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Sistem Penjadwalan Poliklinik Rawat Jalan Berbasis Manajemen Lean di RSUD Kota Padang Adila Kasni Astiena; Rika Ampuh Hadiguna; Acim Heri Iswanto; Hardisman Hardisman; Dedy Irfan; Hariselmi Hariselmi
Warta Pengabdian Andalas Vol 27 No 4 (2020)
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat (LPPM) Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jwa.27.4.235-244.2020

Abstract

Waiting is a waste that is common in outpatient services, especially at Regional General Hospitals, thus reducing the quality of service. The results of the 2018 and 2019 service studies at Rasidin Hospital, the waiting time for outpatient services was 239 and 122 minutes (standard ≤60 minutes). The queuing process started at night and the queue was overflowing in the morning which resulted in late medical record processing, less seating, and low patient satisfaction. The purpose of this service is to design a queue for outpatient services based on Lean Management. The service was carried out in February-July 2020. Lean Management reduces waste on everything involved in the service process, namely Supply, Input, Process, Output and Customer (SIPOC). The service target is the management, head of installation, registration officer, medical record, doctor and nurse and patient. Approaches in the form of surveys, brainstorming, trainning and FGDs for model building. The resulting model is written in a mobile-based application to facilitate queuing patients. The resulting model is an application for booking registration and consultation. Applications can be downloaded on the Googleplay Store. It takes 1 operator to run the application. This application is expected to decipher long queues, provide certainty of time and increase patient satisfaction. It takes commitment and discipline from all parties to carry out services that are on time as promised so that they run on target.
Visual Management Tools Sebagai Upaya Peningkatan Mutu Layanan bagi Manajer Pelayanan Rumah Sakit Adila Kasni Astiena; Rika Ampuh Hadiguna; Acim Heri Iswanto; Hardisman Hardisman; Rima Semiarty; Fadilla Azmi
Warta Pengabdian Andalas Vol 28 No 3 (2021)
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat (LPPM) Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jwa.28.3.321-333.2021

Abstract

The main issue of outpatient services at the Hospital in Padang-West Sumatra is the lack of use of Visual Management Tools (VMT). VMT is a tool to monitor service bottlenecks such as long waiting times. The devotee has designed an application-based VMT. This community service aims to assess the level of user satisfaction related to the application. Activities were carried out by socializing, designing, simulating and evaluating the application that can be downloaded on the Playstore. The target group was hospital officers and patients. They were trained to use the application and then evaluated. The sample consists of 80 people. The result of the community service was the training of officers related to several VMT tools in the form of Value Stream Map, Eight waste, Five why's, Failure Mode and Effect Analysis (FMEA) and Outpatient Service Applications. The variables were usability, ease of use, ease of learning, display quality, user-friendliness, completeness of information and flexibility. The level of satisfaction was in the category of satisfied and very satisfied. It was recommended to use modules to facilitate patient understanding using applications and services in hospitals.