An Analysis of Lean Service for Brachytherapy in Academic Health Center

A Case Study at Y Department of X Hospital

DOI

10.2991/aebmr.k.220602.055How to use a DOI?

Keywords

lean service; value stream; revenue cycle; value-added activity; academic health center; brachytherapy

Abstract

An increase in health spending in Indonesia does not simultaneously increase general hospital revenues. To overcome this phenomenon, state-owned hospitals as public health service organizations need to reduce costs and increase revenues without reducing their quality to achieve efficiency and effectiveness. For these two main purposes, lean service is used by hospitals to eliminate activities that do not have added value. In this context, this study analyzes the value stream of the brachytherapy income cycle, creates a hierarchy of activities, and eliminates activities that do not have value-added. The research findings are based on service activities provided at Installation Y Hospital X in 2019 and 2020. The findings show that 77% of activities are activities that have value-added and are essential (Column A), but there are two activities that fall to column B (value-added activity but not essential). Six other activities are included in column C, those are activities that do not have value-added but are essential activities. Elimination and time reduction of 2 activities in the scheduling phase by implementing a computerized scheduling system can reduce costs by ±92 million rupiahs a year. Activities in column C or the patient transfer phase can be improved by implementing monitoring and evaluation for time efficiency. The findings of the current study are based on Department Y of X Hospital’s service activity to its patients from 2019 to 2021.

Copyright

© 2022 The Authors. Published by Atlantis Press International B.V.

Open Access

This is an open access article distributed under the CC BY-NC 4.0 license.

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TY  - CONF
AU  - Hanifah Dina Zain
AU  - Trisacti Wahyuni
PY  - 2022
DA  - 2022/06/13
TI  - An Analysis of Lean Service for Brachytherapy in Academic Health Center
BT  - Proceedings of the International Conference on Economics and Business Studies (ICOEBS 2022)
PB  - Atlantis Press
SP  - 426
EP  - 435
SN  - 2352-5428
UR  - https://doi.org/10.2991/aebmr.k.220602.055
DO  - 10.2991/aebmr.k.220602.055
ID  - Zain2022
ER  -