International Journal of Economics, Commerce and Management Research Studies
Volume 1, Issue 1, August - 2018
The Implementation of Path Analysis on a Hospital
Management Information System
Dony Setiawan Hendyca Putra
Health Service Management,
Lecturer of Health Major,
State Poly Technique of Jember,
Indonesia
Abstract:- The hospital management information system
is an effort to present an accurate, timely, and
appropriate information to support the process of
management functions and decision making in providing
health services at the hospital. Manually managing data
has many weaknesses: in addition to requiring a long
time, the accuracy is also less acceptable because the
possibility of errors is very large. The problems faced by
the users of the hospital management information system
are obtained from the results of interviews including (1)
the quality of information, (2) the user satisfaction, and
(3) the user intensity. Regarding the quality of
information, the information generated by the system is
still incomplete. For example, the input template in
SIMRS is not complete so that the poly officer cannot
input the comprehensive examination data and the
laboratory examination results. On the aspect of user
satisfaction, a survey conducted by the researcher
related to the subjectivity of the users of the hospital
management information system showed that 4 from 9 of
the installation heads officer felt satisfied while the rest
(5 people) were dissatisfied. Concerning the user
Intensity, there are still health workers who do not use
SIMRS that has been provided on Android phones. This
study aims to analyze the effect of system quality on user
satisfaction and user intensity. This research is a
quantitative analytical research with cross-sectional
approach. This study examines the hypothesis of
whether there is a direct influence of the exogenous
variables of information quality on the endogenous
variable of the user's intensity. This research was
conducted at Jember Lung Hospital. The results of this
study indicate that the quality of information has a
significant influence on user satisfaction as indicated by
a black value of 4.20. Also, the user satisfaction has a
significant effect on user intensity with a black value of
3.70. Therefore, it can be concluded that the quality of
information directly affects the intensity of users. Based
on the results of the study, the hospital was advised to
develop a hospital management information system so
that there were no complaints regarding the quality of
information.
Keywords:- Hospital Management Information System,
Sistem Informasi Manajemen Rumah Sakit, Information
Quality, User Satisfaction, and Usage Intensity.
IJECMRS18AG12 www.ijecmrs.com
Mohammad Choirur Roziqin
Technology Information,
Lecturer of Health Major,
State Poly Technique of Jember,
Indonesia
I. INTRODUCTION
The hospital management information system is an
effort to present an accurate, timely, and appropriate
information to support the process of management and
decision making functions in providing health services at the
hospital. The hospital management information systems can
better manage the patient data, thus making the data easier
to find. Data management in hospitals is an important
component in realizing a management information system in
a hospital. Manually managing data has many weaknesses:
it’s time-consuming and its accuracy is also less acceptable
because the possibility of errors is very large. With the
support of current information technology, the manual data
management task can be replaced by a computerized
information system. Besides being faster and easier, the data
management is also more accurate.
The result of the interviews reveals four problems
faced by the users of the hospital management information
system. First, the quality of information where the
information generated by the system is still incomplete. For
example, the input template in SIMRS is incomplete so that
poly officers cannot input the comprehensive inspection data
and the laboratory examination results. Second, the quality
of service where the users still have difficulty inputting data.
For example,the laboratory and inpatient care staff find the
task of inputting data difficult. According to the staff, the
program was not easy. Third, regarding the User Intensity
and System Users, it is found that the users do not utilize the
tablets (Android phones) that have been provided by the
hospital to implement the hospital management information
system. For example, a specialist doctor when doing a visit
is obliged to fill out a medical resume and SOAP results by
inputting the results of patient visit data into the hospital
management information system through a tablet (Android
phone). But in reality, the process only runs 1-2 months and
then the doctor chooses to not filling it again because he felt
the work becomes longer and having the difficulty of
inputting the data. Thus, the medical task that has been done
electronically became manual again. Fourth, the user
satisfaction, where the results of the survey showed that 4 of
9 people of the installation heads officer said they were
satisfied while the other 5 were unsatisfied from the
problems above, there were negative impacts felt by the
hospital. The negative impacts are the bad quality of
information produced by the hospital management
information system. Information is categorized as bad
quality when the information presented is slow, incomplete,
inaccurate, and irrelevant. Based on the problems and
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 International Journal of Economics, Commerce and Management Research Studies
Volume 1, Issue 1, August - 2018
negative impacts above, the researchers try to propose a Hospital. The sampling technique used in this study is the
solution to solve these problems by analyzing the disproportionate stratified random sampling by using 3
implementation of hospital management information access rights: top management, middle management, and
systems using the DeLone and McLean methods. The lower management. The research variables in this study are
DeLone and McLean method are used to describe and system quality, user satisfaction, user intensity. The data
analyze the system quality, information quality, service used in this research is primary data taken directly by the
quality, user intensity, system users, user satisfaction, and researcher from the respondent. The sources of data in this
net benefits. From the explanation above, the researcher study were the questionnaires filled directly by the
chooses the DeLone and McLean method because it respondents. The research questionnaire was tailored to suit
corresponds to the characteristics of the problems in the the indicators of the 3 research variables. The analysis of
Jember Lung Hospital, namely the quality of the system, data in this study consist of six steps:(1) validity and
information quality, service quality, user intensity, system reliability test,(2) normality test,(3) homogeneity test,(4)
users, and user satisfaction. collinearity test, (5) autocorrelation test, and (6) test path
analysis.
In accordance with the results of Roldan & Leal's 2003
study of an executive information system which shows that
III. FINDINGS AND DISCUSSION
the quality of the system and the quality of information
positively influence the user satisfaction of hospital
management information systems. In accordance with Abdul
Latih's research results in 2010 about the success of
SISKOHATusing the DeLone and McLean method that
shows that the information quality has a significant effect on
user satisfaction with management information systems. In
accordance with the results of Masrek et al's research in
2010 on the effectiveness of academic library portals, it
shows that system quality, information quality, service
quality have a significant effect on user satisfaction of
management information systems.
DeLone and McLean (2003) argue that there are
several important factors that drive the need for information
technology within an organization. They are related to the
decision-making process that is not based on information,
the available information is not relevant, the available
information is not used by the management, the information Based on Figure 1, the T-Value generated by the Lisrel
is not timely, too much information, the available program showed that the exogenous variables of information
information is not accurate, and the data is not flexible. quality have a significant effect on the endogenous variable
Based on this, an information system that can support the of the user intensity as indicated by the black T-value of
decision-making process is needed. 5.66. On the other side, the exogenous variables of
information quality do not have a significant effect on
Based on the regulation of the Minister of Health of the endogenous variables of user satisfaction as indicated by a
Republic of Indonesia Number 82 of 2013 concerning the black T-value of 4.16.
"Hospital Management Information System", hospitals in
Indonesia began implementing the systems to improve
services. The hospital management information system is a
computerized system that is capable of processing data
quickly, accurately, and producing a set of interacting
information for all levels of management in the hospital.
The results of the processed data are in the form of reports
that can be used by the users in making decisions to increase
the quality of health service. The hospital management
information system functions to control the service quality,
quality control and productivity assessment, service
simplification, benefit analysis and estimated needs, clinical
research, education, and program planning and evaluation.

