scholarly journals Implementation of Lean Kaizen to Reduce Waiting Time for the Indonesian Health Social Security Agency Prescription Services in Hospital Pharmacy InstallationImplementation of Lean Kaizen to Reduce Waiting Time for the Indonesian Health Social Security Agency Prescription Services in Hospital Pharmacy Installation

2021 ◽  
Vol 9 (E) ◽  
pp. 1495-1503
Author(s):  
Vera Yuliati ◽  
Helen Andriani
Keyword(s):  
Social Security ◽  
Waiting Time ◽  
Hospital Pharmacy ◽  
Lead Time ◽  
Continuous Monitoring ◽  
Practice Schedule ◽  
Current State ◽  
Prescription Services ◽  
Depth Interviews ◽  
Social Security Agency

BACKGROUND: The second largest Health Social Security Agency (BPJS) outpatients visits in Hospital Pharmacy Installation, Indonesia, has reached 450-600 visits / day between 2017 and 2018. This has an impact on the number of prescriptions to be served. Simultaneous doctor practice schedule and less human resources are the reasons for not achieving the service standard time set by the Ministry of Health (≤60 minutes for concoctions and ≤30 minutes for non-concoctions). AIM: The purpose of this study was to determine the waiting time for BPJS prescription services in the current state and future state after the implementation of lean kaizen through Plan-Do-Check-Act (PDCA) approach at Grha Permata Ibu (GPI) Hospital. METHODS: The research method is operational research with qualitative and quantitative approaches through direct observation and in-depth interviews. RESULTS: The implementation of lean kaizen decreased the lead time from 135.31 minutes to 9.11 minutes in scenario-1 and 7.49 minutes in scenario-2 and a decrease in lead time from 185.17 minutes to 31.09 minutes in scenario-1 and 29,15 minutes in scenario-2 for the concoctions. PDCA in lean kaizen is for use in conditions where waste is most closely related to human behavior, but there is still a waste motion that has not been intervened. CONCLUSION: This study suggests an updating information to prioritize changes in pharmaceutical layout, carry out continuous monitoring, and encourage IT to develop IT-based pharmaceutical services.

scholarly journals MEMINIMASI PEMBOROSAN DENGAN LEAN MANUFACTURING PADA PROSES PRODUKSI DI PT. IE

2021 ◽  
pp. 1451
Author(s):  
Ahmad Ahmad ◽  
Helena JK ◽  
Andrean Yonathan
Keyword(s):  
Waiting Time ◽  
Cycle Time ◽  
Lean Manufacturing ◽  
Lead Time ◽  
Fault Tree Analysis ◽  
Value Stream Mapping ◽  
Tree Analysis ◽  
Value Stream ◽  
Current State ◽  
Future State

PT. IE is engaged in the business of making Lighting and Lampposts. Based on observations and interviews, there are still some wastes that arise in the flow of the production process, among which there are still many wastes of waiting time, transportation, movement and inventory. These wastes cause the product completion time to be longer and the resulting quality decreases. To eliminate or reduce waste, it is necessary to apply Lean Manufacturing. Lean Manufacturing is a systematic approach to eliminating waste and changing processes by identifying and reducing waste with continuous improvement and striving to create a production flow along the value stream by eliminating all forms of waste and increasing the added value of products to customers. From the Pareto diagram, it is found that transportation waste has the highest percentage of 26.21%, waiting time is 21.38%, motion waste is 19.31% and waste inventories are 15.17%. while the results of the Value Stream Mapping Current State Map mapping obtained a production lead time of 7,680 seconds and a total cycle time of 6,660 seconds and a PCE Current State Map value of 53.09%. Identify the root causes of waste using Fishbone diagrams, 5 Why Analysis, 5W+1H, Fault Tree Analysis and FMEA. After corrective actions have been taken, based on the Value Stream Mapping Future mapping there is a decrease in production lead time to 5,220 seconds and a decrease in total cycle time to 4,860 seconds and an increase in PCE Future State Map to 68.10% so that there is an increase of 15.01% which shows The company's production process has become more Lean.PT. IE bergerak dalam bisnis pembuatan Lighting dan Tiang Lampu. Berdasarkan observasi dan wawancara, masih terdapat beberapa pemborosan (waste) yang timbul di aliran proses produksi di antaranya masih banyak terjadi pemborosan-pemborosan waktu tunggu, transportasi, gerakan dan inventori. Pemborosan-pemborosan tersebut menyebabkan waktu penyelesaian produk menjadi lebih lama dan kualitas yang dihasilkan menurun. Untuk menghilangkan atau mengurangi pemborosan diperlukan adanya penerapan Lean Manufacturing.Lean Manufacturing merupakan pendekatan sistematik untuk mengeliminasi pemborosan dan mengubah proses dengan cara mengidentifikasi dan mengurangi pemborosan dengan perbaikan kontinu dan berupaya untuk menciptakan aliran produksi sepanjang value stream dengan menghilangkan segala bentuk pemborosan serta meningkatkan nilai tambah produk kepada pelanggan. Dari diagram Pareto ditemukan waste transportasi memiliki persentase paling tinggi sebesar 26,21%, waktu tunggu  21,38%, waste motion 19,31% dan waste inventories 15,17%. sedangkan hasil pemetaan Value Stream Mapping Current State Map diperoleh production lead time selama 7.680 detik dan total cycle time selama 6.660 detik serta nilai PCE Current State Map sebesar 53,09%. Identifikasi akar permasalahan pemborosan menggunakan diagram Fishbone, 5 Why Analysis, 5W+1H, Fault Tree Analysis dan FMEA. Setelah dilakukan tindakan–tindakan perbaikan, berdasarkan pemetaan Value Stream Mapping Future ada penurunan production lead time menjadi 5.220 detik dan penurunan total cycle time menjadi 4.860 detik serta ada peningkatan PCE Future State Map menjadi 68,10% sehingga ada peningkatan 15,01% yang menunjukan proses produksi perusahaan telah menjadi lebih Lean.

