978-1-5090-3352-2/16/$31.00 ©2016 IEEE 16-18 November 2016, Aston Tropicana Hotel, Bandung, Indonesia
2016 International Conference on Information Management and Technology (ICIMTech)
Page 29
Integrating IS Success Model, SERVQUAL and Kano
Model into QFD to Improve Hospital Information
System Quality
Case Study from A Private Hospital in Indonesia
Junario Wibawa, Meyliana, Henry A. E. Widjaja
School of Information Systems
Bina Nusantara University
Jakarta, Indonesia
junario.wibawa@binus.ac.id, meyliana@binus.edu,
haew@binus.edu
Achmad Nizar Hidayanto
Faculty of Computer Science
University of Indonesia
Depok, Indonesia
nizar@cs.ui.ac.id
Abstract—Hospital Information System (HIS) has become an
important part of every healthcare institution in providing high
quality clinical care and efficient daily operation. The purpose of
this research is to evaluate the quality of HIS in a private multi-
specialty hospital in Indonesia as the mean to recommend
possible actions for the management and IT department in the
effort of achieving continuous improvements. The approach
involves integrating SERVQUAL method, Kano Model and
Quality Function Deployment (QFD) for measuring HIS quality
attributes that are adopted from DeLone & McLean IS Success
Model dimensions from the users’ perspective. This research
shows the low user satisfaction level towards the current HIS
quality, and then the attributes required for betterment are
subsequently identified. As the final outcome, the House of
Quality is successfully constructed in order to propose systematic
and measured improvement priorities that the hospital should
perform to fulfill the users’ needs and desires of a high quality
HIS.
Keywords—hospital information system, continuous
improvement, IS Success Model, quality function deployment
I. INTRODUCTION
As technology is rapidly advancing and changing the way
people live and do business, it also helps organizations in
health care industry to make a better informed decision and to
influence the quality of services offered to their patients [1].
Various health information technologies, such as electronic
health record and computerized provider order are now more
accessible than before and have been proven to give positive
impact in terms of medical care quality, efficiency, errors
prevention, monitoring and customer engagement [2].
Differing types and vast volumes of data and information that
are produced daily by those technologies are making
information management as well as integration into the
operations are important for hospitals and every other health
care providers.
A hospital information system (HIS) is a socio-technical
subsystem of a hospital which consists of information
processing together with the associated human or technical
actors in their respective information processing roles [3]. An
important aim of HIS is an optimal support of clinical working
processes [4]. But in order to ensure that it is succeed in
meeting its expectations, an evaluation or measurement needs
to be performed. By doing so, we will be able to not only
identify the area for improvement, but also track the progress
and effectiveness of the previous quality assurance actions or
recently implemented programs.
Literature reviews [4][5] suggest that most of previous
health information system evaluation studies have used survey
methodology in the form of case study as their research
methods and primarily focus around three distinct measures of
success: economic evaluation, system usage, and end-user
satisfaction. While economic evaluation is difficult and often
suffers from lack of required data, measurement of user
satisfaction is possible to be the most effective evaluation
method in comparison with the rest of the methods [4]. The
fact that users use and evaluate the system on daily basis as
they do their jobs makes their opinions are important to be
considered. A system that is difficult to use or does not fulfill
their expectations will hinder the optimal utilization of the
system itself, or even ignored and sabotaged by their users [6].
The research question of this paper is “how is the quality
of HIS at the moment and what can we do to improve it for the
future?” Therefore, the purpose of this paper is trying to figure
out a comprehensive way to evaluate HISm, assess the quality
of the current system, and determine the right recommendation
and priority for continuous improvement in a relatively
simple, yet powerful manner. A new integration model is then
proposed as an attempt to achieve the objectives and help to
explain the current HIS situation which will enable the
management to make informed decisions driven by facts and
data rather than by a mere intuition/emotion.
II. THEORETICAL BACKGROUND
A. IS Success Model
IS Success Model is an interrelation model of six success
factors that originally introduced by DeLone and McLean in
1992, then updated in 2003, which consists of (1) system
quality, (2) information quality, (3) service quality, (4) use, (5)
user satisfaction, and (6) net benefits [7][8]. It is based on