JHSIT (Journal of Health Science, Innovation and Technology)

Analysis of Obstacles in the Implementation of EMR to the Efficiency of Registration Services at Community Health Center X

2025-09-06T09:19:39+00:00

Electronic medical records or abbreviated as EMR as an innovation in the development of manual medical records must be implemented in Indonesia starting December 31, 2023 in every unit of health care facilities. Community Health Center X is one of the health facilities in Bandung Regency and in its services has 100% used electronic medical records starting from January 2024 as an effort to support services, the purpose of this study is to find out the extent of the application of electronic medical records to the effectiveness and efficiency of their use to support services, especially in the registration section as one of the first service units in providing services to patient. This study uses a descriptive qualitative method based on the researcher's perspective during the research. In the use of electronic medical records, problems were found that occurred due to obstacles and obstacles faced, especially in the registration service section, obstacles encountered namely improvements to the application system, problems on the network, errors in the programming process, electronic devices that experienced buffering, power outages while in the service process and not optimal backup equipment when a power outage occurred, and the patient fingerprint feature cannot be used as a support in services. However, the existence of electronic medical records is also very helpful for officers in carrying out services to be more efficient and fast so that the accumulation of patients in the registration section is rare.

Optimization Of The Outpatient Registration Process In The Electronic Medical Record System To Increase Efficiency At Al Ihsan Hospital

2025-09-06T09:19:43+00:00

This study aims to evaluate the outpatient registration process at Al-Ihsan Bandung Hospital, especially in the context of comparison between online and manual registration systems. The observation results showed that most patients had taken advantage of online registration through the Al-Ihsan Mobile Hospital application, which allowed for a faster verification process through fingerprint technology and facial scanning, especially for BPJS participants. However, there are still a number of patients who have not taken advantage of online services, causing long queues, service delays, and congestion in the waiting room. The average waiting time for patients from the verification stage to medical services was recorded at 139.33 minutes, exceeding the maximum standard of 60 minutes according to the Minister of Health Regulation No. 129 of 2008. Analysis using the 5M approach (Human, Method, Material, Machine, and Money) shows that the main obstacles stem from labor limitations, queue system errors, and technical glitches. Meanwhile, financial factors are not a significant cause. Improvements are needed in patient education, additional officers, and technology optimization to improve efficiency and quality of service.

Design of Electronic-Based Medical Records to Support The Quality Of Reporting in The Internal Disease Polyclinic at Al Ihsan Hospital

2025-09-06T09:19:46+00:00

Electronic medical records (RME) are a digital transformation solution to overcome the inefficiencies of conventional paper-based systems. This study aims to design a GUI-based RME system using Python Tkinter to improve the quality of reporting at the Internal Medicine Poly of Al Ihsan Hospital. The research methods include observation, interviews, and literature study, with the waterfall approach including needs analysis, design (flowmap, ERD, DFD, context diagram), implementation, and black box testing. As a result, the system is integrated with key features: ICD-10-based patient management and medical records, automated reporting (daily/monthly) in Excel format, visualization of diagnostic statistics, and role-based access control. Testing showed improved data search efficiency (from 15 minutes to <1 minute) and reporting accuracy (95%). The system meets user-centered design standards and is ready for widespread implementation, with recommendations for the development of BPJS API integration and follow-up notifications. For further development updates, it can be done by integrating hospital databases and done efficiently by adding AI automation features for more efficient and optimal data classification by relying on AI, which is expected to help the work process to be shorter and more optimal with a simple program.

The Effect of Online Bpjs Outpatient Registration on The Effectiveness of Home Services Pakuwon General Hospital Sumedang

2025-09-06T09:19:53+00:00

Online registration through the Mobile JKN application is expected to speed up the administration process and reduce queues, thereby increasing efficiency, service quality, and patient satisfaction. This study aims to determine the effect of online outpatient BPJS registration on the effectiveness of services at Pakuwon Sumedang General Hospital. Descriptive quantitative methods were used with a sample of 100 patients, taken using the Slovin formula. Data were collected through questionnaires, observations, interviews, and literature studies, then analyzed with SPSS version 25. The results showed valid and reliable instruments with Cronbach's Alpha 0.936. There is a very strong relationship between online BPJS registration and service effectiveness (r = 0.989, p <0.01). Simple linear regression shows a positive and significant effect with the equation Y = 0.586 + 1.295X. The coefficient of determination of 97.7% indicates a large contribution of online registration to service effectiveness. However, technical constraints and lack of system integration cause delays and difficulties, especially for elderly patients, so that service effectiveness is not optimal. It is recommended to improve the system and train officers to improve efficiency and patient satisfaction .

The Use of Electronic Medical Records to Support Service Efficiency at the Pulmonary Polyclinic of Bhayangkara Level II Sartika Asih Hospital, Bandung

2025-09-06T09:19:58+00:00

The aim of this study is to evaluate the implementation of Minimum Service Standards at Bhayangkara Level II Sartika Asih Hospital in Bandung, with a specific focus on outpatient waiting times and the contributing factors to service delays. A quantitative research method with a descriptive approach was employed. Data were collected through observations and interviews with four key informants. The findings reveal that since January 2025, the hospital has set a standard outpatient waiting time of less than 60 minutes. However, observational data from 70 patients indicate that only 47% were served within this standard, while 33% experienced waiting times of 60 minutes or more. The main factors contributing to prolonged waiting times include the registration process, issues with the Electronic Medical Record (EMR) system, and the occurrence of duplicate medical records.