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All Journal Warta Pengabdian Andalas: Jurnal Ilmiah Pengembangan Dan Penerapan Ipteks Jurnal Riset Rumpun Ilmu Kesehatan (JURRIKES) Jurnal Rumpun Ilmu Kesehatan Termometer: Jurnal Ilmiah Ilmu Kesehatan Dan Kedokteran Jurnal Ilmu Kesehatan dan Gizi Jurnal Ilmu Kedokteran dan Kesehatan Indonesia Jurnal An-Najat: Jurnal Ilmu Farmasi dan Kesehatan Jurnal Ventilator: Jurnal Riset Ilmu Kesehatan dan Keperawatan Jurnal Ilmu Kedokteran dan Kesehatan Indonesia
Acim Heri Iswanto
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Computer Science & IT Dentistry Health Professions Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary Other

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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.
Analisis Pengaruh Pemilihan Lokasi Apotek Terhadap Keputusan Pembelian Obat Di Indonesia Triayu Nur Afifah; Safanny Putri; Nabila Erinaputri; Shifa Aulia Maghfiroh; Huwaydi Azzam Yusuf; Khansa Adristi; Acim Heri Iswanto
Jurnal Ilmu Kesehatan dan Gizi Vol. 1 No. 3 (2023): Juli: Jurnal Imu Kesehatan dan Gizi
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (756.833 KB) | DOI: 10.55606/jikg.v1i3.1384

Abstract

Pharmacy is a health service facility that aims to help improve health for the community (public health), as well as a place for practicing pharmacists in carrying out pharmaceutical work spread across various regions. Choosing a business location is the main thing to consider in build a business, including pharmacy. A strategic business location is related to transportation efficiency, material properties, product characteristics, and ease of reaching consumers. The purpose of this study is to determine the effect of choosing the pharmacy location on medicine purchasing decisions in Indonesia. The method that used in this study is literature review with 6 research journals that collected and processed pre-existing data using search engines such as Google Scholar and journal databases such as Researchgate and published in 2018-2023. The result shows that pharmacy location is not always a factor in a person's decision to buy medicine, there are other factors such as price, quality of pharmacy service, and etc.
Efektivitas Supply Chain Integration Terhadap Peningkatan Kinerja Perusahaan Industri Dalam Lingkup Global Putri Aulia Rosmayani; Eva Nuragustin; Aghniya Choirunnisa; Rhaina Al Yasin; Anisya Febriyanti; Haikal Ghifary; Acim Heri Iswanto
Jurnal Rumpun Ilmu Kesehatan Vol. 3 No. 2 (2023): Juli: Jurnal Rumpun Ilmu Kesehatan
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jrik.v3i2.1724

Abstract

Currently, many industrial companies are growing rapidly and significantly. One indicator of a company's success is the ability to sustain. This means that companies need to have added value that refers to strategic alignment, interconnection of companies and supply chain partners. An integrated supply chain will increase the overall value generated. This shows that companies must meet consumer demand by working together to produce cheap, timely, and high-quality products. The purpose of this study is to get an overview of how much influence the implementation of supply chain integration has on improving the performance of industrial companies. This research uses a literature study method with literature searches, namely Google Scholar and Pubmed, selected between 2019-2022. The results of this study were obtained from eight research articles that fit the keywords and inclusion criteria. This study shows that supply chain integration provides supply chain visibility and overall operating performance. This research can be concluded that supply chain integration has a direct effect on company performance. Thus, the higher the supply chain integration, it will provide better supply chain performance and certainly an increase in performance in industrial companies in producing a product.
Penerapan Lean Manajemen Pada Pelayanan Rawat Jalan Pasien BPJS Rumah Sakit Sarah Rania Annisa; Syalisa Syabil; Huwaydi Azzam Yusuf; Acim Heri Iswanto
Jurnal Rumpun Ilmu Kesehatan Vol. 3 No. 2 (2023): Juli: Jurnal Rumpun Ilmu Kesehatan
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jrik.v3i2.1774

