THE APPLICATION OF LEAN CONCEPT IN OUTPATIENT SERVICE AT MEDIKA UTAMA HOSPITAL BLITAR
Keywords:
Outpatient Services; Lean Management; Value Stream MappingAbstract
The Application Of Lean Concept In Outpatient Service at Medika Utama Hospital Blitar. This study aims to implement Lean Management principles in Medika Utama Hospital Blitar's outpatient services, with the primary objectives of waste reduction and value enhancement. The research employs observational methods, problem identification, and improvement planning. Data collection includes waste and value assessment, along with time measurements for each process. Techniques such as Value Stream Mapping (VSM) are utilized for waste identification and the implementation of Lean interventions to streamline processes. Overprocessing is identified as the main source of waste in outpatient services, followed by waiting, transportation, and defects. The study suggests interventions like the transition from manual to electronic medical records, the introduction of an online appointment system, and optimization of the prescription process to address these issues. Value Stream Mapping offers effective solutions for waste reduction and the improvement of outpatient service efficiency
References
Akhyar D, M. Pratiwi A, S. (2019). Media Sosial dan Komunikasi Krisis. Ultimacomm: Jurnal Ilmu Komunikasi. 11(1), 35–52.
Al-Harajin R, S. Al-Subaie S. Elzubair, A. (2019). The association between waiting time and patient satisfaction in outpatient clinics: Findings from a tertiary care hospital in Saudi Arabia. Journal of Family & Community Medecine 26(1), 17-22
doi: 10.4103/jfcm.JFCM_14_18
Bharsakade R, S. Acharya P, Ganapathy L, Tiwari M, K. (2021). A lean approach to healthcare management using multi criteria decision making. Opsearch.: 58(3), 610-635
Bleustein, C. Rothschild, D, B. Valen, A. Valatis, E. Schweitzer, L. Jones, R. (2014). Wait times, patient satisfaction scores, and the perception of care. Am J Manag Care. 20(5):393–400.
Donaldson, M, S. (1999). Measuring the quality of health care.
doi : 10.17226/6418
Douglas J, A. Antony, J. Douglas, A. (2015). Waste identification and elimination in HEIs: the role of Lean thinking. Jiju Antony P, editor.[editorial]. International Journal of Quality & Reliability Management. 32(9):970–981.
doi:10.1108/IJQRM-10-2014-0160.
Google Review. (2023). Sep 1. Medika Utama Hospital. Google. [diunduh 2023 Sep 1]. Tersedia pada: https://www.google.com/maps/place/Medika+Utama+Hospital/@-8.1201283,112.1191859,13z/data=!4m10!1m2!2m1!1smedika+utama!3m6!1s0x2e78eb6c65c87f3f:0x5a78f3bb131a2ed!8m2!3d-8.1255408!4d112.2075608!15sCgxtZWRpa2EgdXRhbWFaDiIMbWVkaWthIHV0YW1hkgEQcHJpdmF0ZV9ob3NwaXRhbJoBJENoZERTVWhOTUc5blMwVkpRMEZuU1VSQ2FsQlVPVzVuUlJBQuABAA!16s%2Fg%2F1pzsvnss0?authuser=0&entry=ttu
Graban M. (2016). Lean hospitals: improving quality, patient safety, and employee engagement. CRC press.
Hammoudeh, S. Amireh, A. Jaddoua, S. Nazer, L. Jazairy, E. Al-Dewiri, R. (2021). The impact of lean management implementation on waiting time and satisfaction of patients and staff at an outpatient pharmacy of a comprehensive cancer center in Jordan. Hosp Pharm. 56(6), 737–744.
doi: 10.1177/0018578720954147
Laeliyah, N. Subekti, H. (2017). Waktu tunggu pelayanan rawat jalan dengan kepuasan pasien terhadap pelayanan di rawat jalan RSUD Kabupaten Indramayu. Jurnal Kesehatan Vokasional. 1(2), 102–112.
doi.org/10.22146/jkesvo.27576
Lesmana, T, C. Norwakiah, N. (2021a). Keluhan dengan Kepuasan Pasien Rawat Jalan Jaminan Kesehatan Nasional di Rumah Sakit Ludira Husada Tama. Jurnal Endurance. 6(1), 70–83
doi.org/10.22216/jen.v6i1.141
Lesmana TC, Norwakiah N. 2021b. Keluhan dengan Kepuasan Pasien Rawat Jalan Jaminan Kesehatan Nasional di Rumah Sakit Ludira Husada Tama. Jurnal Endurance. 6(1):70–83.
doi.org/10.22216/jen.v6i1.141
Lot, L, T. Sarantopoulos, A. Min, L, L. Perales, S, R. Boin, I, de , F, S, F. de Ataide , E, C. (2018). Using Lean tools to reduce patient waiting time. Leadership in health services. 31(3), 343–351
doi: 10.1108/LHS-03-2018-0016
Zainaro, M, R. Nurhidayat, M. (2020). Pengaruh kinerja petugas kesehatan pada tingkat kepuasan pasien. Holistik: Jurnal Kesehatan. 14(2), 187–194
Najib, K. (2022). Pengaruh Kualitas Pelayanan Kesehatan terhadap Kepuasan Pasien Rawat Jalan di RSUD Saptosari Gunungkidul DI Yogyakarta. MANISE" Manajemen, Bisnis dan Ekonomi". 1(1), 35–44.
Nash, M, A. Poling, S, R. (2011). Mapping the total value stream: a comprehensive guide for production and transactional processes. CRC Press.
doi.org/10.4324/9780429294631
Noviani, E, D. (2018). Penerapan Lean Manajemen pada Pelayanan Rawat Jalan Pasien BPJS Rumah Sakit Hermina Depok Tahun 2017. Jurnal Administrasi Rumah Sakit Indonesia. 3(3).
Rumah Sakit Medika Utama. (2023). Profil Perusahaan Rumah Sakit Medika Utama. Rumah Sakit Medika Utama.
Waine, I. Meliala, A. Siswianti, V, D, Y. (2020). Penanganan Komplain Di Rumah Sakit. Jurnal Manajemen Pelayanan Kesehatan (The Indonesian Journal of Health Service Management). 23(04), 127–132
doi.org/10.22146/jmpk.v23i04.4253
Wardani, L. Muhardi, M. Hendarta, A. (2023). Pendekatan Lean Hospital dalam Mengoptimalkan Pelayanan Laboratorium Rumah Sakit. Jurnal Integrasi Kesehatan dan Sains. 5(1), 7-13
doi.org/10.29313/jiks.v5i1.10608
