ANALISIS PENGGUNAAN LEAN HEALTHCARE UNTUK IDENTIFIKASI WASTE PADA POLI SPESIALIS KANDUNGAN DI RUMAH SAKIT X
Abstract
Rumah sakit memiliki kewajiban untuk terus berbenah dan belajar dari kesalahan. Tak hanya hidup dan mati yang dipertaruhkan setiap harinya, namun juga sistem operasional yang terkait dengan eror, masalah, maupun kesempatan belajar lainnya dalam upaya memberikan pelayanan terbaik. Sebelumnya, rumah sakit hanya bergantung pada tenaga kesehatan ahli, dengan sedikit pertimbangan pada kegagalan dari sisi operasional dan organisasi yang terjadi selama proses penyampaian layanan kesehatan. Hal tersebut memicu munculnyaberagam wasteyang menjadi penyebab menurunnya kualitas sehinggaleanhealthcare dihadirkan. Penelitian ini berfokus padaidentifikasiwaste pada unit layanan spesialis kandungan rumah sakit X dengan pendekatan kualitatif. Value Stream Mapping (VSM) dan metode 5 why’s digunakan sebagai alat dalam analisa leanhealthcareyang dilakukan. Hasilnya, terdapat sekitar 87 persen aktivitas masuk ke dalam kategori tidak bernilai tambah dengan pemborosan terbesar adalah pada proses yang terus berulang (overprocessing) dengan bobot 3.5 dan terkecil pada pergerakan (motion) yang tidak perlu sebesar 1.5. Process activity mapping dipilih menjadi tools untuk analisa detailed mapping. Sedangkan analisa 5 why’s digunakan untuk mengetahui akar penyebab dari pemborosan yang terjadi, sehingga pengembangan perbaikan sistem dapat dilakukan.
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Sommer, A.C. and Blumenthal, E.Z. (2019), “Implementation of Lean and Six Sigma principles in ophthalmology for improving quality of care and patient flow”, Survey of Ophthalmology, Vol. 64, pp. 720-728.
Stone, K. B. (2012). Four decades of lean: A systematic literature review. International Journal of Lean Six Sigma, 3(2), 112–132.
Tucker AL, Edmondson AC. Why Hospitals Don't Learn from Failures: Organizational and Psychological Dynamics That Inhibit System Change. California Management Review. 2003;45(2):55-72.
Zulkarnaen, W., Amin, N. N. (2018). Pengaruh Strategi Penetapan Harga Terhadap Kepuasan Konsumen. Jurnal Ilmiah MEA (Manajemen, Ekonomi, & Akuntansi), 2(1), 106-128.
Antony, J. (2004). Some pros and cons of six sigma: An academic perspective. TQM Magazine, 16(4), 303–306.
Antony, J., Sunder M, V., Sreedharan, R., Chakraborty, A., & Gunasekaran, A. (2019). A systematic review of Lean in healthcare: a global prospective. International Journal of Quality and Reliability Management, 36(8), 1370–1391.
Aslan, I., Çınar, O., & Özen, Ü. (2014). Developing Strategies for the Future of Healthcare in Turkey by Benchmarking and SWOT Analysis. Procedia - Social and Behavioral Sciences, 150, 230–240.
Bucci, S.; De Belvis, A.G.; Marventano, S.; De Leva, A.C.; Tanzariello, M.; Specchia, M.L.; Ricciardi, W.; Franceschi, F. (2016). Emergency Department crowding and hospital bed shortage: Is Lean a smart answer? A systematic review. Eur. Rev. Med. Pharmacol. Sci.20, 4209–4219.
Carleysmith, S. W., Dufton, A., & Altria, K. (2009). Implementing Lean Sigma in pharmaceutical research and development: A review by practitioners. R and D Management, 39(1), 95–106.
Cheng, S. Y., Bamford, D., Papalexi, M., & Dehe, B. (2015). Improving access to health Services - Challenges in lean application. International Journal of Public Sector Management, 28(2), 121–135.
Cookson, David & Read, Colin & Consultant, Pro & Cooke, Matthew. (2011). Improving the quality of Emergency Department care by removing waste using Lean Value Stream mapping. The International Journal of Clinical Leadership. 17. 25-30.
Crema, M., & Verbano, C. (2015). International Journal of Health Care Quality Assurance Article information : International Journal of Health Care Quality Assurance, 28(8), 791–811.
Díaz, A.; Pons, J.; Solís, L. (2012). Improving healthcare services: Lean lessons from Aravind. Int. J. Bus. Excell. 5, 413–428
Douglas, J. A., Antony, J., & Douglas, A. (2015). Waste identification and elimination in HEIs: the role of Lean thinking. International Journal of Quality and Reliability Management, 32(9), 970–981.
Ebrahimi, M., & Sadeghi, M. (2013). Quality management and performance: An annotated review. International Journal of Production Research, 51(18), 5625–5643.
Garza-Reyes, Jose Arturo; Torres Romero, Joseth; Govindan, Kannan; Cherrafi, Anass; Ramanathan, Usha (2018). A PDCA-based approach to Environmental Value Stream Mapping (E-VSM). Journal of Cleaner Production, 180(), 335–348.
Gaspersz, Vincent., & Fontana, Avanti. (2011). Lean Six Sigma for Manufacturing and Service Industries, Bogor: Vinchristo Publication.
Hall R. (2013) Patient flow: reducing delay in healthcare delivery. Springer Science & Business Media.
Hallam, C. R. ., & Contreras, C. (2018). International Journal of Health Care Quality Assurance. International Journal of Health Care Quality Assurance, 31(7), 684–696.
