Implementation of Lean Services and Facility Layout to Improve Health Clinical Service Processes

Abstract

Clinic X is one of the health clinics that located in Medan, which provides public health and social security facilities. Based on preliminary observations and generally applicable in some health clinics in Medan, there is a high arrival of inpatients at certain times, resulting in a large number of service queues. After being observed several times, the main cause is that there are many non-value added activities in the health service process. Therefore, it is necessary to minimize waste and improve the layout of facilities to speed up the service process and reduce patient waiting time. Lean service methods are used to identify wastes that affect servants processing time and improve processes. Systematic Layout Planning methods are used to redesign the proposed layout according to the repair process. The results show that the proposed layout is better than the actual layout in terms of processing time and total transfer moments. Total transfer moment of 64.49% reduces the proposed layout 1,935 meters/week to 687 meters/week. The processing time was reduced by 22.62% from 4271.8 seconds to 3304.67 seconds.