IMPLEMENTATION OF MEDICAL RECORD DIGITALIZATION IN ELECTRONIC MEDICAL RECORD ACTIVITIES AT RSIA BUDHI MULIA PEKANBARU
DOI:
https://doi.org/10.54973/jham.v7i1.915Keywords:
medical record digitization, electronic medical records, information security, hospitalAbstract
The implementation of Electronic Medical Records (EMR) is an essential component of digital transformation in healthcare services and has become mandatory for all healthcare facilities in Indonesia. One of the key elements supporting EMR implementation is medical record digitization, which aims to improve the efficiency of patient data management and facilitate timely access to health information. This study aimed to analyze the implementation of medical record digitization in Electronic Medical Record activities at RSIA Budhi Mulia Pekanbaru. This study employed a descriptive qualitative approach. Four informants participated in the study, consisting of the head of the medical record unit, registration officers, and medical record processing staff. Data were collected through observation, in-depth interviews, and documentation, and analyzed using qualitative methods. The findings revealed that medical record personnel involved in the digitization process possessed appropriate educational qualifications and had received training related to EMR implementation. Standard Operating Procedures (SOPs) for EMR implementation were available and consistently applied. Supporting facilities and infrastructure, including computer equipment and internet networks, were considered adequate. However, a weakness was identified in the system security aspect, namely the absence of an automatic account-locking feature, which may increase the risk of unauthorized access to medical record data. The study concludes that the implementation of medical record digitization at RSIA Budhi Mulia Pekanbaru has generally been well implemented in terms of human resources, SOPs, and supporting infrastructure. Strengthening system security through the development of account protection features is recommended to enhance the confidentiality and integrity of electronic medical record data.
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References
Aisyah, S., Putri, N. A., & Rahman, F. (2024). Readiness assessment of electronic medical record implementation in Indonesian hospitals: A systematic review. Journal of Health Informatics in Developing Countries, 18(1), 1–12.
Bariyah, N., Pratama, A., & Sari, D. (2023). Analisis kemampuan petugas rekam medis dalam pelaksanaan pendaftaran pasien elektronik di rumah sakit. Jurnal Manajemen Informasi Kesehatan Indonesia, 11(2), 85–92.
Handayani, P. W., Hidayanto, A. N., & Sandhyaduhita, P. I. (2022). Factors influencing electronic medical record adoption in healthcare facilities: Evidence from Indonesia. Healthcare Informatics Research, 28(3), 210–219.
Kementerian Kesehatan Republik Indonesia. (2022). Peraturan Menteri Kesehatan Republik Indonesia Nomor 24 Tahun 2022 tentang Rekam Medis. Jakarta: Kementerian Kesehatan RI.
Kementerian Kesehatan Republik Indonesia. (2024). Peraturan Menteri Kesehatan Republik Indonesia Nomor 22 Tahun 2024 tentang Penyelenggaraan Rekam Medis Elektronik. Jakarta: Kementerian Kesehatan RI.
Kurniasih, D. L. S., Mulyani, W., & Sukawan, A. (2023). Hak akses pelepasan informasi rekam medis elektronik untuk kepentingan penelitian di RSUP Dr. Hasan Sadikin Bandung. Jurnal Kebijakan Kesehatan Indonesia, 12(3), 154–161.
Laudon, K. C., & Laudon, J. P. (2022). Management Information Systems: Managing the Digital Firm (17th ed.). New York: Pearson Education.
Menteri Kesehatan Republik Indonesia. (2010). Peraturan Menteri Kesehatan Republik Indonesia Nomor 147/Menkes/Per/I/2010 tentang Perizinan Rumah Sakit. Jakarta: Kementerian Kesehatan RI.
Menteri Kesehatan Republik Indonesia. (2020). Peraturan Menteri Kesehatan Republik Indonesia Nomor 3 Tahun 2020 tentang Klasifikasi dan Perizinan Rumah Sakit. Jakarta: Kementerian Kesehatan RI.
Notoatmodjo, S. (2018). Metodologi Penelitian Kesehatan. Jakarta: Rineka Cipta.
Pressman, R. S., & Maxim, B. R. (2020). Software Engineering: A Practitioner’s Approach (9th ed.). New York: McGraw-Hill Education.
Pratama, R., Syafitri, D., & Siregar, M. (2024). Information security challenges in electronic medical record implementation at hospitals. International Journal of Health Information Management, 9(1), 45–54.
Putri, R. A., Wulandari, D., & Kurniawan, A. (2023). Digitalization of medical records and its impact on healthcare service efficiency: A literature review. Journal of Medical Record and Health Information, 5(2), 88–97.
Rahayu, A. H., Ginting, G., & Pitriani, K. (2023). Implementasi alur digitalisasi scanning dalam kegiatan rekam medis elektronik di Instalasi Gawat Darurat RSUD Al-Ihsan Provinsi Jawa Barat. Jurnal TEDC, 17(2), 120–127.
Ulfah, F., & Maryati, H. (2020). Gambaran kinerja petugas rekam medis di RSUD Cibinong Kabupaten Bogor. Promotor: Jurnal Mahasiswa Kesehatan Masyarakat, 3(2), 204–221.
World Health Organization. (2021). Global Strategy on Digital Health 2020–2025. Geneva: World Health Organization.
World Health Organization. (2023). Digital Health and Health Information Systems: Guidance for Health Facilities. Geneva: World Health Organization.
Wulandari, D., Nugraheni, R., & Saputra, A. (2024). User acceptance of electronic medical record systems among health professionals in Indonesia. Jurnal Administrasi Kesehatan Indonesia, 12(1), 33–42.