Hernández, J.; Vizaán, A. (2013)Lean Manufacturing Conceptos, Técnicas e Implantación; Fundación EOI: Madrid, Spain
Jasti, N. V. K., & Kodali, R. (2014). A literature review of empirical research methodology in lean manufacturing. International Journal of Operations and Production Management, 34(8), 1080–1122.
Liker, Jeffrey K. (2004). Toyota Way: 14 Management Principles from the World's Greatest Manufacturer (McGraw-Hill Education: New York, Chicago, San Francisco, Athens, London, Madrid, Mexico City, Milan, New Delhi, Singapore, Sydney,Toronto,. https://www.accessengineeringlibrary.com/content/book/9780071392310
Marin-Garcia, Juan A., Pilar I. Vidal-Carreras, and Julio J. Garcia-Sabater.(2021). "The Role of Value Stream Mapping in Healthcare Services: A Scoping Review" International Journal of Environmental Research and Public Health 18, no. 3: 951.
Morell-Santandreu, Oscar, Cristina Santandreu-Mascarell, and Julio J. Garcia-Sabater 2021. "A Model for the Implementation of Lean Improvements in Healthcare Environments as Applied in a Primary Care Center" International Journal of Environmental Research and Public Health 18, no. 6: 2876.
Naidoo, L., & Mahomed, O. H. (2016). Impact of Lean on patient cycle and waiting times at a rural district hospital in KwaZulu-Natal. African Journal of Primary Health Care & Family Medicine, 8(1), e1–e9.
Nicholas, J. (2012), 'An Integrated Lean-Methods Approach to Hospital Facilities
Redesign', Hospital Topics, Vol. 90 No. 2, pp. 47-55.
Nowak, M., Pfaff, H., & Karbach, U. (2017). Does Value Stream Mapping affect the structure, process, and outcome quality in care facilities? A systematic review. Systematic Reviews, 6(1), 1–11.
Ohno, T. (1988), The Toyota Production System, Productivity Press, Portland, OR.
Rachlis, M. M. (2005). Public Solutions to Health Care Wait Lists (Issue December). Canadian Centre for Policy Alternatives. www.policyalternatives.ca
Radnor, Z., Walley, P., Stephens, A. and Bucci, G. (2006), "Evaluation of the lean approach tobusiness management and its use in the public sector", Scottish Executive Social ResearchEdinburgh.
Radnor, Z. (2010). Transferring lean into government. Journal of Manufacturing Technology Management, 21(3), 411–428.
Rees, G. H., & Gauld, R. (2017). Can lean contribute to work intensification in healthcare? Journal of Health, Organisation and Management, 31(3), 369–384.
Regis, T.K.O., Santos, L.C. and Gohr, C.F. (2019), “A case-based methodology for lean implementation in hospital operations”, Journal of Health Organization and Management, Vol. 33 No. 6, pp. 656-676
Reid, I., & Smyth-Renshaw, J. (2012). Exploring the fundamentals of root cause analysis: Are we asking the right questions in defining the problem? Quality and Reliability Engineering International, 28(5), 535–545.
Rohleder, T. R., Lewkonia, P., Bischak, D. P., Duffy, P., & Hendijani, R. (2011). Using simulation modeling to improve patient flow at an outpatient orthopedic clinic. Health Care Management Science, 14(2), 135–145.
Santos, Ana Carla de Souza Gomes dos; Reis, Augusto da Cunha; Souza, Cristina Gomes de; Santos, Igor Leão dos; Ferreira, LetÃcia Ali Figueiredo (2020). The first evidence about conceptual vs analytical leanhealthcare research studies. Journal of Health Organization and Management, ahead-of-print(ahead-of-print),
Schonberger, Richard J. (2017). Reconstituting lean in healthcare: From waste elimination toward 'queue-less' patient-focused care. Business Horizons, (),
Shah, R., & Ward, P. . (2003). Lean Manufacturing : Context, Practice Bundles, and Performance. Journal of Operations Management, 21(2), 129–149.
Shou, W.; Wang, J.; Wu, P.; Wang, X.; Chong, H.-Y.(2017). A cross-sector review on the use of value stream mapping. Int. J. Prod. Res. 55, 3906–3928.
Sreedharan V, R., Raju, R., Sunder M, V., & Antony, J. (2019). Assessment of Lean Six Sigma Readiness (LESIRE) for manufacturing industries using fuzzy logic. International Journal of Quality and Reliability Management, 36(2), 137–161.
Sommer, A.C. and Blumenthal, E.Z. (2019), “Implementation of Lean and Six Sigma principles in ophthalmology for improving quality of care and patient flow”, Survey of Ophthalmology, Vol. 64, pp. 720-728.
Stone, K. B. (2012). Four decades of lean: A systematic literature review. International Journal of Lean Six Sigma, 3(2), 112–132.
Tucker AL, Edmondson AC. Why Hospitals Don't Learn from Failures: Organizational and Psychological Dynamics That Inhibit System Change. California Management Review. 2003;45(2):55-72.
Zulkarnaen, W., Amin, N. N. (2018). Pengaruh Strategi Penetapan Harga Terhadap Kepuasan Konsumen. Jurnal Ilmiah MEA (Manajemen, Ekonomi, & Akuntansi), 2(1), 106-128.
Published
2021-11-05
How to Cite
Kartika, N., Melati, I. P., & Hanum, F. (2021). ANALISIS PENGGUNAAN LEAN HEALTHCARE UNTUK IDENTIFIKASI WASTE PADA POLI SPESIALIS KANDUNGAN DI RUMAH SAKIT X. Jurnal Ilmiah Manajemen, Ekonomi, & Akuntansi (MEA), 5(3), 2149-2165. https://doi.org/10.31955/mea.v5i3.1650
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