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"Unit Gawat Darurat (UGD) RSUD Cianjur memberikan kontribusi yang besar dalam citra RSUD dan mempunyai fungsi sosial yang utama untuk melayani kebutuhan masyarakat kabupaten Cianjur. Sejalan dengan misi dan visi RSUD, UGD ini akan dikembangkan menjadi suatu Pusat Penanganan Rudapaksa. Oleh karena itu diperlukan suatu perencanaan strategik agar UGD RSUD Cianjur dapat memanfaatkan kekuatan yang dimiliki dan peluang yang ada, serta meminimalkan kelemahan dan mengatasi ancaman eksternal, sehingga tujuan pengembangan tersebut dapat tercapai. Untuk dapat menyusun perencanaan strategik UGD RSUD Cianjur, dilakukan penelitian analisa kualitatif dan kuantitatif, dengan bantuan peramalan yang menggunakan model Time Series Forecasting dari program QSB+. Penyusunan strategi ini melalui tahap awal masukan (input stage) yang terdiri dari analisa Iingkungan eksternal dan internal UGD RSUD Cianjur yang dilakukan dengan tehnik Consensus Decision Making ( CDM ) antara Direktur, Kepala UGD dan Kepala perawat. Kemudian dilanjutkan dengan tahap analisis ( matching stage) dengan internal - Eksternal dan TOWS Matrix. Setelah itu diteruskan dengan tahap pengambilan keputusan ( decision stage) dngan menggunakan matriks perencanaan strategi kuantitatif ( QSPM). Dari hasil penelitian, pemilihan alternatif strategi berdasarkan IE Matrix memperlihatkan posisi UGD pada kuadran 5 yang berarti growth and stabilisasi. Sedangkan pada TOWS matrix menghasilkan posisi UGD pada kuadran future. Berdasarkan kedua posisi tersebut, strategi yang dianjurkan adalah market develoment, market penetration dan product develoment. Penelitian ini menyimpulkan bahwa strategi ekspansi adalah strategi yang terpilih untuk melaksanakan dan merealisasikan visi UGD RSUD Cianjur. Sedangkan saran yang diajukan agar perencaan ini dapat direalisasikan, adalah diperlukannya pemantauan agar pelaksanaan perencanaan ini dapat tercapai.

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The Emergency Unit of Cianjur District Hospital (UGD RSUD Cianjur) has been contributing a great deal of the Hospital services image and has also the social function in fulfilling the Cianjur peopIe's need. In accordance to the Hospital vision, this unit needs to developed into a Trauma Centre. ln achieving this goal, a strategic planning is necessary so that this unit can use its strength and opportunities, to minimise its weakness and overcome external threats ,in order to achieve the planned development.

In order also to make a strategic plan for the UGD, a study with qualitative and quantitative analyses is done, aided by the use of the Time Series Forecasting of the QSB+ model. The compilation of strategy is set through an initial input stage which consist the external and internal environmental analyses ofthe UGD RSUD Cianjur using the Consensus Decision Making ( CDM ) among The Director, The Emergency Chief and the Nurses Chief. Then an analytical (matching) step using the lnternal-External and TOWS matrices, followed by the decision stage with the quantitative strategic planning matrix ( QSPM ).

This study shows that the strategy selection based on the IE Matrix indicates that the position of the unit is in 5th quadrant denoting growth and stabilisation. As of the result from the TOWS matrix indicates the position in the future quadrant. Considering all the position, the recommended strategy is market development, market penetration and product development.

Finally this study concludes the expansion strategy as the strategy choice to enact the vision and the aim. It is advised that in order to realise the strategy, a monitoring is needed."

