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Managing Regional Public Service Agency (Badan Layanan Umum Daerah/BLUD) hospitals requires planning and budgeting processes that are accountable, measurable, and aligned with service performance. In practice, BLUD planning is still constrained by fragmented applications (hospital information system/SIMRS, finance, human resources, e-office, and procurement), duplicate data entry, approval delays, and limited monitoring of process compliance. This study aims to analyze requirements and design a web-based BLUD planning information system using an Enterprise Application Integration (EAI) approach through middleware to improve cross-system interoperability, data consistency, and the timeliness of executive reporting. The study adopts the Design Science Research (DSR) framework, comprising problem identification, definition of solution objectives, artifact design and development, demonstration, evaluation, and communication/report writing. The proposed system includes a unit-based budget proposal module and item management, a role-based approval workflow (RBAC) with SLA tracking, a budget ceiling (pagu) master to benchmark proposals, audit trails and report exports, and an executive dashboard integrating budget perspectives, service indicators (e.g., bed occupancy rate/BOR and patient visits), and process compliance. It also provides an integration design via middleware (ESB/message broker) supported by a canonical data model (CDM) and traceable logging (trace_id/correlation_id). Evaluation using black-box testing and API contract testing indicates that the main planning workflow operates as intended and the integration interfaces are consistently defined, providing a foundation for staged implementation and further performance evaluation.

The evaluation of information systems becomes important to ensure the effectiveness of the Hospital Information System (SIMRS) application and its positive impact in producing information that meets the standards of data quality with the HOT fit theory, which includes the core elements of the information system: human, organization, Technology and net benefits. The research was conducted using a cross-sectional design and involved 78 SIMRS users in X Hospital as the sample. Data were analysed using the partial least squares (PLS) structural equation modelling (SEM) method. The results of the study showed that user satisfaction, information quality, service quality, system quality, organizational environment, system utilization level, and organizational structure had significant relationships with SIMRS based on hypothesis testing. The significant findings included user satisfaction, net benefits, system utilization, service quality, system quality, organizational environment, and information quality. This study emphasizes the importance of routine and periodic maintenance, monitoring of SIMRS by relevant units, attention to factors influencing SIMRS adoption by users, and regular training related to the operation of the SIMRS application. Efforts to improve operational skills in the aspects of system quality, information quality, service quality, organizational structure, and organizational environment of SIMRS are crucial to optimize the net benefits generated by SIMRS.

Advances in science and technology have significantly improved and facilitated the work of health professionals. One example is the transition from manual medical records to Electronic Medical Records (EMDR). At Mitra Sejati Hospital, the implementation of EMR still uses manual and electronic methods, so it is not in accordance with the Minister of Health Regulation Number 24 in 2022. This study aims to analyze the implementation of EMR in the mitra sejati hospital on the regulation. The research method used is descriptive qualitative, with observations made using checklist sheets to evaluate the SIMRS application. The research subjects included doctors, nurses, radiology, IT officers, and medical record officers, each represented by one participant. The results of the study showed that the implementation of EMR at Mitra Sejati Hospital was in accordance with the Minister of Health Regulation Number 24 in 2022 about filling in clinical information, inputting financing claim data, and storing EMR. However, the implementation of patient registration, EMR data distribution, information processing, quality assurance, and transfer of EMR contents were not fully in accordance. This discrepancy indicates that the implementation of EMR in the hospital was not fully in accordance with the regulations. To address this gap, special efforts are needed to improve technical systems and staff training, so that it can ensure full compliance with regulations and optimize the function of the EMR.

