Management Information System Innovation And Implementation Suitability In Managerial Decision Making

General Background Technological advancements mandate hospitals to integrate reliable administration systems for providing accountable healthcare services. Specific Background Hospital Management Information Systems supply crucial data assisting leaders in operational planning and strategic policy formulation. Knowledge Gap Although previous studies correlate system usage with staff performance, research simultaneously integrating information quality, operational capability, and system suitability toward managerial choices remains limited. Aims This study investigates how information quality, user competence, and implementation suitability determine managerial decision-making at RSUD Karangkembang Lamongan. Results Quantitative analysis of 30 employees using multiple linear regression reveals that information quality and user competence partially demonstrate no significant relationship with decision-making. Conversely, implementation suitability displays a positive and significant relationship. Simultaneously, all three variables determine 78.8% of the decision-making variance, establishing implementation suitability as the most dominant determinant. Novelty This research explicitly shifts the analytical focus from general clinical performance to the integration of systemic, human, and organizational factors driving strategic managerial choices. Implications Hospital administrators must prioritize aligning system features with organizational workflows rather than solely focusing on technical training or data availability to ensure optimal strategic planning. Highlights Workflow alignment acts as the dominant determinant for strategic planning operations. Technical competence alone does not directly guarantee better organizational choices without workflow synchronization. Systemic and human factors collectively determine a massive proportion of strategic choice variance. Keywords Hospital Management Information System; Information Quality; User Competence; Implementation Suitability; Managerial Decisions