Evaluation of the Implementation of the Hospital Management Information System at Sentra Medika Hospital, Cikarang
DOI:
https://doi.org/10.26911/thejhpm.2026.11.01.08Abstract
Background: Sentra Medika Cikarang Hospital migrated from Avicenna to Teramedic in December 2024. Initial evaluations revealed infrastructure constraints, user literacy, and interface complexity that impacted system effectiveness.
Objective: To measure the effectiveness of the implementation of Teramedic SIMRS through quantitative and qualitative analysis, and to formulate optimization recommendations.
Subjects and Method: Convergent mixed methods design: cross-sectional survey (n = 111 respondents) for variables of wait time, data accuracy, interface, organizational support, satisfaction; and in-depth interviews with 15 key informants from IT, inpatient, medical records, pharmacy, and HR units. Quantitative data were analyzed using descriptive statistics, paired t-tests, and multiple linear regression. Qualitative data were analyzed thematically.
Results: The survey showed an average reduction in clinical data wait time from 110 (SD= 15) to 86 (SD= 12) minutes (p < 0.001), an increase in medical record accuracy from 92% to 97% (p < 0.01), and an average user satisfaction score of 4.1/5. Regression analysis confirmed that digital literacy ( β = 0.45, p <0.001) and organizational support (β= 0.37, p < 0.001) significantly influenced satisfaction. Qualitative findings identified four main themes: infrastructure challenges (power outages, network), user adaptation and training, UX/UI design, and module integration.
Conclusion: Teramedic SIMRS improves efficiency and data quality, but infrastructure and interface barriers need to be addressed through UPS upgrades, redundant networks, ongoing e-learning modules, and periodic UX/UI audits.
Keywords:
SIMRS, teramedic, implementation evaluation, electronic medical records, operational efficiencyHow to Cite
References
Aprilianingsih M, Listina F, Kayrus A (2022). Evaluation of the Hospital Management Information System (SIMRS) in the outpatient registration unit using the HOT-FIT method at private hospitals in Lampung. J Form Ilm Kesmas Respati. 7(3): 262–273. https://doi.org/10.35842/formil.v7i3.450.
Azizi A, et al. (2021). Usability evaluation of hospital information systems using heuristic evaluation. Front Health Inform. 10(1): 1–7. https://doi.org/10.30699/fhi.v10i1.271.
Creswell JW, Clark VLP (2023). Revisiting mixed methods research designs twenty years later. In: Handbook of Mixed Methods Research Designs. 1(1): 21–36. http://dx.doi.org/10.4135/9781529614572.n6.
Fahlevi MF, Anugrah IG (2021). Implementation of hospital management information system integration with laboratory information system at PKU Muhammadiyah Sekapuk Hospital. Bina Insani ICT J. 8(1): 33–42. https://doi.org/10.51211/biict.v8i1.1512.
Khosyiin MI (2022). Evaluation of training programs using the Kirkpatrick model. Cermin J Manaj Educ Isl Nus. 1(2): 42–46.
Ferdias I, Budiawan W, Susanto N (2017). Implementation of lean healthcare and root cause analysis in reducing outpatient service time at RSKB Diponegoro Dua Satu Klaten. Ind Eng Online J. 6(3). https://ejournal3.undip.ac.id/index.php/ieoj/article/view/16854.
Firdaus R, Khaerani S, Wijaya N (2025). Digital transformation of health information systems towards connected and patient-centered health services. Econ Digit Bus Rev. 6(2): 1045–1055. https://ojs.stieamkop.ac.id/index.php/ecotal/article/view/2481.
Juliansyah R, et al. (2024). Implementation of electronic medical record systems in Indonesian health facilities: benefits and constraints. J Indones Health Policy Adm. 10(1). https://doi.org/10.7454/ihpa.v10i1.1140.
Karida R, Dhamanti I (2024). The role of organizational culture in improving work quality and employee commitment in hospitals. Tambusai Health J. 5(2): 2674–2684. https://doi.org/10.31004/jkt.v5i2.21007.
Rusdi AJ, Ularan RAR (2023). Literature review: legal analysis of electronic medical record confidentiality management. J Rekam Med Inform Kesehat Indon. 3(1): 64–69. https://doi.org/10.62951/jurmiki.v3i1.50.
Santosa IV, Subekti MN, Jagaddhito GS, Susanti AD (2023). Analysis of the implementation of hospital management information systems (SIMRS) in improving hospital management efficiency at Surakarta Regional General Hospital. J Inspir Mengabdi Negeri. 3(1): 189–197. https://doi.org/10.58192/sejahtera.v3i1.1716.
Sari MM, Sanjaya GY, Meliala A (2016). Evaluation of hospital management information systems (SIMRS) using the HOT-FIT framework. Sesindo 2016.
Sudiantini D, Ayu MP, Aswan MCAS, Prastuti MA, Apriliya M (2023). Digital transformation: impacts, challenges, and opportunities for digital economic growth. J Ekon Akunt Manaj. 1(3): 21–30. https://doi.org/10.30640/trending.v1i3.1115.
Tallupadang DP, Purwadhi P, Veranita M (2024). Effectiveness of hospital management information system implementation in inpatient bed management at Hospital X. Innov J Soc Sci Res. 4(6): 8454–8471. https://doi.org/10.31004/innovative.v4i6.16580.
Teshnizi SH, Alipour J, Haghighi MHH (2020). Usability evaluation of hospital information systems: a cross-sectional study. Appl Med Inform. 42(2): 118–125. https://ami.info.umfcluj.ro/index.php/AMI/article/view/773.
Wijaya VPP (2022). Information technology risk management at BTSI UKSW using ISO 31000:2018. J Tek Inform Syst Inform. 9(2): 1295–1307. https://doi.org/10.35957/jatisi.v9i2.2087.
