Evaluasi Lean Operation Pada Program Transformasi Di Indonesia Healthcare Corporation (IHC)
DEDI SUPRIATNA, Prof. dr. Laksono Trisnantoro, M.Sc., Ph.D; Dr. Firman, SE., MPH
2024 | Tesis | S2 Ilmu Kesehatan Masyarakat
Latar
Belakang : PT Pertamina Bina Medika IHC (IHC) melaksanakan Program
Transformasi untuk merealisasikan tujuan dari Holding Rumah Sakit (RS) BUMN.
Salah satu Program Transformasi adalah Lean
Operation Workstream Clinical
Excellent dengan Inisiatif Program Clinical Pathway.
Tujuan
: Penelitian ini bertujuan mengevaluasi Lean Operation di IHC
Metode : Metode Penelitian merupakan Evaluation
Research berupa Evaluasi Program, dengan pendekatan Analisis Kuantitatif.
Hasil
: Secara keseluruhan Context
Evaluation Lean Operation dengan indikator fondasi lean, sosialisasi &
training dan penyesuaian strategi RS sudah cukup baik. Adapun RS dengan nilai
fondasi lean baik adalah RS disekitar masyarakat rural. Hal ini dipengaruhi
budaya rural dengan ciri khas tolong menolong, gotong royong, menekankan
hubungan harmonis, interdependen/kolektivisme dan cenderung mengontrol
perilaku.
Process
Evaluation secara keseluruhan cukup baik meski masih perlu
perbaikan. Indikator Development
(perencanaan) dan Implementation
(Pelaksanaan) Cukup Baik, sedangkan Feedback
(Hasil) dikategorikan Baik
Terdapat hubungan yang signifikan antara Context Evaluation dengan indikator Fondasi Lean (Respect for People dan Continous Improvement), Sosialisasi
& Training serta Penyesuaian Strategi RS dengan Implementation
dan Feedback (Process Evaluation). Implementation
dan Feedback dipengaruhi
indikator Context Evaluation
tersebut.
Lean
Operation yang dilaksanakan memberikan dampak signifikan dalam
peningkatan Bed Occupancy Ratio
(BOR), penurunan Length of Stay
(LOS), Turn Over Index (TOI) dan
penurunan rata-rata meninggal.
Namun untuk indikator rata-rata sembuh justru mengalami
penurunan dan rata-rata rujuk cenderung naik. Kedua hal itu dimungkinkan karena
adanya pengaruh pandemik Covid 19 yang cenderung naik di Tahun 2020-2020 dimana
data penelitian ini digunakan.
Kesimpulan : Lean Operation Program Transformasi memberikan peningkatan kinerja
rumah sakit di IHC Group. Disarankan agar dilanjutkan dengan terus dilakukan
perbaikan
Background : PT Pertamina Bina Medika IHC (IHC) is implementing a Transformation
Program to achieve the goals of the State-Owned Hospital (RS) Holding. One of
the Transformation Programs is the Lean Operation Workstream Clinical
Excellence with the Clinical Pathway Program Initiative.
Objective : This study aims to evaluate Lean Operation at IHC.
Method : The research method is Evaluation Research, specifically Program
Evaluation, using a quantitative analysis approach.
Results : Overall, the Context Evaluation of
Lean Operation with indicators related to lean foundations, socialization and
training, and hospital strategy adjustment is quite good. Hospitals in rural
communities tend to have better lean foundations due to the rural culture
emphasizing mutual assistance, cooperation, harmonious relationships,
interdependence/collectivism, and behavioral control.
Process Evaluation is generally good but still needs
improvement. Development (planning) and Implementation (execution) indicators
are rated as good, while Feedback (results) is categorized as good.
There is a significant relationship between Context
Evaluation and indicators such as Lean Foundations (Respect for People and
Continuous Improvement), Socialization & Training, and Hospital Strategy
Adjustment with Implementation and Feedback (Process Evaluation).
Implementation and Feedback are influenced by these Context Evaluation
indicators.
The implemented Lean Operation significantly impacts Bed
Occupancy Ratio (BOR), reduces Length of Stay (LOS), Turn Over Index (TOI), and
decreases average mortality rates.
However, the average recovery rate has declined, and the
average referral rate tends to increase. These trends may be influenced by the
Covid-19 pandemic, which saw an upward trend in 2020-2021 when this research
data was used.
Conclusion : The Lean Operation Transformation Program has improved hospital
performance within the IHC Group. It is recommended to continue with ongoing
improvements.
Kata Kunci : Lean Operation, IHC, Transformasi, Clinical Pathway, Continous Improvement, Lean Operation, IHC, Transformation, Clinical Pathway, Continuous Improvement