Literature Review: Overview of Integrated Health Information System Management in Hospitals

The Health Information System was developed primarily to support health management. The information system used is more focused on a computer-based information system supported by a medical record unit. Electronic Medical Record is the use of information technology devices for collecting, storing, processing and accessing data stored in patient medical records in hospitals in a data-based management system that collects various medical data sources. Method types the research method used is literature study or literature review. Literature review comprehensive overview related to research that has been carried out on certain scientific-based topics. The process of implementing the management of information systems in this study can be divided into five things based on 12 selected journals from 15 journals, Technology and Information with various systems with the world producing many innovations and advancement. A computer-based medical record information system will be able to help improve the health service process to the community because this process is much faster and more practical when compared to the manual process. The development of electronic medical records in health services has three assessment parameters, namely the readiness of human resources, culture and leadership governance, infrastructure in the fairly ready category. The highest value is in the human resource parameter. doctors in providing accurate patient data. A computer-based medical record information system will be able to help improve the health service process to the community because this process is much faster and more practical when compared to the manual process. The development of electronic medical records in health services has three assessment parameters, namely the readiness of human resources, culture and leadership governance, infrastructure in the fairly ready category. The highest value is in the human resource parameter.

Introduction be carried out more effectively. The patient health information management system is only carried out independently, at each health service agency. Health information aims to collect, store and make patient health information available and easily accessible when needed. So that by managing patient health information that is carried out electronically and integrated, it can help every health service officer in providing better health service activities to patients (Laily 2017). To determine the quality of health services in hospitals, an assessment system for quality health services is needed.
One of the parameters for the quality of health services in hospitals is data or information from good and complete medical records. One aspect that plays a significant role in determining the quality of hospital medical records in the medical record officer. Based on the survey at the hospital, it was found that the percentage of filling in the status on the medical record form that was not filled out completely was 34.1%, the return of medical records that were not in the right place was 59.03%, and filling out the status on the medical record that was not correct was 56. 13%. This type of research is an explanatory survey to determine the relationship between the motivation of medical record officers (intrinsic and extrinsic) with the performance of medical record officers in hospitals. The results of this study indicate that 53.3% of medical record officers have high intrinsic motivation in terms of achievement, responsibility, opportunities for advancement, and job satisfaction. As many as 93.3% of medical record officers have high extrinsic motivation in terms of compensation, work security and safety, working conditions, work procedures, and interpersonal relationships. As much as 53.3% of the performance of medical record officers is in the sufficient category (Anggraini 2007).

Research Method
Method type the research method used is literature study or literature review. Literature review comprehensive overview related to research that has been carried out on certain scientific-based topics. The collection of research results will obtain some known or unknown information so that researchers can determine new topics for further analysis by conducting actual studies and attaching them in the form of a literature review. Literature studies can be obtained from various sources, both journals, books, documentation, the internet, and libraries (Kusuma D, 2012). Study selection and data quality are shown in Figure 1 as follows:

Inclusion and Exclusion Criteria
Based on the results of article searches using databases such as Google Scholar, 245 journals were found. Then, the inclusion criteria were filtered such as full text, 2011-2020, and studies related to the management of information systems. So it was found the same data as many as 43 articles. After the duplicate data was removed 202 articles were found. After conducting a review, each data did not match the inclusion & exclusion criteria of as many as 187 articles. Selected data based on exclusion criteria obtained 17 articles and 2 articles could not be downloaded. So that the remaining 15 articles were included in the literature study. Information systems are one of the biggest needs in hospitals, to solve problems that usually occur in hospitals such as patient data that is not well organized, errors in queue numbers, wrong drug prescriptions, and so on. By using an information system, it is hoped that these problems can be overcome at a minimum, which will certainly have an impact on improving the quality of hospital services as a whole.

3.
Emy One of the service industry companies that requires computers for the processing and presentation of information data is the hospital. Hospitals are one of the service industry sectors that provide services to patients. The quality of service to patients is the main thing that is the central point of every health service industry, such as polyclinics. Developing an electronic medical record system for this requires readiness in terms of infrastructure and budget. RME development is related to the budget for information technology in hospitals tends to be limited. This shows that with the existence of electronic medical records, there is an increase in hospital investment. Seeing this, in the future in the process of developing electronic medical records in health services.

