Main Article Content

Abstract

Since the beginning of 2014 BPJS Kesehatan has been operating as a "single payer" by introducing a health service referral system is the provision of health services that regulate the delegation of duties and responsibilities of health services reciprocally both vertically and horizontally. With the adoption of new systems and quality improvement demands, hospitals are one of the providers of health care facilities, so all hospitals in Indonesia seem to be required to improve and make improvements in their service systems. To implement improvements, methods are needed so that improvements can be realized. One method that is currently developing in system improvement and process efficiency is the Lean Six Sigma method. By looking at the successful implementation of Lean Six Sigma in the health service sector (Lean Hospital) in several health service organizations in various countries, one of the hospitals in Indonesia that is currently improving health service governance is Rumah Sakit Ibu dan Anak Harapan Mulia also has the same potential in implementing Lean Hospital. Based on the results of Lean Six Sigma research, it was able to be applied with LCM tools on improving the BPJS tiered referral patient service process at RSIA Harapan Mulia by reducing the total time of service completion both from service users 351 minutes to 122 minutes or 65.2% and from the service provider 481 to 153 minutes or 68.2%. Activities with Added value also increased from 25.6% to 43.4% from the service user side and from 16.2% to 39.9% from the service provider side. While non-added value was reduced both from the service user side from 74.4% to 56.6% and service provider side from 83.8% to 60.1%.

Article Details

Author Biography

Tantri Yanuar Rahmat Syah, Magister Management of Economic and Business, Esa Unggul Universities, Jakarta, Indonesia

 

How to Cite
Syah, T. Y. R., Nurohim, A., & Hadi, D. S. (2020). Lean Six Sigma Concept in The Health Service Process in The Universal Health Coverage of BPJS Healthcare (Healthcare and Social Security Agency). Proceeding UII-ICABE, 1(1), 71–88. Retrieved from https://journal.uii.ac.id/icabe/article/view/14696

References

  1. Arfmann, D., & Barbe, G. T. (2014). The Value of Lean in the Service Sector : A Critique of Theory & Practice, 5(2), 18–24.
  2. Artadi, R., Yanuar, T., & Syah, R. (2019). Lean Service Design in Purchasing Order of Motorcycles : Case Study at Mandiri Utama Finance Branches Tangerang , Indonesia, 01(01), 1–5.
  3. Chen, J. C., & Thota, C. (2012). Implementing Lean Methodologies in Healthcare Systems - A Case Study Caterpillar Inc. Proceedings of the 2012 International Conference on Industrial Engineering and Operations Management, 1046–1054.
  4. D'Andreamatteo, A., Ianni, L., Lega, F., & Sargiacomo, M. (2015). Lean in healthcare: A comprehensive review. Health Policy, 119(9), 1197–1209. https://doi.org/10.1016/j.healthpol.2015.02.002
  5. Ginanjar, A., Yanuar, T., & Syah, R. (2019). Lean Government Concept and Design Over Service Administration in Indonesian ID Card, 01(01).
  6. Kumar, S., & Bauer, K. F. (2010). Exploring the Use of Lean Thinking and Six Sigma in Public Housing Authorities, 29–46.
  7. Lighter, D. E. (2014). The application of Lean Six Sigma to provide high-quality, reliable pediatric care. International Journal of Pediatrics and Adolescent Medicine, 1(1), 8–10. https://doi.org/10.1016/j.ijpam.2014.09.009
  8. Moraros, J., Lemstra, M., & Nwankwo, C. (2016). Lean interventions in healthcare: Do they actually work? A systematic literature review. International Journal for Quality in Health Care, 28(2), 150–165. https://doi.org/10.1093/intqhc/mzv123
  9. Papadopoulos, T. (2012). Continuous innovation through lean thinking in healthcare: the role of dynamic actor associations. International Journal of Technology Management, 60(3/4), 266. https://doi.org/10.1504/IJTM.2012.049442
  10. Secchi, R., & Camuffo, A. (2019). Lean implementation failures : the role of organizational ambidexterity. International Journal of Production Economics. https://doi.org/10.1016/j.ijpe.2019.01.007
  11. Siu, A., Cheng, Y., Bamford, D., Papalexi, M., & Dehe, B. (2015). Improving access to health services – Challenges in Lean application Journal : International Journal of Public Sector Management Manuscript ID : IJPSM-05-2014-0066 . R1 Manuscript Type : Case Study Keywords : lean , healthcare , Service redesign , Co-prod.
  12. Sunaryanto, K., Yanuar, T., & Syah, R. (2019). Application of Lean Thinking Development : Case Study over Badan Pendapatan Daerah ( BAPENDA ), South Tangerang Based on Lean Government, 20–26.
  13. Syukron, Amin. (2013), Six Sigma – Quality for Business Improvement, Edisi Pertama, Yogyakarta: PT. Graha Ilmu
  14. Pojasek, R.B., (2003), Lean, Six Sigma and the Systems Approach: Management initiatives for Process Improvement. Environmental Quality Management, Vol. 13, No. 2, pp. 85-92
  15. Liker, J.K., Franz, J.K. (2011), The Toyota Way to Continuous Improvement. New York: McGraw-Hill
  16. Larsson, Linus, (2008), Lean Administration. Inbunden, Svenska, Liber Malmo
  17. Andersson, R., Eriksson, H., Torstensson, H., (2006), Similarities and Differences between TQM, Six Sigma and Lean. The TQM Magazine, Vol. 18 Iss: 3, pp. 282-296
  18. Gasperzs, Vincent (2012), All in one, Strategic Management, Lean Six Sigma Black Belt, Jakarta: PT. Percetakan Penebar Swadaya
  19. Gasperzs, Vincent (2011), Lean Six Sigma, Jakarta: PT. Percetakan Penebar Swadaya.