Management Strategy in the Implementation of Electronic Medical Records at the Regional Health Laboratory Unit (UPT Laboratorium Kesehatan Daerah) of Nunukan Regency
DOI:
https://doi.org/10.58191/jomel.v6i1.489Keywords:
Electronic Medical Records (EMR), Strategic Management, Implementation, Health Laboratory, Regional Health Facility, Implementation Barriers, Digital HealthAbstract
This study aims to analyze and describe the management strategies applied by the Regional Health Laboratory UPT of Nunukan Regency in the planning, implementation, and management of Electronic Medical Records (EMR). In addition, this study seeks to identify and analyze the main obstacles encountered in EMR implementation from a strategic management perspective, as well as to describe the strategies used by management to manage or overcome these obstacles, which are then formulated into strategic recommendations for optimizing EMR implementation. This research uses a qualitative approach with a descriptive case study design. This approach was chosen to obtain an in-depth understanding of management strategies and the obstacles faced in EMR implementation at the Regional Health Laboratory UPT of Nunukan Regency, while considering the unique geographical context and resource limitations in the region. The results show that the Regional Health Laboratory UPT of Nunukan Regency applies adaptive, participatory, and contextual management strategies to address various challenges. The main constraints include limited technological infrastructure (unstable networks, outdated equipment), human resources issues (variability in competencies, resistance to change, lack of training/support), as well as unique geographical and regional resource challenges. Proactive management strategies such as budget advocacy, intensive coordination with the Health Office, personalized approaches to staff, utilization of “technology champions,” and strategic partnerships have successfully mitigated these obstacles, enabling EMR implementation to proceed despite challenging conditions.References
Adler-Milstein, J., & Jha, A. K. (2017). The effect of health information technology on health care costs and quality. JAMA, 317(11), 1127- 1128. [DOI: 10.1001/jama.2017.1382]
Barney, J. (1991). Firm resources and sustained competitive advantage. Journal of Management, 17(1), 99–120. [DOI: 10.1177/014920639101700108]
Boonstra, A., & Van den Broeck, E. (2012). On the critical success factors of information system innovations: A systematic mapping study. Journal of Strategic Information Systems, 21(3), 189-211. [DOI: 10.1016/j.jsis.2012.04.003]
Buntin, M. B., Burke, J. S., Levitt, M. W., & Foster, R. L. (2011). The benefits of health information technology: A review of the literature. Health Affairs, 30(3), 464-471. [DOI: 10.1377/hlthaff.2010.1171]
Davis, F. D. (1989). Perceived usefulness, perceived ease of use, and user acceptance of information technology. MIS Quarterly, 13(3), 319-
[DOI: 10.2307/249008]
Davenport, T. H., & Kalakota, R. (2019). The potential for artificial intelligence in healthcare. Future Healthcare Journal, 6(2), 94-98. [DOI: 10.7861/fhj.2019-0010]
Grant, R. M. (2019). Contemporary strategy analysis (10th ed.). John Wiley & Sons.
Gunnarsdottir, K., Lundgren, L., & Ehnfors, M. (2018). Barriers and facilitators to the implementation of electronic health records: A systematic review and meta-synthesis. Journal of Medical Internet Research, 20(10), e11523. [DOI: 10.2196/11523]
Heifetz, R. A., & Laurie, D. L. (2001). The work of leadership. Harvard Business Review, 79(8), 131-141.
Hidayat, A., & Puspita, E. (2022). Implementasi rekam medis elektronik di fasilitas pelayanan kesehatan: Analisis kendala dan faktor pendukung. Jurnal Informatika Kesehatan, 12(2), 115–128.
Hsiao, C. J., Hing, E., & Wright, L. (2021). Use and characteristics of electronic health record systems among office-based physician practices: United States, 2019. NCHS Data Brief, (398).
