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Kata kunci : Waktu tunggu, Lean hospital, Value added, Non value added
Outpatient care is one of the mainstays for hospitals in increasing income for other units. The purpose of this research is to accelerate the outpatient service in Polyclinic Specialist Disease Inside Koja Hospital by knowing the lead time waiting time of outpatient service and knowing the cycle time (value added and non value added) in each stage of outpatient service and make simulation of Lean application Hospital to eliminate or minimize waste (waste). This research design is done by operational research through Lean Hospital approach. Outpatient service waiting time in Polyclinic Specialist of Internal Disease of Koja Hospital amounted to 71.18 minutes which means it still exceeds the standard set by Ministry of Health in Decree of Minister of Health Number 129 / Menkes / SK / II / 2008 regarding Minimum Service Standard of Hospital. Similarly, waiting time in the pharmacy unit is 256.8 minutes (racik drug) and 154.27 minutes (finished medicine). The waiting time in the laboratory service unit is in accordance with the Ministry of Health's standard of ≤ 140 minutes. Implementation of outpatient service improvement efforts in Polyclinic Specialist Disease In RSUD Koja is to eliminate waste waiting, defect / rework, transportation, overprocessing and overproduction in each stage of service. The conclusion of this research is to eliminate or minimize waste and make the design of service outpatient extension can reduce waiting time of outpatient service in Polyclinic Specialist of Disease in Koja Hospital.
Keywords: Wait Time, Lean Hospital, Value added, Non value added
Upaya pencatatan dan pelaporan merupakan penyelenggaraan sistem informasi di Puskesmas. Pekerjaan upaya pencatatan dan pelaporan dimaknai secara terbatas sekedar mengumpulkan data, melakukan rekapitulasi (labulasi) data, membuat dan mengirim laporan. Untuk menjalankan fungsinya Puskesmas perlu didukung dengan Sistem Informasi Kesebatan yang bandal. Di era digital seperti sekarang ini, adalah suatu keniscayaan bahwa teknologi informasi akan menjadi bagian penting dalam praktek kesehatan masyarakat. Alasan utama menggunakan teknologi informasi adalah agar mampu memberikan pelayanan kesehatan masyatakat secara lebih efisien, meningkatkan efektivitas dan produktivitas kerja serta menguatkan fungsi strategik organisasi kesehatan masyarakat dengan memanfaatkan informasi kesehatan dari berbagai sumber. Program Sistem Informasi Kesehatan Integrasi (SIK Integrasi) memberikan arahan secara bertahap untuk melakukan pengelolaan informasi secara terpadu, menyeluruh dengan memanfaatkan kemajuan teknologi secara optimal. Tujuan penyelenggaraan SIK Integrasi di Puskesmas adalah tersedianya Informasi Kesehatan yang akurat, cepat dan menyeluruh di Puskesmas kecamatan dan kelurahan. Penelitian ini dilaksanakan dengan pendekatan kualitatif dimana pengumpulan data primer dilakukan dengan wawancara mendalam dan Fokns Grup Disknsi dan bertujuan untuk mendapatkan informasi aplikasi pelaksanaan SIK di Puskesmas Kecamatan Pasar Minggu dalam kurun waktu 2006 Ð 2007. Dari hasil penelitian terlihat bahwa program SIK Integrasi telah dilaksanakan di Puskesmas Kecamatan Pasar Minggu namun belum berjalan baik bahkan banyak Hambatan dan kendala hal ini disebabkan antara lain karena pelaksana SIK mempunyai tugas ganda dan kurang terjalin kerjasama yang baik antar pegawai, tidak adanya dana untuk pemeliharaan dan perbaikan komputer dan kurangnya dukungan dari Kepala Puskesmas. Saran yang diberikan sehubungan dangan hasil penelitian adalah melakukan sosialisasi manfaat program SIK lntegrasi di tingkat pimpinan dan pembuat kebijakan yang berdampak pada dukungan moril dan anggaran, pelatiban terhadap petugas SIK secara terus menerus serta evaluasi pelaksanaan program SIK Integrasi untuk terwujudnya pengembangan sistem informasi yang lebih baik di masa yang akan datang.
The efforts of recording and reporting are parts of management system at Health Centre. Work of recording and reporting are meant limitedly as simply collecting data, data recapitulation or tabulation, making and sending report. To implement its function, Health Centre needs to be suppotted by reliable Health Information System. It is inevitable that information technology will become an essential part in public health practice at this moment in the digital era. The main reason in applying information technology is that it will make public health service more efficient, increase work productivity and effectiveness and also streegthen organization strategic function of public health by using health information from various sources. Integrated health information system program (SIK Integration) gives the instructions step by step to do information management integrated, comprehensively by using technology progress optimally. The purpose of SIK Integration management at Health Centre is to provide accurate quick and comprehensive health information, at village and sub district Health Centre . This study was done applying a qualitative method where primary data collect on was done through Indepth Interviews and Focus Group Discussions and aiming at getting understanding on the application of SIK at Health Centre of Pasar Minggu at the period of2006· 2007. The study result indicated that integrated SIK program has been implemented at Health Centre of Pasar Minggu, but it does not work well yet, even there are many constraints or resistences. Which one caused by the fact that SIK executor has double duties and weak relationship on activity among officers, there is no fund for maintenance and repair of computers and lack of support from head of Health Centre. Referring to the study result, it was suggested to do program benefit socialization of the integrated SIK at the level of policy maker and decision maker who will provide of moral support and budget, continued training of SIK officers and also evaluation of program implementation of integrated SIK for the better information system development in the future.