Implementation of Electronic Medical Records on Clinical Workflow and Quality of Health Services in Balikpapan

This study investigates the impact of Electronic Medical Records (EMR) implementation on clinical workflow and the quality of healthcare services at primary healthcare facilities in Balikpapan. Specifically, it aims to assess the influence of EMR implementation on clinical workflow, the quality of the EMR system on clinical workflow, clinical workflow on healthcare quality, and the direct and mediated effects of EMR implementation and system quality on healthcare quality via clinical workflow. Utilizing a quantitative research design with a Partial Least Squares Structural Equation Modeling (PLS-SEM) approach, data were collected through online surveys distributed via purposive sampling to healthcare professionals, including doctors, nurses, and laboratory and pharmacy staff. Findings indicate a positive and significant relationship between EMR implementation, system quality, and clinical workflow, with system quality fully mediating the effect on healthcare service quality. Recommendations for improvement include enhancing EMR infrastructure, ongoing training for healthcare professionals, effective clinical workflow integration, and regular evaluations to maintain system adaptability and efficiency. Future research should explore additional mediating variables and the long-term impact of EMR on healthcare service quality.