scholarly journals EVALUASI PELAKSANAAN STANDAR PELAYANAN MINIMAL (SPM) FARMASI KATEGORI LAMA WAKTU TUNGGU PELAYANAN RESEP PASIEN RAWAT JALAN DI RUMAH SAKIT ADVENT MANADO

PHARMACON ◽  
2020 ◽  
Vol 9 (2) ◽  
pp. 318
Author(s):  
Esron Eliazar Toreh ◽  
Widya A Lolo ◽  
Olvie S. Datu
Keyword(s):  
Waiting Time ◽  
Hospital Pharmacy ◽  
Drug Prescription ◽  
Pharmaceutical Services ◽  
Structured Interviews ◽  
Pharmacy Staff ◽  
Health Related ◽  
The Republic ◽  
Prescription Services

ABSTRACTThe practice of pharmaceutical services was an integrated activity with the aim of identifying, preventing and resolving drug-related problems and health related problems. The need to evaluated the waiting time for prescription services in pharmaceutical installations was to found out the weaknesses that can prolong prescription services, so that improvements can be made immediately in order to improved the quality of pharmaceutical services. The aim of this study was to evaluated the length of waiting time for non-concoction drugs and concoction drugs at the Advent Hospital Manado pharmacy installation in October 2019 - January 2020. This research was a non-experimental descriptive study used quantitative and qualitative methods. Sampling was carried out by the nonprobability sampling method. Quantitatively data was taken by direct observation while implementing prescription service at hospital pharmacy installations and qualitatively data was taken by structured interviews to pharmacists in charge and pharmacy staff at outpatient hospital pharmacy installations. The results showed that the average for non-concoction drug prescription service was 20 minutes 29 seconds and for concoction drug prescription service was 26 minutes 26 seconds. The conclusion that the Advent Hospital Manado has met the standards set by the Ministry of Health of the Republic of Indonesia. Keywords: Waiting Time Prescription, Drug Prescription Service, Pharmacy Installation. ABSTRAK Praktek pelayanan kefarmasian merupakan kegiatan yang terpadu dengan tujuan untuk mengidentifikasi, mencegah dan menyelesaikan masalah terkait obat dan masalah yang berhubungan dengan kesehatan. Perlunya dilakukan evaluasi terhadap waktu tunggu pelayanan resep di instalasi farmasi adalah untuk mengetahui kelemahan-kelemahan yang dapat memperlama pelayanan resep, sehingga dapat segera dilakukan perbaikan dalam rangka meningkatkan kualitas pelayanan kefarmasian. Penelitian ini bertujuan untuk mengetahui lama waktu tunggu pelayanan resep obat jadi dan obat racikan di Instalasi Farmasi Rumah Sakit Advent Manado pada bulan Oktober 2019 – Januari 2020. Penelitian ini merupakan penelitian deskriptif non eksperimental dengan menggunakan metode kuantitatif dan kualitatif. Pengambilan sampel dilaksanakan dengan metode non-probability sampling. Data yang diambil secara kuantitatif adalah dengan pengamatan langsung saat pelaksanaan pelayanan resep obat di Instalasi Farmasi Rumah Sakit dan data yang diambil secara kualitatif adalah dengan wawancara terstruktur kepada apoteker penanggung jawab dan tenaga kefarmasian di Instalasi Farmasi Rumah Sakit rawat jalan. Hasil penelitian menunjukkan bahwa rata-rata untuk pelayanan resep obat jadi 20 menit 29 detik dan rata-rata pelayanan resep obat racikan 26 menit 26 detik. Kesimpulannya bahwa Rumah Sakit Advent Manado telah memenuhi standar yang telah ditetapkan oleh Departemen Kesehatan Republik Indonesia. Kata Kunci: Waktu Tunggu Resep, Pelayanan Resep Obat, Instalasi Farmasi.

