STRATEGIC ROADMAP FOR ENHANCING HOSPITAL SUPPLY CHAIN MANAGEMENT MATURITY: A CASE STUDY OF WEST JAVA PROVINCE DISSERTATION In partial fulfilment of the requirements for the Degree of Doctor of Philosophy from Institut Teknologi Bandung By MARLA SETIAWATI Student ID: 39020008 (Doctoral Program in Management Science) INSTITUT TEKNOLOGI BANDUNG March 2025 i ABSTRACT STRATEGIC ROADMAP FOR ENHANCING HOSPITAL SUPPLY CHAIN MANAGEMENT MATURITY: A CASE STUDY OF WEST JAVA PROVINCE By Marla Setiawati Student ID: 39020008 (Doctoral Program in Management Science) The implementation of Hospital Supply Chain Management (HSCM) has become increasingly important, aiming to reduce costs while enhancing healthcare services. However, hospitals face significant challenges, including high inventory and logistics costs, drug shortages, difficulties in technology adoption, and regulatory compliance. These issues indicate gaps in HSCM maturity, particularly across people, processes, technology, and partnerships. Maturity, defined as the progressive advancement of capabilities, is crucial for achieving operational efficiency, optimal resource allocation, and high-quality patient care. This research conceptualizes maturity stages in HSCM, analyzes current maturity levels through case studies, and develops a System Dynamics (SD) model to identify improvement strategies. Adopting a pragmatist paradigm, the study focuses on practical solutions for real-world challenges. Research was conducted in hospitals across West Java, Indonesia, covering different accreditation levels (basic to full) and classifications (Types A–D). Data collection involved hospital consultants, procurement staff, system users (e.g., doctors, pharmacists), and HSCM experts. The methodology combined literature review, case studies, and SD simulation modeling to assess maturity levels and propose improvement strategies. The study introduced a four-stage maturity framework, evaluating hospitals across people, processes, technology, and partnerships. Findings from West Java hospitals highlighted opportunities for advancement through technology investments and workforce development. The SD model provided predictive insights, helping hospitals prioritize improvements and estimate the time required to reach the highest maturity level. This research delivers a strategic roadmap for enhancing HSCM maturity, equipping hospital managers with data-driven tools to optimize supply chain operations. By addressing critical gaps and fostering continuous improvement, hospitals can achieve greater efficiency, resilience, and service excellence. Keywords: Technology, Hospital Supply Chain Management, efficiency, maturity model ii ABSTRAK PETA JALAN STRATEGIS UNTUK MENINGKATKAN KEMATANGAN MANAJEMEN RANTAI PASOKAN RUMAH SAKIT: STUDI KASUS DI PROVINSI JAWA BARAT Oleh Marla Setiawati NIM: 39020008 (Program Studi Doktor Sains Manajemen) Penerapan Manajemen Rantai Pasok Rumah Sakit (HSCM) semakin penting dalam upaya mengurangi biaya sekaligus meningkatkan kualitas layanan kesehatan. Namun, rumah sakit menghadapi tantangan signifikan, termasuk tingginya biaya persediaan dan logistik, kelangkaan obat, kesulitan dalam adopsi teknologi, serta kepatuhan terhadap regulasi. Tantangan ini mencerminkan adanya kesenjangan dalam tingkat kematangan HSCM, khususnya dalam aspek sumber daya manusia (people), proses (process), teknologi (technology), dan kemitraan (partnerships). Kematangan, yang didefinisikan sebagai peningkatan progresif dalam kapabilitas, sangat penting untuk mencapai efisiensi operasional, alokasi sumber daya yang optimal, dan peningkatan kualitas layanan pasien. Penelitian ini bertujuan untuk mengkonseptualisasikan tahapan kematangan dalam HSCM, menganalisis tingkat kematangan saat ini melalui studi kasus, serta mengembangkan model System Dynamics (SD) guna mengidentifikasi strategi perbaikan. Dengan menggunakan paradigma pragmatis, penelitian ini berfokus pada solusi praktis terhadap tantangan nyata di lapangan.