Digital Transformation of Hospital Information Management System (SIMRS) as an Organizational Performance Improvement Strategy: A Literature Review
DOI:
https://doi.org/10.59141/jiss.v7i7.2420Keywords:
SIMRS, digital transformation, strategic management, hospital performance, service efficiencyAbstract
Digital transformation in the health sector has become a global and national priority agenda. Hospital Management Information System (SIMRS) is the backbone of digital transformation in healthcare institutions. This study aims to examine the role of SIMRS as a management strategy that drives improvements in hospital organizational performance through a systematic literature review. The method used was narrative literature review by analyzing 20 articles published in 2020–2024 from PubMed, Garuda, and Google Scholar databases. The results show that integrative SIMRS implementation has been proven to improve operational efficiency (average waiting time reduction of 35–45%), clinical data accuracy, patient satisfaction, and support data-driven strategic decision-making. However, main challenges include human resource resistance, infrastructure limitations, and weak data governance. The success of digital transformation requires strategic leadership, organizational readiness, continuous HR training, and system integration with accreditation platforms (KARS/JCI). This study concludes that SIMRS is not merely a technological tool, but a strategic management instrument that, when comprehensively implemented, will enhance the competitiveness and sustainability of hospitals in the era of National Health Insurance.
References
Aini, Z., Nurwijayanti, N., Supriyanto, S., & Susanto, H. E. (2022). Strategy for the development of the transformation of the hospital management information system (SIM-RS) at Dr. Iskak Tulungagung Hospital. Journal of Community Engagement in Health, 5(2), 112–119. https://doi.org/10.33867/jceh.v5i2.383
Andrieiev, D., et al. (2024). Strategic management in healthcare: The impact of strategic decisions on achieving organizational goals and improving the quality of healthcare services. Multidisciplinary Science Journal, 6, e2024ss0217. https://doi.org/10.31893/multiscience.2024ss0217
Arif, A. M. (2024). Analysis of the business strategy plan of the Dr. H. Chasan Boesoirie Ternate Regional General Hospital with a balanced scorecard approach. PREPOTIF: Jurnal Kesehatan Masyarakat, 8(3), 8135–8158. https://doi.org/10.31004/prepotif.v8i3.13041
Dal Mas, F., Massaro, M., Rippa, P., & Secundo, G. (2023). The challenges of digital transformation in healthcare: An interdisciplinary literature review, framework, and future research agenda. Technovation, 123, Article 102716. https://doi.org/10.1016/j.technovation.2023.102716
David, F. R. (2016). Strategic management: Concepts and cases (15th ed.). Prehallindo.
Fawaidah, U. H. (2024). Literature review: Evaluation of the implementation of hospital management information systems. RIGGS: Journal of Artificial Intelligence and Digital Business, 3(1), 44–58.
Große-Bley, J., & Kostka, G. (2021). Big data dreams and reality in Shenzhen: An investigation of smart city implementation in China. Big Data & Society, 8(2), Article 20539517211045172.
Hasanah, L., & Imani, F. F. (2022). Literature review of the evaluation of the implementation of the Hospital Management Information System (SIMRS) using the HOT-FIT method. Indonesian Journal of Health Information Management, 10(2), 115–124.
Hospital Management Asia. (2025). Diving into the digital transformation of hospitals in Indonesia: The story of SIMRS in three cities. https://www.hospitalmanagementasia.com
Hügle, T., Grek, V., & Geisler, B. P. (2023). Digital transformation of an academic hospital department: A case study on strategic planning using the balanced scorecard. PLOS Digital Health, 2(11), e0000385. https://doi.org/10.1371/journal.pdig.0000385
Lemak, C. H., et al. (2024). Leadership to accelerate healthcare's digital transformation: Evidence from 33 health systems. Journal of Healthcare Management, 69(4), 267–279.
Lubis, N. W. (2022). Resource based view (RBV) in improving company strategic capacity. Research Horizon, 2(6), 587–596.
Ministry of Health of the Republic of Indonesia. (2023). Law of the Republic of Indonesia Number 17 of 2023 concerning health. Ministry of Health of the Republic of Indonesia.
Munjirin, M., Wicaksono, P., & Azizah, L. (2024). The role of continuous training in improving the quality of SIMRS data input. Journal of Health Information Management, 12(1), 60–71.
Nurfadilah, S., & Azhar, F. (2023). Quality standards for medical record data in the implementation of SIMRS based on ISO 9001 in teaching hospitals. Journal of Public Health Sciences, 18(3), 210–222.
OECD. (2023). Digital transformation in healthcare: Connecting digital dots for better care. OECD Publishing. https://doi.org/10.1787/3a4bf9f7-en
Olayinka, O. H. (2019). Leveraging predictive analytics and machine learning for strategic business decision-making and competitive advantage. International Journal of Computer Applications Technology and Research, 8(12), 473–486.
Raharjo, A., Sutrisno, B., & Salim, R. (2024). Integration of SIMRS and external systems in improving the administrative quality of hospitals. Journal of National Health Information Systems, 13(1), 58–69.
Sala, D. N., & Subriadi, A. P. (2022). Evaluate the SIMRS quality control strategy with the involvement of hospital leaders. Journal of Indonesian Health Administration, 10(2), 123–132.
Wardhani, D. P. A., & Sugandi, M. S. (2021). Communication strategy in the implementation of the online Hospital Management Information System in the hospital. Journal of Health Communication, 12(1), 45–56.
World Health Organization. (2021). The ongoing journey to commitment and transformation: Digital health in the WHO European Region. WHO Regional Office for Europe.
Wulandari, M., et al. (2025). Implementation of digital transformation strategies in improving service quality in hospitals: A qualitative study. Innovative: Journal of Social Science Research, 5(1), 1415–1427.
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Copyright (c) 2026 Alendra Chakramurty, Chichie Winnie Nasution, Purwadhi Purwadhi, Yani Restiani Widjaja

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