scholarly journals RANCANGAN USULAN PERBAIKAN UNTUK MEMINIMASI WAITING TIME PADA PROSES PRODUKSI RUBBER STEP ASPIRA BELAKANG DENGAN PENDEKATAN LEAN MANUFACTURING (STUDI KASUS: PT AGRONESIA DIVISI INDUSTRI TEKNIK KARET)

2016 ◽  
Vol 3 (02) ◽  
pp. 52
Author(s):  
Qolli Kusuma ◽  
Pratya Poeri Suryadhini ◽  
Mira Rahayu
Keyword(s):  
Waiting Time ◽  
Lean Manufacturing ◽  
Lead Time ◽  
Value Added ◽  
Value Stream Mapping ◽  
Value Stream ◽  
Current State ◽  
Fishbone Diagram

PT Agronesia (Divisi Industri Teknik Karet) merupakan perusahaan manufaktur industri pengolahan yang memproduksi berbagai jenis produk karet teknik untuk keperluan industri, salah satunya adalah rubber step. Penelitian ini difokuskan pada rubber step Aspira Belakang yang memiliki gap ketidaktercapaian produksi tertinggi. Pada proses produksi rubber step Aspira Belakang ditemukan waktu menunggu yang mempengaruhi tingkat pencapaian target produksi. Tahap awal dalam penelitian ini adalah dengan mengumpulkan data primer yang diolah untuk menggambarkan value stream mapping (VSM) dan process activity mapping (PAM) current state sehingga diketahui lead time dari proses produksi rubber step Aspira Belakang sebesar 5915.07 detik dengan waktu aktivitas value added sebesar 1131.47 detik atau 19.13% dari lead time. Tahap berikutnya adalah mengidentifikasi penyebab akar masalah waiting time menggunakan peta pekerja-mesin, fishbone diagram dan 5 why. Tahap selanjutnya adalah melakukan analisis 5W1H untuk memaparkan detail masalah dan menentukan rancangan usulan perbaikan menggunakan metode lean manufacturing seperti Quick Changeover dan Display. Rancangan usulan perbaikan berupa perancangan alat potong, pembagian lot pengerjaan compound, pengadaan instruksi kerja, perancangan display, pembuatan batch/stock siap cetak, dan perancangan rak penyimpanan khusus sebagai upaya dalam meminimasi waiting time pada proses produksi rubber step Aspira Belakang. Berdasarkan rancangan usulan yang diberikan didapatkan lead time sebesar 3142.10 detik dengan waktu aktivitas value added sebesar 1131.47 detik atau 36.01% dari lead time.

Ascertaining the effectiveness of Economic and Financial Crimes Commission (EFCC) in tackling corruptions in Nigeria

2018 ◽  
Vol 25 (3) ◽  
pp. 658-668 ◽  
Author(s):  
Ibrahim Umar ◽  
Rose Shamsiah Samsudin ◽  
Mudzamir bn Mohamed
Keyword(s):  
Poor Performance ◽  
Organizational Factors ◽  
Content Type ◽  
Study Approach ◽  
Documentary Analysis ◽  
Current State ◽  
Financial Crimes ◽  
Lack Of Commitment ◽  
Depth Interviews

