Proses pelayanan pasien lama rawat jalan umum di Rumah Sakit Jantung danPembuluh Darah Harapan Kita berkaitan dengan waktu tunggu pemeriksaanpasien poliklinik, belum mencapai target standar pelayanan minimal rumah sakitkurang dari 60 Menit. Hal ini mengakibatkan pelayanan menjadi tidak efisien.Metode Lean merupakan suatu metode yang diharapkan dapat meningkatkanefisiensi pada proses pelayanan pasien lama rawat jalan umum.Penelitan kualitatif dengan menggunakan prinsip Lean Thinking untuk menggambarkanalur proses pelayanan pasien lama rawat jalan umum, menghitung Cycle Time danLead Time dan menganalisai Waste yang terjadi.Hasil penelitian digambarkandalam current state value stream mapping menunjukkan bahwa 12 total waktuyang dibutuhkan untuk kegiatan value added sedangkan 88 total waktu layananmerupakan waktu yang digunakan untuk kegiatan non value added Waste .Usulan perbaikan dengan metode Lean dapat menurunkan presentasi non valueadded activity.Kata Kunci :Lean; Non Value Added; Proses pelayanan; Value Added; Waste.

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The service process of old patient at outpatient poly services in Rumah SakitJantung Dan Pembuluh Darah Harapan Kita related to waiting time examinationof the patients, it has not reached the target of minimum service standards forhospital less than 60 minutes. This resulted in services being inefficient. Leanmethod is a method that is expected to improve efficiency in service process onold patients at outpatient general services.

Qualitative research by using theprinciples of Lean Thinking to illustrate the process flow patient service on oldpatients at outpatient general services, calculated cycle time and lead time andanalyzed waste that occurs.

The results of the study are described in the currentstate value stream mapping showed that 12 of the total time required for valueadded activities, while 88 of total service time is the time spent on non valueadded activities Waste . Proposed improvements with Lean methods can reducenon value added activity presentation.Keywords Lean Non Value Added Process service Value Added Waste.