Readiness Analysis of Electronic Medical Record System (RME): A Case Study of Secondary Hospitals in Surabaya
DOI:
https://doi.org/10.53713/htechj.v1i5.92Keywords:
readiness, electronic medical record (EMR), doctoral office quality-information technology (DOQ-IT), EMR, DOQ-ITAbstract
Background: The Indonesian Minister of Health Regulation requires all hospitals to no longer use manual medical records by 2023. Electronic Medical Records (RME) have many benefits and uses, especially in improving the quality of health services related to patient data as one of the Clinical Decision Support (DCS). But in fact, there are still many hospitals that have not used RME according to the rules that have been launched by the government. Objective: Conduct an analysis of hospital readiness in the use of RME in several secondary hospitals in Surabaya, East Java Indonesia. Method: Observational with descriptive study. Samples were randomly drawn at 228 out of a total population of 562. The study used a survey that was analyzed using SPSS. Before calculating readiness, each question item is tested for validity and reliability to determine the feasibility of the instrument. Results: Organizational culture preparation 81.82% (mean 43.42), leadership governance 80.52% (mean 32.09), human resources 66.23% (mean 21.19), infrastructure 75.32% (mean 15.44) with a total readiness of 112.14 in the score category in range I (98-145) which is very ready. Conclusion: Aspects of organizational culture, leadership governance, human resources, and infrastructure as a whole has a highly prepared category.
References
Aldosari, B., Al-Mansour, S., Aldosari, H., & Alanazi, A. (2018). Assessment of factors influencing nurses acceptance of electronic medical record in a Saudi Arabia hospital. Informatics in Medicine Unlocked, 10(December 2017), 82–88. https://doi.org/10.1016/j.imu.2017.12.007
Alkureishi, M. A., Lee, W. W., Lyons, M., Press, V. G., Imam, S., Nkansah-Amankra, A., Werner, D., & Arora, V. M. (2016). Impact of Electronic Medical Record Use on the Patient–Doctor Relationship and Communication: A Systematic Review. Journal of General Internal Medicine, 31(5), 548–560. https://doi.org/10.1007/s11606-015-3582-1
Amatayakul, M. K. (2004). A Practical Guide for Professionals and Organizations.
Awa, H., & Ukoha, K. (2020). Studying enterprise systems’ acceptance using integrated unified theory of acceptance and use of technology (UTAUT). Journal of Sustainability Science and Management, 15(5), 98–126. https://doi.org/10.46754/JSSM.2020.07.010
Biruk Senafekesh, Yilma Tesfahun, AndualemMulusew, & Tilahun Binyam. (2014). Health Professionals readiness to implement electronic medical record system at three hospitals in Ethiopia: a cross sectional study. BMC Medical Informatics and Decision Making, 14(115), 1–8.
Buse, K., & Hawkes, S. (2015). Health in the sustainable development goals: Ready for a paradigm shift? Globalization and Health, 11(1). https://doi.org/10.1186/s12992-015-0098-8
Chadha, V. K. (2006). Sample size determination in health studies. 55–62.
Coffman, D. L., Balantekin, K. N., & Savage, J. S. (2016). Using Propensity Score Methods To Assess Causal Effects of Mothers’ Dieting Behavior on Daughters’ Early Dieting Behavior. Childhood Obesity (Print), 12(5), 334–340. https://doi.org/10.1089/chi.2015.0249
Eka Noviyanti, Sunanto, & Iis Hanifah. (2023). Effect of Health Education Using Audiovisual Media on Level of Knowledge about Leucorrhea (Fluor Albus). Health and Technology Journal (HTechJ), 1(2), 118–124. https://doi.org/10.53713/htechj.v1i2.15
Eka Wilda Faida. (2020). Jurnal Kesehatan Jurnal Kesehatan. Jurnal Kesehatan, 8(1), 10–15. https://doi.org/https://doi.org/10.25047/j-kes.v7i3 Analisis
Faida, E. W., & Ali, A. (2021). Analisis Kesiapan Implementasi Rekam Medis Elektronik dengan Pendekatan DOQ-IT (Doctor’s Office Quality-Information Technology). Jurnal Manajemen Informasi Kesehatan Indonesia (JMIKI), 9(1), 67.