The implementation of Hospital Management Information Systems (SIMRS) has become a strategic necessity to improve healthcare service quality and operational efficiency. This study focuses on evaluating the performance of SIMRS in the outpatient registration unit of Nur Hidayah Hospital Bantul, where system disruptions, inconsistent SOP application, and limited user training were identified as core issues. The research aims to assess how well the SIMRS aligns with the Human, Organization, and Technology components through the HOT-Fit model framework. A descriptive qualitative method was employed using purposive sampling to select five informants directly involved in SIMRS operations, including registration officers, IT staff, and the head of the medical records unit. Data were collected through in-depth interviews, direct observation, and documentation, and analyzed thematically based on the HOT-Fit model. The findings show that SIMRS contributes positively to workflow efficiency and data management; however, human factors such as inconsistent training and input errors remain prevalent. Organizational support is visible but lacks structured evaluation routines, and although the technological infrastructure is generally stable, peripheral device and network issues persist. The study synthesizes that effective SIMRS performance requires not only technological readiness but also consistent organizational commitment and continuous human resource development. It concludes that strengthening user competence, formalizing SOP usage, and improving infrastructure are essential to optimize the system's functionality and alignment with the HOT-Fit model.

The purpose of setting up SIMRS is to improve efficiency, effectiveness, professionalism, performance, and access and services in hospitals. In the preparation of this paper, data was collected through observation methods, interviews, literature studies, and the application of software development models using the waterfall method. The result is the design of a web-based patient registration information system using Laravel and MySQL as a database. Hospitals face several problems, including data redundancy in the input process and less than optimal data presentation, making it difficult to manipulate, change, and delete data. The author hopes that the development of a new information system can simplify and speed up the data input process. The information system designed is expected to make it easier for patients to register online as well as assist admins in the patient registration process, making it easier to make registration reports.    

In line with its development, Electronic Medical Records have become the heart of information in the Hospital Management Information System (SIMRS), which is the main application in a basic data management system that collects various sources of medical data, plus other features such as administration, billing and documentation services. medical. However, electronic medical records certainly raise new problems in the area of ​​patient confidentiality and privacy. If a patient's medical data falls into the hands of an unauthorized person, legal problems and responsibilities could arise for the hospital and doctor who handles the patient, therefore standards for making and storing medical records that have been made conventionally or on paper must also be applied to Electronic medical records must be made secure and patient data must be strictly guarded by the hospital, meaning that no information can be opened without the patient's permission, which means that all patient medical information data can only be accessed by interested people. These people are also not allowed to transfer this information to other people. The implementation of Electronic Medical Records in Health Facilities is carried out by a separate work unit or adjusted to the needs and capabilities of each Health Fascily. In terms of the scale of health services, health facilities are very different from hospitals, especially those in remote areas. In fact, not all hospitals are ready to implement a medical history recording system, the total use of telemedicine applications which has increased up to six times during the 2022 COVID-19 pandemic in Indonesia.    

Hospitals, as institutions providing healthcare services, must maximize technological advancements. One such advancement is the use of SIMRS (Hospital Management Information System) in accordance with the Indonesian Minister of Health Regulation No. 82 of 2013. The use of SIMRS is predicted to enhance the hospital's efficiency, effectiveness, professionalism, performance, as well as access and services. Nurses' satisfaction in using SIMRS will impact the improvement of patient care quality. One method to evaluate user satisfaction with SIMRS is EUCS (End User Computing Satisfaction), developed by Doll and Torkzadeh, which consists of five dimensions: content, format, accuracy, ease of use, and timeliness. This study aims to determine the relationship between the application of the EUCS method and nurses' job satisfaction in the use of SIMRS at RSUD dr. Doris Sylvanus Palangka Raya. Methods: This research is correlational, employing a cross-sectional design. Respondents were selected using purposive sampling and the chi-square statistical test was used. The sample consisted of 175 inpatient nurses at RSUD dr. Doris Sylvanus Palangka Raya. Results: The chi-square statistical test showed a p-value = 0.000, or a significance level of p < 0.05, indicating that there is a relationship between the application of the EUCS method and nurses' job satisfaction in the use of SIMRS at RSUD dr. Doris Sylvanus Palangka Raya. Conclusion: Effectiveness and efficiency are the primary goals of SIMRS usage, which creates convenience and transparency, ultimately expected to enhance nurses' job satisfaction.

