SIMULASI ANTRIAN PASIEN RAWAT INAP UNTUK MENGURANGI WAITING LIST VIP DI RUMAH SAKIT

https://doi.org/10.22146/teknosains.35011

Frylie Frescia Falen(1*), Subagyo Subagyo(2)

(1) Departemen Teknik Mesin dan Industri, Gadjah Mada University
(2) Departemen Teknik Mesin dan Industri, Gadjah Mada University
(*) Corresponding Author

Abstract


Inefficiency of service and the waiting time can occur in inpatient services, especially in VIP rooms. Reduction in waiting lists for patients entering the VIP room is carried out by increasing the bed capacity and the allocation of health workers. The study was conducted by modeling the service system in hospitalization, which began from the patient service at the Emergency Room (IGD) until service in the VIP room of a hospital in Sukabumi. The model was built with 2 scenarios, scenario 1 was designed to improve the performance of the IGD by adding beds and health workers so that patients had an alternative choice in class 1 before getting service in the VIP room, and scenario 2 was designed by not changing the system in the emergency room, but adding 10 VIP rooms. Scenario 2 is a solution and can visually improve the VIP service system by reducing the waiting time by 50.55 hours, with the investment value of net present value (NPV) > 0 and internal rate of return (IRR) 32.2%, against the Minimum Attractive Rate of Return (MARR) 12% per year profitable. Scenario 2 by adding 10 VIP rooms, initially 25 units to 35 units, effectively being able to produce improvements in significantly reducing the waiting list originally from 50.94 hours to 39 minutes there was a decrease (99.23%), and could reduce the utility level or busyness of service in VIP was originally 93.49% to 87.19%. From the results of NPV analysis > 0, and IRR 32.2% assuming MARR 12% per year, constructing 10 VIP rooms in 5 years can give a profit of 20.2% per year. Scenario 2 can be used as the basis for hospitals in making inpatient service system policies, especially in VIP rooms.

Keywords


Bed; hospital; Investment; Modeling; VIP room; Waiting List

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References

Depkes. RI., 2005, Buku Petunjuk Pengisian, Pengolahan, Penyajian Data Rumah Sakit. Jakarta.

Fallen, F.F., 2008, Optimasi Pelayanan Penumpang Check InCounter di Bandara AdiSucipto Yogyakarta, Tugas Akhir, Program Studi Teknik Industri, Universitas Islam Indonesia, Yogyakarta.

Haghighinejad, A., Kharazmi, E., Hatam, N., Yousefi, S., Hesami, S.A., Danaei, M., Askarian, M., 2016, Using Queuing Theory and Simulation Modelling to Reduce Waiting Times in An Iranian Emergency Department. IJCBNM. 2016;4(1):11-26.

Harrel, C., Ghosh, B.K., Bowden, Jr., R.O., 2012, Simulation Using Promodel 3rd Ed, McGraw-Hill, New York.

Henry, Bustani, 2005, Fundamental Operation Research, PT Gramedia Pustaka Umum, Jakarta.

Janna, M., Wisniewski, M. L., Diana, V. A., Yeager, David, R. H, 2018, Comparison of objective measures and patients’ perceptions of quality of services in government health facilities in the Democratic Republic of Congo, International Journal for Quality in Health Care, Volume 30, Issue 6, 1 July 2018, Pages 472–479.

Kang, D., Byoung, K.C., 2011, The Extended Activity Cycle Diagram and Its Generality, Simulation Modelling Practice and Theory, 19, Pages 785– 800.

Keshav, N., 2015, Smart Queue Management for Hospitals, International Journal of Advance Foundation and Research in Computer (IJAFRC), Volume 2, Special Issue (NCRTIT 2015), January 2015. ISSN 2348 – 4853.

Law, A.M., Kelton, W.D., 1991, Simulation Modeling & Analysis Second edition, McGraw-Hill, New York.

Murthy, D.N.P, Page, N.W., Rodin, E.Y., 1990, Mathematical Modelling, A Tool for Problem Solving in Engineering, Physical, Biological and Social Sciences. Pergamon Press. Oxford.

Soegiharto, T.S., Asih, A.M.S., 2014, Simulasi Aliran Pasien Rawaat Inap untuk Mengurangi Bottleneck, Jurnal TEKNOSAINS, Vol. 4, No. 1, hal. 84 – 92.

Wasono, W.D.R., Sutjipto, T., Trijoko, W., 2005, Analisa Kelayakan Pembangunan Private Wing Di Rumah Sakit Pelabuhan Surabaya, Prosiding Seminar Nasional Manajemen Teknologi II Program Studi MMTITS, Surabaya 30 Juli 2005.



DOI: https://doi.org/10.22146/teknosains.35011

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