Main Article Content
Abstract
The application of Electronic Medical Records (EMR) has become an integral part of the global and national health service system, along with advances in digital technology that supports data integration among the service facilities. In Indonesia, the implementation of RME is directed at supporting interoperability among the health facilities through the Satu Sehat platform, as mandated by Regulation of the Minister of Health Number 24 of 2022. The research aims to evaluate the implementation of EMR in the Emergency Departement (ED) using the PIECES (Performance, Information, Economic, Control, Efficiency, and Service) approach. The method used is qualitative phenomenology, with data collection from interviews, observations and documentation studies. Research informants consisted of health workers, information technology staff and medical records officers. The research results show that the implementation of EMR in the ER has improved service performance, efficiency and quality of medical information. However, there are still obstacles such as a lack of information technology personnel, limited infrastructure and ongoing training that is not yet optimal. In conclusion, although the implementation of EMR in the ER at Bhayangkara Hospital has had a positive impact in supporting interoperability with Satu Sehat, improvements are still needed in terms of strengthening technological infrastructure and human resource training. This research recommends adding information technology experts, improving infrastructure to ensure data security, and ongoing training for EMR system. users to increase service effectiveness.
Article Details

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Authors who publish with this journal agree to the following terms:
1. Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution-ShareAlike License that allows others to share the work with an acknowledgment of the work's authorship and initial publication in this journal.
2. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
3. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).
References
Depkes RI. Peraturan Menteri Kesehatan Republik Indonesia Nomor 13 Tahun 2022 Tentang Perubahan Atas Peraturan Menteri Kesehatan Nomor 21 Tahun 2020 Tentang Rencana Strategis Kementerian Kesehatan Tahun 2020-2024. 16 Januari 2022 [Internet]. 2022;(3):1–592. Available from: https://peraturan.bpk.go.id/Home/Download/212694/Permenkes Nomor 13 Tahun 2022.pdf
Kemenkes RI. Permenkes RI Nomor 24 tahun 2022 tentang Rekam Medis. Kemenkes. 2022;(8.5.2017):2003–5. https://peraturan.bpk.go.id/Details/245544/permenkes-no-24-tahun-2022
Kementerian Kesehatan. Surat Edaran Nomor Hk.02.01/Menkes/1030/2023 Tentang Penyelenggaraan Rekam Medis Elektronik Di Fasilitas Pelayanan Kesehatan Serta Penerapan Sanksi Administratif Dalam Rangka Pembinaan Dan Pengawasan. Menteri Kesehatan Republik Indonesia [Internet]. 2023;2022–5. Available from: https://www.eclinic.id/wp-content/uploads/2023/12/SE-No.-HK.02.01-MENKES-1030-2023-ttg-Penyelenggaraan-Rekam-Medis-Elektronik-di-Fasyankes-Serta-Penerapan-Sanksi-Administratif-signed.pdf
RS Bhayangkara Tk.I Pusdokkes Polri. Laporan Kegiatan Pelayanan Rumah Sakit Bhayangkara Tk.I Pusdokkes Polri Tahun 2023. 2023.
