IMPROVING OUTPATIENT LENGTH OF STAY (LOS) IN PEDIATRIC DEPARTMENT OF XYZ HOSPITAL

• Main Author: Nadya Febrianty, Frisca
• Format: Final Project
• Language: Indonesia
• Online Access: https://digilib.itb.ac.id/gdl/view/75689
• Institution: Institut Teknologi Bandung

As Indonesia 's population grows modestly at 1,2% per year, education & healthcare is key to the government’s structural reforms to take advantage of the demographic bonus and avoid the middle income trap in the next 15 years. Because of that, Indonesia need to increase the number of healthcare providers to fulfil the health services demand. Along with government’s regulation in increasing healthcare providers, hospital management should increase the optimization of efficiency to fulfil the health services demand. XYZ hospital is a private hospital located in West Java, Bandung with vision to provide the best healthcare services. For the past 3 years, the growth of their service demand keeps increasing, especially in pediatric department. To fulfils this growing demand, XYZ hospital created a regulation for outpatient Length of Stay (LOS) which is 2 hours and meets their operational efficiency. However, in 2022, data shows that only 39% pediatric patients’ LOS comply with this regulation which is less than 2 hours. This research objective is to improve the overall outpatient LOS in pediatric department by making LOS visit that takes less than 2 hours is the majority of the cases (>50%). This research using both quantitative and qualitative data to assess the overall business operation process. The quantitative data which is the patient time recorded for each processes is analyzed using Control Chart and T-Test. The qualitative data which came from interviews and XYZ Hospital’s standard operational procedure (SOP) is analyzed using Business Process Modelling and Notation (BPMN) and Value Added Analysis. The outcome of this research is to advise which process need to be eliminated/substituted/automated and recommend new operational time recommendation for each process to improve overall pediatric outpatient LOS. To making the outpatient LOS that is less than 2 hours the majority of all outpatient LOS, the hospital management need to ensure that the process that is consist of outpatient waiting time (OWT), doctor’s examination, and billing process does not exceed 58 minutes. This research also suggest that time allocation for pharmacy department give the prescribed drugs does not exceed 28 minutes. This research also assess each process in the outpatient journey that need to be eliminated/substituted/automated to decrease outpatient LOS in pediatric department because it is considered non-value added.