HEALTH SERVICE PROCESS : LEAN SIX SIGMA CONCEPT FOR HOSPITALS (CASEMIX HOSPITALS)
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Date
2020
Journal Title
Journal ISSN
Volume Title
Publisher
International Journal of Psychosocial Rehabilitation, Vol.24, Issue 01
Abstract
Background-National Health Insurance, whose implementation began in January 2014, made a change in the payment system from
the Retrospective Payment System to the Prospective Payment System in INA-CBG rates. The difference in INA-CBG rates and
hospital rates is a fundamental problem so hospitals must make efforts to achieve quality and cost control. The purpose of this study
was to determine the efforts taken by hospitals related to differences in hospital outpatient service fees and inpatient service rates to
INA-CBG's rates.
Method-The research method was carried out quantitatively. Lean consumption is used to analyze the manufacturing sector, namely
lean manufacturing rather than industrial processes. In addition, the development of lean consumption in the hospital sector is the
right choice to improve the quality of hospital services. Thus, this aims to test the Lean Hospital algorithm by defining,
measuring,analyzing, improving, and controlling DMAIC (Define, Measure, Analyze, Improve, Control) and the LCM (Lean
Consumption Map) method through hospital services. By using a comparison of the completion time of outpatient and inpatient
operational activities. The results showed that the hospital Lean algorithm successfully assessed the comparison method with the
Lean Consumption Map and Value Added Assessment. In this study, we used qualitative research methods and interviews with
internal and external correspondence, respectively.
Result-We found that the DMAIC application and the Lean Consumption Map in the Lean Hospital algorithm will increase document
completion times and service processes at the Hospital.
Description
Keywords
DMAIC, Lean Consumption Map