LEAN HOSPITAL MANAGEMENT IMPLEMENTATION: A CASE STUDY OF THE 5R METHOD UTILIZATION AT RURAL MOTHER AND CHILD HOSPITAL IN INDONESIA Nur Adini Rahmawati(a*), Achmad Sudjadi(a), Saryono Saryono(b)
a) Faculty of Economy and Bussiness, Jenderal Sudirman University, Purwokerto, Central Java, Indonesia
* nuradinimd[at]gmail.com
b) Faculty of Health Sciences, Jenderal Sudirman University, Purwokerto, Central Java, Indonesia
Abstract
Background Lean hospital is a well recognized management approach to improve the quality of hospital services by empowering employees through the 5R method consisting of ringkas, rapi, resik, rawat and rajin. However, research on the impact of this method on employee wellbeing, cost effectiveness and work environment in a middle income country such as Indonesia, remains unclear.
Objective To evaluate the implementation of lean hospital management with the 5R method in terms of working environment conditions, cost effectiveness, perceptions, responses, and expectations of employees at Rural Mother and Child (MC) Hospital.
Method A qualitative study with a single case study design. The data were analyzed using thematic analysis.
Results Employees did not understand the concept of Rawat and Rajin from 5R although most employees perceptions were in the same degree in regards to the lean hospital concept. Aside from that, employees were able to identify problems and encourage a positive attitude and behavior changes in the work environment. Moreover, the implementation of this method also reduced hospital operational costs.
Conclusion Despite the non optimal implementation of lean hospital management, the 5R method utilization promoted changes in the work environment, employees roles, positive attitude, and behavior responses. This method also showed an indication of cost effectiveness at Rural MC Hospital in Indonesia
