* Corresponding Author
PERAN LEADERSHIP DALAM KEBERHASILAN IMPLEMENTASI LEAN MANAGEMENT DI RUMAH SAKIT PELNI
https://doi.org/10.22146/jkki.35533 Irene Trisbiantara(1*)
(1) Gadjah Mada University
(*) Corresponding Author
Abstract
Irene Trisbiantara1 Andreasta Meliala2
Latar Belakang: Rumah sakit di Indonesia menghadapi era BPJS dengan tuntutan kendali mutu dan kendali biaya yang harus terpenuhi bila hendak menjamin keberlangsungan kehidupan rumah sakit. Lean management merupakan salah satu solusi yang mulai diterapkan pada banyak rumah sakit, namun keberhasilannya sangat ditentukan oleh kehadiran leadership.
Tujuan: Mengeksplanasi peranan leadership dalam keberhasilan implementasi lean management di rumah sakit.
Metode: Penelitian ini menggunakan metode studi kasus eksplanatoris dengan desain kasus tunggal holistik pada rumah sakit Pelni di Jakarta. Informan penelitian dipilih secara purposive sampling sebanyak 1 direktur utama, 3 wakil direktur, 3 kepala divisi, 3 kepala instalasi dan 6 kepala urusan. Pengumpulan data dilakukan dengan observasi langsung, kuesioner kepada 50 orang staf, wawancara mendalam kepada para leader serta penelusuran dokumen rumah sakit.
Hasil : Transformational leadership menggerakkan implementasi lean management di rumah sakit dan transactional leadership membentuk komitmen para staf melalui reward. Keberadaan leadership tanpa disertai budaya yang kuat berlandaskan filosofi Toyota, menjadikan employee engagement yang diperlukan untuk continuous improvement sulit terbentuk. Sebaliknya, beban kerja, turn over dan tingkat stress dan kejenuhan meningkat. Komunikasi langsung yang belum baik, minimnya pengembangan para staf serta sistem reward yang belum sesuai beban kerja, semakin mempersulit terjadinya employee engagement di rumah sakit. Loyalitas staf pun dituntut oleh leader. Keberhasilan lean management saat ini meningkatkan revenue dan menurunkan cost rumah sakit.
Kesimpulan : Transformational leadership berperan penting untuk implementasi lean management sementara transactional leadership berperan membentuk komitmen awal para staf melalui reward. Komitmen selanjutnya harus dibangun berdasarkan transformational leadership yang juga membangun trust bagi employee. Budaya yang kuat berlandaskan filosofi Toyota pun harus ada untuk mewujudkan employee engagement yang dapat mendorong terjadinya continuous improvement yang diharapkan. Sebaliknya employee engagement pun diperlukan untuk perubahan budaya yang diperlukan dalam implementasi lean management. Komunikasi langsung yang baik, pengembangan para staf serta sistem reward yang sesuai juga mendukung terwujudnya employee engagement di rumah sakit.
Kata Kunci : Transformational leadership, lean management, implementasi, leader, rumah sakit, budaya, employee engagement.
1 Mahasiswa Manajemen Rumah Sakit Fakultas Kedokteran Universitas Gadjah Mada
2 Departemen Pusat Kebijakan dan Manajemen Fakultas Kedokteran Universitas Gadjah Mada
Keywords
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Referensi
Mann D. Creating A Lean Culture : Tools To Sustain Lean Conversions. In CRC Press, Boca Raton, FL; 2014. p. 408.
Aij KH, Visse M, Widdershoven GAM. Lean leadership: an ethnographic study. Leadersh Heal Serv. 2015;28(2):119–34.
Young T, Brailsford S, Connell C, Davies R, Harper P, Klein JH. Using industrial processes to improve patient care. Br Med J. 2004;328(7432):162–4.
Jimmerson C, Weber D, Sobek DK. Reducing waste and errors : piloting lean principles at Intermountain Healthcare. Jt Comm J Qual Patient Saf. 2005;31(5):249–57.
de Souza LB, Pidd M. Exploring the barriers to lean health care implementation. Public Money Manag. 2011;31(1):59–66.
Rossum L Van, Aij KH, Simons FE, Eng N Van Der, Dirk W. Lean healthcare from a change management perspective: The role of leadership and workforce flexibility in an operating theatre. J Health Organ Manag. 2016;30(3):475–93.
Dickson, Eric W. M, Anguelov, Zlatko M, Vetterick, Diana RN B, Eller, Andrew BSN R, Singh, Sabi MS M. Use of Lean in the Emergency Department: A Case Series of 4 Hospitals. Heal Policy Clin Pract Res. 2009;XX(X).
Kaplan GS, Patterson SH, Ching JM, Blackmore CC. Why Lean doesn ’ t work for everyone. BMJ Qual Saf. 2014;970–3.
