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All Journal Journal of Community Health and Preventive Medicine (JOCHAPM) Jurnal Ilmiah Administrasi Publik
Amalia Rizki, Nurul
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Decision Sciences, Operations Research & Management Environmental Science Health Professions Medicine & Pharmacology Nursing Public Health Social Sciences

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ANALYSIS OF WASTE IN THE HEMODIALYSIS SERVICE CLAIM PROCESS AT UNIVERSITAS MUHAMMADIYAH MALANG GENERAL HOSPITAL Amalia Rizki, Nurul; Rusca Putra, Kuswantoro; Syamsiah anwar, Jamilatus
Journal of Community Health and Preventive Medicine Vol. 5 No. Issue Supplement 1 (2025): JOCHAPM Vol. 5, Issue Supplement 1, March 2025
Publisher : Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/

Abstract

Hospitals as healthcare providers depend on the claims process to maintain financial stability, especially in the National Health Insurance (JKN) program managed by BPJS. Inefficient claims management can cause delays in fund disbursement and increase pending claims. This descriptive qualitative study identifies waste in the Hemodialysis (HD) service claim process at RSU UMM using the Lean Management approach. The results of the analysis showed that administrative defects were the biggest waste with 22 occurrences, caused by paper-based manual systems, such as duplication or loss of files. In addition, waiting time waste was found 14 times, as well as overprocessing and motion 3 times each. To improve efficiency, digitization of the claims system is recommended to reduce administrative errors and speed up the disbursement process
Implementation of Lean Management to Improve Hospital Pharmacy Performance in Indonesia Mufida, Ifa; Amalia Rizki, Nurul; Holipah
Jurnal Ilmiah Administrasi Publik Vol. 11 No. 1 (2025): Jurnal Ilmiah Administrasi Publik (JIAP)
Publisher : Badan Penerbitan Jurnal (BPJ) FIA-UB

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jiap.2025.011.01.6

Abstract

Hospital pharmaceutical supplies account for 40% to 50% of total hospital revenue.High quality pharmaceutical services in hospitals can be used as quality and cost controls in hospital performance assessment.  The lean concept is one of the hospital management approaches to provide high-quality services. How is lean implemented in pharmacy installation? Based on this literature study, it was found that the most common waste in outpatient pharmacies was waiting, followed by overprocessing, defects, and motion. In inpatient pharmacy, the dominant wastes are defects and waiting. Lean tool interventions that can be used in this case include value stream mapping (VSM), 5S, spaghetti diagrams, and kanban. Some studies also recommend taking into account the number of human resources in pharmacy services and optimizing the use of SIM-RS. Kaizen in the hospital service process can be done by creating a PDSA cycle. This study concluded that lean management can improve the performance of outpatient pharmacy installations in hospitals in Indonesia. However, the exact effect of lean management on inpatient pharmacy installations is unknown due to limited literature sources.                                                                          
Co-Authors Holipah Jamilatus Syamsiah Anwar Kuswantoro Rusca Putra Mufida, Ifa