Listiyani E, Hardiani T. Analisis Sistem Informasi Management Rumah Sakit Menggunakan Metode PIECES (Studi Kasus: RS Tk. IV 04.07.03 dr. Asmir Salatiga ). https://www.academia.edu/108878808/Analisis_Sistem_Informasi_Management_Rumah_Sakit_Tk_IV_04_07_03_dr_Asmir_Salatiga_dengan_Metode_PIECES
Handry Lumingkewas P, Umboh A, Manampiring AE. Analysis of hospital management information system implementation in Manembo-Nembo General Hospital, Bitung City [Internet]. Available from: https://gemawiralodra.unwir.ac.id/index.php/gemawiralodra/article/download/536/357/2687
Kapitan R, Farich A, Aji A, Program P, Magister S, Masyarakat K, et al. Analisis Kesiapan Penerapan Rekam Medis Elektronik di RSUD Bandar Negara Husada Provinsi Lampung Tahun 2023 Analysis of Readiness to Implement Electronic Medical Records at RSUD Bandar Negara Husada Lampung Province in 2023. Vol. 12, Jurnal Kebijakan Kesehatan Indonesia : JKKI. 2023. https://doi.org/10.22146/jkki.89841
Supriyanti, Syamsu Windarti MM. Analisis Simrs Pada Bagian Pendaftaran Pasien Menggunakan Metode PIECES di RSKIA Ummi Khasanah. Jurnal Informasi Kesehatan Indonesia. 2023;9(1):35–46.https://ojs.poltekkes-malang.ac.id/index.php/JIKI/article/download/3934/612
Sudirahayu I, Harjoko A, Moeloek HA, Lampung P. Analisis Kesiapan Penerapan Rekam Medis Elektronik Menggunakan DOQ-IT di RSUD Dr. H. Abdul Moeloek Lampung. Vol. 1, Journal of Information Systems for Public Health. 2016. https://doi.org/10.22146/jisph.6536
Rosyada A, Lazuardi L, Ilmu Kesehatan Masyarakat P, Kesehatan Masyarakat F, Sriwijaya U, Kebijakan dan Manajemen Kesehatan D, et al. Persepsi Petugas Kesehatan Terhadap Peran Rekam Medis Elektronik Sebagai Pendukung Manajemen Pelayanan Pasien di Rumah Sakit Panti Rapih. Vol. 1, Journal of Information Systems for Public Health. 2016. https://doi.org/10.22146/jisph.6659
Meiyola Pradanthi I, Weka Santi M, Deharja A, Kesehatan J, Negeri Jember P. J-REMI : Jurnal Rekam Medik Dan Informasi Kesehatan Evaluasi Electronic Health Record (Ehr) Dengan Metode Pieces Di Unit Rekam Medis Pusat RSUPN Dr. Cipto Mangunkusumo. Vol. 1. 2020. https://doi.org/10.25047/j-remi.v1i3.2047
Savitri Anggita. Evaluasi Sistem Informasi Pendaftaran Dengan Metode Pieces Di Rumah Sakit TNI AD Dr. Soedjono Magelang. 2017. https://eprints.ums.ac.id/51333/
Kinanti N, Putri1 A, Dwi A. Penerapan PIECES Framework sebagai Evaluasi Tingkat Kepuasan Mahasiswa terhadap Penggunaan Sistem Informasi Akademik Terpadu (SIAKADU) pada Universitas Negeri Surabaya. Journal of Emerging Information System and Business Intelligence (JEISBI). 2021;2(2):78–84. https://ejournal.unesa.ac.id/index.php/JEISBI/article/view/39730/34599
Cordylia Amelinda Jeannette Sulistya R. Literature Review: Tinjauan Kesiapan Penerapan Rekam Medis Elektronik Dalam Sistem Informasi Manajemen Di Rumah Sakit. Indonesian Journal of Health Information Management (IJHIM). 2023;1(2):7. https://www.researchgate.net/publication/357800588
Yulida R, Lazuardi L, Pertiwi AAP. Tantangan Implementasi Rekam Medis Elektronik Berdasarkan Dimensi Sumber Daya Manusia Di Rsgm Prof. Soedomo Yogyakarta. Prosiding Diskusi Ilmiah" Inovasi dan Teknologi Informasi untuk Mendukung Kinerja PMIK dalam Masa Pandemi Covid 19". 2021;102–106. https://publikasi.aptirmik.or.id/index.php/prosidingdiskusiilmiahyogya/article/view/228/0
Indrawati SD, Nurmawati I, Muflihatin I, Syaifuddin S. Evaluasi Rekam Medis Elektronik Bagian Coding Rawat Inap RSUD K.R.M.T Wongsonegoro Kota Semarang. J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan. 2020;1(4):614–623. https://doi.org/10.25047/j-remi.v1i4.2164
Sari Dewi T, Silva AA. Hambatan Implementasi Rekam Medis Elektronik dari Perspektif Perekam Medis Dengan Metode PIECES. Jurnal Manajemen Informasi Kesehatan Indonesia (JMIKI). 2023;11(2). https://doi.org/10.33560/jmiki.v11i2.597
Darmawanti. Analisis Kualitas Sistem Informasi Manajemen Rumah Sakit Umum dr. Fauziah Bireun. Serambi Akademica. 2019;7(4). https://ojs.serambimekkah.ac.id/serambi-akademika/article/view/1482