Purpose The purpose of this paper is to appraise the Nigerian Economic and Financial Crimes Commission (EFCC) of their role in tackling systemic corruptions and to associate how institutional and organizational factors influence the performance of the EFCC. Design/methodology/approach Data were gathered through in-depth interviews, non-participatory observations and documentary analysis. Findings The results of the integrative analysis show that the EFCC has apparently been ineffective, and further improvization of the organization is needed. Poor performance of the EFCC was associated with factors such as lack of commitment, inefficient judiciary, insufficient budgets and incompetent personnel. Practical implications This study recommends further improvements in the form of a greater political will, improved legal process and also elevated budgetary funds and recruitment of personnel to the EFCC. Originality/value The study adopted a descriptive, qualitative case study approach to describe the current state of the EFCC in Nigeria.

scholarly journals Improving Quality Control Process Through Value Stream Mapping

2018 ◽  
Vol 7 (2.29) ◽  
pp. 219
Author(s):  
Zulfa Fitri Ikatrinasari ◽  
Dan Kosasih
Keyword(s):  
Quality Control ◽  
Lead Time ◽  
Value Added ◽  
Maximum Efficiency ◽  
Value Stream Mapping ◽  
Process Time ◽  
Value Stream ◽  
Current State ◽  
Future State ◽  
Quality Control Process

PT. AEMI is one of the growing electronic component manufacturing company. By this time, Kaizen project has been run and managed to become a culture in PT AEMI. However, the project has not integrated, comprehensive and not yet has a long-term goals. Implementation of value stream mapping (VSM) in PT AEMI is expected to make Kaizen projects more focused and to produce increasing of the maximum efficiency. In addition, VSM Kaizen is believed to make the those programs more integrated, effective and comprehensive. This study aims to: (1) create a current state mapping in the Department of Quality Control PT. AEMI, (2) identify wastes in the Department of Quality Control PT.AEMI, (3) create a future state mapping at the Department of Quality Control PT. AEMI, (4) make a plan of improvement and analyzing the application. Stages of the study were as follows: (1) identification of work processes, (2) collect and analysis of work process time, (3) analysis of the current state mapping, (4) calculate of lead time and process time, (5) analysis of value added and non value-added activities, (6) analysis of wastes, (7) make a plan of future state mapping, (8) improvement design (improvement planning), (9) implementation of improvement, (10) analysis of the implementation of improvements. The results of this study are: 1) current state mapping at QC Department shows that the total lead time of 848 minutes where there is non-value added activity of 778 minutes. 2) identify waste on the handling process where the product movement from assembly to QC for 2 minutes, movement transactions from assembly to QC for 479 minutes and the waiting time at  inspection area for 727 minutes. 3) future state mapping at QC Department shows that the total lead time of 516.5 minutes where there is non-value added activity of 446.5 minutes. 4) the improvement to do is to change the lay out where final inspection is moved from QC to manufacturing so as to result in reduce of non-value added activity by 46%. 

scholarly journals Dokter Tunggu, A Hospital Application for Patient of Healthcare and Social Security Agency

2021 ◽  
Vol 8 (8) ◽  
pp. 450-458
Author(s):  
Muhammad Riyadi ◽  
Rhian Indradewa ◽  
Tantri Yanuar Rahmat Syah
Keyword(s):  
Social Security ◽  
Real Time ◽  
Health Facilities ◽  
Referral Hospital ◽  
Capital City ◽  
Business Planning ◽  
Level I ◽  
A Company ◽  
Social Security Agency

PT. Zaps Technology is a company engaged in technology and information by producing application products with the name Dokter Tunggu (Doku). The application was created to eliminate queues that often occur in Healthcare and Social Security Agency patient services at level I Hospitals and Health Facilities. Place of company at Bekasi Jawa Barat, The location is said to be chosen because Bekasi is one of the supporting areas for the capital city and has a variety of complete business facilities. This company's strategy is to create innovations in Healthcare and Social Security Agency patient services where the application made has various features that are able to eliminate queues. The application has an online referral menu on the application so that Hospitals, Level I Facilities and Healthcare and Social Security Agency patients are easier to take advantage of BPJS services. The waiting doctor application will display real time conditions at the referral hospital so that BPJS users can monitor the condition of BPJS services at the destination Hospital. Keywords: Dokter Tunggu, Hospital, Online Sevice, Business Planning.

scholarly journals Environmental Discourses and Rhetoric in the Conceptual Space of Architectural Education

