ABSTRAK
Penerapan Lean Manajemen Pada Pelayanan Rawat JalanPasien BPJS Rumah Sakit Hermina Depok Tahun 2017Lamanya waktu tunggu dalam pelayanan rawat jalan akan menghambat pelayanan,dan berdampak pada penumpukan antrean dan inefisiensi pelayanan. Penelitian inibertujuan menganalisis penerapan metode lean pada pelayanan rawat jalan pasienBPJS di rumah sakit Hermina Depok tahun 2017. Penelitian dengan metodekualitatif ini mengobservasi waktu pelayanan pasien rawat jalan BPJS untukmelihat dan memotret kondisi alur pelayanan pasien rawat jalan BPJS. Pada valuestream mapping pasien tanpa pemeriksaan penunjang, waktu proses cycle time tercepat adalah pada saat pasien di kasir yaitu 2,2 menit dan paling lama adalahpada saat pasien mendapat pemeriksaan dokter yaitu 12,6 menit. Waktu tunggu waiting time paling lama pada saat pasien menunggu obat di farmasi yaitu 96,2menit 1 jam 36 menit dan paling cepat adalah pada saat pasien menunggu di kasiryaitu 4,4 menit. Pada value stream mapping pasien dengan pemeriksaan penunjanglaboratorium, waktu proses cycle time tercepat adalah pada saat proses pasiendikasir 4,2 menit, dan paling lama pada saat pasien mendapat pemeriksaan dokteryaitu 12,6 menit. Waktu tunggu waiting time terlama pada saat pasien menunggudokter yaitu 126,2 menit 2 jam 6 menit dan paling cepat pada saat pasienmenunggu proses di kasir 2,2 menit. Pada value stream mapping pasien denganpemeriksaan penunjang radiologis, waktu proses cycle time tercepat pada saatproses pasien dikasir yaitu 4,8 menit, paling lama pada saat proses pemeriksaanradiologi yaitu 67,2 menit 1 jam 7 menit . Waktu tunggu waiting time terlamapada saat pasien menunggu dokter 95,6 menit 1 jam 35 menit , paling cepat padasaat proses pasien di kasir 4,4 menit. Hasil penelitian menunjukkan 90 waktupelayanan merupakan kegiatan non value added dan hanya 10 kegiatan yangvalue added, dengan jenis-jenis waste nya adalah defect, over production, waiting,transportation, inventory, motion, dan over processing. Analisis future state denganusulan perbaikan metode lean secara simulatif yaitu 5S, Kanban Inventory, visualmanagement menurunkan kegiatan non value added menjadi 78,30 danmeningkatkan kegiatan value added menjadi 21,70 .Rekomendasi dengan melakukan perbaikan jangka pendek, jangka menengah danjangka panjang melalui program pelaksanaan metode lean berkelanjutan.Kata kunci : Metode lean, rawat jalan, waktu tunggu, kegiatan value added,kegiatan non value added.

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ABSTRACT
The Aplication of Lean Method on Outpatient BPJSServices at Hermina Depok Hospital in 2017.The length of waiting time in the hospital outpatient service is important forefficient hospital service. Long waiting time leads to accumulating queue andinefficient service. This study was aimed to analyze the application of lean methodon outpatient BPJS services at Hermina Depok Hospital in 2017. This qualitativeresearch method investigated the time spent by BPJS outpatient patient by applyinglean method and observing the outpatient service flow condition. The first result,the value stream mapping VSM of patients without any adjunctive examinations i.e., laboratory or radiology , the fastest cycle time was observed at the receptiondesk 2.2 minutes and the longest at the doctor examination room 12.6 minutes .The longest waiting time was at drug prescription process at pharmaceutical unit 96.2 minutes or 1 hour,36 minutes and checkout was the fastest 4.4 minutes .Second result, the VSM with laboratory examination, the fastest time cycle was atthe reception desk 4.2 minutes , and the longest was observed at the doctorexamination 12.6 minutes . The longest waiting time at the doctor waiting room 2hours 6 minutes and checkout was the fastest 2.2 minutes . Third result, the VSMwith radiologic examination, the fastest cycle time was observed at the receptiondesk 4.8 minutes , the longest cycle time was at the radiology examination process 67.2 minutes or 1 hour, 7 minutes . The longest waiting time was observed at thedoctor examination room 95.6 minutes or 1 hour, 35 minutes and checkout wasthe fastest 4.4 minutes . The results showed that 90 service time was non valueadded activity and only 10 of value added activity. The wastes were defect, overproduction, waiting, transportation, inventory, motion, and over processing. Afterconducting future state analysis with the proposed improvement with simulativelean method 5S, Kanban Inventory, visual management , it was found that nonvalue added activity became 78,30 and value added activity became 21,70 .Future recommendation is important to organize short , medium and long termimprovements through implementation of sustainable lean method program.Keywords Lean method, outpatient waiting time, value added activity, non valueadded activity