"Penelitian ini bertujuan merancang usulan perbaikan efektivitas dan efisiensi pelayanan radiologi RS Pusat Otak Nasional dengan menerapkan metode constraint lean six sigma. Penelitian ini dirancang dengan desain kualitatif dan kuantitatif. Data kuantitatif didapat dari hasil observasi lamanya waktu pelayanan radiologi di RS Pusat Otak Nasional. Jumlah sampel penelitian sebanyak 30 sampel.Hasil penelitian ini yaitu rata-rata lead time pelayanan sebesar 2 jam 13 menit. Waktu NVA tertinggi terdapat pada siklus pengolahan ekspertise. Waktu NVA tertinggi terdapat pada jenis waste yaitu waiting dan processing. Penyebab utama NVA pada kedua waste tersebut adalah PACS system error dan waktu tunggu hasil baca foto/scaning.Hasil penelitian menemukan 7 sampel memiliki waktu tunggu pelayanan radiologi > 3 jam. Sebesar 57 dari total defect pelayanan dikontribusi oleh pemeriksaan di luar jam kerja dan hari libur. Usulan perbaikan yang diperlukan yaitu Standardize work berupa Standar Prosedur Operasional SPO pengiriman foto/scaning pemeriksaan CITO di luar jam kerja dan hari libur, evaluasi rutin alat PACS, dan penerapan radiology information system RIS yang terintegrasi.

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This study aims to design a proposal to improve the effectiveness and efficiency of radiology service of National Brain Hospital by applying the method of constraint lean six sigma. This research is designed with qualitative and quantitative design. Quantitative data obtained from the observation of the length of time radiology services at National Central Medical Center. The sample size is 30 samples.

The results of this study is the average service lead time of 2 hours 13 minutes. The highest NVA time is in the experimental processing cycle. The highest NVA time is in the type of waste that is waiting and processing. The main causes of NVA in both waste are PACS system error and waiting time of reading radiograph.

The results of the study found 7 samples have radiology service waiting time 3 hours. 57 of the total service defect was contributed by after hours and holidays. The proposed improvements required are Standardize work in the form of Standard Operating Procedures SPO of sending radiograph CITO in after hours and holidays, routine quality control of PACS tools, and integrated radiology information system RIS application."

"ABSTRAKTesis ini membahas kepatuhan para petugas di kamar operasi dalam menerapkan program keselamatan pasien, khususnya kepatuhan dalam menerapkan verifikasi perioperative di Instalasi Kamar Operasi RSPAD Gatot Soebroto Ditkesad. Penelitian ini merupakan penelitian kuantitatif dengan rancangan cross sectional, dengan sampel 93 orang responden yang terdiri dari para dokter dan perawat . Hasil penelitian menunjukkan bahwa terdapat hubungan antara kapatuhan dengan pendidikan ( p = 0,030 ) , semakin tinggi tingkat pendidikan akan menaikkan nilai kepatuhan sangat baik sebesar 1,545 kali dibandingkan dengan yang berpendidikan lebih rendah. Ternyata tidak terdapat hubungan antara kepatuhan dengan berbagai karakteristik lainnya ( usia, jenis kelamin, status perkawinan, lama bekerja, pengalaman pelatihan, pengetahuan, sikap dan peran kepemimpinan ). Kepatuhan petugas di Rumah Sakit Tentara kemungkinan memiliki budaya tersendiri dibandingkan dengan kepatuhan petugas di Rumah Sakit pemerintah lain maupun Rumah Sakit swasta, oleh karena kepatuhan merupakan hal yang mutlak dilaksanakan di Instansi tersebut. Disarankan agar faktor pendidikan dijadikan sebagai salah satu acuan dalam menempatkan personil di Instalasi Kamar Operasi.

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ABSTRACTThis thesis discusses the compliance officers of the operating room in implementing patient safety programs, especially in the compliance verification in the operating room perioperative Installation RSPAD Gatot Soebroto Ditkesad. This research is quantitative research with cross sectional design, with a sample of 93 people respondents consisting of doctors and nurses. The results showed that there is a relationship between compliance with education ( p = 0.030 ). The higher the level of education will raise the value of the excellent compliance of 1,545 times compared to the lower educated. It turns out there was no relationship between compliance with a variety of other characteristics ( age, sex, marital status, number of years work experience, training, knowledge, attitude and leadership roles ). Compliance officers at Army Hospital likely has its own culture compared with compliance officers at government hospitals and private hospitals by the due obedience is an absolute must be carried out in the establishments."

"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."

