Proses bisnis yang penting dalam organisasi rumah sakit salah satunya adalah manajemen pengelolaan perbekalan farmasi. Manajemen pengelolaan perbekalan farmasi di RSPG Cisarua Bogor melibatkan tim dimulai dari tahapan perencanaan, pengadaan, penyimpanan dan distribusi. Hambatan internal dalam proses perencanaan dan pengadaan perbekalan farmasi merupakan hambatan yang bisa dikendalikan dengan intervensi secara internal dalam proses bisnis di dalam rumah sakit. Penelitian ini fokus pada usulan perubahan sistem manajemen pengelolaan perbekalan farmasi khususnya perencanaan dan pengadaan di internal RSPG Cisarua Bogor. Intervensi dalam proses pengadaan menggunakan lean six sigma sebagai alat bantu evaluasi untuk menentukan titik-titik lemah dalam penelitian ini hanya sampai pada tahap improve. Pengumpulan data menggunakan wawancara mendalam dengan informan yang terkait proses perencanaan dan pengadaan perbekalan farmasi, observasi dan penelusuran dokumen kemudian diakhiri dengan diskusi kelompok untuk menentukan kesepakatan bersama. Hasil penelitian menunjukkan bahwa ketiadaan prosedur tetap dalam proses pengadaan perbekalan farmasi membuat lamanya prosedur berjalan dan tidak ada tolak ukur efisiensi dalam sistem. Alat bantu dalam proses pengadaan perbekalan farmasi juga tidak ada sehingga komunikasi internal antar bagian walaupun dalam satu tim yang sama menjadi rendah. Pada tahapan improve dari lean six sigma menghasilkan usulan perubahan standar operasional prosedur untuk proses pengadaan perbekalan farmasi rutin, penggunaan indikator efisiensi pengadaan dan pemanfaatan ABC VEN sebagai alat bantu dalam proses pengadaan perbekalan farmasi. Usulan perbaikan penggunaan ABC VEN dan indikator efisiensi perencanaan untuk mengatasi waste over production yang teridentifikasi selama proses perencanaan perbekalan farmasi. Usulan penetapan standar operasional prosedur baru yang memuat timeline, alat bantu pengelompokan perbekalan farmasi berdasarkan ABC VEN dan indikator efisiensi pengadaan untuk mengatasi waste waiting dalam proses pengadaan perbekalan farmasi.

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One of the important business processes in hospital organizations is the management of pharmaceutical supplies. The management of pharmaceutical supplies management at RSPG Cisarua Bogor involves teams starting from the stages of planning, procurement, storage and distribution. Internal obstacles in the process of planning and procuring pharmaceutical supplies are obstacles that can be controlled by internal intervention in business processes within the hospital. This research focuses on proposed changes in the management system of pharmaceutical supply management, especially planning and procurement within RSPG Cisarua Bogor. Intervention in the procurement process using lean six sigma as an evaluation tool to determine weak points in this study only reached the improvement stage. Data collection used in-depth interviews with informants related to the process of planning and procuring pharmaceutical supplies, observation and document tracing then ended with group discussions to determine mutual agreement. The results showed that the absence of fixed procedures in the process of procuring pharmaceutical supplies made the procedure run longer and there was no benchmark of efficiency in the system. Tools in the process of procuring pharmaceutical supplies are also absent so that internal communication between departments even in the same team is low. At the improve stage of lean six sigma produced proposals for changes to standard operating procedures for routine pharmaceutical supply procurement processes, the use of procurement efficiency indicators and the use of ABC VEN as a tool in the pharmaceutical supply procurement process. Proposed improvements in the use of ABC VEN and planning efficiency indicators to address waste over production identified during the pharmaceutical supply planning process. Proposed establishment of new standard operating procedures containing timelines, tools for grouping pharmaceutical supplies based on ABC VEN and procurement efficiency indicators to overcome waste waiting in the pharmaceutical supply procurement process.

