The use of information technology (IT) in the healthcare industry is increasing in both developing and developed countries. IT is useful for supporting and accelerating activities within the institution. In the end, IT use is expected to improve the performance of organizations. Recently, COVID-19 pandemic was occurred all countries, that so much influence the healthcare industry especially hospital with the uncertainty and unpredict situation. In this study, two theories are used to combine the benefits of IT as accelerating learning and reducing transaction costs to improve organizational performance. While the organizational performance is measured by balanced scorecard tool. For this reason, the mix method was applied in this study. The first method used is qualitative with interviews to get a measurement of the hospital’s scorecard and pandemic turbulence measurement. The second method is quantitative with online survey to validate the whole model of research. The results show that IT has positive impact to improve organization performance in the mechanism organizational learning and transaction cost. Within the organization learning IT has positive relation, whereas in the transaction cost IT has negative relation and the moderation of pandemic turbulence is weakening those relationships. This research has a theoretical contribution to extend the theory of organizational learning and transaction cost in the content of hospital. In additional, contribute to the hospital to the role of IT.

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