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Penerapan Lean Hospital Dalam Meningkatkan Efisiensi Manajemen Operasional Rawat Jalan Rumah Sakit Umum Daerah Sanjiwani Gianyar Ni Made Dwita Saraswati M; Wahyuddin Bagenda; Yani Restiani W Restiani W
Journal of Knowledge Management Vol 19 No 2 (2025): Journal of Knowledge Management
Publisher : Fakultas Ekonomi Universitas Garut

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52434/jkm.v19i2.42738

Abstract

Efisiensi operasional merupakan elemen yang sangat penting dalam manajemen rumah sakit. Panjang antrean pasien sering kali mencerminkan kurangnya efisiensi dalam pengelolaan alur pasien, khususnya pada unit rawat jalan. Untuk mengatasi tantangan tersebut, pendekatan Lean Management, atau yang dikenal sebagai Lean Hospital, telah banyak diterapkan. Lean Hospital berorientasi pada pengurangan pemborosan dalam berbagai proses, sehingga sumber daya yang ada dapat dimanfaatkan dengan lebih efisien. Penelitian ini bertujuan untuk mengkaji hasil implementasi Lean Management di rumah sakit, mengidentifikasi kontribusi pendekatan ini terhadap efisiensi operasional, dan mengeksplorasi faktor-faktor yang memengaruhi keberhasilannya. Populasi penelitian ini berjumlah 300 orang. Teknik sampling yang digunakan adalah accidental sampling dengan jumlah sampel sebanyak 30 orang. Jenis penelitian ini adalah penelitian deskriptif kualitatif. Pengumpulan data penelitian melalui observasi, wawancara, dan kuisioner. Penelitian ini diawali dengan proses identifikasi pemborosan (waste), kemudian lean healthcare diterapkan menggunakan tiga alat utama, yaitu Value Stream Mapping (VSM), Waste Relationship Matrix (WRM), dan Root Cause Analysis (RCA). Berdasarkan hasil penelitian waste overproduction sebesar 18,8% berupa duplikasi data atau rekam medis, menjadi waste paling dominan dan beban kerja petugas yang tinggi menjadi akar penyebab utama timbulnya duplikasi rekam medis (overproduction), akibat kurang telitinya petugas saat pelayanan.
Evaluation of Doctors' Perceptions in Optimizing the Use of Electronic Medical Records (EMR) through the Technology Acceptance Model (TAM) Approach Meliani Fransiska Andita; Rian Andriani; Wahyuddin Bagenda
Research of Service Administration Health and Sains Healthys Vol. 7 No. 3 (2026): Research of Service Administration Health and Sains Healthys (September)
Publisher : Lembaga Penelitian dan Pendidikan (LPP) Mandala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58258/6tzv4559

Abstract

Electronic medical record (EMR) is a key component of Indonesia's digital health transformation, yet physicians' acceptance of EMR is rarely examined once use becomes mandatory. This study evaluated physicians' perceptions of EMR use at a private type C hospital in Pontianak that adopted the Medinfras EMR in 2015 and upgraded it in 2024. Four constructs of the Technology Acceptance Model (TAM) were examined: perceived ease of use, perceived usefulness, attitude toward using, and behavioral intention. A descriptive qualitative design was applied. Ten physicians were interviewed in depth until data saturation, and participant observation and document review supported triangulation. Perceptions were generally positive: initial adaptation was quick, all informants accepted EMR and intended to keep using it, and most judged it faster and more systematic than paper records. However, eight of ten informants reported recurring system-control problems, six of ten reported no productivity gain, and willingness to adapt to future updates was often conditional on training. Meanwhile, the most substantial finding is the gap between these positive perceptions and actual documentation completeness, that mandatory patient assessments in the first semester of 2026 were still mostly incomplete. Under mandatory use, positive attitudes and intentions did not guarantee complete documentation, so optimization should target system stability and time burden.
Evaluation of Corporate Bylaws at William Booth Salvation Army Hospital Surabaya to Improve Service Efficiency J. Junius; Wahyuddin Bagenda; Ignatius Wiseto Prasetyo Agung
Golden Ratio of Data in Summary Vol. 6 No. 4 (2026): August - October
Publisher : Manunggal Halim Jaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52970/grdis.v6i4.1646

Abstract

This study aims to evaluate the corporate bylaws of William Booth Hospital Surabaya, operated by the Salvation Army, in improving hospital service efficiency. The hospital faces several structural and procedural challenges, including lengthy and complex operational procedures, rigid hierarchical bureaucracy, limited authority of the hospital director in strategic decision-making, and substantial intervention by the Bala Keselamatan Health Service Foundation (YPKBK) in policy formulation and strategic planning. These challenges create uncertainty in operational management and hinder efficient service delivery. This study employs a qualitative approach, with data collected through in-depth interviews, direct observation, and document analysis of the existing corporate bylaws. The data are analyzed using the Miles and Huberman qualitative data analysis model, which involves data reduction, data display, conclusion drawing, and verification. Data triangulation is also employed to strengthen the credibility of the findings. The study is expected to provide practical recommendations for improving the corporate bylaws, particularly by streamlining decision-making processes, reducing bureaucratic barriers, and enhancing overall service efficiency. Furthermore, the evaluation seeks to support the development of a more flexible and responsive hospital governance system capable of adapting to the evolving challenges of healthcare delivery. Strengthening the governance structure through revised corporate bylaws is expected to contribute to improved service quality and greater operational effectiveness. This study offers insights for hospital administrators and policymakers seeking to optimize governance frameworks in nonprofit healthcare institutions.