| Summary: | Background: Hospital performance improvement can be achieved by the
availability of computer technology-based management support named
hospital information system (HIS), which requires internal and external
environment support in its application. The hospital of Dr. F.L. Tobing
Sibolga has not yet utilized computer-based information system.
Objective: This study aims at exploring readiness of Dr. F. L. Tobing
hospital in utilization of information system, particularly in terms of human
resources, availability of IT infrastructure, planning and policy, budget
availability, organizational structure, local government support, and
information management.
Methods: The study was conducted at Dr. F.L. Tobing hospital at District
of Sibolga, North Sumatera. This study used qualitative descriptive case
study design. Survey was conducted to 272 respondents to assess the
readiness of hospital human resources by distributing questionnaires to
gain user perception about their capabilities in operating computer.
Observation was conducted by identifying the availability of hospital
readiness supporting documents to adopt IT as well as the availability of IT
infrastructure. Interviews were conducted to 16 respondents to gain their
perception about the readiness components prepared by organization to
HIS adoption such as human resources, strategic planning, budget and
finance, IT management and support, IT infrastructure, local government
support, and information management. First, literature review was
conducted to design the assessment instrument, namely California
Community Clinic EHR Assessment and Readiness (CCCEAR), which has
been modified, with three levels of readiness, namely 1) not yet ready
(score 0-33), 2) moderately ready (34-66), 3) highly ready (67-100). Next,
findings from the questionnaires, observations, and interviews were
outlined and then assessed using the instrument. Lastly information
gathered from the assessment was scored and analyzed qualitatively.
Result: Descriptive analysis of skill in operating computer showed that
human resources readiness was in ready category ( 75%) which score
was 77,32%. The qualitative analysis showed that the hospital was in the
first level (not yet ready), with a score of 31 by researcher as first assessor
and 26 by expert as second assessor. It indicates that the hospital of Dr.
F.L. Tobing is not currently prepared to move forward with HIS adoption,
but has considered developing a more comprehensive plan to determine
how to build the capacity to ensure successful adoption and use.
Conclusion: The hospital of Dr. F. L. Tobing Sibolga is not currently
ready yet in early adoption of hospital information system.
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