Implementasi Lean Six Sigma di Pelayanan Kesehatan Saat dan Paska Pandemi COVID-19 : Literature Review

Implementation of Lean Six Sigma in Healthcare During and After the COVID-19 Pandemic : Literature Review

  • Arini Cyndwiana Prastiwi Program Studi Kajian Administrasi Rumah Sakit, Fakultas Kesehatan Masyarakat, Universitas Indonesia, Indonesia
  • Dumilah Ayuningtyas Departemen Administrasi dan Kebijakan Kesehatan, Fakultas Kesehatan Indonesia, Universitas Indonesia
Keywords: Lean Six Sigma, DMAIC, Pelayanan Kesehatan, COVID-19

Abstract

Latar belakang: Pandemi COVID-19 menyebabkan perubahan kegiatan dan inovasi mutu pada pelayanan kesehatan. Di Indonesia, sektor kesehatan memiliki dampak akibat tingginya penyebaran COVID-19, mulai dari tenaga kesehatan hingga ke tingkat manajemen rumah sakit karena organisasi tidak mempunyai waktu untuk merespon krisis tersebut.

Tujuan: Penelitian ini untuk mengetahui upaya pelayanan kesehatan dalam menghadapi pandemi COVID-19 menggunakan metode Lean Six Sigma (LSS).

Metode: Tinjauan ditentukan berdasarkan PICOS. Pencarian dilakukan pada basis data Google Scholar, PubMed, dan Science Direct menggunakan PRISMA. Artikel dibatasi dari Januari 2020-Desember 2022, di pelayanan kesehatan saat atau setelah pandemi COVID-19 serta menggunakan metode LSS.

Hasil: Berdasarkan hasil pencarian ditemukan 144 artikel dengan 1 duplikasi. Hasil screening pada judul dan abstrak didapatkan 7 artikel namun 1 artikel tidak lengkap sehingga 6 artikel yang akan ditinjau oleh peneliti. Dari 6 penelitian, 5 artikel menggunakan metode DMAIC (Define, Measure, Analysis, Improve, and Control) dan 1 artikel dengan jenis penelitian retrospektif. Metode DMAIC dimulai dari mendefinisikan masalah yang dihadapi (Define) dengan menggunakan beberapa teknik pengukuran (Measure).  Selanjutnya, capaian kinerja dan tujuan yang ingin dicapai dianalisis untuk mempersiapkan rencana perbaikan yang akan dilakukan (Analysis). Perbaikan (Improvement) dan kontrol (Control) dilakukan untuk pencapaian tujuan jangka panjang.

Kesimpulan: Penerapan LSS pada masa pandemi COVID-19 dapat membantu pelayanan kesehatan di beberapa negara untuk peningkatan kualitas manajemen, tenaga medis, efisiensi, dan mengurangi waktu tunggu pelayanan.      

References

Sihotang WY, Girsang E, Silangit SIN, Depari SAF. Implementation of Lean Management for Covid-19 Patient Services at Hospitals in Deli Serdang. International Journal of Health and Pharmaceutical [Internet]. Available from: https://ijhp.net

Langkai RT, Maramis FRR, Wowor R, Kesehatan F, Universitas M, Ratulangi S, et al. Gambaran Pelayanan Kesehatan pada Masa Pandemi COVID-19 di Puskesmas Poopo Kabupaten Minahasa Selatan. Jurnal KESMAS. 2021;10(7):13–9.

Kementerian Kesehatan Republik Indonesia. Undang-Undang No. 44 tahun 2009 tentang Rumah Sakit. 2009.

Satuan Tugas COVID-19 Pengurus Besar Persatuan Dokter Gigi Indonesia. Panduan Dokter Gigi dalam Era New Normal. 2020.

Hanevi Djasri, Nico Lumenta. Pembelajaran Manajemen Mutu Pelayanan Kesehatan dari Pandemi COVID-19. Jurnal of Hospital Accreditation. 2021;03(1):1–2.

Indra Jaya. Penguatan Sistem Kesehatan dalam Pengendalian COVID-19 [Internet]. 2021 Dec [cited 2023 Jun 5]. Available from: http://p2p.kemkes.go.id/penguatan-sistem-kesehatan-dalam-pengendalian-covid-19/

Graban M. Lean Hospitals : Improving Quality, Patient Safety, and Employee Engagement. 3rd ed. New York: Taylor and Francis Group; 2019.

Bhandari P, Affan Badar M, Childress V. COVID-19 Surge Planning in Response to Global Pandemic in a Healthcare Setting: A Lean Six Sigma Approach. Proceeedings of the 11th Annual International Conference on Industrial Engineering and Operations Management Singapore. 2021;

Putri EIPS. Analisis Lean Six Sigma Perbekalan Farmasi di Gudang Farmasi RS PMI Bogor Tahun 2013. Jurnal Administrasi Kebijakan Kesehatan. 2015 Jan;1(2).

