Analisis Kelayakan Ekonomi Penerapan Rekam Medis Elektronik Menggunakan Metode Benefit Cost Ratio

The implementation of Electronic Medical Records (EMR) requires ongoing operational costs (ongoing cost), making it necessary to evaluate the economic benefits generated. This study aimed to describe the operational costs and tangible benefits of EMR implementation and to analyze the Benefit Cost Ratio (BCR) of EMR implementation at the National Brain Center Hospital Prof. Dr. dr. Mahar Mardjono. This quantitative study was conducted at the Medical Records Unit and Hospital Information Systems Unit from December 2025 to June 2026, using document review as the data collection method. The results showed that the total operational costs (ongoing cost) for the 2020-2025 period amounted to IDR 1,415,969,150. The tangible benefits consisted of cost displacement amounting to IDR 2,547,842,757 and cost avoidance amounting to IDR 80,000,000, with a total of IDR 2,627,842,757. The BCR of 1.86 indicates that the tangible benefits were greater than the operational costs. Therefore, the BCR of 1.86 does not represent the overall economic feasibility of EMR implementation but is limited to the comparison between tangible benefits and operational costs.