"ABSTRAKNama : Selly MarisdinaProgram Studi : Kajian Administrasi Rumah SakitJudul : Manajemen lean terhadap proses pelaksanaan CT Scan kepalapasien stroke iskemik di Instalasi Gawat Darurat RSUP Dr. Moh.Hoesin PalembangWaktu tunggu proses pelaksanaan CT Scan kepala pasien stroke iskemik diIntalasi Gawat Darurat RSUP Dr. Moh Hoesin belum standar. Tujuan penelitianadalah menerapkan manajemen lean terhadap proses pelaksanaan CT Scan kepalapasien stroke iskemik di IGD. Penelitian ini menggunakan metode operationalresearch. Hasil penelitian didapatkan lead time Current Visual Stream Map VSM adalah 175,41 menit. Pada Simulated VSM didapatkan penurunan lead timeyang signifikan menjadi 30,09 menit, peningkatan persentase Value AddedActivities dan penurunan Non Value Added activites. Disimpulkan bahwapenerapan manajemen lean telah berhasil memperbaiki waktu tunggu prosespelaksanaan CT Scan kepala pasien stroke iskemik di IGD.Kata kunci: lean, value added, non value added but neccessary, non value added,current, lead time value streaming map, simulated value streaming map

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ABSTRACTName Selly MarisdinaStudy Progam Hospital Adiministration ProgramJudul Lean management in Head CT Scan Proses of Ischemic StrokePatients inMohammad Hoesin Hospital PalembangThe waiting time of head CT Scan prosess of ischemic stroke patient inEmergency Departement of Mohammad Hoesin Hospital Palembang has not beenstandard yet. The objectives was to apply lean management in this process byoperational research. We found that lead time of Current Visual Stream Map is175,41 minutes and in Simulated VSM, there were a significant decrease of leadtime to 30,09 minutes, increase of Value added Activites percentage and decreaseof Non Value Added Activites. Lean management has been successfully improvedthe waiting time of head CT Scan proses of ischemic stroke patient in ED.Key word lean, value added, non value added but neccessary, non value added,current, lead time value streaming map, simulated value streaming map"

"Standar Pelayanan Minimal Kemenkes No 129 Tahun 2008 yaitu respon time dankepuasan pelanggan. Salah satu cara untuk meningkatkan kinerja denganmenerapkan metode Lean. Penelitian ini menggunakan operasional researchdengan pendekatan kualitatif bertujuan untuk melihat kinerja pelayanan IGDRumah Sakit Umum Daerah Cilincing sebelum dan sesudah penerapan metodeLean.Hasil penelitian menunjukkan sebagian besar waktu pelayanan merupakannon value added waste sebesar 65.39 sedangkan kegiatan value added sebesar34,61. Setelah penerapan metode Lean di IGD menghasilkan perbaikan kinerjapelayanan IGD dengan menurunkan kegiatan non value added menjadi 38,6 danmeningkatkan kegiatan value added menjadi 61,4 . Perbaikan respon time dari30,37 menjadi 10,4 menit dan kepuasan pelanggan dari 60,28 menjadi 77,78 .Keynote :Metode Lean, Value Added, Non Value Added, Kinerja, Respon Time, KepuasanPelanggan

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Name Netty SiahaanStudy Program Hospital Administration StudyJudul Application of Lean Method on Improving Service Performanceof IGD at Cilincing Hospital 2017The performance of service at IGD Cilincing Hospital still under MinimumService Standard Kemenkes No 129 2008 that is the response time and customersatisfaction. One way to improve performance by applying the Lean method. Thisresearch uses operational research with qualitative approach aims to see serviceperformance of IGD Cilincing Hospital Area before and after application of Leanmethod.The result of research shows that most of service time is non value added waste equal to 65.39 while value added activity is 34,61. After theapplication of Lean method in IGD resulted in improved performance of IGDservices by decreasing non value added activities to 38.6 and increasing valueadded activities to 61.4. Improved response time from 30.37 to 10.4 minutes andcustomer satisfaction from 60.28 to 77.78 .Keywords Lean Method, Value Added, Non Value Added, Performance, Response Time,Customer Satisfaction."

