Performance and Operational Evaluation of the Hospital Management Information System (SIMRS) in Outpatient Registration Services: A PIECES Framework Approach
DOI:
https://doi.org/10.35451/jkf.v9i1.3961Keywords:
Hospital Management Information System, SIMRS, outpatient registration, PIECES, information system evaluationAbstract
The implementation of the Hospital Management Information System (SIMRS) in outpatient registration services aims to accelerate service workflows, improve data management accuracy, and enhance staff work efficiency. In practice, the system's successful operation depends not only on technological availability but also on information quality, security, resource efficiency, and ease of service. This study aims to evaluate performance and operation of the SIMRS for outpatient registration at Grandmed Lubuk Pakam Hospital in 2026, utilizing the PIECES framework—covering performance, information, economy, control, efficiency, and service. A qualitative case study design was employed. The informants consisted of six individuals: four registration staff members, one information technology staff member, and one management representative. Data were gathered through in-depth interviews and observations, then thematically analyzed based on the six PIECES components. The results indicate that the SIMRS has helped accelerate the registration process, facilitate patient data management, save time and effort, and reduce paper-based documentation. However, system operations still face challenges such as unstable network connectivity, data entry errors, and the occurrence of duplicate medical record numbers. Regarding control, the system supports information security and access restrictions, while in terms of service, the SIMRS is relatively user-friendly and assists staff in serving patients. Although the SIMRS supports outpatient registration, further optimization is required—specifically concerning network infrastructure reliability, server capacity, data validation, system maintenance, and staff competency development. Improvements in these areas are essential to ensure the operational sustainability of the SIMRS and uphold the quality of outpatient services.
Downloads
References
[1] World Health Organization. Global strategy on digital health 2020–2027. Geneva: World Health Organization; 2025.
[2] World Health Organization. Harmonization of regulatory approaches, governance and standards for data, digital health and artificial intelligence in the health sector. Geneva: World Health Organization; 2025.
[3] Alfiansyah G, Pratama MR, Swari SJ, Suryawiyanto IR, Nikmah F. Evaluation of hospital management information systems in research units using the PIECES method. J Medicoeticolegal Managemen Rumah Sakit. 2022;11(3):189–199. doi:10.18196/jmmr.v11i3.15833.
[4] Nurdiyansyah AK, Agushybana F, Arso SP. Evaluasi penerapan sistem informasi manajemen rumah sakit di bagian rekam medis. Media Ilmu Kesehat. 2021;10(2):175–182. doi:10.30989/mik.v10i2.705.
[5] Republik Indonesia. Undang-Undang Republik Indonesia Nomor 17 Tahun 2023 tentang Kesehatan. Jakarta: Pemerintah Republik Indonesia; 2023.
[6] Kementerian Kesehatan Republik Indonesia. Peraturan Menteri Kesehatan Republik Indonesia Nomor 24 Tahun 2022 tentang Rekam Medis. Jakarta: Kementerian Kesehatan Republik Indonesia; 2022.
[7] Nofiyana A, Khasanah L, Karmanto B, Ismail M. Evaluasi penerapan sistem rekam medis elektronik rawat jalan menggunakan metode PIECES di Rumah Sakit Sumber Waras tahun 2024. J Rekam Med Inform Kesehat. 2026;5(1). doi:10.37160/jremikes.v5i1.501.
[8] Tejaningsih K. Analisis sistem Hospital Information System (HIS) di instalasi rekam medis RSUP Nasional Dr. Cipto Mangunkusumo menggunakan metode PIECES tahun 2023. Jember: Politeknik Negeri Jember; 2023.
[9] Ferdiana UF, Pramono AE. Evaluating user satisfaction with hospital management information systems: a PIECES framework analysis at Wates General Hospital. J Intell Comput Health Inform. 2024;5(1):8–15. doi:10.26714/jichi.v5i1.13317.
[10] Asgiani P, Nurdiyansyah AK. Evaluasi penerapan sistem informasi manajemen rumah sakit di bagian rekam medis Rumah Sakit Bhayangkara POLDA DIY. Media Ilmu Kesehat. 2022;11(1).
[11] Tumarta Arif YW, Nurchim, Aulia SR, Nurhayati. Evaluasi sistem informasi bagian filing menggunakan metode PIECES di Rumah Sakit Panti Waluyo YAKKUM Surakarta. Pros Semin Inf Kesehat Nasional. 2023. doi:10.47701/sikenas.vi.2963.
[12] Wujani NLGP, Wirajaya MKM, Laksmini PA, Tunas IK. Evaluasi sistem informasi manajemen rumah sakit (SIMRS) dengan metode Hot-Fit di Rumah Sakit Dharma Kerti. Indones Health Inf Manag J. 2024;12(2):91–101. doi:10.47007/inohim.v12i2.621.
[13] Permana IPAY, Sutrisnawati GAE, Juniati NK. Analysis of hospital management information system (SIMRS) and its relation to the readiness of electronic medical record implementation in RSUP Sanglah Denpasar. J Health Sains. 2023;4(7).
[14] Irmayani, Ginting R, Handayani D, Darma S, Melissa. The relationship between use of the Transmedic application with efficiency of patient registration. J Keperawatan Fisioter. 2025;8(1):181–187. doi:10.35451/8vatmr10.
[15] F. H. Dinata and A. Deharja, “Analisis SIMRS dengan metode PIECES di RSU Dr. H. Koesnadi Bondowoso,” Jurnal Kesehatan, vol. 8, no. 2, pp. 106–117, 2020, doi: 10.25047/j-kes.v8i2.155.
[16] Supriyanti, S. Windarti, and M. Muslim, “Analisis SIMRS pada bagian pendaftaran pasien menggunakan metode PIECES di RSKIA Ummi Khasanah,” Jurnal Informasi Kesehatan Indonesia, vol. 9, no. 1, pp. 35–46, 2023, doi: 10.31290/jiki.v9i1.3934.
[17] S. Y. Ariska, “Analisis sistem informasi manajemen rumah sakit dengan metode PIECES di Rumah Sakit Islam Kendal,” Diploma Thesis, Universitas Widya Husada Semarang, 2023.
[18] Z. K. Firdausi, R. Perwirani, and W. R. Sukmaningsih, “Analisis sistem informasi manajemen rumah sakit bagian pendaftaran menggunakan metode PIECES di RSUP Surakarta,” Journal Health Information Management Indonesian, vol. 3, no. 3, 2024.
[19] C. A. Ryenwid, I. K. Wardani, and N. D. W. Ningsih, “Implementation of the Hospital Management Information System Using the PIECES Framework: A Literature Review,” Jurnal Manajemen Informasi dan Administrasi Kesehatan, vol. 8, no. 2, pp. 279–287, 2025, doi: 10.32585/jmiak.v8i2.7490.
[20] P. W. Handayani, A. N. Hidayanto, A. A. Pinem, I. C. Hapsari, P. I. Sandhyaduhita, and I. Budi, “Acceptance model of a Hospital Information System,” International Journal of Medical Informatics, vol. 99, pp. 11–28, 2017, doi: 10.1016/j.ijmedinf.2016.12.004.
[21] P. W. Handayani, A. N. Hidayanto, and I. Budi, “User acceptance factors of hospital information systems and related technologies: Systematic review,” Informatics for Health and Social Care, vol. 43, no. 4, pp. 401–426, 2018, doi: 10.1080/17538157.2017.1353999.
Downloads
Published
Issue
Section
License
Copyright (c) 2026 Irmayani Irmayani, Rosita Ginting, Surya Darma, Luci Riani Ginting
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright in each article is the property of the Author.
