Transformation of Emergency Department Services through Hospital Management Information System: A Case Study of Bakti Pajajaran Regional General Hospital
DOI:
https://doi.org/10.55681/seikat.v5i4.3207Keywords:
Digital transformation, Emergency department, Hospital management information system, Public service, Patient safetyAbstract
This study examines the digital transformation of Emergency Department services through the Hospital Management Information System at Bakti Pajajaran Regional General Hospital, Bogor Regency. Digital transformation has become a strategic necessity for improving public service quality, bureaucratic efficiency, and patient safety. The study aims to analyze the dynamics of digital transformation in emergency services from a public administration perspective and identify its contribution to service efficiency and patient safety. Using a qualitative post-positivist approach, data were collected through in-depth interviews, observation, document analysis, and literature review. The analysis applied a public sector digital transformation framework consisting of transformation reasons, objects, processes, and results. The findings show that digital transformation was driven by the need to improve service quality, advances in information technology, and national regulatory demands. The system improved service efficiency by accelerating access to patient data, reducing duplicate documentation, and strengthening inter-unit coordination. It also supported patient safety through more complete, accurate, and traceable clinical documentation. However, challenges remain in system interoperability, digital competency, health data governance, and information security.
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Al-Mamary, Y. H., Alshallaqi, M., Abubakar, A. A., & Alhakimi, W. (2025). A comprehensive conceptual model of digital transformation in public services: Exploring key factors and their impact on government success. Future Business Journal, 11, Article 193. https://doi.org/10.1186/s43093-025-00621-8
Amzar, R. P., & Legowo, N. (2025). Risk-based evaluation of hospital management information system implementation using ISO 31000 framework. Jurnal Ilmiah Manajemen Kesatuan, 13(6), 5179–5190. https://doi.org/10.37641/jimkes.v13i6.4221
Anomaly, J. (2023). What is public health? Public goods, publicized goods, and the conversion problem. Public Choice, 195(1–2), 43–53.
Asosiasi Penyelenggara Jasa Internet Indonesia. (2024). Survei penetrasi pengguna internet di daerah tertinggal tahun 2024. APJII.
Badan Pusat Statistik Kabupaten Bogor. (2021). Statistik kesejahteraan rakyat Kabupaten Bogor 2021. BPS Kabupaten Bogor.
Badan Pusat Statistik Kabupaten Bogor. (2024). Kabupaten Bogor dalam angka 2024. BPS Kabupaten Bogor.
Badan Pusat Statistik Provinsi Jawa Barat. (2025). Provinsi Jawa Barat dalam angka 2025. BPS Provinsi Jawa Barat.
Baihaqy, A., & Subriadi, A. P. (2025). Development of digital transformation model in hospital. Technological Sustainability, 4(1), 1–29.
Barnett, A., Winning, M., Canaris, S., Cleary, M., Staib, A., & Sullivan, C. (2019). Digital transformation of hospital quality and safety: Real-time data for real-time action. Australian Health Review, 43(6), 656–661. https://doi.org/10.1071/AH18125
Benjamin, K., & Potts, H. W. W. (2018). Digital transformation in government: Lessons for digital health? Digital Health, 4, 1–5. https://doi.org/10.1177/2055207618759168
Berghaus, S., & Back, A. (2017). Disentangling the fuzzy front end of digital transformation: Activities and approaches. In Proceedings of the International Conference on Information Systems 2017.
Bilgeri, D., Wortmann, F., & Fleisch, E. (2017). How digital transformation affects large manufacturing companies’ organization. In Proceedings of the International Conference on Information Systems 2017.
Budiarto, H., Pahlevi, S. M., Susenna, A., Kusumasari, D., Agustina, L., Andriariza, Y. A. S., Hernikawati, D., & Rahmi, A. A. (2024). Indeks masyarakat digital Indonesia. Badan Pengembangan Sumber Daya Manusia Komunikasi dan Digital.
