Analysis of Readiness For Implementation of Electronic Medical Records Using DOQ-IT Method

Wahyu Wijaya Widiyanto; Hanifah Shobri Sulistyati; Salsabila Ummu Zahroh

doi:10.29040/ijcis.v4i4.146

Analysis of Readiness For Implementation of Electronic Medical Records Using DOQ-IT Method

Wahyu Wijaya Widiyanto, Hanifah Shobri Sulistyati, Salsabila Ummu Zahroh

Abstract

This study addresses the challenge of managing medical records in Indonesia’s health sector, particularly focusing on the transition to electronic medical records (RME) as mandated by PMK No. 24 of 2022. The primary objective is to assess the readiness for implementing Electronic Medical Records (EMR) at the Milla Husada Clinic using the DOQ-IT (Doctor’s Office Quality-Information Technology) Approach. The research adopts a descriptive design with a quantitative approach, utilizing questionnaires to gather data from 40 clinic officers. Total sampling technique was employed for participant selection. Univariate analysis was used for data interpretation. The findings reveal a high level of readiness for RME implementation at the clinic, with a total readiness score of 117.74, placing it in range III, indicative of a very ready status. The readiness levels, in descending order of scores, were: organizational work culture (4.34), governance and leadership (4.26), IT infrastructure (4.23), and human resource readiness (3.80). Despite the overall readiness, the study identifies human resources as an area requiring further enhancement, specifically the need for specialized training in RME implementation. This research highlights the critical areas for improvement to ensure successful adoption of electronic medical records in the healthcare setting.

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References

Menteri Kesehatan Republik Indonesia, Peraturan Menteri Kesehatan Republik Indonesia Nomor 8 Tahun 2019 TentangPemberdayaan Masyarakat Bidang Kesehatan. 2019.

PERMENKES, Peraturan Menteri Kesehatan Republik Indonesia Nomor 24 Tahun 2022 Tentang Rekam Medis. 2022.

S. Prajitno, M. K. Huda, U. Hang, and T. Surabaya, “Hospital Responsibilities in Storing Electronic Medical Record Documents,” vol. 5, no. 1, pp. 47–59, 2023.

S. M. Shah and R. A. Khan, “Secondary use of electronic health record: Opportunities and challenges,” IEEE Access, vol. 8, pp. 136947–136965, 2020, doi: 10.1109/ACCESS.2020.3011099.

R. Cerchione, P. Centobelli, E. Riccio, S. Abbate, and E. Oropallo, “Blockchain’s coming to hospital to digitalize healthcare services: Designing a distributed electronic health record ecosystem,” Technovation, vol. 120, no. c, pp. 0–32, 2023, doi: 10.1016/j.technovation.2022.102480.

H. Müller, N. Michoux, D. Bandon, and A. Geissbuhler, “A review of content-based image retrieval systems in medical applications - Clinical benefits and future directions,” Int. J. Med. Inform., vol. 73, no. 1, pp. 1–23, 2004, doi: 10.1016/j.ijmedinf.2003.11.024.

E. J. Umble, R. R. Haft, and M. M. Umble, “Enterprise resource planning: Implementation procedures and critical success factors,” Eur. J. Oper. Res., vol. 146, no. 2, pp. 241–257, 2003, doi: 10.1016/S0377-2217(02)00547-7.

Z. Zhang, K. Joy, R. Harris, and S. Y. Park, “Characteristics and Challenges of Clinical Documentation in Self-Organized Fast-Paced Medical Work,” Proc. ACM Human-Computer Interact., vol. 6, no. November, 2022, doi: 10.1145/3555111.

I. Yaqoob, K. Salah, R. Jayaraman, and Y. Al-Hammadi, “Blockchain for healthcare data management: opportunities, challenges, and future recommendations,” Neural Comput. Appl., vol. 34, no. 14, pp. 11475–11490, 2022, doi: 10.1007/s00521-020-05519-w.

S. M. Davidson and J. Heineke, “Toward an Effective Strategy for the Diffusion and Use of Clinical Information Systems,” J. Am. Med. Informatics Assoc., vol. 14, no. 3, pp. 361–367, 2007, doi: 10.1197/jamia.M2254.

H. Hearnshaw, K. Wright, J. Dale, J. Sturt, E. Vermeire, and P. Van Royen, “Development and validation of the Diabetes Obstacles Questionnaire (DOQ) to assess obstacles in living with Type 2 diabetes,” Diabet. Med., vol. 24, no. 8, pp. 878–882, 2007, doi: 10.1111/j.1464-5491.2007.02137.x.

L. Masyfufah and S. A. M. Uktutias, “Surabaya City Health Office’s Readiness In Facing ‘EHR’’ Era Through Doq-It,’” Proceeding Int. Conf. Med. Rec., vol. 1, no. 1, pp. 10–17, 2021, doi: 10.47387/icmr.v1i1.13.

A. Schumacher, S. Erol, and W. Sihn, “A Maturity Model for Assessing Industry 4.0 Readiness and Maturity of Manufacturing Enterprises,” Procedia CIRP, vol. 52, pp. 161–166, 2016, doi: 10.1016/j.procir.2016.07.040.

W. E. K. Lehman, J. M. Greener, and D. D. Simpson, “Assessing organizational readiness for change,” J. Subst. Abuse Treat., vol. 22, no. 4, pp. 197–209, 2002, doi: 10.1016/S0740-5472(02)00233-7.

S. A. Qalati, D. Ostic, M. A. B. A. Sulaiman, A. A. Gopang, and A. Khan, “Social Media and SMEs’ Performance in Developing Countries: Effects of Technological-Organizational-Environmental Factors on the Adoption of Social Media,” SAGE Open, vol. 12, no. 2, 2022, doi: 10.1177/21582440221094594

I. Ulhaq, N. T. A. Pham, V. Le, H. C. Pham, and T. C. Le, “Factors influencing intention to adopt ICT among intensive shrimp farmers,” Aquaculture, vol. 547, no. April 2021, 2022, doi: 10.1016/j.aquaculture.2021.737407.

E. W. Faida, P. F. Wiliyanarti, M. Magdalena, and D. Wahyuni, “Readiness Analysis of Electronic Medical Record System ( RME ): A Case Study of Secondary Hospitals in Surabaya,” vol. 01, no. 05, pp. 461–473, 2024.

K. Raghunathan, L. McKenna, and M. Peddle, “Baseline evaluation of nursing students’ informatics competency for digital health practice: A descriptive exploratory study,” Digit. Heal., vol. 9, 2023, doi: 10.1177/20552076231179051.

L. Masyfufah, M. Sriwati, A. Ali, and B. Nudji, “Readiness of Application of Electronic Medical Records in Health Services (Literature Study),” Proceeding Int. Conf. Med. Rec., vol. 2, no. 1, pp. 1–12, 2022, doi: 10.47387/icmr.v2i1.148.

C. D. Akwaowo et al., “Adoption of electronic medical records in developing countries—A multi-state study of the Nigerian healthcare system,” Front. Digit. Heal., vol. 4, no. November, pp. 1–18, 2022, doi: 10.3389/fdgth.2022.1017231.

F. Yusup, “Uji Validitas dan Reliabilitas Instrumen Penelitian Kuantitatif,” Jorpres (Jurnal Olahraga Prestasi), vol. 13, no. 1, pp. 53–59, 2018, doi: 10.21831/jorpres.v13i1.12884.

DOI: https://doi.org/10.29040/ijcis.v4i4.146