Evaluation of Hospital Management Information System (HMIS) Implementation Using HOT-Fit Method in Rasyida Kidney Special Hospital Medan

Abstract

Implementation of HMIS in Rasyida Kidney Special Hospital Medan has been used since
2018 to support services in improvement, effectiveness, and work efficiency. However, there
are problems such as unstable networks, sometimes errors when operating, and not being
integrated directly with the BPJS system, resulting in delays in service from patient
registration and data input to the patient discharge process. Evaluation is needed to measure
successful implementation using the HOT-Fit (Human, Organization, and Technology Fit)
method. The aim is to assess factors that positively influence HMIS's successful
implementation by completing Google forms (56 respondents) and in-depth interviews (6
respondents). The mixed method is used with concurrent embedded strategy and PLS-SEM
with SmartPLS v.4.1.0.6 to analyze. Results showed that user satisfaction has a 79.9%
influence, showing that independent variables affect user satisfaction. The higher user
satisfaction, the greater HMIS's use. Users have felt the ease of the system, despite an
unstable network, frequent errors, and inadequate computer specifications. Increasing the
bandwidth, initially 50mbps to 100mbps, so the network is stable, error problems can be
overcome, and increasing computer specifications to run the application correctly if an
update is necessary.