The XYZ ISLAMIC HOSPITAL in Pekanbaru, in particular, looks on the quality of its health services as a key metric in the market. There is a pressing need for inpatient health care to be improved by means of performance enhancements. In this scenario, the Knowledge Management System (KMS) may be a solution to help assist the knowledge management process by serving as a standard for evaluating the performance and quality of services provided by physicians and nurses. However, knowledge management innovation is also required in practise. XYZ ISLAMIC HOSPITAL's physicians and nurses may benefit from Big Data's many forms of data and massive data processing technologies as a whole, which will help them learn and improve their skills more quickly. A KMS that makes use of Big data as a facilitator in the creation of knowledge for physicians and nurses, and then stores and shares that information, is therefore required. Each issue area is prioritised in the Knowledge Management System Agile Implementation Methodology (KMSAIM) to ensure that each component has the proper and relevant answers. Results of the KMS design include site-based apps with file sharing tools, discussion forums for exchanging medical experiences, and search functions required by physicians and nurses for inpatient services at XYZ ISLAMIC HOSPITAL.