ABSTRAKPelaksanaan Program Jaminan Kesehatan Nasional (JKN) menyebabkan peningkatan kunjungan pasien IGD danangka pasien boarding sehingga terjadi penumpukan (stagnasi) pasien di IGD. RSUD Koja telah menerapkanmanajemen tempat tidur dalam rangka mereduksi waktu boarding pasien IGD tetapi belum optimal, sehinggadilakukan upaya untuk membantu mereduksi waktu boarding pasien IGD ke rawat inap dalam rangka perbaikanyang berkelanjutan sesuai prinsip lean thinking. Penelitian operasional ini mencakup intervensi dengan siklusPDCA (plan, do, check, action). Hasil penelitian menunjukkan penerapan lean thinking dapat mereduksi waktuboarding pasien IGD ke rawat inap dari rata-rata 4 jam 45 menit 18 detik (34,92 %) menjadi 3 jam 25 menit 59detik (68,25 %) dan menurunkan aktivitas non value added sebesar 2,02% (dari 93,16% menjadi 91,14%).Delapan jenis waste yang teridentifikasi dapat dieliminasi kecuali waste jenis waiting. Dalam rangka perbaikanyang berkelanjutan selanjutnya manajemen tempat tidur perlu ditetapkan sebagai persyaratan standard kerjauntuk menuju waktu boarding rata-rata menjadi 1 jam 45 menit 45 detik dengan aktivitas non value addedkurang dari 89,83% di masa mendatang.

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ABSTRACTThe implementation of the National Health Insurance Program (Program JKN) affects the increased number ofpatients to emergency unit and boarding patients that resulting crowding in the emergency unit. Koja Hospitalhas implemented bed management in order to reduce the boarding time of emergency unit patients but has notsucceeded, so an effort to help reducing the boarding time of emergency unit patients to inpatient in order tocontinuous improvement was done using the lean thinking principle. This research uses operational researchmethod and intervention with PDCA (Plan, Do, Check, Action) cycle. The study revealed that lean thinkingapproach could reduce the boarding time of emergency unit patients to hospitalization from the average of 4hours 45 minutes 18 seconds (34.92%) to 3 hours 25 minutes 59 seconds (68.25%) and decrease the activity ofnon value added at 2.02% (from 93.16% to 91.14%). Eight types of waste identified can be eliminated exceptwaiting. In order to continuous improvement, bed management should be set as standardized work for the goalof average boarding time of 1 hour 45 minutes 45 seconds with non value added activities less than 89.83% inthe future.