EVALUASI PENERAPAN SISTEM INFORMASI KESEHATAN DALAM MENDUKUNG EFEKTIVITAS PEMANTAUAN PENYAKIT TIDAK MENULAR: STUDI KASUS DI KLINIK PUTRA MEDIKA 3 BEKASI

Noncommunicable diseases (NCDs) such as hypertension and diabetes mellitus require continuous monitoring to prevent complications. A Health Information System (HIS) plays a role in providing service data as the basis for clinical and managerial decisions, but the mere availability of a system does not automatically make monitoring effective. This study aims to evaluate HIS implementation in supporting the effectiveness of NCD monitoring at Klinik Putra Medika 3 Bekasi, to analyze the constraints of its implementation, and to formulate improvement recommendations. A descriptive qualitative approach with a single case study design was used. Data were collected through semi-structured interviews with internal informants (management, nurses/service staff, registration/medical records, administration/HIS operators) and an external informant (partner physician), service-flow observation, documentation, and limited data audit, then analyzed thematically and triangulated. Baseline clinic data showed 420 active NCD patients, comprising 268 hypertension patients (63.8%) and 126 diabetes mellitus patients (30.0%); of the patients scheduled for control visits, 286 patients (68.1%) attended as scheduled while 134 patients (31.9%) missed their schedule, with NCD data-element completeness of 82.2% and input timeliness of 77.3%. The findings show that the HIS has become the foundation of service documentation, but its benefit for longitudinal monitoring is constrained by uneven integration of management functions (planning, organizing, actuating, controlling), variable data quality across elements, workload, unclear roles, and reports that remain recapitulative. The most feasible improvements are standardizing data elements, assigning monitoring responsibility, generating overdue-patient lists, conducting periodic data audits, and integrating monitoring indicators into routine evaluation meetings, without necessarily building a new application.