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PENERAPAN LEAN MANAJEMEN UNTUK MENGIDENTIFIKASI WASTE PADA PERSIAPAN OPERASI KATARAK ONE DAY CARE DI RSU PURBOWANGI GOMBONG

DESRINA, Dr. dr. Hanevi Djasri, MARS, FISQua; Dr. Firman, S.E., MPH

2021 | Tesis | MAGISTER ILMU KESEHATAN MASYARAKAT

Latar belakang: RSU Purbowangi Gombong memiliki jumlah tindakan operasi terbanyak adalah pelayanan operasi katarak. Waktu tunggu pasien operasi katarak merupakan salah satu indikator kepuasan pasien. Untuk dapat meningkatkan kepuasan pasien dilakukan pendekatan lean yang berprinsip menghilangkan waste dan meningkatkan value added pasien Tujuan: Mengimplementasikan lean management dan menilai dampaknya terhadap waste pada alur pelayanan persiapan pre operasi katarak Poli mata RSU Purbowangi Gombong. Mengidentifikasi value dan waste dalam alur pelayanan operasi katarak one-day care. Mengidentifikasi dan mengimplementasikan solusi untuk mengatasi waste dalam pelayanan operasi katarak one-day care. Mengukur efisiensi proses sebelum dan sesudah implementasi Lean Metode: Jenis penelitian action research, yang terdiri dari dari tahap 1) diagnosis waste, 2) Tahap perencanaan untuk menentukan ide perbaikan dan menetapkan intervensi, 3) Tahap action mengimplementasikan intervensi solusi yang telah ditetapkan bersama, 4) Tahap evaluasi membandingkan rata-rata waktu lead time, serta VAR. Hasil dan Pembahasan: Waste pada pelayanan pre operasi katarak adalah waste kategori waiting, Inventory, Motion, Over production dan Extraprocessing. Sedangkan waste post intervensi adalah waiting dan Extraprocessing. Terdapat perbedaan bermakna secara statitistik (Student t test) rerata pre dan post yaitu pre intervensi 4 38' 38"dan post intervensi 3' 38' 25". Terdapat peningkatan VAR pre 13% dan post 17%. Kesimpulan: Penerapan lean dapat menurunkan waste dan meningkatkan efisiensi waktu proses persiapan operasi katarak di RSU Purbowangi Gombong

Background: Purbowangi Gombong Hospital performs a high volume of cataract surgeries. One of the patient satisfaction indicators is waiting time. Lean management is used to eliminating waste and increasing patient value -added (VA) Objectives: Implementing lean management and evaluating its impact on waste in pre-cataract surgery preparation at Purbowangi Gombong hospital. Identifying value and waste in one-day care cataract surgery preparation Identifying and implementing solutions to overcome waste in one-day care cataract surgery preparation. Measuring Value Added Ratio (VAR) before and after Lean implementation Methods: This study method is action research, which consists of 1) diagnosis 2) planning to determine improvement ideas and determine interventions, 3) action to implements the solution intervention that has been determined, 4) evaluation to compares the average lead time and VAR. Results: Wastes in pre cataract surgery are waiting, inventory, motion, overproduction, and extra processing. Meanwhile, post-intervention wastes are waiting and extra processing. There is a statistically significant difference (Student t-test) before implementation and post implementation. There was an increase in Value Added Ratio before implementation 13% and then 17% after implementation Conclusion: Lean implemnetation can reduce waste and increase the time efficiency of the cataract surgery preparation process at Purbowangi Gombong Hospital

Kata Kunci : Lean management, waste, katarak, Value Added Ratio, Lead time, Lean management, waste, cataract, Value Added Ratio, Lead time

  1. S2-2021-448451-abstract.pdf  
  2. S2-2021-448451-bibliography.pdf  
  3. S2-2021-448451-tableofcontent.pdf  
  4. S2-2021-448451-title.pdf