Chansanguan, S., Rittippant, N., Ueki, Y., & Jeenanunta, C. (2025). Sustainable digital transformation in public hospitals: Strategic enablers for smart healthcare systems. Sustainability, 17(19), Article 8614. https://doi.org/10.3390/su17198614
Creswell, J. W., & Creswell, J. D. (2017). Research design: Qualitative, quantitative, and mixed methods approaches (5th ed.). SAGE Publications.
De Campos, T. C. (2012). Health as a basic human need: Would this be enough? Journal of Law, Medicine & Ethics, 40(2), 251–267.
Dinas Komunikasi dan Informatika Kabupaten Bogor. (2024). Pemerintah Kabupaten Bogor berhasil meningkatkan indeks SPBE dan memperoleh predikat sangat baik. Pemerintah Kabupaten Bogor.
Haffke, I., Kalgovas, B., & Benlian, A. (2017). The role of the CIO and the CDO in an organization’s digital transformation. In Proceedings of the International Conference on Information Systems 2017.
Hartl, E., & Hess, T. (2017). The role of cultural values for digital transformation: Insights from a Delphi study. In Proceedings of the 23rd Americas Conference on Information Systems.
Karimi, J., & Walter, Z. (2015). The role of dynamic capabilities in responding to digital disruption: A factor-based study of the newspaper industry. Journal of Management Information Systems, 32(1), 39–81.
Kaul, I., & Faust, M. (2001). Global public goods and health: Taking the agenda forward. Bulletin of the World Health Organization, 79(9), 869–874.
Kementerian Kesehatan Republik Indonesia. (2021). Cetak biru strategi transformasi digital kesehatan 2024. Kementerian Kesehatan Republik Indonesia.
Kementerian Kesehatan Republik Indonesia. (2022). Peraturan Menteri Kesehatan Republik Indonesia Nomor 24 Tahun 2022 tentang Rekam Medis. Kementerian Kesehatan Republik Indonesia.
Kementerian Kesehatan Republik Indonesia. (2023). Profil kesehatan Indonesia 2023. Kementerian Kesehatan Republik Indonesia.
Klein, V. B., & Todesco, J. L. (2021). COVID-19 crisis and SMEs responses: The role of digital transformation. Knowledge and Process Management, 28(2), 117–133.
Manik, S. P., & Juwono, V. (2024). Strategi transformasi digital dalam tata kelola pemerintahan: Studi pada Kementerian Keuangan. Briliant: Jurnal Riset dan Konseptual, 9(1), 1–16. https://doi.org/10.28926/briliant.v9i1.1623
Mbae, B. B., Sagoe, C. D., & Mooketsi, N. (2025). Digital transformation and e-service delivery in African public sector organisations: Insights into Botswana’s Ministry of Agriculture. Digital Society, 4, Article 35. https://doi.org/10.1007/s44206-025-00186-7
Mergel, I., Edelmann, N., & Haug, N. (2019). Defining digital transformation: Results from expert interviews. Government Information Quarterly, 36(4), Article 101385. https://doi.org/10.1016/j.giq.2019.06.002
Miles, M. B., Huberman, A. M., & Saldana, J. (2014). Qualitative data analysis: A methods sourcebook (3rd ed.). SAGE Publications.
Nur Aisyah, D., Kiasatina, T., & Permata, S. (2023). Digital transformation in healthcare during the COVID-19 pandemic: Lessons from Indonesia. Journal of Health Policy and Management, 8(1), 1–10.
Nurhas, I., Aditya, B. R., Jacob, D. W., & Pawlowski, J. M. (2021). Understanding the challenges of rapid digital transformation: The case of COVID-19 pandemic in higher education. Behaviour & Information Technology, 41(13), 2924–2940.
O’Connor, G., Geary, U., & Moriarty, J. (2009). Critical care in the emergency department. European Journal of Emergency Medicine, 16(6), 296–300.
