Analysis of the Success of Electronic Medical Record Implementation Based on the Change Management Approach at Pamanukan Medical Center Hospital

The implementation of Electronic Medical Records (EMR) represents a major digital transformation aimed at improving the quality and safety of healthcare services, yet its adoption continues to face various challenges, including at Pamanukan Medical Center Hospital. This study aims to evaluate the level of EMR implementation, identify the remaining issues, and map these findings into the ADKAR Change Management model to determine which stages of change require the most attention. A descriptive-quantitative approach was applied using secondary data from the hospital’s internal reports, covering seven key documentation indicators. The findings reveal varying levels of achievement across indicators, with the highest performance observed in the Surgery Report and the lowest in Consultation Notes. The main barriers include incomplete data entry, system technical issues, and inconsistent use of the EMR platform. Mapping the results to the ADKAR model shows that Desire, Knowledge, and Ability are the weakest components and therefore require prioritized intervention in change management efforts. These results indicate that enhancing staff motivation, strengthening technical understanding, and improving operational skills are essential to support successful EMR implementation.