Khairat, S., & Shana’a, M. (2022). Strategic management of electronic health records implementation: A systematic review. International Journal of Healthcare Management, 15(4), 325–338. [DOI: 10.1080/20479700.2021.1959352]
Kittler, A. F., Morgan, J. A., & Wager, K. A. (2017). Health informatics: Practical guide and resource (2nd ed.). HIMSS.
Lewin, K. (1947). Frontiers in group dynamics. Human Relations, 1(1), 5-41. [DOI: 10.1177/001872744700100103]
Liaw, S. T., Yan, B., & Liu, C. L. (2017). A review of the challenges and opportunities of implementing electronic health records in primary care. Health Informatics Journal, 23(3), 165-184. [DOI: 10.1177/1460458216633751]
Lorenzi, N. M., & Riley, G. J. (2007). Management issues in implementing electronic health records: Lessons learned from Canada and the United States. Journal of Healthcare Information Management, 21(3), 30–40.
Miles, M. B., & Huberman, A. M. (1994). Qualitative data analysis: An expanded sourcebook (2nd ed.). Sage Publications.
Noor, D. A., & Sitorus, M. (2022). Digitalisasi layanan: Tantangan dan peluang dalam administrasi rumah sakit. Jurnal Manajemen Pelayanan Kesehatan, 27(3), 103–109.
Nugroho, B., & Wibowo, S. (2022). Tantangan infrastruktur teknologi dalam percepatan implementasi rekam medis elektronik di puskesmas. Jurnal Manajemen Informasi Kesehatan Indonesia, 10(1), 45–58.
Porter, M. E. (1980). Competitive strategy: Techniques for analyzing industries and competitors. Free Press.
Prasetyo, D., & Widayanti, A. (2020). Analisis kendala implementasi rekam medis elektronik berbasis standar SNOMED CT di Rumah Sakit
X. Jurnal Rekam Medis dan Informasi Kesehatan, 8(3), 210–225.
Putri, R. W. (2019). Analisis implementasi sistem informasi manajemen rumah sakit (SIMRS) di RSUD Kota X. Infokes: Jurnal Ilmiah Rekam Medis dan Informasi Kesehatan, 7(1), 55–67.
Schein, E. H. (2010). Organizational culture and leadership (4th ed.).
Jossey-Bass.
Sørengård, L. H., Grimsgaard, K., & Lund, J. (2021). Barriers and facilitators to the implementation of electronic health records for general practitioners: A systematic review. BMC Medical Informatics and Decision Making, 21(1), 1-14. [DOI: 10.1186/s12911-021-01458-5]
Sutrisno, E., Setiawan, Y., & Rahayu, N. (2021). Rekam medis elektronik sebagai pilar transformasi digital pelayanan kesehatan: Eksplorasi manfaat dan tantangan. Jurnal Informatika Kesehatan, 11(1), 1–10.
Teece, D. J., Pisano, G., & Shuen, A. (1997). Dynamic capabilities and strategic management. Strategic Management Journal, 18(7), 509–
[DOI: 10.1002/(SICI)1097-0266(199707)18:7<509::AID- SMJ880>3.0.CO;2-P]
Topol, E. J. (2019). Deep medicine: How artificial intelligence can make healthcare human again. Basic Books.
Venkatesh, V., Morris, M. G., Davis, G. B., & Davis, F. D. (2003). User acceptance of information technology: Toward a unified view. MIS Quarterly, 27(3), 425-478. [DOI: 10.2307/30036540]
Wijaya, K., & Susanto, B. (2021). Faktor-faktor yang mempengaruhi adopsi rekam medis elektronik di rumah sakit: Perspektif kualitatif. Jurnal Manajemen Informasi Kesehatan Indonesia, 9(2), 150–162.
World Health Organization (WHO). (2019). Global strategy on eHealth.
World Health Organization.
Peraturan Menteri Kesehatan Republik Indonesia Nomor 24 Tahun 2022 tentang Rekam Medis.
