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"ABSTRAKSalah satu metode untuk meningkatkan produktivitas rumah sakit di Amerika danAustralia dengan menggunakan lean hospital di unit rawat jalan. Penelitian inimenganalisis lean hospital sebagai usulan ide perbaikan di Rumah Sakit TNI ALMarinir Cilandak yangmerupakan rumah sakit militer dengan keunikannya dimanajabatan personel dipengaruhi oleh kepangkatan dan kompetensi profesi bisadiadaptasi. Dengan menggunakan metodelogi penelitian kualitatif, observatif danwawancara mendalam memperlihatkan adanya non value added sebesar 76,57 %dan value added sebesar 23,43 % . hal ini mengindikasikan terjadinya pemborosandan dari analisa tulang ikan memperlihatkan sepuluh akar masalah. Usulanperbaikan dibagi tiga tahap, jangka pendek, jangka menegah dan jangka panjang,mengurangi pemborosan dan membuat aliran menjadi lebih efisien yangdiharapkan dapat meningkatkan produktifitas dan kepuasan pasien.

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ABSTRACTA researct that have been done on the Departement of Outpatient Service in MarienHospital Cilandak which applied qualitative methode, observations and currnt Processcharting, showed both of non value added and value added for about 76,57 % comparedto 23,43 %. These value were indicating main faktor of waste occured. Through thefishbone analysis that adopted from Lean consept for medical care on outpatients servise,accordingly about 10 (ten) significant problems were founded linked to the waste thataffected the quality and process of service. 3 (three)steps of improvement in short, mediumand long term regarding refinm=emen of works efficiencies would be required to resolveit prior to increase customers/patients satisfaction."

"Skripsi ini membahas pengaruh budaya organisasi terhadap kinerja organisasi dimediasi total quality management, penelitian dilakukan dengan survei menggunakan kuesioner kepada 330 responden terbagi dari staf lebih dari 2(dua) tahun, manajemen pelaksana dan manajemen menengah pada PT Pegadaian (Persero). Hasil hipotesis menggunakan model Structural Equation Model (SEM), menunjukkan budaya organisasi dan total quality management berpengaruhpositif terhadap kinerja organisasi pada PT Pegadaian (Persero). Manfaat dari penelitian mungkin dapat menjadi sumber informasi sebagai implikasi manajerial pada PT Pegadaian (Persero). Penelitian selanjutnya dapat menggunakan satuan faktor total quality management agar dapat menemukan faktor yang paling berpengaruh meningkatkan kinerja organisasi.

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In this paper discusses the effect of organizational culture on organizational performance mediated by total quality management, the study was conducted with survey using a questionnaire to 330 respondents divided from staff more than 2 (two) years, executive management and middle management at PT Pegadaian (Persero). The results of the hypothesis using Structural Equation Model (SEM), the model indicate organizational culture and total quality management have positive effects to organizational performance in PT Pegadaian (Persero). The benefits of research may be a source of information asmanagerial implications at PT Pegadaian (Persero). Recommendation for the further research is to use units of total quality management factors in order to find the factors that more enhance to organizational performance."

"in a competitive environment every company must capable to deliver quality product and service tocustomer. Total Quality Management (TQM) should be a solution since it is a management .system thathas orientation to customer satisfaction. TQM implementation needs a significant cost known as Cost ofQuality. This cost is needed to conduct a series of action plan to improve quality of product and service.This research objectives is to calculate cost of quality in hospital which may different with the calculationof cost of quality in manufacturing industry The calculation of cost of quality in hospital with regard toquality improvement program. Measurement of hospital quality service given by a hospital is 0qualitative measurement that can be subjective. TQM implementation in hospital needs not only technicalapproach but also human approach. It has a effect to quality cost since there are hidden Cost that can becalculated earlier. By measuring and analysis of cost of quality in hospital, important variables toimprove product and service quality can be found This research found that there is a relationshipbetween cost of prevention and cost of internal failure in hospital "X"."

"The new edition of this Shingo Prize-winning international bestseller lays out a framework for defining and understanding Lean hospitals. It starts off by examining the challenges faced by hospitals, including rising costs, falling reimbursement rates, employee retention, and patient safety and satisfaction. Full of examples and case studies, the second edition has been updated to reflect current pressures on hospitals, including the Affordable Care Act, and includes new and updated case studies. New material includes discussions on process audits, performance measures and suggestion management as well as a new chapter on strategy deployment."

