Mentoring for Identifying Operational Waste at PKU Sekapuk Hospital
DOI:
https://doi.org/10.61181/0rcmxk53Keywords:
Hospital Management, Operational Audit, Revenue Leakage, Wasteful SpendingAbstract
The intense competition in the healthcare industry in Lamongan Regency demands that private hospitals abandon traditional governance models that trigger high levels of wasteful spending. The Pembina Kesejahteraan Umat Hospital (RS PKU) in Sekapuk faces managerial challenges where 80% of its staff have purely clinical backgrounds without modern governance skills, leading to service inefficiencies and revenue leakage. The Community Empowerment Program (CEP) aims to detect, measure, and map existing operational inefficiency nodes in the hospital’s healthcare facilities. The implementation method is carried out through technical mentoring and collaborative Focus Group Discussions (FGDs) with 25 core hospital managers, adopting the curriculum of the Asian Tiger Healthcare Camp and the Ikatan Konsultan Kesehatan Indonesia (Ikkesindo). The results of the CEP indicate a simultaneous accumulation of high-level waste across all parameters of the Seven Biggest Sources of Wasteful Spending instrument. The main root causes are detected in outpatient queues (operational inefficiencies), uncertainty in the conventional pharmaceutical supply chain, and delayed claim files (revenue leakage). This comprehensive audit successfully formulated a new governance roadmap that serves as a scientific basis for the board of directors in determining priorities for sustainable quality interventions.
References
Laksono Trisnantoro, Aspek Strategis Manajemen Rumah Sakit: Antara Misi Sosial Dan Tekanan Pasar (Yogyakarta : Andi, 2005).
Yulitha Firdaus and Yanuar Ramadhan, “Analisis Perbandingan Tarif Rumah Sakit, Tarif INA-CBG’s, Dan Unit Cost Berbasis Clinical Pathway Menggunakan Metode ABC Pada Tindakan Persalinan Di Rumah Sakit Ibu Dan Anak Kota Tangerang,” Jurnal Ilmiah MEA (Manajemen, Ekonomi, Dan Akuntansi) 8, no. 3 (2024): 55–73.
Raeesah Wahlullizar et al., “Literature Review: Penerapan Lean Six Sigma Dalam Mengurangi Pemborosan Dan Meningkatkan Efisiensi Sistem Logistik Kesehatan,” Jurnal Rumpun Ilmu Kesehatan 6, no. 2 (2026): 63–78, https://doi.org/10.55606/jrik.v6i2.6364.
I Nyoman Dharma Wiasa, Kendali Mutu Dan Kendali Biaya Rumah Sakit, Strategi Value-Based Healthcare Di Era JKN, 1st ed. (Bojonegoro: Mazda Media, 2026): Fathannia Rizky D et al., “Waste In The Patient Discharge Process Flow Using Lean Thinking Method At Wihdatul Ummah Medical Center In 2025,” International Journal of Health and Pharmaceutical (IJHP) 5, no. 3 (2025): 348–51, https://doi.org/10.51601/ijhp.v5i3.344.
Raeesah Wahlullizar et al. Ibid.
Firdaus and Ramadhan, “Analisis Perbandingan Tarif Rumah Sakit, Tarif INA-CBG’s, Dan Unit Cost Berbasis Clinical Pathway Menggunakan Metode ABC Pada Tindakan Persalinan Di Rumah Sakit Ibu Dan Anak Kota Tangerang.”
Rhenald Kasali, Change! Tak Peduli Berapa Jauh Jalan Salah Yang Anda Jalani, Putar Arah Sekarang Juga (Jakarta: Gramedia, 2006).
Firdaus and Ramadhan. Ibid.
Kementerian Kesehatan Republik Indonesia, Pedoman Tata Kelola Rumah Sakit Buku 3: Bidang SDM, Pendidikan Dan Penelitian (Jakarta: Kementerian Kesehatan RI, 2025).
Firdaus and Ramadhan. Ibid.
Jenny Morales, Fabián Silva-Aravena, and Paula Saez, “Reducing Waiting Times to Improve Patient Satisfaction: A Hybrid Strategy for Decision Support Management,” Mathematics 12, no. 23 (2024), https://doi.org/10.3390/math12233743.
Ibid.
Firdaus and Ramadhan. Ibid.
Ivan Spehar, Jan C. Frich, and Lars Erik Kjekshus, “Clinicians in Management: A Qualitative Study of Managers’ Use of Influence Strategies in Hospitals,” BMC Health Services Research 14, no. 1 (2014): 1–10, https://doi.org/10.1186/1472-6963-14-251.
Wahlullizar et al., “Literature Review: Penerapan Lean Six Sigma Dalam Mengurangi Pemborosan Dan Meningkatkan Efisiensi Sistem Logistik Kesehatan.”
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