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All Journal Jurnal Manajemen Pelayanan Kesehatan (The Indonesian Journal of Health Service Management)
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Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada
Health Professions Public Health

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PENGARUH IMPLEMENTASI REKAM MEDIS ELEKTRONIK TERHADAP WAKTU TUNGGU RAWAT JALAN REGULER DI RS HERMINA SOLO Fitri Ayu Rachmawati; Guardian Yoki Sanjaya; Firman
Journal of Health Service Management Vol 26 No 2 (2023)
Publisher : Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpk.v26i2.8645

Abstract

Background: Patient complaints related to the long waiting time for medical record files in the outpatient installation of regular polyclinics at Hermina Solo Hospital increased from January to June 2022, and the average patient waiting time was 3 hours and 30 minutes in the same period. There were delays in sending patient data. There are medical record files that are not found during searches and cause doctor complaints; these also impact doctor services related to illegible data or writing, which risks causing patient safety incidents. Objectives: The general objective of this study was to identify the effect of electronic medical record implementation on polyclinic outpatient waiting times. The specific objectives were to identify the effect of electronic medical records on waiting time, waiting time for doctor’s examination, and waiting time for drugs at the pharmacy.Methods: This quantitative research with an analytic observational design through a retrospective cohort approach using the t-test. With the stratified random sampling method, the number of samples before 207 and after 207 samples were carried out from May 2, 2023, to June 5, 2023, at Hermina Solo Hospital in 12 outpatient examination rooms. The research variables were total outpatient waiting time, pharmacy waiting time, and doctor waiting time.Results: Total waiting time after EMR implementation is better than before, namely before 200,21 minutes after 140,87 minutes (p-value 0.000<0.05). Waiting time for doctors before 97,96 minutes and after 88,30 minutes (p-value 0.000<0.05) and waiting time for pharmaceutical services before 72,42 minutes and after 66,97 minutes (p-value 0.035<0.05). The results of the t-test statistical test showed that the effect of EMR on waiting time was significant. Ophthalmologic, urology, orthopedic, and dental departments have a longer waiting time, averaging 105,64 minutes. Conclusion: EMR reduces total outpatient waiting time for doctors and pharmacies. The effect of EMR implementation in outpatient can reduce the number of complaints and increase patient satisfaction.
IMPLEMENTASI LEAN THINKING UNTUK MENURUNKAN WAKTU TUNGGU PELAYANAN OBAT DI INSTALASI FARMASI RAWAT JALAN, RUMAH SAKIT PANTI RINI Denny Widhiyanto Yanong; Erna Kristin; Firman
Journal of Health Service Management Vol 26 No 2 (2023)
Publisher : Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpk.v26i2.8671

Abstract

Background: Panti Rini Hospital is trying to improve service quality, one of which is in the Outpatient Pharmacy Installation. There are several problems in the Outpatient Pharmacy Installation in the drug service process until the patient receives the drug.Objective: Implementing lean thinking to reduce waiting time for drug services at the Outpatient Pharmacy Installation at Panti Rini Hospital. In particular, it will identify waste, implement solutions to it, and analyze drug service waiting times before and after implementing lean thinking at the Outpatient Pharmacy Installation at Panti Rini Hospital.Method: This type of action research consists of 1) The stage of preparing instruments and permits; 2) The preparation stage of data collection prior to intervention and action planning, conducting interviews, direct observation, focus group discussions with pharmacy staff and hospital IT staff and debriefing regarding the relationship between service flow and waiting time; 3) The stage of implementing lean thinking in dealing with waste; 4) The evaluation stage after the intervention by calculating the delay time at each sub-process point, calculating the lead time, cycle time, VAR.Results: The dominantly identified waste in the drug service process is waste of waiting, extra processing, motion, defects, and inventory. The solution to overcome this waste that is implemented is the use of an IT system. The impact was that the lead time for compounding recipes decreased from 85 minutes to 52.9 minutes and for non-compounding recipes from 37.6 minutes to 19.8 minutes. There is an increase in VAR (Value Added Ratio) of 24% for compounding electronic recipes and 25% for non-compounding electronic recipes. The results of the Independent Samples T-Test for compounding recipes showed that p=0.00 (p<0.05), and the results of the Mann-Whitney U Test for non-compounding recipes showed that p=0.00 (p<0.05), so the results were significant.Conclusion: Implementing Lean Thinking can increase the efficiency of the drug service process, thereby reducing waiting time at outpatient pharmacy installations.
Co-Authors Denny Widhiyanto Yanong Erna Kristin Fitri Ayu Rachmawati Guardian Yoki Sanjaya