Jurnal Kesehatan Masyarakat Indonesia
Vol 19, No 3 (2024): Juli - September 2024

The Impact of Lean Management Implementation on Inpatient Discharge Prescription Services at Pertamina Central Hospital

Hermawati, Ajitya Kurnia (Unknown)
Kristin, Erna (Unknown)
Firman, Firman (Unknown)



Article Info

Publish Date
30 Sep 2024

Abstract

Background: The lead time of inpatient discharge prescription services affects the overall discharge process. In 2022, lead times at Pertamina Central Hospital's Inpatient Pharmacy varied, requiring continuous efforts to meet target times and avoid disrupting discharge plans. This research aims to evaluate the impact of lean management on reducing these lead times. Methods: The study employs a combined quantitative and qualitative research design with an action research approach. It was conducted from March 4 to May 8, 2023, involving pharmacists, pharmaceutical technical personnel, compounders, and pharmacy couriers. Data analysis included measuring lead time changes pre- and post-lean management implementation and narrative analysis of qualitative findings. Results: After implementing lean management, the lead time for non-compounded prescriptions decreased from 42.6 to 25 minutes, with value added ratio (VAR) increasing from 18.9% to 27%. For compounded prescriptions, lead time dropped from 67 to 45.7 minutes, and VAR rose from 25.2% to 37.9%. The Mann-Whitney U test confirmed the significant difference in average lead time. Conclusion: The implementation of lean management in inpatient discharge prescription services has been proven to improve lead time and increase process efficiency (VAR).

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Journal Info

Abbrev

jkmi

Publisher

Subject

Public Health

Description

Jurnal Kesehatan Masyarakat Indonesia publishes scientific articles of research results in the field of public health in scope: Health policy and administration Public health nutrition Environmental health Occupational health and safety Health promotion Reproductive health Maternal and child health ...