Efficacy and User Satisfaction with the iHOMIS System: Basis for Iterative Systems Development

Aims: This study aimed to evaluate the effectiveness of the Integrated Hospital Operations and Management Information System (iHOMIS) Electronic Medical Records (EMR) system in supporting patient admission processes among physicians in the emergency departments of Culion Sanitarium and General Hospital and Coron District Hospital.
Study design: A mixed methods descriptive–correlational research design was used in the study.
Place and Duration of Study: The study was conducted at Culion Sanitarium and General Hospital and Coron District Hospital during April 2026.
Methodology: The study involved 30 emergency department physicians selected through total population sampling. Data were collected using a researcher-made questionnaire consisting of Likert-scale items and open-ended questions assessing system quality, information quality, user satisfaction, and challenges encountered in using iHOMIS during patient admission processes. Quantitative data were analyzed using frequency, percentage, weighted mean, standard deviation, and Pearson Product-Moment Correlation Coefficient at the 0.05 level of significance, while qualitative responses were analyzed using thematic analysis.
Results: Findings revealed that physicians generally perceived the iHOMIS EMR system as effective in supporting patient admission processes. System quality obtained an overall weighted mean of 3.57, information quality obtained 3.64, and user satisfaction obtained 3.27, all verbally interpreted as Very High. Ease of use received the highest mean score (3.76), while interoperability obtained the lowest mean score (2.73), indicating limitations in external system integration.
Common challenges identified included system downtime, slow performance, interface and navigation difficulties, duplicate patient entries, data loss, insufficient training, workflow disruptions, and limited interoperability. Correlation analysis showed no significant relationship between system quality and user satisfaction (r = 0.055, p = 0.773) and between information quality and user satisfaction (r = 0.047, p = 0.805).
Conclusion: The iHOMIS EMR system is generally effective in supporting patient admission processes in emergency department settings. However, technical instability, workflow integration concerns, limited interoperability, and insufficient customization continue to affect operational efficiency. Findings further suggest that physician satisfaction is influenced not only by system and information quality but also by organizational and workflow-related factors.

: Integrated Hospital Operations and Management Information System (iHOMIS); Electronic Medical Records

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