White M, Wells J, Butterworth T. Leadership, a key element of quality improvement in healthcare. Results from a literature review of “Lean Healthcare” and the Productive Ward: Releasing time to care initiative. Int J Leadersh Public Serv [Internet]. 2013;9(3/4):90–108. Available from: http://www.emeraldinsight.com/doi/10.1108/IJLPS-08-2013-0021
Rotter T, Kinsman L, Bath B, Goodridge D, Harrison L, Dobson R, et al. A First Phase Evaluation of Saskatchewan’s Lean Health Care Transformation: Final report [Internet]. Saskatchewan Health Quality Council. 2014. Available from: http://research-groups.usask.ca/rotter/documents/select-publications/Lean Report - Full.pdf
Steed A. An Exploration of the Leadership Attributes and Methods Associated With Successful Lean System Deployments in Acute Care Hospitals [Internet]. Vol. 21, Quality
Management in Health Care. 2012. p. 48–58. Available from: http://content.wkhealth.com/linkback/openurl?sid=WKPTLP:landingpage&an=00019514-201201000-00009
Grove AL, Meredith JO, Maclntyre M, Angelis J, Neailey K. UK health visiting: challenges faced during lean implementation. Leadersh Heal Serv. 2010;23(3):204–18.
Jing FF, Avery GC. Missing Links In Understanding The Relationship Between Leadership And Organizational Performance. Int Bus Econ Res J. 2016;15(3):67–78.
Liker JK. The Toyota way: 14 management principles from the world’s greatest manufacturer [Internet]. McGraw-Hill. 2004. 352 p. Available from: http://www.tandfonline.com/doi/abs/10.1080/14767330701234002
Zarbo RJ. Creating and Sustaining a Lean Culture of Continuous Process Improvement. 2018;(May):321–6.
Spagnol GS, Li L, Newbold D. Lean principles in Healthcare : an overview of challenges and improvements. IFAC MCPL. 2013;46(24):229–34.
Mazzocato P, Savage C, Brommels M, Thor J, Mazzocato P, Savage C, et al. Lean thinking in healthcare : a realist review of the literature. 2010;376–82.
Mann D. The Missing Link: Lean Leadership. Front Health Serv Manage [Internet]. 2009;26(1):15–26. Available from: http://search.proquest.com/docview/203892154?accountid=40346%5Cnhttp://hq8yw8za7q.search.serialssolutions.com/?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&rfr_id=info:sid/ProQ:abiglobal&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.jti
Kumar RDC, Khiljee N. Leadership in healthcare. Anaesth Intensive Care Med [Internet]. 2015;17(1):63–5. Available from: http://dx.doi.org/10.1016/j.mpaic.2015.10.012
Hartog DN, Muijen JJ, Koopman PL. Transactional versus transformational leadership: An analysis of the MLQ. J Occup Organ Psychol [Internet]. 1997;70(1):19–34. Available from: http://doi.wiley.com/10.1111/j.2044-8325.1997.tb00628.x
Avolio BJ, Bass BM, Jung DI. Re-examining the components of transformational and transactional leadership using the Multifactor Leadership Questionnaire Suggestions for modi cation arose when a. J Occup Organ Psychol. 1999;72:441–62.
Macey WH, Schneider B. The Meaning of Employee Engagement. Ind Organ Psychol [Internet]. 2008;1(1):3–30. Available from: https://www.cambridge.org/core/product/identifier/S175494260000002X/type/journal_article
Schaufeli WB, Bakker AB. Utrecht work engagement scale. Occup Heal Psychol Unit Utr
… [Internet]. 2003;(December):1–60. Available from: http://scholar.google.com/scholar?hl=en&btnG=Search&q=intitle:Utrecht+work+engagement+scale#0
Lowe G. How Employee Engagement Matters for Hospital Performance. Healthc Q [Internet]. 2012;15(2):29–39. Available from: http://www.longwoods.com/content/22915
Shazali NA, Habidin NF, Ali N, Khaidir NA, Jamaludin NH. Lean Healthcare Practice and Healthcare Performance in Malaysian Healthcare Industry. Int J Sci Res Publ [Internet]. 2013;3(1):1–5. Available from: http://www.ijsrp.org/research-paper-1301/ijsrp-p1352.pdf
Morrow E, Robert G, Maben J. Exploring the nature and impact of leadership on the local implementation of The Productive Ward Releasing Time to CareTM. J Health Organ Manag [Internet]. 2014;28(2):154–76. Available from: http://www.emeraldinsight.com/doi/10.1108/JHOM-01-2013-0001
Grove AL, Meredith JO, MacIntyre M, Angelis J, Neailey K. UK health visiting: challenges faced during lean implementation. Leadersh Heal Serv [Internet]. 2010;23(3):204–18. Available from: http://www.emeraldinsight.com/doi/10.1108/17511871011061037
Scott D, McMullen T. The Impact of Rewards Programs on Employee Engagement. Worldat Work [Internet]. 2010;(June):17. Available from: https://www.worldatwork.org/adimLink?id=39032
Dombrowski U, Mielke T. Lean Leadership - Fundamental principles and their application. Procedia CIRP [Internet]. 2013;7(March):569–74. Available from: http://dx.doi.org/10.1016/j.procir.2013.06.034
Lynn ML, Osborn DP. Deming’s quality principles: a health care application. Hosp Health Serv Adm. 1991;1(Spring):111.
Dahlgaard JJ, Pettersen J, Dahlgaard-Park SM. Quality and lean health care: A system for assessing and improving the health of healthcare organisations. Total Qual Manag Bus Excell [Internet]. 2011;22(6):673–89. Available from: http://www.tandfonline.com/doi/abs/10.1080/14783363.2011.580651
DOI: https://doi.org/10.22146/jkki.35533
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