2014 ◽  
Vol 11 (1) ◽  
pp. 7
Author(s):  
Traci Rose Rider
Keyword(s):  
Architectural Education ◽  
Theory Approach ◽  
Environmental Discourse ◽  
Conceptual Space ◽  
Current State ◽  
Environmental Discourses ◽  
Grounded Theory Approach ◽  
Depth Interviews ◽  
Potential Opportunity ◽  
Insight Into

This paper aims to investigate the current state and potential opportunity of strategic environmental discourses and rhetoric in architectural education. Because there is limited research completed on this specific focus, a grounded theory approach was used. In-depth interviews were held with twelve purposefully selected participants, each of whom are prevalently perceived as leaders in incorporating sustainability topics into architectural education. Through a cyclical coding process, larger themes about integrating environmental topics in formal architectural education emerged, with the importance of discourse and rhetoric as one of the primary sub-themes. Different discourses, emphasis on specific terminology, and the implications of each in the conceptual space of architectural educational are explored in the context of both program- and university-level structures. Breaking down the current environmental discourses in these specific contexts offers insight into opportunities to streamline the inclusion of sustainability themes in architectural education. This study concludes with possible avenues for further research regarding environmental discourse and rhetoric in architectural education, and suggestions for application in programs.

scholarly journals Probing strategy-project alignment: The case of the South African Social Security Agency

2016 ◽  
Vol 12 (1) ◽  
Author(s):  
Gerrit Van Der Waldt
Keyword(s):  
Social Security ◽  
Strategic Management ◽  
South African ◽  
Systems Thinking ◽  
Empirical Investigation ◽  
Public Institutions ◽  
The South ◽  
Project Failures ◽  
Organisation Management ◽  
Social Security Agency

Public institutions, such as the South African Social Security Agency (SASSA) increasingly function in multi-project environments to translate strategies successfully into service-delivery initiatives. However, this ‘projectification’ often causes projects to be designed and executed haphazardly. This can lead to budget and schedule overruns, and the general wastage of an organisation’s resources. Project failures often occur where organisations do not ensure that specific projects are aligned with their core strategies. The purpose of this article is to combine the theories and principles of organisation, management, strategic management, and project management in an effort to pinpoint core determinants that can help establish the extent to which an organisation manages the alignment of its strategic projects. In the present study, the author applied the principles of interdisciplinarity, systems thinking, and organisational integration. The combined core determinants that were uncovered were then used in an empirical investigation of SASSA. The purpose of this investigation is to identify particular challenges the organisation faces in aligning their strategies and projects successfully. Thereafter, a number of recommendations follow to address these challenges.

scholarly journals A QUALITATIVE ANALYSIS OF AWARENESS AND UTILIZATION OF SOCIAL SECURITY MEASURES AMONG THE ELDERLY IN KOCHI CORPORATION

2020 ◽  
Vol 4 (4) ◽  
Author(s):  
Charutha Retnakumar ◽  
Leyanna Susan George ◽  
Maya Chacko
Keyword(s):  
Social Security ◽  
Health Workers ◽  
The Elderly ◽  
Community Level ◽  
Financial Security ◽  
Security Measures ◽  
Effective Utilization ◽  
Public Health Workers ◽  
The Government ◽  
Depth Interviews

Background: As per Census 2011, nearly 104 million people in India are above the age of 60 years. While in Kerala, 12.6 % of the population is elderly. The government of India has launched various social security schemes and concessions for the elderly.  Hence, objective of this research is to study the awareness & utilization of social security measures. It also aimed to understand the motivators & barriers for utilization of social security measures among the elderly. Methodology: A qualitative study was carried out in 5 geriatric care centres in the 65th division of Kochi. 7 FGDs were conducted in each of the geriatric clubs and 7 In-depth interviews were conducted among the Anganwadi workers, medical officers, public health workers, and welfare officers. The data was translated, transcribed, Coded, thematically analysed and conclusions were drawn after data triangulation. Results: The awareness & utilization of various social security measures were found to be poor among the elderly. This was attributed to the lack of awareness among the community level workers regarding same. Pensions, railway concessions, and vayomitram project were the most popular schemes. Financial security among the pensioners through the schemes was a major motivator. While, the lack of awareness regarding the schemes and delay in processing the applications were the barriers identified. Conclusion: Proper channelization of knowledge is important for the awareness generation among elderly and community level workers. This can further lead to effective utilization of the benefits provided.

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