Lean Hospital Approach for Improving The Process of Taking Drug Services in Outpatient Pharmacy Installations

Abstract

Lean is a method to reduce activities in the form of waste to increase efficiency in manufacturing or production lines and can be implemented in health services. This study analyse the flow of prescription services in BPJS Outpatient Pharmacy Installation as data for improvement. The results showed non-value added activities of 22%, value added activities of 74%, necessary non-value added activities of 4%, and process cycle efficiency of 74%. As for non-concoction drugs, non-value added activities are around 39%, value added is 61% and process cycle efficiency is 61%. The data shows that there is a process of non-value added and necessary non value added which causes the waiting time for outpatient pharmacy. Furthermore, using fishbone analysis to determine the cause of the problem and build improvements based on FMEA results. From the research results obtained that waste that often occurs is waiting that occurs in the taking of drugs. The recommended improvements are the addition of human resources in the collection and compounding of drugs, classifying and allocating types of drugs based on the speed of the drug and the implementation of 5S in BPJS outpatient pharmacy.