PERSEPSI KARYAWAN TERHADAP LEAN READINESS DAN LEAN ACCEPTANCE DI RUMAH SAKIT PANTI RAPIH YOGYAKARTA

NIHAYATUL MUNAA, Dr.dr.Andreasta Meliala, DPH., M.Kes., MAS.; Dr. Firman, S.E., MPH.

2019 | Tesis | MAGISTER ILMU KESEHATAN MASYARAKAT

Latar Belakang: Rumah Sakit Panti Rapih Yogyakarta telah mengimplementasikan Lean manajemen sejak tahun 2018. Lean manajemen bertujuan untuk membangun budaya kerja karyawan yang berfokus kepada patient value. Dalam rangka meningkatkan sustainabilitas program, perlu dilakukan evaluasi Lean readiness dan Lean acceptance untuk mengetahui sejauh mana persepsi karyawan dalam mengadopsi Lean manajemen. Tujuan: mengevaluasi persepsi karyawan terhadap Lean readiness dan Lean acceptance di Rumah Sakit Panti Rapih Yogyakarta Metode: penelitian ini menggunakan metode studi kasus tunggal holistic dengan unit analisis pada level tim Lean di Rumah Sakit Panti Rapih Yogyakarta. Subjek penelitian adalah karyawan di dalam tim yang terlibat langsung dalam implementasi Lean manajemen. Pemilihan subjek penelitian berdasarkan purposive sampling. Total 50 responden untuk survey dan 7 responden untuk wawancara mendalam. Instrument penelitian ini menggunakan Lean Readiness Framework untuk melihat tingkat kesiapan, Lean in Healthcare Quistionnaire untuk melihat tingkat penerimaan, dan panduan wawancara. Hasil: Berdasarkan analisis fuzzy dan Euclidean pada didapatkan Lean readiness RS Panti Rapih yaitu sebesar 6,20 dan jarak terdekat sebesar 2,016 dari linguistic �Close to Ready�. Dengan indikator paling kuat pada keselamatan pasien dan pegawai (LRF 6.4) sementara indikator paling lemah kesiapannya yaitu kerja sama dengan supplier (LRF 5.1). Lean acceptance RS Panti Rapih masih berada pada level maturity 3 dengan maturity level 5 terbanyak pada indicator penghargaan rekan kerja dan maturity level 1 terbanyak pada indicator evaluasi pekerjaan. Kesimpulan: RS Panti rapih Yogyakarta perlu membentuk standarisasi kerja sama dengan supplier yang berfokus pada pengurangan Waste implementasi Lean manajemen. Peningkatan kesadaran bahwa Lean harus melebur dalam pekerjaan harian sehingga karyawan dapat mengevaluasi pekerjaan ketika terdapat masalah secara langsung dalam rangka meningkatkan sustainability Lean manajemen di RS Panti Rapih. Kata Kunci: Lean healthcare, Lean readiness, Lean acceptance, budaya Lean, dan persepsi karyawan

ABSTRACT Background: Panti Rapih Hospital Yogyakarta has adopted Lean healthcare since 2018. The main purpose of Lean healthcare is to create a culture of putting the patient value first in healthcare services. The success and sustainability of Lean healthcare implementation are determined by the readiness of the hospital and the acceptance of Lean by the staff. Objective: Measure the relationship between Lean readiness and Lean acceptance implementation Lean Management in Panti Rapih Hospital Yogyakarta Method: This study used a single holistic case study method with unit analysis at the level of the Lean team at the Yogyakarta Panti Rapih Hospital. The research subjects were employees in the team who were directly involved in Lean Management implementation. The selection of research subjects based on purposive sampling and total samples are 50 staff for the survey and 7 staff for in-depth interviews. The instruments of this research are the Lean Readiness Framework to see the level of readiness, Lean in Healthcare Questionnaire to see the level of acceptance, and interview guideline. Result: Based on fuzzy and euclidean analysis, it was found that the Lean readiness of Panti Rapih Hospital was 6.20 and the closest distance was 2.016 from "Close to Ready" linguistics. With the strongest indicators on patient and employee safety (LRF 6.4) while the weakest indicator of readiness is cooperation with suppliers (LRF 5.1). Lean acceptance Panti Rapih Hospital is still at the maturity level 3 with the highest maturity level on the indicator of rewarding staff and the lowest maturity level on the job evaluation indicator. Clonclusion : Panti Rapih Hospital Yogyakarta needs to establish standardization of cooperation with suppliers which focuses on reducing Lean Management Waste. It also needs to increase the awareness that Lean must merge in daily work so that employees can evaluate jobs when there are problems directly on their own in order to improve sustainability Lean Management in Panti Rapih Hospital.

Kata Kunci : Lean healthcare, Lean readiness, Lean acceptance, Lean culture, and staff perception