Analisis Pelayanan Kemoterapi Peserta Badan Penyelenggara Jaminan Sosial di Rawat Singkat Anyelir Rumah Sakit Kanker “Dharmais” dengan Metode Lean Tahun 2015

Agung Julipriohadi

Abstract


ABSTRAK Rumah Sakit Kanker “Dharmais” (RSKD) sebagai pusat rujukan penanganan penyakit kanker nasional di Indonesia, mulai menerapkan Lean Management dalam rencana strategi 5 tahun periode 2015-2019. RSKD menyusun agenda perubahan proses bisnis internal, salah satunya dengan proyek mengatasi waktu tunggu pelayanan kemoterapi peserta Badan Penyelenggaran Jaminan Sosial (BPJS) khususnya di ruang rawat singkat Anyelir (One Day Care). Value Stream Mapping digunakan untuk memperlihatkan situasi serta mengidentifikasi kegiatan yang Value Added dan yang Non-Value Added berdasarkan perspektif pasien. Dengan usulan perbaikan, Projected Value Perfomance memperlihatkan peningkatan efisiensi aktifitas pasien hingga 43,1%, memangkas waktu hingga 48%, dan jarak tempuh hingga 71,8% dalam sehari. ABSTRACT Rumah Sakit Kanker “Dharmais” (RSKD) as a cancer referral centers nationwide in Indonesia, trying to implement a culture of continuous improvement. Lean methods provide analytical approach to the problem of organizing the queue chemotherapy participant of Badan Penyelenggaran Jaminan Sosial (BPJS), particularly in Anyelir ward (One Day Care). Cross-functional Flowchart, Value Stream Mapping, Fishbone diagram, and 5 Why's were used to show the situation and identify activities that Value Added and Non-Value Added based on the patient's perspective. With the proposed improvements, Projected Value Perfomance showed increased activity efficiency up to 43,1%, save the time up to 48%, and cut the mileage up to 71.8% of one patient in a day. 

Keywords


Continuous Improvement; Lean Management; Non-Value Added; Projected Value Performance; Value Added; Value Stream Mappin

Full Text:

PDF

References


(1) Anonim. (2013, Oktober). 10 revenue cycle improvement ideas from HFMA's MAP Award winners. Healthcare Financial Management, hal. 70.

(2) Art of Lean.Inc. (n.d.). Basic Handbook Toyota Production System. Retrieved from www.artoflean.com: www.artoflean.com/files/Basic_TPS_Handbook_v1.pdf

(3) Balle, M., & Reigner, A. (2007). Lean as a Learning System in a Hospital Ward. Leadership in Health Services, 20(1), 33-41.

(4) Burgees, N., & Radnor, Z. (2013). Evaluating Lean in Healthcare. International Journal of Health Care, 26(3), 220-235.

(5) Delisle, D. R., & Freiberg, V. (2014). Everything is 5S : A Simple yet Powerful Lean Improvement Approach Applied in a Preadmissio Testing Center. The Quality Management Journal, 21(4), 10-22.

(6) Fillingham, D. (2007). Can lean save lives ? Leadership in Health Services, 20(4), 231-241. Diambil kembali dari Institute of Indusrial Engineers: http://www. iienet.org/uploadedFiles/SHS/Lean%20Sigma%20Deployment%20Columbus%20Regional%20Hospital%20Charles%20Johnson.pdf

(7) Graban, M. (2012). LEAN HOSPITAL : Improving Quality, Patient Safety, and Employee Engagement (2 ed.). Boca Raton: CRC Press.

(8) Hlubocky, J., Brummond, P., & Clark, J. S. (2013). Pharmacy practice model change: Lean thinking provides a place to start. American Journal Health Sytem Pharmacy, 70, 845-847.

(9) Kemenkes RI. (2013). Peraturan Menteri Kesehatan Republik Indonesia Nomor 71 Tahun 2013 tentang Pelayanan Kesehatan pada Jaminan Kesehatan Nasional. Berita Negara Republik Indonesia tahun 2013. Jakarta: Menteri Hukum dan Hak Azasi Manusia.

(10) Kementrian Kesehatan Republik Indonesia. (2015, Februari 4). Menkes canangkan Komitmen Penanggulanan Kanker di Indonesia. Retrieved from www.depkes.go.id: http://www.depkes.go.id/article/view/15020400003/menkes-canangkan-komitmen-penanggulangan-kanker-di-indonesia.html

(11) Laureani, A., Brady, M., & Antony, J. (2013). Applications of Lean Six Sigma in an Irish Hospital. Leadership in Health Services, 26(4), 322-337.

(12) Miller, D. (2005). Going Lean in Healthcare : Inovation Series 2005. Dipetik Februari 11, 2015, dari www.ihi.org

(13) Ohno, T. (1988). Toyota Production System : Beyond Large-Scale Production. Portland: Productivity,Inc.

(14) Ponanake, P., Limnararat, S., Pithuncharurnlap, M., & Sungwanee, W. (2014). Creating Hospitals' Core Competencies with Lean Healthcare Strategies Entering the ASEAN Economic Communitiy. Journal of Economics and Behavioral Studies, 6(9), 700-708.

(15) Punnakitikashem, P. (2014). The Impact of Lean Practices and Oragnizational Commitment on Operational Performance in Hospital. Atlanta: pomsmeeting.org.

(16) Tsasis, P., & Bruce-Barrett, C. (2008). Organizational Change through Lean Thinking. Health Services Management Research, 21, 192-198.

(17) White, M., Wells, J., & Butterworth, T. (2013). Leadership, a Key Element of Quality Improvement in Healthcare. Results from a literature review of "Lean Healthcare" and the Productive Ward : Releasing Time to Care Initiative. The International Journal of Leadershi in Public Services, 9(3/4), 90-108.




DOI: http://dx.doi.org/10.7454/arsi.v2i2.2191

Refbacks

  • There are currently no refbacks.