Wibowo, Nadhif Wiratara (2024) Implementasi Lean Hospital Dalam Upaya Efisiensi Waktu Tunggu Rawat Jalan: Studi Kasus di RS Mata XYZ. Masters thesis, Universitas Tarumanagara.

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Abstract

Long waiting times are one of the key indicators of inefficiency in outpatient services and can negatively impact patient satisfaction. This study aims to identify and reduce waste in the outpatient workflow of the ophthalmology clinic at XYZ Eye Hospital in 2025 using the Lean Hospital approach. This case study employed a Sequential Explanatory Mixed Method design, combining qualitative and quantitative approaches through direct observation, interviews, and secondary data analysis from the Electronic Medical Record (EMR) system.
Value Stream Mapping (VSM) was used to map the process, with the Current VSM involving 2,673 patients. The analysis revealed that the most significant wastes occurred in doctor waiting time, registration, and the waiting period before assessment. Proposed
solutions included locking the SEP printing feature at the KiosK 60 minutes prior to the scheduled appointment, deploying temporary staff to assist patients with the KiosK, and digitalizing the BPJS administrative process. In a simulated Future VSM involving 766
patients who arrived at least 60 minutes between their appointment time, there was a statistically significant reduction in lead time by 15.99% (p<0.001) and in doctor waiting time by 26.87% (p<0.001). The study concludes that the implementation of Lean Hospital is effective in reducing waste and improving the efficiency of outpatient waiting times in a specialized eye hospital setting.

Item Type: Thesis (Masters)
Additional Information: Dosen Pembimbing: Mohammad Agung Saryatmo S.T., M.M., M.T., Ph.D
Uncontrolled Keywords: Keywords: Lean Hospital, Value Stream Mapping, waiting time, outpatient service, eye hospital, eye clinic.
Subjects: Tesis
Tesis > Pascasarjana
Divisions: Pascasarjana
Depositing User: Pasca Perpus
Date Deposited: 19 May 2026 08:54
Last Modified: 19 May 2026 08:54
URI: https://repository.untar.ac.id/id/eprint/49443

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