Evaluasi dan Strategi Peningkatan Tata Kelola TI Menggunakan COBIT 2019 pada Sistem RME Rumah Sakit Emanuel Purwareja Klampok, Banjarnegara

Christie, Angella (2026) Evaluasi dan Strategi Peningkatan Tata Kelola TI Menggunakan COBIT 2019 pada Sistem RME Rumah Sakit Emanuel Purwareja Klampok, Banjarnegara. Other thesis, Institut Teknologi Sepuluh Nopember.

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Abstract

Penerapan Sistem Rekam Medis Elektronik (RME) di Rumah Sakit Emanuel Purwareja Klampok, Banjarnegara, memegang peranan krusial dalam meningkatkan mutu pelayanan kesehatan dan efisiensi operasional. Namun, pengelolaan operasional, penanganan kendala, dan perlindungan keamanan data medis pasien memerlukan pengawasan tata kelola teknologi informasi (TI) yang terstandarisasi untuk meminimalkan risiko operasional. Penelitian ini bertujuan untuk mengevaluasi tingkat kapabilitas tata kelola TI pada Sistem RME dan menyusun strategi peningkatan berdasarkan framework COBIT 2019. Domain fokus yang dianalisis dalam penelitian ini ditentukan melalui hasil Design Factors, yaitu domain Managed Operations (DSS01), Managed Service Requests and Incidents (DSS02), dan Managed Security Services (DSS05). Pengumpulan data dilakukan melalui kuesioner skala Guttman dan wawancara dengan pihak manajemen serta tim TI rumah sakit. Hasil evaluasi tingkat kapabilitas saat ini (As-Is) menunjukkan bahwa domain DSS01 mencapai Level 2 (Fully Achieved - 91,6%) dan domain DSS02 mencapai Level 2 (Fully Achieved - 86,6%), di mana keduanya memiliki kesenjangan (gap) sebesar 1 tingkat dari target yang diharapkan yaitu Level 3.Sementara itu, domain DSS05 berada pada Level 1 (Performed) dengan pencapaian penilaian level 2 sebesar 74,8% (Largely Achieved), menyisakan kesenjangan sebesar 1 tingkat menuju target yang diharapkan yaitu Level 2. Kesenjangan ini mengindikasikan perlunya perbaikan pada standardisasi proses, formalisasi dokumentasi, pemantauan operasional, serta konsistensi pengelolaan keamanan informasi. Sebagai solusi, disusun rancangan model tata kelola TI baru yang mencakup tujuan proses, indikator kinerja utama (KPI), hasil kerja (work products), aktivitas terstandarisasi, pemetaan bagan RACI, kebutuhan kompetensi, hingga adaptasi budaya kerja. Model rekomendasi ini telah diverifikasi bersama instansi terkait dan dinyatakan sesuai dengan kondisi operasional Rumah Sakit Emanuel sehingga layak dipertimbangkan sebagai salah satu panduan strategis peningkatan tata kelola TI secara berkelanjutan.
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The implementation of the Electronic Medical Record (EMR) System at Emanuel Hospital Purwareja Klampok, Banjarnegara, plays a crucial role in enhancing healthcare quality and operational efficiency. However, the operational management, incident handling, and protection of patients' sensitive medical data require standardized Information Technology (IT) governance to minimize operational risks. This study aims to evaluate the current IT governance capability levels of the EMR System and formulate improvement strategies using the COBIT 2019 framework. The focal domains analyzed in this study were determined through Design Factors analysis, resulting in Managed Operations (DSS01), Managed Service Requests and Incidents (DSS02), and Managed Security Services (DSS05). Data collection was conducted using Guttman scale questionnaires and interviews with the hospital's management and IT team. The evaluation results of the current capability levels (As-Is) indicate that the DSS01 domain achieved Level 2 (Fully Achieved - 91.6%) and the DSS02 domain reached Level 2 (Fully Achieved - 86.6%), both presenting a 1-level gap from the expected target of Level 3. Meanwhile, the DSS05 domain stands at Level 1 (Performed) with a level 2 assessment achievement of 74.8% (Largely Achieved), leaving a 1-level gap toward the expected target of Level 2. These gaps highlight the urgent need for improvements in process standardization, formalized documentation, operational monitoring, and continuous information security management. As a solution, a new IT governance model design was developed, encompassing process objectives, Key Performance Indicators (KPIs), work products, standardized activities, RACI chart mapping, competency requirements, and organizational culture adaptation. The proposed recommendation model has been verified by the institution and deemed compliant with the operational conditions of Emanuel Hospital, making it a viable strategic roadmap for sustainable IT governance enhancement.

Item Type:	Thesis (Other)
Uncontrolled Keywords:	Analisis kesenjangan, COBIT 2019, DSS01, DSS02, DSS05, Rekam Medis Elektronik (RME), Tata Kelola TI ============================================================= COBIT 2019, Electronic Medical Record (EMR), DSS01, DSS02, DSS05, Gap Analysis, IT Governance.
Subjects:	T Technology > T Technology (General) > T58.5 Information technology. IT--Auditing
Divisions:	Faculty of Intelligent Electrical and Informatics Technology (ELECTICS) > Information Technology > 59201-(S1) Undergraduate Thesis
Depositing User:	Angella Christie
Date Deposited:	29 Jul 2026 02:50
Last Modified:	29 Jul 2026 02:50
URI:	http://repository.its.ac.id/id/eprint/138992

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