PENGEMBANGAN SISTEM INFORMASI TERINTEGRASI BERBASIS INDUSTRI 4.0 GUNA PENINGKATAN EFISIENSI OPERASIONAL PELAYANAN KESEHATAN RUMAH SAKIT

Abstract

Medium-scale hospitals in Indonesia continue to experience operational inefficiencies due to manual
procedures and fragmented information systems. These conditions result in prolonged patient waiting
times, delayed medical information flow, and suboptimal utilization of healthcare resources. This study
aims to identify hospital information system requirements, analyze current service-related problems,
and design an integrated Hospital Management Information System (HMIS) combined with an
Electronic Medical Record (EMR) framework as an Industry 4.0–based solution. This research adopts
a descriptive–analytical approach grounded in industrial engineering principles. Data were collected
through an extensive literature review, conceptual observation, interviews, time–motion studies, and
user requirement simulations conducted in a Type C hospital setting. System development was carried
out using Data Flow Diagrams (DFD), Entity Relationship Diagrams (ERD), and business process
flowcharts. System performance was evaluated through simulation modeling using Arena software,
focusing on key operational efficiency indicators, namely cycle time and system utilization. The
simulation results demonstrate that the proposed integrated HMIS–EMR design significantly improves
operational performance, evidenced by a reduction in service cycle time from 120 minutes to 45
minutes and a decrease in system utilization from 92% to 78%. The novelty of this study lies in its
holistic approach, which integrates healthcare information system design with operational efficiency
analysis and simulation-based validation. The findings provide both practical insights for hospital
management and a scientific contribution to the development of integrated healthcare information
systems in Indonesia.