Ato’illah M, Hartono. Implementasi Lean Six Sigma dalam Penentuan Prioritas Perbaikan Kualitas Pelayanan pada RS di Kabupaten Lumajang. Jurnal Penelitian Ilmu Ekonomi WIGA. 2017;7:97–107.

Yanuar Rahmat Syah T, Nurohim A, Sutrisno Hadi D. Lean Six Sigma Concept in The Health Service Process in The Universal Health Coverage of BPJS Healthcare (Healthcare and Social Security Agency). 2019.

Pratama EPPA, Annajah Safinah, Adristi K, Iswanto AH. Analisis Penerapan Lean Six Sigma dalam Peningkatan Kualitas Pelayanan di Rumah Sakit. Jurnal Ventilator: Jurnal Riset Ilmu Kesehatan dan Keperawatan. 2023;1(2):122–33.

Arthur J. Lean Six Sigma for Hospitals. The McGraw-Hill Companies; 2011.

Nave D. How to Compare Six Sigma, Lean and The Theory of Constraints (a Framework for choosing what’s best for your organization). Qual Prog. 35(3):73–8.

Tufail MMB, Shakeel M, Sheikh F, Anjum N. Implementation of lean Six-Sigma project in enhancing health care service quality during COVID-19 pandemic. AIMS Public Health [Internet]. 2021;8(4):704–19. Available from: http://www.ncbi.nlm.nih.gov/pubmed/34786430

Siswanto. Systematic Review sebagai Metode Penelitian Untuk Mensintesis Hasil-Hasil Penelitian (Sebuah Pengantar). Buletin Penelitian Sistem Kesehatan. 2010;13(4):326–33.

Tufail MMB, Shakeel M, Sheikh F, Anjum N. Implementation of lean Six-Sigma project in enhancing health care service quality during COVID-19 pandemic. AIMS Public Health [Internet]. 2021;8(4):704–19. Available from: http://www.ncbi.nlm.nih.gov/pubmed/34786430

Improta G, Borrelli A, Triassi M. Machine Learning and Lean Six Sigma to Assess How COVID-19 Has Changed the Patient Management of the Complex Operative Unit of Neurology and Stroke Unit: A Single Center Study. Int J Environ Res Public Health. 2022 May 1;19(9).

Schretlen S, Hoefsmit P, Kats S, Van Merode G, Maessen J, Zandbergen R. Reducing surgical cancellations: A successful application of Lean Six Sigma in healthcare. BMJ Open Qual. 2021 Aug 30;10(3).

Raveglia F, Orlandi R, Rimessi A, Minervini F, Cioffi U, De Simone M, et al. Standardization of Procedures to Contain Cost and Reduce Variability of Care After the Pandemic. Vol. 8, Frontiers in Surgery. Frontiers Media S.A.; 2021.

Bhandari P, Affan Badar M, Childress V. COVID-19 Surge Planning in Response to Global Pandemic in a Healthcare Setting: A Lean Six Sigma Approach.

Alsaqer AA, Abduljawad AA, Mustafa HSAM, Mohammad MS. A Retrospective Case Study Report of the Projectification and Quick Wins during the COVID-19 Pandemic in the Governmental Healthcare Sector: Lessons Learned from Al-Ahsa, Saudi Arabia. Saudi Journal of Health Systems Research. 2022 Feb 4;2(2):62–7.

Kementerian Kesehatan Republik Indonesia. Peraturan Menteri Kesehatan Republik Indonesia No. 9 tahun 2020 tentang Pedoman Pembatasan Sosial Berskala Besar dalam Rangka Percepatan Penanganan Corona Virus Disease 2019 (COVID-19). 2020.

Annie Ng Chang San. Service Quality and Patient Satisfaction in Lean Hospitals, Malaysia during the COVID-19 pandemic. Malaysian Journal of Social Sciences and Humanities (MJSSH). 2022 May 16;7(5):e001501.

Kumar J. Lean and Kaizen Application in the Healthcare during the COVID-19 Pandemic. Proceedings of The 11th Annual International Conference on Industrial Engineering and Operations Management Singapore. 2021;5748–53.

Desai A, Goretti G, Giordano M, Voza A. Lean-ing Method in an Department of The Italian Epicenter of The COVID-19 Outbreak: When The Algorithm makes Difference. Applied System Innovation. 2021 Sep 1;4(55):1–8.

Daly A, Teeling SP, Garvey S, Ward M, McNamara M. Using a Combined Lean and Person-Centred Approach to Support the Resumption of Routine Hospital Activity following the First Wave of COVID-19. Int J Environ Res Public Health. 2022 Mar 1;19(5).

Published
2023-08-02
How to Cite
Arini Cyndwiana Prastiwi, & Ayuningtyas, D. (2023). Implementasi Lean Six Sigma di Pelayanan Kesehatan Saat dan Paska Pandemi COVID-19 : Literature Review: Implementation of Lean Six Sigma in Healthcare During and After the COVID-19 Pandemic : Literature Review. Media Publikasi Promosi Kesehatan Indonesia (MPPKI), 6(8), 1518-1526. https://doi.org/10.56338/mppki.v6i8.3556