Assessing the Performance, Information Accuracy, and Data Security of Electronic Medical Records in Patient Registration at Indonesian Public Health Center

Health Information Management Study Program, Health Department, Politeknik Negeri Jember, Jember, East Java, Indonesia

^* Corresponding gamasiano.alfiansyah@polije.ac.id

Abstract

X Public Health Center implemented Electronic Medical Record (EMR) at the beginning of 2024 to replace the previously used SIMPUS system. The EMR was applied across all service units, including the registration unit. However, the EMR Registration Module faced several issues, such as the lack of integration with SIMPUS for retrieving existing patient data, the inability to generate accurate patient visit information, and the editable nature of medical record numbers. This study aims to evaluate the EMR Registration Module based on three variables: performance, information accuracy, and data security. A qualitative research approach was employed, with data collected through in-depth interviews, observations, and documentation. The research informants were EMR Registration Module users at Public Health Center X. The data were analyzed through data reduction, data presentation, and conclusion drawing. Source, methodological, and time triangulation were applied to ensure data validity. The findings revealed that the EMR's performance remained suboptimal due to its inability to automatically generate medical record numbers and the use of metadata that did not comply with government standards. Furthermore, the EMR had not produced accurate information and lacked robust data security, although no patient data breaches had been reported. Therefore, it is recommended that the health center further develop the EMR Registration Module by adding essential user-required features and enhancing its performance, information accuracy, and data security.