Design of Bridging System between Hospital Information Service with National Insurance

Abstract

Indonesian hospitals, as primary healthcare service providers, are mandated to deliver fast, accurate, and integrated healthcare services that comply with the standards set by Badan Penyelenggara Jaminan Sosial (BPJS). However, in practice, most Hospital Information Systems (HIS) currently in operation remain fragmented and lack full interoperability with BPJS-compliant digital platforms. This fragmentation often results in redundant administrative workflows, repetitive data entry, delayed patient registration, and inconsistencies in medical record synchronization across departments. Consequently, such inefficiencies hinder the hospitals’ ability to meet the service performance benchmarks established by BPJS. To overcome these challenges, this study implements an Application Programming Interface (API)-based integration framework designed to connect existing hospital subsystems with BPJS applications in real time. A comparative research methodology is employed to evaluate the system’s time efficiency before and after the API integration process. Through this integration, data exchange between modules becomes automated and standardized, significantly reducing manual intervention and improving workflow coordination. The experimental results demonstrate a notable enhancement in efficiency, with average processing time reduced from 3 minutes and 12 seconds prior to integration to only 1 minute and 17 seconds afterward. These findings indicate that API-based interoperability not only accelerates data transmission and minimizes administrative delays but also ensures greater system compliance with BPJS operational standards, thereby contributing to a more efficient and reliable Hospital Information System.