Management of Electronic Medical Record Information Systems in Hospitals
The process of managing patient health information is important so that several medical service providers in the activities of exchanging and sharing patient health information, in improving the quality of health services that can facilitate the exchange of health information. The process of implementing the management of information systems in this study can be divided into five things based on 12 selected journals from 15 journals, namely: 1. Human Resources, 2. Policies and institutions, 3. System implementation, 4. Data and management, 5. Access and data integration. Dinda Fidia Ardiani, Daniel Happy Putra, Adi Widodo, Noor Yulia / KESANS

Literature Review: Overview of Integrated Health Information System Management in Hospitals
Human resources (HR) as users of information, namely medical officers and patients. In this process, the patient will register through the office by providing personal biodata about matters relating to him, which include: name, address, telephone number, date of birth, age, and gender. After that, the data will be validated by officers who aim to check the patient's status when the patient goes to the hospital. Patient identity data is very necessary for hospitals to avoid unwanted things from happening. After the patient data is validated, the patient will get a patient-id (Tanjung and Sukrianto 2017).
The existence of a policy regarding an integrated information management process between all parts of the agency will create a system using a username and password. The use of usernames and passwords can avoid security breaches, but users are advised to change passwords periodically. The password used must not have any meaning to the user, such as the date of birth. This is done to prevent guessing passwords easily. Furthermore, a security technique that can be done is to provide a hide to regulate what RME data can be displayed or hidden from parties who have different authorities. Then, the data security technique used is to apply access control to RME data. This access control can be in the form of a password that can limit access to information. Access control contains the extent to which users are allowed to synchronize RME data. For example, user A is given access to read and execute data, then user B is given access to read data and enter patient data (Tanjung and Sukrianto 2017).
Application of information systems to computerize enterprise systems. In this case, the system can coordinate the main internal processes of the hospital, integrating data from all units such as front office, inpatient services, outpatient services, polyclinics, laboratories, finance, human resources, investment, and supplies. The integrated computerization of each existing unit allows managers to know the objective conditions of the hospital as a whole and per unit through reports that can be prepared quickly and accurately at any time (Laily 2017).
In managing health data, hospitals can also manage patient data in the form of summaries or grouped data on certain things, such as patient health data. So, this can make it easier for medical staff to understand the available information. So that it is not too late in making reports for each medical service unit because each report will be printed and sent automatically (Medika 2017).
By managing information, medical staff will be able to quickly access records, wherever and whenever needed. Integrating medical staff information can be done in various ways, such as integrating information systems in several other agencies, through health information management systems. In its implementation, we can take advantage of certain applications or software. To provide access to information, this system can provide a portal, so that only certain users can access patient health information (Handiwidjojo 2015).

The development of Electronic Medical Records in health services
Technology and Information with various systems with the world producing many innovations and advancements, technological and information advances in the health system is the development of electronic medical/health records in the development of information systems related to the application of electronic medical records are as follows: 1) Human resource readiness 2) Leadership culture and governance 3) Infrastructure The development of electronic medical records requires human resources as a process of analyzing the readiness for the application of RME to determine and provide an overview of the Electronic Health Record. The process of readiness analysis before implementing RME can be seen from several organizational readiness, structural readiness, cultural readiness, management and leadership readiness, operational readiness, government readiness, technical readiness (Pratama and Darnoto 2017).
Culture has an important role because it is a behavioral reference. From this aspect, it can also be seen how electronic medical record users respond in the organizational work culture aspect, there are several components that are assessed with patient involvement and workflow readiness assessment. Patient involvement is seen by evaluating the services provided to patients. According to the respondent's view, the patient's interaction with RME is considered only as evaluation material. A readiness assessment is also carried out on the workflow of the electronic medical record process. The workflow of this process involves clinical administration processes including estimates of patient and staff requirements. However, the estimated staff needs have not been developed particularly for the implementation of RME (Setyawan D 2016).
The infrastructure that needs to be prepared is related to the development of hospital management information systems. The development of the SIMRS needs to start with the support of human resources who are quite familiar with computers and must be followed by providing socialization related to work culture. Reliable capabilities without a good work culture will not support change. Achieving technical readiness is not enough to support successful implementation. The development of electronic medical records related to infrastructure for information technology in hospitals, it tends to be limited due to the commitment of the management that has been stated in the hospital's mission (Pratama and Darnoto 2017).

Conclusion
The process of managing this electronic medical record information system can provide convenience for the hospital in storing, updating, accessing, and searching for complete and accurate patient medical records and supports the performance of doctors in providing accurate patient data. A computer-based medical record information system will be able to help improve the health service process to the community because this process is much faster and more practical when compared to the manual process. The development of electronic medical records in health services has three assessment parameters, namely the readiness of human resources, culture and leadership governance, infrastructure in the fairly ready category. The highest value is in the human resource parameter.