"Hasil pengkajian di dua belas Rumah Sakit pada Propinsi Jawa Timur, Bali dan Sumatra Barat menunjukan kondisi tentang kurang baiknya mutu pelayanan Rumah Sakit Pemerintah. Kebijaksanaan Direktorat Jenderal Pelayanan Medik pada Pembangunan Jangka Panjang Tahap II dalam rangka peningkatan mutu pelayanan Rumah Sakit diupayakan melalui peningkatan sumber daya manusia, pelatihan dalam penerapan peningkatan mutu dan pelaksanaan akreditasi Rumah Sakit.Telah diupayakan intervensi implementasi Sistem Manajemen Mutu Terpadu (MMT) di lima Rumah Sakit Swadana, tetapi masih didapat hasil yang belum memuaskan. Status Rumah Sakit Jiwa Pusat Semarang sebagai instansi Pengguna Penerimaan Negara Bukan Pajak yang merupakan transisi kearah unit Swadana membutuhkan model implementasi Sistem Manajemen Mutu Terpadu.Dilakukan analisis lima konsep Sistem Manajemen Mutu Terpadu sehingga didapatkan suatu konsep model sintesa. Model kemudian diuji dengan melakukan implementasi pada Rumah Sakit Jiwa Pusat Semarang. Kemudian dilakukan analisis dan hasil implementasi di Rumah Sakit Jiwa Pusat Semarang tersebut. Dari analisis dihasilkan; pertama Model Implementasi Sistem MMT untuk Rumah Sakit;kedua deskripsi model konseptual implementasi Sistem MMT; ketiga deskripsi model implementasi di Rumah Sakit Jiwa Pusat Semarang; keempat model evaluasi implementasi Sistem MMT; kelima masalah potensial dalam implementasi Sistem MMT di Rumah Sakit adalah belum siapnya individu, kelompok dan organisasi menerima perubahan.Berdasarkan kesimpulan disarankan kepada Departemen Kesehatan untuk membuat rumusan konsep Model dan Strategi untuk Implementasi Sistem MMT bagi Rumah Sakit Pemerintah; memilih beberapa Rumah Sakit Jiwa Pusat menjadi unit swadana;merumuskan perubahan Struktur Organisasi Rumah Sakit Jiwa Pusat dan Pelatihan MMT bagi Pimpinan Rumah Sakit Jiwa Pusat. Disarankan pula kepada Pimpinan Rumah Sakit untuk komit terhadap implementasi Sistem MMT. Kepada PERSI agar melaksanakan pelatihan teknis perumah sakitan dan kepada masyarakat agar berpartisipasi dalam pengawasan mutu pelayanan yang diberikan rumah sakit.

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Model Development and Total Quality Management System Implementation Analysis in Hospital, A Case Study in Semarang State Mental Hospital. Survey result 12 Hospital in East Java, Bali and West Sumatra indicate that public hospital quality care were not good. Directorate General Medical Care Policy in Longterm Development Stage 11 due to hospital quality care improvement is effort with human resources empowerment, implementing quality improvement training, and hospital accreditation.

It has been done Total Quality Management System intervention in five Self Financing ("Swadana") a hospital, but the result were not satisfied. Semarang State Mental Hospital status as institution of government revenue non tax ("Instansi Pengguna Penerimaan Bukan Pajak") as transition to self financing unit required Total Quality Management System Model.

There are five Total Quality Management Concept have been analyzed and then Synthesized Model Concept as a result. Synthesized Model has been implemented in Semarang State Mental Hospital and follow by analyze. The result of analyzed are : First, Total Quality Management Implementation System for Hospital ; Second, Total Quality Management Implementation Conceptual Model description ; Third, Implementation Model description in Semarang State Mental Hospital ; Fourth, Evaluation model of Total Quality Management Implementation ; Fifth, Potential problem in Total Quality Management Implementation in Hospital are individual, group and organization nit ready for changes.

As a conclusion is suggested to Ministry of Health for making conceptual Model and Total Quality Management System implementation strategic for public hospital , choosing several state mental hospital become self financing unit, changing state mental hospital organizational structure and training Total Quality Management for State mental hospital's Director. Another suggestion to Hospital Director had commitment for Total Quality Management implementation. To Indonesian Hospital Association doing hospital technical training and to community doing participation and controlling hospital quality care."