"ABSTRAKRendahnya cakupan penemuan kasus TB di Indonesia berdampak padaberlanjutnya proses transmisi infeksi Mycobacterium Tuberculosis M.tb dimasyarakat. Pondok pesantren merupakan populasi rentan dan berisiko dengankarakteristik hunian relatif padat, sanitasi lingkungan kurang sehat. Beberapakasus TB terjadi di pondok pesantren, akibat rendahnya kesadaran santri terhadapgejala TB sehingga berdampak pada akses layanan kesehatan. Perlu upayapengendalian TB dengan melibatkan masyarakat sebagai solusi ketika pemerintahkurang memiliki kapasitas menyediakan layanan dan menjangkau penderita TB.Permasalahan yang sama terjadi di Kabupaten Garut, yaitu terbatasnya sumberdaya kesehatan untuk menjaring dan mengawasi penderita TB. Kegiatanpemberdayaan santri sebagai kader TB di pondok pesantren merupakan inovasidalam upaya menjembatani suspek dan penderita TB untuk mendapatkan akses kefasilitas kesehatan atau active case finding TB. Penelitian ini bertujuan untukmengetahui dampak positif pemberdayaan santri kader TB terhadap aksesibilitaslayanan TB di fasilitas kesehatan. Metode yang digunakan adalah metodekuantitatif dengan menggunakan desain quasi eksperimen rancangan ldquo;nonequivalent control group design rdquo;, dan metode kualitatif menggunakan wawancaramendalam. Studi ini dilakukan di enam pondok pesantren dengan jumlah sampel493 orang, masing-masing tiga pondok pesantren intervensi sampel 232 orang dantiga pondok pesantren non-intervensi jumlah sampel 236 orang.Penelitian ini membuktikan bahwa pemberdayaan santri kader TB padapondok pesantren di Kabupaten Garut memberikan pengaruh yang signifikanyaitu peningkatan proporsi aksesibilitas layanan TB di fasilitas kesehatan sebesar41.4 pada kelompok intervensi. Santri yang tinggal di pondok pesantrenintervensi berpeluang 3.9 kali lebih besar untuk mengakses layanan TB di fasilitaskesehatan dibandingkan yang tinggal di non-intervensi. Intervensi ini jugaberhasil menemukan 14 kasus TB positif di pondok pesantren dengan tingkatkeberhasilan convertion rate dan cure rate masing-masing sebesar 100 .Program ini perlu direplikasi di wilayah lain mengingat di Indonesia terdapatpondok pesantren dengan kondisi tidak jauh berbeda dengan lokasi dan kondisipenelitian ini.Kata kunci : Santri, Kader TB, akses layanan TB, pondok pesantren

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ABSTRACTThe low coverage of cases of TB in Indonesia has an impact on thecontinuation of the process of transmission of infection with Mycobacteriumtuberculosis M.tb in the community. Students in Islamic Boarding Schools arevulnerable and are at risk populations with relatively dense residentialcharacteristics and poor environmental sanitation. Some cases of TB occurred inthe boarding school due to the low knowledge TB symptoms among students.This problem, in turn, leads to low access to health care. There is a need forinvolving the community when the government lacks the capacity to provideservices and reach out to people with TB. The same problems occur in Garut,namely the limited health resources and workforce to recruit and supervise TBpatients. The empowerment of students as a cadre of TB in a boarding school is aneffort to bridge suspected TB patients to gain access to a health facility or activeTB case finding. This study aims to determine the positive impact of empoweringstudents as TB Cadre on the accessibility of TB health services. The method usedis quantitative by using a quasi experimental design non equivalent controlgroup design, and qualitative method in the form of interviews. The study wasconducted in six boarding schools with a sample size of 493 people, Theintervention group consists of three boarding schools with 232 students, while therest of the boarding schools with 236 students was chosen as the non interventiongroup.This study proves that the empowerment of students cadre of TB in theboarding school in Garut has a significant and positive impact. It is observed thatthere was an increased in the proportion of service accessibility TB in healthfacilities as much as 41.4 in the intervention group. Students who live in theintervention group were 3.9 times more likely to access TB services in healthfacilities compared to those living in non intervention. This intervention alsomanaged to find 14 positive TB cases in the boarding school with a conversionrate and cure rate of 100 . This program needs to be replicated in other regions inIndonesia, considering that there are many boarding schools with similarconditions across Indonesia.Keywords Students, TB Cadre, Access to TB service, Islamic Boarding School"