Hospital Information System Implementation in Outpatient Pharmacy: A HOT-Fit Evaluation

Digital transformation encourages the implementation of the Hospital Management Information System (SIMRS) as part of improving the quality of health services, but its implementation in regional hospitals still faces various challenges. This study aims to evaluate the implementation of SIMRS Khanza in the outpatient pharmaceutical installation of Merauke Hospital using the Human, Organization, Technology, and Net Benefit (HOT-Fit) framework. Qualitative descriptive research with an exploratory design was carried out through in-depth interviews with eight purposively selected informants, as well as observation and document review. The data were analyzed thematically using the HOT-Fit framework. The results showed that the implementation of the Hospital Management Information System (SIMRS) improved the efficiency of pharmaceutical services, as evidenced by a 66% reduction in waiting time for non-compounded medications and a 33% reduction for compounded medications after the system reached the stabilization phase. User acceptance and organizational support facilitated the implementation of SIMRS. However, several challenges remained, including system instability, discrepancies in medication inventory data, and limited availability of clinical information. Consequently, the use of SIMRS in clinical pharmacy services has not yet been fully optimized. It was concluded that the Khanza Hospital Management Information System (SIMRS) improved operational efficiency; however, further optimization of system quality, clinical information, and the utilization of clinical pharmacy features is still required.