SIMRS Analysis In The Patient Registration Section Using The PIECES Method At Panti Waluyo Hospital

— The rapid development of today's technology has a big influence on people's lives and in the health sector. The application of this technology plays an important role in today's health sector. Almost all health institutions utilize information systems in their services. A hospital is a health service that requires fast, accurate and reliable service when serving patients. SIMRS is an information system that is applied digitally in the process of providing health services to patients, to obtain accurate data. To make the analysis easier, one of the methods used for analysis is the PIECES framework, where this framework outlines 6 analysis factors consisting of performance, information, economy, control, efficiency and service. Based on the results of SIMRS analysis research in the Outpatient Registration section using the PIECES Method at Panti Waluyo Hospital, it can be concluded that: 1. SIMRS in terms of Information, Economy, Control (Security), Efficiency, The service supports the service and is in accordance with the patient's needs. 2. In terms of performance, it is very supportive of service, but obstacles are still found when SIMRS experiences a server down error, service takes 20 minutes when it should only take less than 5 minutes.


INTRODUCTION
The rapid development of today's technology has a big influence on people's lives and in the health sector [1].The application of this technology plays an important role in today's health sector.Almost all health institutions utilize information systems in their services.Service quality is the main factor in the success of service institutions Health [2].
A hospital is a health service that requires fast, accurate and reliable service when serving patients [3].In the article PERMENKES No.82 of 2013 Article 4 paragraph 2 which states that the development of a Hospital Information System must able to support and improve quality in a hospital institution [4].Document processing in a hospital agency is a quality that can support increased development of JHIMI Journal Vol.03 No.02 August 2024 information systems in the hospital itself [5].Document processing which is still manual has the disadvantage that it takes a long time, accuracy is still fragile and is not accepted because of the possibility of large errors occurring [6].
Today's technological developments make it easier to process data from manual paper to electronic [7].It doesn't take a long time to process the data.As a health installation, it must be responsible for the health and services to patients [8].
Accurate information if processed will result in accurate data.Accurate data will be useful for decision making.So that in its implementation health installations are required to implement an Information System (SIMRS).It is stipulated in [9] that every health installation must implement services or reporting in the form of an information system (SIMRS) [10].
SIMRS is an information system that is applied digitally in the process of providing health services to patients, to obtain accurate data [11].SIMRS plays a very important role in supporting the entire process in the hospital [12].
Information systems are very useful for improving the performance of officers in a health installation in making decisions in formulating strategies so that analysis and evaluation are needed [13].To make the analysis easier, one of the methods used for analysis is the PIECES framework, where this framework outlines 6 analysis factors consisting of performance, information, economy, control, efficiency and service [14].The results of the PIECES analysis are weaknesses that become recommendations for improvements to the system to be developed or for improvements to previous systems [15].
Based on a preliminary study in the form of observations and interviews at Panti Waluyo Hospital by the head of the medical records unit on 07 December 2023, Panti Waluyo Hospital has been running SIMRS with the web version since 01 September 2009.The implementation of SIMRS at Panti Waluyo Hospital still finds connection errors and downtime.time.From this problem, the researcher took the research title "SIMRS Analysis in the Patient Registration Section Using the PIECES Method at Panti Waluyo Hospital ".To analyze existing problems so that you can make good decisions.

RESEARCH METHODS
The research method used in this research is a qualitative descriptive method.

RESULTS
In this study, researchers used the PIECES method to observe the implementation of SIMRS in the outpatient registration section at Panti Waluyo Hospital using interview techniques with officers, with the results: a. Performance Analysis (Performance)

DISCUSSION
The discussion of the PIECES method is: The existence of SIMRS really helps officers in obtaining the information needed for service to patients, the system provides information that is easy to understand by officers and patients.3. Economic Analysis (Economics) a. Reusability, amount of output (can be reused).SIMRS can make payments easier and faster.b.Resources (Resources) The ease of accessing the existing information system further increases the smoothness of the input process in the system, the costs incurred are costs for the server and system maintenance if the system experiences an error.4. Control Analysis (Security) a. Integrity Each officer is given SIMRS access rights in the form of a username and password based on their respective authority.b.Security SIMRS can make it easier for officers in the service process, the information system is managed by the IT unit, therefore if there is an error the IT team will correct it.

Efficiency analysis
Based on interviews conducted with respondents, SIMRS has operated very well, officers said that using SIMRS is quite easy to understand the system, so it can be said that SIMRS is efficient.6. Service Analysis (Service) Based on the results of interviews with respondents, the information system has been updated regularly and the information system has made service and patient needs easier, so that it can produce accurate information, the information system at Panti Waluyo Hospital can be operated easily and is very helpful in providing services.2. In terms of performance, it is very supportive of service, but obstacles are still found when SIMRS experiences a server down error, service takes up to 20 minutes, when it should only take <5 minutes.Suggestion Suggestions that can be given as material for improvement for the Panti Waluyo Hospital agency and for future researchers are to upgrade the hardware and supporting devices to improve performance so that JHIMI Journal Vol.03 No.02 August 2024 errors do not occur again and for future researchers, it would be better to study in more depth what problems will be used as research to better understand what will be discussed through references from books or from previous research whose discussion resembles both variables and research methods.

THANK -YOU NOTE
The author would like to thank the parties who have contributed to this research, especially Panti Waluyo Hospital for their availability as research subjects.

1 .
Performance Analysis (Performance) a. Throughput (Total production) Total production or throughput obtained from respondents, namely SIMRS in the outpatient registration section already supports the system required by the hospital.Based on previous researchers from throughput indicators (results), SIMRS can produce the output required by users (Daherja, 2020).b.Response time (Response time) The response time in SIMRS is quite fast, the response time is good, namely less than 5 minutes, it is also easier for officers and is helped by the SIMRS system itself.Good category or very fast service if the service is <5 minutes, sufficient category is 5-10 minutes, bad category is >10 minutes (Ilhamjaya, 2020).2. Information Analysis (Information) a. Presentation of information (completeness of information) The information produced by SIMRS is complete and meets the needs of both staff and patients.So officers are very helpful in completing each process easily.b.Flexibility (Information flexibility)