THE CHALLENGES OF HOSPITAL INFORMATION SYSTEM IMPLEMENTATION: A CASE STUDY OF A PUBLIC HOSPITAL IN INDONESIA

Fabianus Herman Kurnia Agung Widiyanto; Aris Widayati

doi:10.24071/jpsc.003010

THE CHALLENGES OF HOSPITAL INFORMATION SYSTEM IMPLEMENTATION: A CASE STUDY OF A PUBLIC HOSPITAL IN INDONESIA

Fabianus Herman Kurnia Agung Widiyanto, Aris Widayati

Abstract

The Indonesian government has mandated using the Hospital Information System (HIS) since 2013. Until now, not all hospitals in Indonesia have implemented HIS, however. Some barriers have prevented them from applying HIS. This study explores the opportunities and barriers regarding implementing the Hospital Information System (HIS) in Indonesia through a public hospital case study. This study applied a qualitative approach. The approach used interviews to gather data using a pre-tested interview guideline. The guideline used several constructs to structure the questions, i.e., predisposing, enabling, reinforcing, barrier, and projected behavior. Participants were different types of HIS users in the studied hospital, i.e., physician, nurse, pharmacist, administrators, laboratory personnel, and Information Technology (IT) personnel. Data were transcribed verbatim and analyzed thematically. The interviews involved twenty-one participants. Nine themes describe HIS implementation challenges in this case study, i.e., familiarity, flexibility, empowerment, discipline, facilities, data sharing, quality assurance, pragmatism, and capacity building. Pragmatism could be a barrier, while the other values would be opportunities. These challenges are promising in guiding HIS implementation success. The values found in this study convince that HIS implementation in Indonesia is promising. Those challenges are required to be taken into account to implement HIS successfully.

Keywords

e-health; health informatics; hospital information system; health service; patient safety

Full Text:

PDF

References

Ahmed, Z., Barber, N., Jani, Y., Garfield, S., Franklin, B.D., 2016. Economic Impact of Electronic Prescribing in the Hospital Setting: A Systematic Review. International Journal of Medical Informatics, 88, 1-7.

Asyary, A., Nur Prasetyo, A.K., Eryando, T., Gerke, S., 2019. Users’ Perception of the Hospital Information System in a Maternity Hospital in Lampung, Indonesia. Kesmas,14(2), 76-81.

Daerina, S.R.F., Mursityo, Y.T., Rokhmawati, R.I., 2018. Evaluasi Peranan Persepsi Kegunaan dan Sikap terhadap Penerimaan Sistem Informasi Manajemen Rumah Sakit (SIMRS) di Rumah Sakit Seila Riska Faricha Daerina 1 Daerah Kalisat. Jurnal Pengembangan Teknologi Informasi dan Ilmu Komputer, 2(11), 5950–5959.

Demirel, A.P.D.D., 2017. Effectivness of Health Information System Applications: Clinical Information and Diagnosis- Treatment Systems in Turkey. European Journal of Multidisciplinary Studies, 2(5), 122-131.

Dobrev, A., Jones, T., Stroetmann, K., Vatter, Y., Peng, K., 2009. Report on the Socio- economic Impact of Interoperable Electronic Health Record (EHR) and Prescribing Systems in Europe and Beyond, URL https://www.scimp.scot.nhs.uk/wp- content/uploads/documents/ECS/EHRI_fi nal_report_2009.pdf, (acessed 9.9.20).

Ebnehoseini, Z., Tabesh, H., Deldar, K., Mostafavi, S.M., Tara, M., 2019. Determining the Hospital Information System (His) Success Rate: Development of a New Instrument and Case Study. Open Access Macedonian Journal of Medical Sciences, 7(9), 1407-1414.

Farzandipur, M., Jeddi, F.R., Azimi, E., 2016. Factors Affecting Successful Implementation of Hospital Information Systems. Acta Informatica Medica, 24(1), 51-55.

Handayani, P.W., Hidayanto, A.N., Pinem, A.A., Hapsari, I.C., Sandhyaduhita, P.I., Budi, I., 2017. Acceptance Model of a Hospital Information System. International Journal of Medical Informatics, 99, 11-28.