Fairley, C. K., Vodstrcil, L. A., Huffam, S., Cummings, R., Chen, M. Y., Sze, J. K., Fehler, G., Bradshaw, C. S., Schmidt, T., Berzins, K., & Hocking, J. S. (2013). Evaluation of Electronic Medical Record (EMR) at Large Urban Primary Care Sexual Health Centre. PLoS ONE, 8(4). https://doi.org/10.1371/journal.pone.0060636
Foundation, A., Nancy, C., Parker, M. C., Ut, H., & Donnelly, S. (n.d.). Doctor ’ s Office Quality – Information Technology ( DOQ-IT ) Practice Performance Improvement Practice Readiness Assessment Form (pp. 1–7).
Garavand, A., Samadbeik, M., Asadi, H., & Abhari, S. (2016). Readiness of Shiraz teaching hospitals to implement Electronic Medical Record (EMR). Journal of Health Management and Informatics, 3(3), 82–88.
Ghazisaeidi, M., Ahmadi, M., Sadoughi, F., & Safdari, R. (2014). An assessment of readiness for pre-implementation of electronic health record in Iran: A practical approach to implementation in general and teaching hospitals. Acta Medica Iranica, 52(7), 532–544.
Guzzo, A. S., Tecca, M., Marinelli, E., Bontempi, C., Palazzo, C., Ursillo, P., Ferro, G., Miani, A., Salvati, A., Catanzaro, S., Chiarini, M., Cacchio, D., Sposato, D. P., Lombardi, A. M., & Giusti, M. De. (2017). Quality Assessment of medical records as a tool for Clinical Risk Management: A three year experience of a Teaching Hospital Policlinico Umberto I, Rome. 4(2), 371–379. https://doi.org/10.14616/sands-2017-
Hidayat, A. R., & Sari, W. E. (2017). Analisis Kesiapan (Readiness Assessment) Penerapan Electronic Medical Record di Klinik Rawat Inap PKU Muhammadiyah Pakem. Indonesian Journal On Medical Science, 4(1), 147–155.
Hung, H., Kueh, L. L., Tseng, C. C., Huang, H. W., Wang, S. Y., Hu, Y. N., Lin, P. Y., Wang, J. L., Chen, P. F., Liu, C. C., & Roan, J. N. (2021). Assessing the quality of electronic medical records as a platform for resident education. BMC Medical Education, 21(1), 1–8. https://doi.org/10.1186/s12909-021-03011-0
Kabukye, J. K., Koch, S., Cornet, R., Orem, J., & Hagglund, M. (2017). User Requirements for an Electronic Medical Records System for Oncology in Developing Countries: A Case Study of Uganda. AMIA ... Annual Symposium Proceedings. AMIA Symposium, 2017, 1004–1013.
Kemkar, D. O. S., & Kalode, P. (2015). Assessment of Electronic Medical Record Applications: An Overview for Powerful EMR Estimation. International Journal of Innovative Research in Computer and Communication Engineering, 03(01), 56–59. https://doi.org/10.15680/ijircce.2015.0301010
Kusriyanti, D., Matuwi, B., & Supriyantoro, . (2021). Readiness Analysis of Electronic Medical Record Implementation at Dinda Tangerang Hospital Using Correlational Method. European Journal of Business and Management Research, 6(4), 19–25. https://doi.org/10.24018/ejbmr.2021.6.4.915
Lambooij, M. S., Drewes, H. W., & Koster, F. (2017). Use of electronic medical records and quality of patient data: different reaction patterns of doctors and nurses to the hospital organization. BMC Medical Informatics and Decision Making, 17(1), 1–11. https://doi.org/10.1186/s12911-017-0412-x
Lower, W., Lib, L., & Only, U. S. E. (1998). 33- 35 1998. 9(3), 36.
