obstacle and Solutions to the Implementation Strategy of Electronic Medical Records from the Perspective of Medical Recorders Using the PIECES Method Aicia Anatha Silva1, Tika Sari Dewi2, Kori Puspita Ningsih3
1,2,3 Medical Record and Health Information, Health Faculty, Jenderal Achmad Yani University, Indonesia
Email: aiciaanatha[at]gmail.com
Abstract
Background: Even though the implementation of Electronic Medical Records (EMR) has been implemented widely, many obstacles are still found. In implementing EMR at RST dr. Soedjono Magelang is still not running optimally with the discovery of various obstacles. From the obstacles found, it is necessary to develop a solution strategy to overcome these problems.
Purpose : To explore obstacles and describe strategic solutions related to the implementation of EMR based on the perspective of medical record officers at RST Dr. Soedjono Magelang
Method : Researchers used descriptive qualitative with a case study design at the Medical Records Unit of RST dr. Soedjono Magelang. Data collection was carried out by in-depth face to face interviews using a semi-structured approach with 6 informants from medical record officers who served in the outpatient and Inpatient registration units, outpatient and inpatient coding, reporting and analysis. The data analysis approach used uses thematic analysis with an inductive coding approach, then to maintain the validity of the research using member checking.
Results : 9 themes were found related to obstacle to EMR implementation, namely EMR performance, system speed, modules and features, information accuracy, output quality, data integrity, technical obstacles, data security, and ease of using EMR. Then 5 themes were generated related to strategic solutions to obstacles to EMR implementation consisting of application improvements, IT response, information improvement, data integrity and internet networks.
Conclusion : The identified obstacle to EMR implementation consist of EMR performance, system speed, modules and features, information accuracy, output quality, data integrity, technical constraints, data security, and ease of using EMR. These problems require improvements in aspects of applications, IT response, increased information, data integrity and internet networks.
Keywords: Obstacle, Implementation Strategy, Electronic Medical Records