Harsono, A., 2015. Analisis Implementasi Sistem Informasi Manajemen Rumah Sakit Umum Daerah (SIM-RSUD) Terintegrasi di Provinsi Kalimantan Barat. Eksplora Informatika, 5(1), 11- 22.

Ismail, N.I., Abdullah, N.H., Shamsuddin, A., 2015. Adoption of Hospital Information System (HIS) in Malaysian Public Hospitals. Procedia - Social and Behavioral Sciences, 172, 336-343.

Kemenkes RI, 2013. Peraturan Menteri Kesehatan Republik Indonesia No. 82 Tahun 2013 tentang Sistem Informasi Manajemen Rumah Sakit, Jakarta.

Khalifa, M., 2016. Evaluating Nurses Acceptance of Hospital Information Systems: A Case Study of a Tertiary Care Hospital, in: Studies in Health Technology and Informatics, 225, 78-82.

Korstjens, I., Moser, A., 2018. Series: Practical Guidance to Qualitative Research. Part 4: Trustworthiness and publishing. European Journal of General Practice, 24(1), 120-124.

Kuo, K.M., Liu, C.F., Talley, P.C., Pan, S.Y., 2018. Strategic Improvement for Quality and Satisfaction of Hospital Information Systems. Journal of Healthcare Engineering, Sep 12, 3689618.

La Nauze, J., 2002. Our Responsibility in a Developing World: From Ethics to Pragmatism. Clinical and Experimental Ophthalmology, 30(2), 66–71.

LaBranche, B., 2011. Rapid Clinical Information Drives Patient Safety. Nursing Management, 42(12), 29-30.

Lammintakanen, J., Saranto, K., Kivinen, T., 2010. Use of Electronic Information Systems in Nursing Management. International Journal of Medical Informatics, 79(5), 324-331.

Lippeveld, T., Sauerborn, R., Bodart, C., 2000. Design and Implementation of Health Information Systems, URL https://apps.who.int/iris/handle/10665/42 289, (accessed 9.9.20).

Mehdipour, Y., Zerehkafi, H., 2013. Hospital Information System (HIS): At a Glance. Asian Journal of Computer and Information Systems, 1(2), 54-61.

Odelia, E.M., 2018. Pengembangan Kapasitas Organisasi Melalui Penerapan Sistem Informasi Manajemen Rumah Sakit (SIMRS) Untuk Meningkatkan Mutu Pelayanan Kesehatan di RSUD dr. Mohamad Soewandhie Surabaya. Kebijakan dan Manajemen Publik, 6(1), 1-8.

Puspitasari, N., Permanasari, A.E., Nugroho, H.A., 2013. Analisis Penerapan Sistem Informasi Manajemen Rumah Sakit Menggunakan Metode UTAUT dan TTF. Jnteti, 2(4), 225-232.

Rangraz Jeddi, F., Abazari, F., Moravveji, A., Nadjafi, M., 2013. Evaluating the Ability of Hospital Information Systems to Establish Evidence-based Medicine in Iran. Journal of Medical Systems, 37(2), 9904-9905.

Sadoughi, F., Kimiafar, K., Ahmadi, M., Shakeri, M.T., 2013. Determining of Factors Influencing the Success and Failure of Hospital Information System and Their Evaluation Methods: A Systematic Review. Iranian Red Crescent Medical Journal, 15(12), e11716.

Saluvan, M., Ozonoff, A., 2018. Functionality of Hospital Information Systems: Results from a Survey of Quality Directors at Turkish Hospitals. BMC Medical Informatics and Decision Making, 18(1), 6.

Saputra, A.B., 2016. Indentifikasi Faktor- Faktor Keberhasilan Implementasi Sistem Informasi Manajemen Rumah Sakit. Jurnal Penelitian Pers dan Komunikasi Pembangunan, 19(3), 135-148.

Sharifian, R., Askarian, F., Nematolahi, M., Farhadi, P., 2014. Factors Influencing Nurses’ Acceptance of Hospital Information Systems in Iran: Application of the Unified Theory of Acceptance and Use of Technology. Health Information Management Journal, 43(3), 23-28.

Urbach, N., Müller, B., 2012. The Updated DeLone and McLean Model of Information Systems Success, in Introduction Systems Theory, Vol. 1, Springer, New York.

DOI: https://doi.org/10.24071/jpsc.003010