Framing Improvement of Emergency Services RSKJ Soeprapto Hospital with Lean and WAM Modification

  • Erlina Puspitaloka Mahadewi Faculty of Health Sciences, Esa Unggul University Jakarta Indonesia 11510
  • Ade Heryana Faculty of Health Sciences, Esa Unggul University Jakarta Indonesia 11510
  • Fori Yumita RSKJ Soeprapto Hospital Jalan Bhakti Husada, Lingkar Barat, Bengkulu Province Indonesia 38255
  • Mulyo Wiharto Faculty of Health Sciences, Esa Unggul University Jakarta Indonesia 11510
  • Lia Amalia Faculty of Economic and Business, Esa Unggul University Jakarta Indonesia
Keywords: Covid19, emergency unit, hospital services, lean hospital, waste assessment model


The present study reports the first comprehensive research on covid19 emergency services model. Healthcare services inside hospitals during pandemic can apply the Lean Hospital and Waste Assessment Model (WAM) modification, which is a new method that can be used to identify waste in the hospital service process flow and operational of emergency service. The purpose of this study is to provide recommendations for improving emergency services in the covid19 era. The method used in this research is a descriptive qualitative analysis carried out through observing the service flow of patients who will be hospitalized from the emergency, confirming the service flow by in-depth interviews and looking at secondary data and giving a questionnaire on a modification of eight waste relationship at 15 persons expert who understands the emergency service process. The results showed that the critical waste of emergency services at RSKJ Soeprapto hospital is a waste of human skills of 17.5%. The reasons for the emergence above are because the covid19 team has not yet been formed, the absence of special officers to conduct primary triage before the patient enters the emergency unit, and many officers who do not understand the flow of emergency services in the covid19 pandemic era. In order to improve hospital services in the future, it is necessary to form a covid19 team, to develop a standard emergency service guide, to conduct continuous socialization to all the hospital staff through education and training programs, which are recommendations for improving emergency services at RSKJ Soeprapto Hospital Bengkulu in the pandemic era and new normal preparation.


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WHO, “Together on the road to universal health coverage: A call to action,” World Heal. Organ., 2017.

A. D. Intiasari, J. Hendrartini, and L. Trisnantoro, “Analisis pola pemanfaatan jaminan pembiayaan kesehatan era Jaminan Kesehatan Nasional pada peserta non PBI mandiri di wilayah perdesaan Kabupaten Banyumas,” Jkki, 2016.

Joint Commission International, “JCI Accreditation Standards for Hospitals,” Jt. Comm. Int. Accredit. Stand. Hosp., 2015.

BPJS, “BPJS Kesehatan,” Badan Penyelenggara Jaminan Sosial, 2017. .

F. Tania and H. Thabrany, “Biaya dan Outcome Hemodialisis di Rumah Sakit Kelas B dan C,” J. Ekon. Kesehat. Indones., 2017, doi: 10.7454/eki.v1i1.1763.

H. T. Indra Rachmad Darmawan, “Refleksi Implementasi Jaminan Kesehatan Nasional pada Pelayanan Kedokteran Gigi di Fasilitas Kesehatan Tingkat Pertama Kota Tangerang Tahun 2017,” Jurnal Kebijakan Kesehatan Indonesia : JKKI. 2017.

J. J. Cavallo and H. P. Forman, “The economic impact of the COVID-19 pandemic on radiology practices,” Radiology, 2020, doi: 10.1148/radiol.2020201495.

S. Folland, A. C. Goodman, M. Stano, S. Folland, A. C. Goodman, and M. Stano, “Economic Efficiency and Cost-Benefit Analysis,” in The Economics of Health and Health Care, 2018.

R. Khana, M. M. Singh, F. Damanhoori, and N. Mustaffa, “Investigating the importance of implementing ethical value on a healthcare system within a social media context,” Int. J. Innov. Creat. Chang., vol. 12, no. 5, 2020.

R. Agustina et al., “Universal health coverage in Indonesia: concept, progress, and challenges,” The Lancet. 2019, doi: 10.1016/S0140-6736(18)31647-7.

L. Trisnantoro, “Universal health coverage and medical industry in 3 Southeast Asian countries,” BMC Public Health, 2014, doi: 10.1186/1471-2458-14-s1-i3.

H. Li and P. Hilsenrath, “Organization and finance of China’s health sector: Historical antecedents for macroeconomic structural adjustment,” Inq. (United States), 2016, doi: 10.1177/0046958015620175.

E. P. Mahadewi, A. Heryana, and S. Kuswanti, “Kepuasan Layanan Pasien Jkn Berhubungan Dengan Kinerja Petugas Kesehatan,” J. Bunga Rampai, 2019.

Marhaeni, Z. Fanani, B. Hartono, and B. A. Nugroho, “The influence of the marketing mix (Product, price, promotion, place, process, entrepreneurs and physical evidence) to customer satisfaction and loyalty in buying shredded beef in Palu City, Indonesia,” Int. J. Econ. Res., 2015.

C. F. Hofacker, E. C. Malthouse, and F. Sultan, “Big Data and consumer behavior: imminent opportunities,” J. Consum. Mark., 2016, doi: 10.1108/JCM-04-2015-1399.

C. E. Phelps, Health economics. 2016.

A. Ambarriani, “Hospital Financial Performance In the Indonesian National Health Insurance Era,” McKinsey Q., 2014.

F. Di Gennaro et al., “Coronavirus diseases (COVID-19) current status and future perspectives: A narrative review,” International Journal of Environmental Research and Public Health. 2020, doi: 10.3390/ijerph17082690.

E. P. Mahadewi, A. Heryana, Y. Kurniawati, and I. Ayuba, “Analisis Waktu Tunggu Pelayanan Poliklinik Paru di Rumah Sakit Umum Daerah (RSUD) Tangerang,” Gorontalo J. Public Heal., 2019, doi: 10.32662/gjph.v2i1.463.

World Health Organization, “Noncommunicable Diseases Country Profiles 2018,” World Health Organization, 2018. .

H. Thabrany and Z. Abidin, “Evaltuation of The National Drug Formularium and Electronic Catalog For The Indonesian UHC,” Value Heal., 2017, doi: 10.1016/j.jval.2017.08.2749.

F. Ihler and M. Canis, “The role of the internet for healthcare information on ENT specific issues,” Laryngorhinootologie., vol. 98, 2019, doi: 10.1055/a-0801-2585.

W. Quentin et al., “Paying hospital specialists: Experiences and lessons from eight high-income countries,” Health Policy (New. York)., 2018, doi: 10.1016/j.healthpol.2018.03.005.

How to Cite
Erlina Puspitaloka Mahadewi, Ade Heryana, Fori Yumita, Mulyo Wiharto, & Lia Amalia. (2021). Framing Improvement of Emergency Services RSKJ Soeprapto Hospital with Lean and WAM Modification. International Journal of Science, Technology & Management, 2(3), 608-620.