SIMRS implementation aims to help improve the quality of services provided by hospitals so as to increase patient satisfaction. Service quality is one of the obstacles in the implementation of SIMRS provided by service providers which has an impact on the use of information systems and SIMRS implementation. The purpose of this study was to determine the effect of service quality on the implementation of SIMRS using the HOT – Fit method. The sample used was 167 people in Hospital X, selected using probability sampling with disproportionate sampling technique. Results: (1) There is no effect of service quality on system usage (T Statistics is 0.162 and P Value is 0.871). (2) There is an effect of service quality on organizational structure (T Statistics is 2,309 and P Value is 0.021). (3) There is an influence of organizational structure on the use of the system (T Statistics is 2.092, P Value is 0.037). (4) There is no effect of system usage on SIMRS implementation (T Statistics is 0.899, P Value is 0.369). (5) There is an influence of organizational structure on the implementation of SIMRS (T Statistics of 4.293, P Value of 0.000). (6) There is no effect of service quality on SIMRS implementation through the use of the system (T Statistics of 0.111 1.96, P Value of 0.912 0.05 and) and there is an effect of service quality on SIMRS implementation through organizational structure (T Statistics of 2.152 1.96, P Value of 0.032 0.05). (7) There is no influence of organizational structure on the implementation of SIMRS through the use of the system (T Statistics is 0.732 1.96, P Value is 0.464 0.05)
