Reducing Outpatient Waiting Time through Lean Healthcare Implementation at Dumai City Regional Public Hospital

Juwaidah; Erliany Syaodih; Nining Handayani

doi:10.61536/escalate.v4i3.700

Authors

Juwaidah Universitas Adhirajasa Reswara Sanjaya
Erliany Syaodih Universitas Adhirajasa Reswara Sanjaya
Nining Handayani Universitas Adhirajasa Reswara Sanjaya

DOI:

https://doi.org/10.61536/escalate.v4i3.700

Keywords:

Value Stream Mapping, Outpatient Services, Waiting Time, Lean Healthcare, Waste Waiting

Abstract

This study aims to analyze Value Added (VA), Non Value Added (NVA), and Necessary But Non Value Added (NNVA) activities, identify waste waiting, and analyze the Current State and Future State Value Stream Mapping in outpatient services at Dumai Regional General Hospital using the Lean Healthcare approach. This study employed a qualitative descriptive design involving 15 participants consisting of the head of the outpatient installation, doctors, nurses, registration officers, and outpatients. Data were collected through in-depth interviews and direct observation. Data analysis was conducted thematically using NVivo 12 Pro through coding, node analysis, and matrix coding. The results showed that Value Added activities included doctor examinations, medical consultations, medical procedures, health education, and therapy. Non Value Added activities were predominantly waiting activities, including registration queues, waiting for doctors, medical record distribution, and pharmacy services. Necessary But Non Value Added activities include BPJS verification, data validation, medical record management, and service administration. The Current State Value Stream Mapping indicated that outpatient services were still dominated by waiting activities. The Future State Value Stream Mapping proposed several improvements, including electronic queue systems, digital medical records, integrated hospital information systems, simplified patient administration, pharmacy service optimization, and additional human resources. The study concludes that Lean Healthcare can serve as a managerial approach to reduce waste waiting and improve the efficiency and quality of outpatient services.

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References

Ardanti, R. P., et al. (2024). Penerapan Lean Healthcare dalam peningkatan efisiensi pelayanan kesehatan. Jurnal Manajemen Pelayanan Kesehatan, 27(1), 1–10.

Ben-Tovim, D. I., Bassham, J. E., Bolch, D., Martin, M. A., Dougherty, M., & Szwarcbord, M. (2021). Lean thinking across a regional health service: A systematic approach to improving patient flow. BMJ Quality & Safety, 30(1), 1–9.

Hidayat, A., et al. (2024). Identifikasi aktivitas value added, non-value added, dan necessary but non-value added pada pelayanan kesehatan. Jurnal Administrasi Kesehatan Indonesia, 12(1), 45–55.

Jayanti, N. D., et al. (2025). Analisis waste pada pelayanan farmasi rawat jalan dengan pendekatan Lean Healthcare. Jurnal Manajemen Kesehatan Indonesia, 13(1), 25–35.

Kementerian Kesehatan Republik Indonesia. (2008). Keputusan Menteri Kesehatan Republik Indonesia Nomor 129/Menkes/SK/II/2008 tentang Standar Pelayanan Minimal Rumah Sakit. Kementerian Kesehatan Republik Indonesia.

Kementerian Kesehatan Republik Indonesia. (2022). Peraturan Menteri Kesehatan Republik Indonesia Nomor 30 Tahun 2022 tentang Indikator Nasional Mutu Pelayanan Kesehatan Tempat Praktik Mandiri Dokter dan Dokter Gigi, Klinik, Pusat Kesehatan Masyarakat, Rumah Sakit, Laboratorium Kesehatan, dan Unit Transfusi Darah. Kementerian Kesehatan Republik Indonesia.

Munaa, N. F., et al. (2023). Value stream mapping sebagai pendekatan peningkatan efisiensi pelayanan kesehatan. Jurnal Sistem dan Manajemen Industri, 7(2), 100–110.

Wibowo, A., et al. (2024). Analisis waiting time sebagai waste dalam pelayanan kesehatan dengan pendekatan Lean Healthcare. Jurnal Kesehatan Masyarakat, 19(2), 120–130.

Talero-Sarmiento, L. H., et al. (2024). Lean Healthcare and waste identification in healthcare processes: A systematic approach. International Journal of Healthcare Management, 17(2), 150–162