Abstract

Outpatient services are an important part of health services provided by hospitals. However, some BPJS hospitals experience obstacles in providing efficient and quality outpatient services, such as long queues, long waiting times, and lack of a good management system. the application of Lean Management to the outpatient services of BPJS patients in hospitals can help hospitals improve operational performance, so as to increase public trust in BPJS Health. This study aims to analyze the application of Lean Management to the outpatient services of BPJS patients in hospitals. This research uses a literature study method or Systematic Literature Review using the Google Scholar search engine and journal databases, such as Researchgate. The results showed that most outpatient service activities for BPJS patients still have patient waiting times below the established service standards. In analyzing the flow that patients go through, each activity is identified into two groups, namely Value Added (VA) as an activity that is considered necessary and profitable and Non Value Added (NVA) as an activity that is considered unnecessary. Based on the percentage of waste in the form of the largest waiting time can be described, namely, 35.1% in the registration process, 30.2% in the poly examination process, and 20.7% in the process of receiving drugs in the pharmaceutical installation
Analisis Implementasi Lean Six Sigma Terhadap Length Of Stay (LOS) di Rumah Sakit: Literatur Review Shifa Aulia Maghfiroh; Khoirunnisa Ghefira Yusrani; Nurul Aini; Acim Heri Iswanto
Jurnal Rumpun Ilmu Kesehatan Vol. 3 No. 2 (2023): Juli: Jurnal Rumpun Ilmu Kesehatan
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jrik.v3i2.1809

Abstract

Lean is a concept and technique for systems that optimizes patient benefit by decreasing waste and waiting time. The literature review approach is used in this study to acquire research data, with internet searches serving as a supplementary tool while looking for relevant papers. According to the study findings, mean hospital length of stay (LOS) fell by 24% throughout the intervention period in 259 patients with PMV (131 pre-intervention; 128 post-intervention) (29 vs. 22 days, p 0.001). This demonstrates that clinical redesign based on Lean Six Sigma decreases LOS in intensive care units. Other studies show that utilizing Lean Six Sigma has resulted in a 57% reduction in length of stay and an 88% reduction in the identification of non-value added tasks. Lean management in hospitals is a step toward greater service efficiency that has been shown to outperform Total Quality Management (TQM) and Plan, Do, Check, Action (PDCA) improvements. Customers and their families gain from shorter wait times, as do healthcare employees (medical, emergency, and non-medical) and hospital administration. The use of the lean six sigma approach in conjunction with the DMAIC cycle effects LOS reduction, indicating that lean six sigma can reduce LOS in hospitals.
Penerapan Lean Six Sigma Dalam Meningkatkan Aliran Pasien Bahiizza Shadrina Zhafarin; Haikal Ghifary; Putri Andini Novianti; Acim Heri Iswanto
Jurnal Rumpun Ilmu Kesehatan Vol. 3 No. 2 (2023): Juli: Jurnal Rumpun Ilmu Kesehatan
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jrik.v3i2.1918

Abstract

Nowadays, in health care facilities, whether in hospitals, health centres, or clinics, there is often a large number of patient visits that can cause delays in operational activities. Delays are caused by a lot of waste in patient flow activities in health facilities. Therefore, the application of Lean six sigma in improving patient flow is needed to overcome this. This research uses the Literature Review method where data collection and processing by referring to previously existing research in the last 5 years, namely 2019-2023. The literature was obtained through Google Scholar and journal databases using the keywords Lean Six Sigma, patient flow, and health service facilities. The number of journals used as a reference for previous related research in compiling this research is 6 journals. The results obtained from the six articles state that the application of lean six sigma in healthcare facilities has proven effective in improving patient flow. And this way is very effective of course to do.  
Penerapan Lean Hospital untuk Menganalisis Waste dalam Meminimasi Waktu Tunggu Rawat Jalan: Literatur Review Purba, Shofiyyah Salma; Putri Naira Kusuma; Firda Syafitri Nurani; Acim Heri Iswanto
An-Najat Vol. 2 No. 2 (2024): MEI : An-Najat: Jurnal Ilmu Farmasi dan Kesehatan
Publisher : STIKes Ibnu Sina Ajibarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59841/an-najat.v2i2.1141

Abstract

Salah satu cara untuk meningkatkan kualitas pelayanan rawat jalan adalah dengan memastikan bahwa pasien mendapatkan perawatan yang tepat pada waktunya. Masih terdapat rumah sakit yang menimbulkan waste (pemborosan) pada pelayanan rawat jalan karena belum menerapkan lean hospital. Penelitian ini menggunakan metode literature review atau tinjauan pustaka. Data hasil penelitian didapat melalui database Google Scholar dan PubMed dengan rentang 5 tahun terakhir (2019-2024). Dari hasil penelitian tersebut pemborosan terutama terkait dengan waktu tunggu pasien dan kurangnya informasi kepada pasien. Usaha meminimalkan pemborosan tersebut dilakukan melalui evaluasi menyeluruh dan rekomendasi solusi perbaikan yang spesifik.
Strategi Implementasi Logistik di Instalasi Farmasi Rumah Sakit Nurul Aini; Kania Rizqita Dewi; Ummi Rahma; Faza Duta Pramudyawardani; Sarah Rania Annisa; Safina Annajah; Acim Heri Iswanto
Jurnal Ilmu Kedokteran dan Kesehatan Indonesia Vol. 3 No. 2 (2023): Juli : Jurnal Ilmu Kedokteran dan Kesehatan Indonesia
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jikki.v3i2.1555

