Proceedings of the Tarumanagara International Conference on the Applications of Social Sciences and Humanities (TICASH 2019)

A Proposed Model for Outpatient Care Service Improvement Using the Healthcare Lean Approach and Simulation

Authors
Hafzoh Batubara, Rifa Gandi Lesmana, Rini Dharmastiti, Muhammad Kusuma Herliansyah
Corresponding Author
Hafzoh Batubara
Available Online 20 May 2020.
DOI
https://doi.org/10.2991/assehr.k.200515.041How to use a DOI?
Keywords
models, lean healthcare, VSM, waiting time, bottleneck, simulation
Abstract
The health service industry cannot be separated from the demands of quality, affordable, accessible, efficient and effective services. The Central Public Hospital of Dr. Sardjito, Yogyakarta, where the level of satisfaction of Outpatient Installation patients does not meet the minimum hospital service standards. The results of a real system simulation also prove that for 93.23% of the total time, the patient in the system isallocated waiting time for the service of around 4.82 hours. This proves that the patient’s waiting time is still far below the hospital’s minimum service standard. The high number of patients plus too many procedures to be undergone coupled with an overworked nursing entity results in long queues and bottlenecks. The purpose of this paper is to improve the patient care system through the Lean healthcare approach with a VSM tool, combined with modeling and a simulation system to observe changes from each alternative produced. Based on VSM analysis, three waste problems from each NVA and NNVA were obtained. From 6 simulated alternatives, one of the best alternatives obtained gave the highest total change in waiting time of all alternatives, with a total change of 73.16% from 4.822 hours to only 1.294 hours.
Open Access
This is an open access article distributed under the CC BY-NC license.

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Cite this article

TY  - CONF
AU  - Hafzoh Batubara
AU  - Rifa Gandi Lesmana
AU  - Rini Dharmastiti
AU  - Muhammad Kusuma Herliansyah
PY  - 2020
DA  - 2020/05/20
TI  - A Proposed Model for Outpatient Care Service Improvement Using the Healthcare Lean Approach and Simulation
BT  - Tarumanagara International Conference on the Applications of Social Sciences and Humanities (TICASH 2019)
PB  - Atlantis Press
SP  - 239
EP  - 244
SN  - 2352-5398
UR  - https://doi.org/10.2991/assehr.k.200515.041
DO  - https://doi.org/10.2991/assehr.k.200515.041
ID  - Batubara2020
ER  -