The main problem in this research is the management of drugs in the Pharmacy Installation of RSUD Prof. Dr. H. M. Anwar Makkatutu which has not been handled properly. There are various types of pharmaceutical logistics, namely drugs and consumables, many types of incoming drugs and medical equipment, with different delivery times and drug expiration dates, the pharmacy must manage it well, starting from the process of distributing and storing drugs and consumables. from warehouse to depot. The pharmaceutical system that is still manual causes repeated double checks, the data collection of expired drugs is not correct, there is no application that makes it easy for pharmacy officers to check what drugs are about to expire and are about to expire so that it requires a long time and excessive energy. With the above problems, the development of drug management applications through the fifo and fefo methods in SIMRS when receiving, storing and releasing drugs and medical equipment is needed for smooth service in pharmaceutical installations so that officers can work effectively, efficiently, and improve service quality. as well as the economic disadvantages of hospital management can be minimized and produce reports that are faster and more accurate in the management and planning of drug supplies. Pharmacy officers can take advantage of drug management through the fifo and fefo applications based on batch numbers and expiration dates to complete all the shortcomings and weaknesses of the existing SIMRS application in order to maximize services at the Pharmacy Installation. This research is a quasi experimental research to determine the difference in the duration of the use of time and energy before and after using the application. The research was carried out at the pharmacy installation of Prof. Dr. H. M. Hospital. Anwar Makkatutu Bantaeng from August to October 2020.

Hospital Management Information System is a computer system that processes and integrates all health service business process flows in the form of coordination networks, reporting and administrative procedures to obtain information quickly, precisely and accurately. The hospital computer-based Management Information System is a very important supporting tool, and is a means to support hospital operational management. The application of SIMRS should be able to improve the quality of service in hospitals. The research method used is Literature Review to conclude how SIMRS is generally implemented.

This kind of information system is developing so rapidly in all fields including in the health field. One of the evidence of the development of information systems especially in hospitals is electronic medical records. Thus, by folding electronic medical records with application or web bases will minimize the leakage of patient data to the general public. In addition, the use of these electronic medical records will make it easier for patients to register or access hospital services. The study uses a review literature study approach with several selected sources based on the established inclusion and exclusion criteria

HIMS as a series of activities that cover all hospital health services at all administrative levels that can provide information to managers for the management process. In carrying out the hospital management information system process, the HOT FIT method is needed. The HOT FIT method is a complete solution that is most suitable for current difficulties or limitations. The purpose of this literature review is to find out how to analyze the application of a hospital management information system using the HOT FIT method. The literature used in this study is to determine the articles that match the inclusion criteria. The data base used is Google Scholar. The year of publication of literature sources taken is the last 5 years between 2018 and 2023, literature sources use English or Indonesian. The results of 5 articles obtained that the analysis of the application of hospital management information systems using the HOT FIT method is by implementing Human (System use, user satisfaction), Organization (Structure, environment), Technology (system quality, information quality, service quality). It can be concluded that the quality of a management information can be assessed from the level of accuracy and level of relevance of the information data. With the HOT FIT method, information can be more relevant and accurate and this information has benefits for its users. It is also Vnecessary for the hospital to improve the quality of the information management system by paying attention to the stages and models used.

One of the service provided by the Hospital is by providing fast service, so give satisfaction to secoety. Service provided by the Hospital in increasing customer satisfactions whit using technology the SIMRS application. Contitution Republic of Indonesian No. 44 year 2019 about Hospital in chapter 1 paragraph 3 every Hospital must organize SIMRS application. The purpose of this study was to determine the effect of the level of knowledge and motivation of nurses on the use of the SIMRS application at RSUD Sumbawa. Population in this research were 149 respondents. The sampling technique in quantitative research with a sample of 109 respondent and the sampling technique in qualitative research with a sample of 10 respondent. The method on this research is a mix method with cross sectional and generic quality approach. The results of the study obtained a p-value 0,001 < 0,05% which means that there is an effect on level of knowledge nurses on the use of  the SIMRS application and there is an influence on the motivation of nurses in using the SIMRS application at RSUD Sumbawa.