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The implementation of the Hospital Information Management System (SIMRS) plays a crucial role in enhancing the quality of public healthcare services in Indonesia. With the country's vast geographical landscape and significant disparities in healthcare access between urban and rural areas, SIMRS offers an integrated digital solution to streamline hospital operations and improve service delivery. This study explores the impact of SIMRS on the efficiency of hospital management, particularly in administrative processes such as patient registration, medical records, and resource allocation. Additionally, SIMRS contributes to improving healthcare accessibility by enabling seamless data exchange between healthcare facilities, ensuring that patients in remote areas can access timely and appropriate care. Despite its benefits, the implementation of SIMRS faces challenges, such as limited infrastructure, high implementation costs, and a lack of trained personnel. To overcome these obstacles, it is essential for the government, healthcare institutions, and other stakeholders to collaborate in providing adequate training, improving infrastructure, and ensuring sustainable implementation of SIMRS. This study concludes that SIMRS has the potential to significantly improve healthcare services in Indonesia, provided that the challenges are addressed and adequate support is given for its expansion across the country.

 The implementation of Hospital Management Information System (SIMRS) in Indonesian government hospitals has had a significant impact on improving the efficiency and quality of health services. However, the implementation process of SIMRS faces various challenges, including limited technological infrastructure, resistance to change from staff, and a lack of professionals in the field of information technology (IT). This study aims to identify the challenges faced in the implementation of SIMRS in Indonesian government hospitals, as well as the solutions implemented to overcome them, with case studies in Dr. Sardjito General Hospital, Dr. Soetomo General Hospital, and Sanglah General Hospital. The findings show that the main challenges related to infrastructure, such as outdated hardware and limited internet connectivity, affect the smooth implementation of SIMRS. The solutions implemented include improving IT infrastructure, intensive training for staff, and recruiting IT experts to support the system. In addition, other solutions such as strengthening data security protocols to protect patient information are also important to maintain public trust. Despite the significant challenges, these hospitals have successfully overcome these obstacles and provide examples of successful SIMRS implementation. This success can improve the efficiency, transparency, and quality of health services which in turn strengthen public trust in government health services.

In the era of rapid technological advancement, the health sector has undergone significant transformation, especially with the implementation of Information and Communication Technology (ICT) systems. One of the important innovations in this field is the Hospital Management Information System (SIMRS). The research method used in this study is a literature study or literature review, which is a research approach that utilizes existing sources of information, such as books, scientific articles, journals, research reports, and other sources relevant to the topic being studied. The results of this study indicate that One of the main strategies for optimization is to ensure comprehensive training for all hospital staff, from administrative personnel to health care providers. Effective use of SIMRS requires an understanding of its various functions. Implementation and optimization of the Hospital Management Information System (SIMRS) is one of the very important strategic steps in efforts to improve hospital performance. SIMRS integrates various operational, administrative, and clinical functions in one platform that allows hospitals to improve efficiency, quality of patient care, and the effectiveness of overall hospital management. However, its implementation also has challenges, such as high implementation costs, difficulty in integrating existing systems, and resistance from staff who are accustomed to manual systems.