Latar Belakang: Pengadaan alat medis di rumah sakit merupakan proses yang kompleks dan dipengaruhi oleh berbagai faktor, termasuk kebijakan pengadaan, efisiensi keuangan dan kebutuhan akan manajemen teknologi medis yang efektif. RSUD Oto Iskandar Di Nata mendapat tantangan efisiensi pengadaan alat medis dikarenakan rekam jejak investasi alat medis yang tidak efektif dan efisien selama 5 tahun terakhir ditambah keterbatasan anggaran akibat penurunan dana Transfer Ke Daerah.  Terbitnya kebijakan transformasi rumah sakit berbasis kompetensi yang dititikberatkan kepada ketersediaan alat kesehatan melatar belakangi perlunya mengevaluasi alur pengadaan alat medis yang berjalan saat ini dan merumuskan model transformasi sistem pengadaan alat medis di RSUD Oto Iskandar Di Nata melalui penerapan kerangka kerja Value-Based Procurement (VBP) yang diharapkan dapat mengoptimalkan proses pengambilan keputusan pengadaan sehingga mendukung efisiensi penggunaan sumber daya rumah sakit.. Metode: Penelitian ini menggunakan desain kualitatif dengan metode pengambilan data dengan wawancara mendalam sebagai teknik pengambilan data utama. 14 orang informan dipilih dengan metode purposive sampling yang berasal dari tim manajemen, tim pengadaan dan pengguna. Penelitian dilaksanakan pada bulan Maret-Mei 2026 di RSUD Oto Iskandar Di Nata Kabupaten Bandung. Data yang didapatkan dianalisis dengan metode analisis tematik guna mengidentifikasi pola nilai pengadaan Hasil: Hasil penelitian menemukan bahwa pengadaan alat medis modal belum optimal. RS masih menggunakan prinsip pengadaan tradisional yang mengedepankan harga penawaran terendah. Identifikasi pengadaan berbasis nilai menemukan bahwa selain harga penawaran terendah ada aspek lain yang yang belum terformularisasikan ke dalam instrumen penilaian pengadaan. Pada aspek nilai harga, alat dipilih berdasarkan nilai pembelian yang ditawarkan dan harga pemeliharaan pasca pembelian. Pada aspek kualitas, alat dipilih berdasarkan nilai keramahan terhadap pengguna serta tingkat keterjagaan mutu serta inovasi alat. Pada aspek dampak, alat diharapkan menimbulkan peningkatan mutu layanan, penjagaan finansial dan peningkatan daya saing rumah sakit. Kesimpulan: Pengadaan alat medis modal di RSUD Oto Iskandar Di Nata belum berjalan dengan optimal. Tidak adanya regulasi internal terkait pengadaan membuat tidak terstandarisasinya proses pengadaan. Dalam upaya optimalisasi pengadaan dengan penerapan Value-Based Procurement (VBP), matriks penilaian pengambilan keputusan pengadaan dibuat dengan mempertimbangkan keseimbangan antara kualitas, manfaat klinis, efisiensi biaya, keberlanjutan operasional, dan dampak terhadap rumah sakit, alih-alih hanya berpatokan pada harga beli termurah

Background: Medical device procurement in hospitals is a complex process influenced by various factors, including procurement policies, financial efficiency, and the need for effective medical technology management. RSUD Oto Iskandar Di Nata faces challenges in achieving procurement efficiency due to a history of ineffective and inefficient medical device investments over the past five years, compounded by budget constraints resulting from reductions in intergovernmental transfer funds. Furthermore, the implementation of hospital transformation policies based on service competencies, which emphasize the availability of medical devices and equipment, has underscored the need to evaluate the existing procurement process and formulate a transformative medical device procurement model at RSUD Oto Iskandar Di Nata. This transformation is proposed through the adoption of a Value-Based Procurement (VBP) framework, which is expected to optimize procurement decision-making processes and enhance the efficient utilization of hospital resources. Methods: This study employed a qualitative research design, with in-depth interviews serving as the primary data collection method. Fourteen informants were selected using purposive sampling and consisted of members of the management team, procurement team, and end users. The study was conducted between March and May 2026 at RSUD Oto Iskandar Di Nata, Bandung Regency, Indonesia. The collected data were analyzed using thematic analysis to identify procurement value patterns Results: The findings revealed that the current capital medical device procurement process has not been optimized. The hospital continues to rely on a traditional procurement approach that prioritizes the lowest bid price. The assessment of value-based procurement identified additional dimensions beyond the lowest acquisition cost that have not yet been formally incorporated into the procurement evaluation framework. Regarding the cost dimension, procurement decisions are influenced by both the purchase price and post-purchase maintenance costs. In terms of quality, devices are selected based on user-friendliness, quality assurance, and technological innovation. Concerning impact, medical devices are expected to contribute to improvements in service quality, financial sustainability, and the hospital’s competitive advantage. Conclusion: Capital medical device procurement at RSUD Oto Iskandar Di Nata has not been functioning optimally. The absence of internal regulations governing procurement has resulted in a lack of standardization in the procurement process. In an effort to optimize procurement through the application of Value-Based Procurement (VBP), a procurement decision-making assessment matrix was developed that considers the balance between quality, clinical benefit, cost efficiency, operational sustainability, and impact on the hospital, rather than relying solely on the lowest purchase price.