Rekam Medis Elektronik, Biaya Operasional, Analisis Efektivitas Biaya


Keywords


Rekam Medis Elektronik; Biaya Operasional; Analisis Efektivitas Biaya

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DOI: https://doi.org/10.22146/jisph.72274

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