Analisis Tingkat Kesiapan implmentasi Tanda Tangan Digital Untuk Autentikasi Dokumen Rekam Medis ELektronik di Instalasi Rawat Jalan RSUD Kota Yogyakarta

Abstract

Background : Every electronic system must operate the electronic system reliably and safely and be responsible for the proper operation of the electronic system. The use of digital signatures in electronic medical record transactions serves as a tool for authentication and verification of the identity of the signing as well as the integrity and authenticity of electronic information. The Yogyakarta Hospital supports the achievement of paperless electronic medical records that have been implemented in outpatient installations. To support the plan for implementing digital signatures, a readiness analysis is needed so that medical record documents have legal and legal aspects. Objectives : To analyze the readiness for digital signature implementation and make recommendations on the steps for implementing a digital signature plan for authenticating electronic medical record documents at the outpatient installation of the Yogyakarta Hospital. Methods : This type of research is mixed-method research with an exploratory sequential design. This research was conducted using an in-depth interview method and measuring the level of readiness for the application of digital signatures using the EHR Assessment and readiness starter assessment instrument by DOQ-IT. Results : Yogyakarta Hospital has implemented an electronic signature (scan) on electronic medical records. In its implementation, there are obstacles such as confusing signatures, not appearing, and worrying about validity. The results of the readiness analysis on the four components are considered quite ready, but there are still some follow-ups that must be done such as increasing socialization and literacy regarding digital signature mechanisms and making a signature planning roadmap. and conduct system security tests to support the reliability of electronic information systems. Conclusion : The level of readiness of the Yogyakarta Hospital is 81.83 and is in range II, which is quite ready to apply digital signatures to electronic medical record documents. However, several recommendations must be made to address the challenges of the security system and the sustainability of the implementation of digital signatures on medical record documents. The recommendations are the readiness of the application aspect, the readiness of the user aspect, and the readiness of the regulatory aspect