Oktaviana, S., Handayani, P. W., Hidayanto, A. N., & Siswanto, B. B. (2025). Healthcare data governance assessment based on hospital management perspectives. International Journal of Information Management Data Insights, 5(1), Article 100342. https://doi.org/10.1016/j.jjimei.2025.100342
Open Data Kabupaten Bogor. (2026a). Jumlah rumah tangga berperilaku hidup bersih dan sehat di Kabupaten Bogor tahun 2020–2024. Pemerintah Kabupaten Bogor. https://opendata.bogorkab.go.id/
Open Data Kabupaten Bogor. (2026b). Jumlah kunjungan pasien ke RSUD di Kabupaten Bogor tahun 2020–2024. Pemerintah Kabupaten Bogor. https://opendata.bogorkab.go.id/
Open Data Kabupaten Bogor. (2026c). Jumlah kunjungan pasien pada RSUD Bakti Pajajaran berdasarkan jenis kunjungan tahun 2020–2024. Pemerintah Kabupaten Bogor. https://opendata.bogorkab.go.id/
Open Data Jawa Barat. (2024). Data penggunaan telepon genggam dan internet pemuda di Kabupaten Bogor. Pemerintah Provinsi Jawa Barat. https://opendata.jabarprov.go.id/
Osmundsen, K., Iden, J., & Bygstad, B. (2018). Digital transformation: Drivers, success factors, and implications. In Proceedings of the 12th Mediterranean Conference on Information Systems.
Porter, M. E., & Heppelmann, J. E. (2014). How smart, connected products are transforming competition. Harvard Business Review, 92(11), 64–88.
Prabaningrum, D., & Juwono, V. (2020). Tata kelola kebijakan pengelolaan nomor protokol internet di Indonesia: Sebuah tinjauan literatur. Spirit Publik: Jurnal Administrasi Publik, 15(2), 145–165. https://doi.org/10.20961/sp.v15i2.42063
Rahayu, A. Y. S., Rahmayanti, K. P., & Juwono, V. (2020). Pelayanan publik dan e-government: Sebuah teori dan konsep. Rajawali Pers.
Raimo, N., De Turi, I., Albergo, F., & Vitolla, F. (2023). The drivers of the digital transformation in the healthcare industry: An empirical analysis in Italian hospitals. Technovation, 121, Article 102558. https://doi.org/10.1016/j.technovation.2022.102558
Republik Indonesia. (2018). Peraturan Presiden Republik Indonesia Nomor 95 Tahun 2018 tentang Sistem Pemerintahan Berbasis Elektronik.
Republik Indonesia. (2023). Undang-Undang Republik Indonesia Nomor 17 Tahun 2023 tentang Kesehatan.
Sekretariat Daerah Kabupaten Bogor. (2024). RSUD Bakti Pajajaran meraih penghargaan fasilitas kesehatan rumah sakit kelas B tingkat nasional. Pemerintah Kabupaten Bogor.
Stoumpos, A. I., Kitsios, F., & Talias, M. A. (2023). Digital transformation in healthcare: Technology acceptance and its applications. International Journal of Environmental Research and Public Health, 20(4), Article 3407. https://doi.org/10.3390/ijerph20043407
Susanti, S. O., & Juwono, V. (2019). Collaborative governance: Proyek penyelenggaraan jaringan tulang punggung serat optik Palapa Ring di Indonesia tahun 2016–2019. Publik: Jurnal Ilmu Administrasi, 8(1), 12–23. http://dx.doi.org/10.31314/pjia.8.1.12-23.2019
United Nations Department of Economic and Social Affairs. (2024). United Nations e-government survey 2024: Accelerating digital transformation for sustainable development. United Nations.
Vagadia, B. (2020). Digital disruption: Implications and opportunities for economies, society, policy makers and business leaders. Springer.
Yoo, Y., Henfridsson, O., & Lyytinen, K. (2010). The new organizing logic of digital innovation: An agenda for information systems research. Information Systems Research, 21(4), 724–735.
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