IDENTIFIKASI WASTE DI RUANG RAWAT JALAN DAN RAWAT INAP RUMAH SAKIT ISLAM SURABAYA

Abstract

Hospitals as healthcare providers are demanded more competitive in the era of national health
insurance. Therefore the hospital faces the challenges of improving the quality of health services by
using available resources. The study aims to to identify waste in outpatient and inpatient rooms of
Surabaya Islamic Hospital. The descriptive study involved 90 patients from outpatient and inpatient
rooms. The study found waste by defect category, waiting time, non utilize talent, transportation,
inventory, motion, and extra processing based on business process analysis. Category of waste over
production not found. The causes of the occurrence of waste most comes from the man, material, and
method factors. Program recommendations include scheduling patient-based arrival of service
group, visite scheduling and polyclinic service and temporary payment method change, for inpatient
program program consisting of 5R program implementation, rearranging standard operating
procedure of patient's diet information, improvement of prescribing system for patient and standard
operating procedure rearrangement return of insurance patients.