ANALYSIS OF READINESS AND IMPLEMENTATION STRATEGIES FOR PATIENT ELECTRONIC SIGNATURES ON ELECTRONIC MEDICAL RECORDS AT RSUD BHAKTI DHARMA HUSADA SURABAYA
DOI:
https://doi.org/10.54973/jham.v7i1.926Keywords:
Electronic Medical Record, Electronic Signature, Implementation Readiness, NPT, SIMRSAbstract
The implementation of Electronic Medical Records (EMR) is an important part of digital transformation in healthcare services. However, several patient approval documents are still signed manually, causing inefficiency in paperless services. This study aimed to analyze the readiness and implementation strategies of patient electronic signatures on Electronic Medical Records at RSUD Bhakti Dharma Husada Surabaya. This research used a descriptive quantitative method with the Normalization Process Theory (NPT) approach including coherence, cognitive participation, collective action, and reflexive monitoring variables. Data collection was conducted using questionnaires distributed to 84 respondents consisting of health workers and related staff. The results showed that all variables were categorized as ready, with average scores of coherence 4.0437, cognitive participation 4.0357, collective action 4.0125, and reflexive monitoring 4.1190. The main obstacle was identified in the skill set workability aspect related to technical staff skills in assisting patients with digital devices. The priority implementation strategy was strengthening data security and system legality with an average score of 4.2976. Other strategies included patient education, preparation of standard operating procedures, infrastructure provision, human resource training, and SIMRS integration. RSUD Bhakti Dharma Husada Surabaya was considered ready to implement patient electronic signatures gradually by considering aspects of security, legality, infrastructure, and human resource readiness.
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References
A. A. Izza and S. Lailiyah. (2024). Kajian Literatur Gambaran Implementasi Rekam Medis Elektronik di Rumah Sakit Indonesia berdasarkan Permenkes Nomor 24 Tahun 2022 tentang Rekam Medis. MGK, vol. 13, no. 1, pp. 549–562, Jun. 2024, doi:10.20473/mgk.v13i1.2024.549-562.
A. F. Anggraini. (2025). Hambatan Implementasi Rekam Medis Elektronik Di Indonesia Menggunakan HOT-FIT Model : Literatur Review. JKT. vol. 6, no. 1, pp. 1632–1642, Mar. 2025, doi: 10.31004/jkt.v6i1.42039.
Aini, Refika Nurul, Ria Rosiandini, Patricia Angelica, Adelia Fitri Kusumadewi, Audhea Oviola, Hanum Putri Cahyaningrum, and Dian Herawati. (2024). Legalitas Tanda Tangan Elektronik pada Rekam Medis di RS PKU Muhammadiyah Gamping.
Anggraini, F.D.P, Aprianti A., Setyawati. V. A. V, and Hartanto. A. A. (2022). Pembelajaran Statistika Menggunakan Software SPSS untuk Uji Validitas dan Reliabilitas. basicedu, vol. 6, no. 4, pp. 6491–6504, May. doi: 10.31004/basicedu.v6i4.3206.
Fitriyah, Y. (2022). Analisis Tingkat Kesiapan implmentasi Tanda Tangan Digital Untuk Autentikasi Dokumen Rekam Medis ELektronik di Instalasi Rawat Jalan RSUD Kota Yogyakarta. JISPH, vol. 7, no. 2, p. 53, Aug. 2022, doi: 10.22146/jisph.73666.
H. Putri, M. R. Anshari, and G. Persadha. (2023). Persiapan Implementasi Tanda Tangan Digital Untuk Autentikasi Dokumen Rekam Medis Elektronik DI RSUD dr. H. Moch Ansari Saleh Banjarmasin. vol. 5, no. 2.
J. F. Hair. (2019). Multivariate data analysis, Eighth edition. Andover, Hampshire: Cengage.
J. V. Hoof. (2017). Handbook of smart homes, health care and well-being.
Listyana. (2014). Kekuatan Pembuktian Tanda Tangan Elektronik Sebagai Alat Bukti Yang Sah Dalam Perspektif Hukum Acara Di Indonesia Dan Belanda | Listyana | Verstek.” Accessed: Nov. 30, 2025. [Online]. Available: https://jurnal.uns.ac.id/verstek/article/view/38859/25732
Nazwa. (2023). View of Tinjauan Aspek Legalitas Penggunaan Tanda Tangan Elektronik Pada Rekam Medis Elektronik di RS. X Kab. Tasikmalaya. Accessed: Nov. 19, 2025. [Online]. Available:https://jurnal.uimedan.ac.id/index.php/JIPIKI/article/view/1911/1194
Ningtyas. (2018). Implementasi Tanda Tangan Elektronik Pada Rekam Medis Elektronik di RSUD Kota Yogyakarta - Repository Unjaya.” Accessed: Jan. 15, 2026. [Online]. Available: https://repository.unjaya.ac.id/id/eprint/2391/
Oktaviana S. P, D. R. Ratri, and A. Munawir. (2024). Analisis Kesiapan Implementasi Rekam Medik Elektronik di Rumah Sakit Universitas Brawijaya. Accessed: May 16, 2026. [Online]. Available: https://garuda.kemdiktisaintek.go.id/documents/detail/4408220
Permenkes No. 24 Tahun 2022. Accessed: Oct. 29, 2025. [Online]. Available: https://peraturan.bpk.go.id/Details/245544/permenkes-no-24-tahun-2022
PP No. 71 Tahun 2019.” Accessed: Nov. 30, 2025. [Online]. Available: https://peraturan.bpk.go.id/Details/122030/pp-no-71-tahun-2019
PP No. 82 Tahun 2012. Accessed: Nov. 30, 2025. [Online]. Available: https://peraturan.bpk.go.id/Details/5296/pp-no-82-tahun-2012
Satria Indra Kesuma. (2023). Rekam Medis Elektronik Pada Pelayanan Rumah Sakit Di Indonesia: Aspek Hukum Dan Implementasi. ALADALAH, vol. 1, no. 1, pp. 195–205. Jan. doi: 10.59246/aladalah.v1i1.188.
Soesana, A., Subakti, H., Karwanto, K., Fitri, A., Kuswandi, S., Sastri, L., Falani, I., Aswan, N., Hasibuan, F. A., & Lestari, H. (2023). Metodologi penelitian kuantitatif. Yayasan Kita Menulis.
Sholkhan, M. 2024. “Implementasi Rekam Medis Elektronik Dan Kajian Hukumnya.” Konstitusi : Jurnal Hukum, Administrasi Publik, dan Ilmu Komunikasi 1(3): 39–54. doi:10.62383/konstitusi.v1i3.8.
Sugiyono. (2023). Metode penelitian kuantitatif, kualitatif, dan R&D. Alfabeta.
UU No. 11 Tahun 2008. Accessed: Nov. 30, 2025. [Online]. Available: https://peraturan.bpk.go.id/details/37589/uu-no-11-tahun-2008
UU No. 27 Tahun 2022. Accessed: May 14, 2026. [Online]. Available: https://peraturan.bpk.go.id/Details/229798/uu-no-27-tahun-2022