Ludwick, D. A., & Doucette, J. (2009). Primary care physicians’ experience with electronic medical records: Barriers to implementation in a fee-for-service environment. International Journal of Telemedicine and Applications, 2009. https://doi.org/10.1155/2009/853524
Maha Wirajaya, M. K., & Made Umi Kartika Dewi, N. (2020). Analisis Kesiapan Rumah Sakit Dharma Kerti Tabanan Menerapkan Rekam Medis Elektronik. Jurnal Kesehatan Vokasional, 5(1), 1. https://doi.org/10.22146/jkesvo.53017
Massing, M. W., & Schenck, A. P. (2008). Role of data at the Carolinas Center for Medical Excellence. North Carolina Medical Journal, 69(2), 132–138. https://doi.org/10.18043/ncm.69.2.132
MASSPRO. (2009). EHR Assessment and Readiness Starter Assessment. 1–11. http://www.communityclinics.org
Menteri Kesehatan RI. (2020). Kebijakan digitalisasi di rumah sakit.
Middleton, B. (2009). The clinical decision support Consortium. Studies in Health Technology and Informatics, 150, 26–30. https://doi.org/10.3233/978-1-60750-044-5-26
Praptana, Puspita Ningsih, K., Santoso, S., & Sevtiani, I. (2021). Pendampingan Penilaian Kesiapan Penerapan Rekam Medis Elektronik Menggunakan Metode DOQ-IT di RS Condong Catur Sleman. Journal of Innovation in Community Empowerment, 3(2), 98–104. https://doi.org/10.30989/jice.v3i2.634
Pratama, M. H., & Darnoto, S. (2017). Analisis Strategi Pengembangan Rekam Medis Elektronik di Instalasi Rawat Jalan RSUD Kota Yogyakarta. 5(1).
Putra Adhitama, A., Asmaningrum, N., Kurniawan, D. E., Ardiana, A., Tri Afandi, A., Wijaya, D., & Rosyidi Muhammad Nur, K. (2023). Technology for Patient’s Fall Detection System in Hospital Settings: A Systematic Literature Review. Health and Technology Journal (HTechJ), 1(1), 95–104. https://doi.org/10.53713/htechj.v1i1.21
Schnipper, J. L., Linder, J. A., Palchuk, M. B., Einbinder, J. S., Li, Q., Postilnik, A., & Middleton, B. (2008). “Smart Forms” in an Electronic Medical Record: Documentation-based Clinical Decision Support to Improve Disease Management. Journal of the American Medical Informatics Association, 15(4), 513–523. https://doi.org/10.1197/jamia.M2501
Silow-Carroll, S., Edwards, J. N., & Rodin, D. (2012). Using electronic health records to improve quality and efficiency: the experiences of leading hospitals. Issue Brief (Commonwealth Fund), 17(July), 1–40.
Simon, S. R., Kaushal, R., Cleary, P. D., Jenter, C. A., Volk, L. A., Poon, E. G., Orav, E. J., Lo, H. G., Williams, D. H., & Bates, D. W. (2007). Correlates of Electronic Health Record Adoption in Office Practices: A Statewide Survey. Journal of the American Medical Informatics Association, 14(1), 110–117. https://doi.org/10.1197/jamia.M2187
Stadelmann, J. (2012). Assessing Readiness For E-Health In Egypt: A Case Study Of Cairo University Hospitals. 17–19. http://dar.aucegypt.edu/handle/10526/2777
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.
Tavakol Cronbach Alpha 2011.pdf. (n.d.).
WHO. (2017). Strengthening health information systes. who.int/iris/rest/bitstreams/1092654/retrieve
Wilcox, L. (2010). Using the Electronic Medical Record to Keep Hospital Patients Informed. Sciences-New York, 11–14.