II. RESEARCH AND METHOD

Based on Figure 3, Lisrel'sstandardized solution
This research is a quantitative research with a cross-
showed that the exogenous variables of information quality
sectional approach. The population in this study were all
have a significant effect on the endogenous variables of user
officers in the hospital who used SIMRS as much as 180
intensity of 0.27 or 27%. Also, the exogenous variables of
people. The sample in this study is a portion of the
information quality have a significant influence on
population as much as 125 SIMRS users in Jember Lung
endogenous variable user satisfaction of 0.40 or 40%.

IJECMRS18AG12 www.ijecmrs.com 8
 International Journal of Economics, Commerce and Management Research Studies
The variable of KI against KP in this study is in
accordance with Saputra (2016) that KI influences KP. Putra
(2016) showed that KI affects KP. Stacie (2008) showed
that KI affects KP. Muhimmah (2016) showed that KI
affects KP. The researchers argue that the suitability of the
results of this study with 4 previous studies is due to the fact
that the information in SIMRS is very clear because the
medical record is electronic consisting the patient identity,
patient history, general examination, physical examination,
ICD-10 and ICD-9CM, therapy plan, supporting
examination, medical action, doctor consultation, cost
information, visit history, supporting uploader, document
uploader, medical resume, nursing care, pharmacy care, and
laboratory examination results. Doctors and nurses also
stated that the information provided was very complete,
easily accessible and easy to read.
The user satisfaction variable on the user intensity in
this study are in accordance with the results of Saputra's
(2016) study that user satisfaction has a significant effect on
user intensity. Also in accordance with the results of Sari's
(2016) study that user satisfaction has a significant effect on
user intensity. And with the Muhimmah's research results
(2016) that user satisfaction has a significant effect on user
intensity. Tammabua's (2015) research results that user
satisfaction has a significant effect on user intensity.
Researchers argue that the suitability of the results of
this study with previous research is due to the information in
SIMRS that is very clear because the medical record is
electronic that consists of the patient identity, patient
history, general examination, physical examination, ICD-10
and ICD-9CM, therapy plan, examination support, medical
action, doctor consultation, cost information, visit history,
supporting uploader, document uploader, medical resume,
nursing care, pharmacy care and laboratory examination
results. Doctors and nurses also stated that the information
provided was very complete, easily accessible and easy to
read. Because the information generated by SIMRS is felt to
be very clear, the user uses SIMRS in official activities
every day.
IV. CONCLUSION
Information quality has a significant effect on user
satisfaction with a black value of 4.16. User satisfaction has
a significant effect on the intensity of the user with a black
value of 3.28. So that it can be concluded that the quality of
information directly affects the intensity of users.
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