Abstract

In hospital pharmacy installations, strategic logistics management has a very important role in terms of drug supply because of its routine and periodic nature. Researchers utilize various literature that is related and relevant to research as a source to obtain data. In obtaining sources for this research literature study, the authors conducted a search from selected databases such as Google Scholar that matched the research topic using the keywords logistics management, pharmaceutical installations, and strategy. At the input step, a condition evaluation is performed using value factors that apply as input to logistics management at pharmaceutical installations in hospitals, which may be analyzed with 5M. To eliminate or reduce unintended bias, inventory selection and assessment must be done properly and according to a strategy. Even after carrying out and applying standards to the input factor availability strategy and the processing process, logistics availability difficulties still arise often. This might happen owing to the effect of unknown variables. The process of implementing logistics management at pharmaceutical installations in several hospitals has been carried out well when viewed from the 5M management factor (man, money, material, machine, and method). SIMRS, or Hospital Management Information System, is utilized by hospitals as a pharmaceutical information system, which is highly significant and beneficial in creating reports connected to medication supplies; yet, there are hospitals where the information systems are not used efficiently. Standard Operating Procedures (SOP) are used to manage pharmaceutical installations in hospitals, although there are still flaws in their implementation.
Penerapan Lean Hospital sebagai Upaya Peningkatan Pelayanan Gawat Darurat dalam Cakupan Global Putri Aulia Rosmayani; Natasya Nazla Prasetyo; Adjrina Dawina Putri; Acim Heri Iswanto
Jurnal Ilmu Kedokteran dan Kesehatan Indonesia Vol. 3 No. 2 (2023): Juli : Jurnal Ilmu Kedokteran dan Kesehatan Indonesia
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jikki.v3i2.1571

Abstract

The emergency service unit often has a buildup of patients, which affects services and causes a temporary waiting area for hospitalized patients. The foundation for emergency services is stated in Permenkes 47/2018 with the aim of improving the quality of emergency services that are integrated and integrated in the emergency management system. The purpose of this study is to analyze the application of lean hospital as an effort to improve emergency services in hospitals in a global scope. This research used a literature study method with literature searches, namely Google Scholar and Pubmed, which were selected between 2018-2022. The results of this study were obtained from six research articles related to lean hospital in emergency services that fit the inclusion criteria and keywords. This study shows that lean hospital has a positive influence on the speed of emergency department service time. The reduced time required to provide services can improve the positive image of the hospital. The conclusion of this study is that the implementation of lean hospital can affect waste in waiting time and is most frequent and sensitive. Excessive waiting time can lead to dissatisfaction and a poor view of the hospital by patients or their families.
Co-Authors Adjrina Dawina Putri Aghniya Choirunnisa Aini Nurul Anisya Febriyanti Astiena, Adila Kasni Bahiizza Shadrina Zhafarin Dedy Irfan Endah Pravita Putri Endah Pravita Putri Aldia Pratama Eva Nuragustin Fadilla Azmi Faza Duta Pramudyawardani Firda Syafitri Nurani Haikal Ghifary Hani Putri Hardisman Hariselmi Hariselmi Huwaydi Azzam Yusuf Jahira Fajri Madani Kania Rizqita Dewi Kazhima Alma Azzahra Keren Stelin Maliangkay Khansa Adristi Khoirunnisa Ghefira Yusrani Muhammad Fawwaz Nabila Erinaputri Nadya Salsabila Natasya Nazla Natasya Nazla Prasetyo Nurul Aini Prasetio Hadi Pratama Purba, Shofiyyah Salma Putri Andini Novianti Putri Aulia Rosmayani Putri Naira Kusuma Putri Regita Miolda Resa Listiani Rhaina Al Yasin Rika Ampuh Hadiguna Rima Semiarty Risma Pertiwi Rossa Shafira Nur Sabrina Safanny Putri Safina Annajah Safinah Annajah Sarah Rania Annisa Shifa Aulia Maghfiroh Siti Humaira Syarif Siti Humira Syarif Syalisa Syabil Tania Rahmayanti Triayu Nur Afifah Ummi Rahma Zahra Septina