analisis implementasi kebijakan regulasi rekam medis elektronik di poli rawat jalan RSUD arjawinangun

mohamad azwar aziz, dr. Lutfan Lazuardi, M.Kes., Ph.D;Dr. dr. Guardian Yoki Sanjaya, M. Hlth. Info;Dr. Drs. Abdul Wahab, M.P.H

2026 | Tesis | MAGISTER KEBIJAKAN DAN MANAJEMEN KESEHATAN

LATAR BELAKANG: Transformasi digital pelayanan kesehatan di Indonesia mendorong penerapan Rekam Medis Elektronik (RME) sebagaimana diatur dalam Permenkes No. 24 Tahun 2022 dan integrasi SATUSEHAT. Namun, implementasinya masih menghadapi berbagai kendala terutama pada fasilitas pelayanan kesehatan daerah. RSUD Arjawinangun sebagai rumah sakit tipe B telah mengadopsi RME berbasis SIMGOS hanya saja dalam penerapanya masih belum optimal dan terdapat keterbatasan. 
TUJUAN: Menganalisis implementasi kebijakan regulasi RME dipoli rawat jalan RSUD Arjawinangun 
METODE: Penelitian yang digunakan yaitu deskriptif kualitatif melalui wawancara mendalam, observasi dan telaah dokumen dengan teknik sampling terhadap 21 informan dengan meninjau faktor manusia, organisasi, teknologi dan benefit menggunakan teori Edwards III dan model          HOT-Fit.
HASIL: Hasil penelitian menunjukkan bahwa implementasi RME di RSUD Arjawinangun telah berjalan sejak tahun 2023 dan didukung oleh komitmen manajemen, regulasi, serta keterlibatan berbagai unit pelayanan. Berdasarkan kerangka HOT-Fit, implementasi RME pada aspek human, organization, dan technology telah berjalan cukup baik, namun masih terdapat kendala berupa keterbatasan kompetensi SDM, belum optimalnya SOP, monitoring dan evaluasi, serta gangguan sistem, jaringan, dan integrasi aplikasi. Faktor penghambat utama adalah keterbatasan infrastruktur, kendala teknis, dan kesiapan SDM, sedangkan faktor pendukung meliputi komitmen manajemen, regulasi, dukungan IT, dan koordinasi antarunit.
KESIMPULAN: Implementasi kebijakan RME di RSUD Arjawinangun telah berjalan cukup baik dan memberikan manfaat terhadap peningkatan kualitas pelayanan kesehatan. Namun, optimalisasi implementasi masih memerlukan penguatan pada aspek sumber daya manusia, tata kelola organisasi, infrastruktur teknologi, stabilitas sistem, serta penyusunan SOP dan pelaksanaan pelatihan secara berkelanjutan.
Kata Kunci: Rekam Medis Elektronik, Analisis Implementasi Kebijakan, George C, Edward III, HOT-Fit

BACKGROUND: The digital transformation of health services in Indonesia encourages the implementation of Electronic Medical Records (RME) as stipulated in Permenkes No. 24 of 2022 and the integration of SATUSEHAT. However, its implementation still faces various obstacles, especially in regional health service facilities. Arjawinangun Hospital as a type B hospital has adopted SIMGOS-based RME, but in its implementation it is still not optimal and there are limitations. 
OBJECTIVE: Analyze the implementation of RME regulation policies in outpatient poly Arjawinangun Hospital 
METHODS: The research used was qualitative descriptive through in-depth interviews, observations and document analysis with sampling techniques on 21 informants by reviewing human factors, organization, technology and benefitsusing Edwards III theory and the HOT-Fit model.
RESULTS: The results of the study show that the implementation of RME at Arjawinangun Hospital has been running since 2023 and is supported by management, regulatory commitments, and the involvement of various service units. Based on the HOT-Fit framework, the implementation of RME in the human, organizational, and technological aspects has gone quite well, but there are still obstacles in the form of limited human resource competencies, non-optimal SOPs, monitoring and evaluation, as well as system, network, and application integration disruptions. The main inhibiting factors are limited infrastructure, technical constraints, and human resource readiness, while supporting factors include management commitment, regulations, IT support, and coordination between units.
CONCLUSION: The implementation of the RME policy at Arjawinangun Hospital has gone quite well and provides benefits for improving the quality of health services. However, optimizing implementation still requires strengthening the aspects of human resources, organizational governance, technological infrastructure, system stability, as well as the preparation of SOPs and the implementation of training in a sustainable manner.
Keywords: Electronic Medical Records, Policy Implementation Analysis, George C, Edward III, HOT-FIT

Kata Kunci : Rekam Medis Elektronik, Analisis Implementasi Kebijakan, George C, Edward III, HOT-Fit