The implementation of Electronic Medical Records (EMR) in healthcare institutions aims to improve the efficiency, accuracy, and accessibility of medical data. RSUD Weda, a regional hospital in Indonesia, has adopted an EMR system in its outpatient services to replace conventional manual processes. However, this transition has faced several challenges, including inadequate training, unstable network infrastructure, and inconsistent adherence to Standard Operating Procedures (SOPs). This study aims to evaluate the performance of the EMR implementation using a qualitative descriptive method based on the 5M framework—Man, Material, Machine, Method, and Money. Data were collected through interviews, direct observation, and document analysis involving stakeholders such as medical staff, administrators, and IT personnel. The findings indicate that while users acknowledge improvements in data accuracy and accessibility, key issues remain, particularly in training quality, infrastructure readiness, and system reliability. The study also observed gradual improvements in SOP compliance and reduced system failures over time. These results suggest that successful EMR adoption requires a balance of technical infrastructure, human resource readiness, financial support, and continuous system monitoring. The use of the 5M framework proved effective in identifying multidimensional challenges and offering holistic insights into the implementation process. This study contributes to the broader literature on EMR evaluation by providing contextualized evidence from a district-level hospital and offers practical recommendations for enhancing EMR system performance in similar healthcare settings.
 
 

This research is motivated by improving student learning outcomes using image media. This study aims to determine student learning outcomes using learning media in English language learning class XE1 SMAN 2 Bukik Barisan. The method used by the researcher in this study was Class Action Research (PTK) with the subject of the study being Class XE1 consisting of 26 students. Average studying outcomes in cycle I is 74, however there was an average increase in cycle II, which was to 84. Learning outcomes in cycle I there is a studying completion of 69%, in cycle II there is an increase in learning completeness to 100%. After seeing the studying outcomes of students in cycle I and cycle II, the conclusion can be drawn, that is applying learning media in class XE1 SMAN 2 Kec.Bukik Barisan Academic Year 2022/2023 has increased student learning outcomes. It is hoped that teachers can apply Learning Media as an alternative and variety of teaching English in Class X SMA.

The purpose of this study was to determine the teacher's strategy in teaching speaking. The problem in this study is that students feel unconfident in speaking English and also have a limited vocabulary. This type of research is called qualitative research. The sample for this study is the MTSN 8 Agam teacher. The instruments used in this study were observations and interviews. The results of this study, the strategies used by teachers in teaching speaking are drill, roleplay, simulation, and group discussion.