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CUSTOMERS’ SATISFACTION TOWARDS OPD COUNTER LUNDU Presented to you by: Blue Ocean Strategy Team Lundu Hospital SERVICE OF HOSPITAL NICKSON GIRIMA AK AMBUH PPP U32 SITI NORIZAN BT SHAMSUDIN PEN. PEG. TADBIR N27 LEE LEH PING JURURAWAT U32 PETELICIA KON PT N17 SELIBEST PETER NYOMBEP PEN. PEG. TADBIR N32 LALA AK AJIN PPP U32 DR CHIN SHI HOW PENGARAH HOSPITAL LUNDU WONG SIEW SIEW PEGAWAI SAINS KIMIA HAYAT C41 TERI BT JAYA PENYELIA JURURAWAT U36 CHAN CHUI SENG PEGAWAI FARMASI U48 AHAMADY BIN LIAN PPP U32 BACKGROUND CONCLUSION RATIONALE PROJECT OUTLINE OBJECTIVE RESULT & DISCUSSION METHODOLOGY Rationale :- To know how well we are doing in providing quality OPD counter service to patients at Lundu Hospital BACKGROUND Counter Service Operating Hours: Morning Session Mon to Thurs 7:30am – 12:45pm/ 11:30am (Fri) Afternoon Session Mon to Fri 1:45pm – 4:45pm ** Closed on weekend & PH Job Description: 1. 2. 3. 4. Patient registration Information Counter Appointment for medical check-up Billing Primary Objective Secondary Objective • To further enhance the current setting of OPD counter with the aim to improve on the quality service provided. • To apply principles of blue ocean strategy as the tool to evaluate the outcome of customers’ satisfaction towards counter service of Lundu Hospital. METHODOLOGY: CUSTOMER SATISFACTION SURVEY Sampling Size • 110 respondents Target Group • Randomized and literate patients from OPD Lundu Hospital Time Frame • 2 weeks only during peak hours RESULTS & DISCUSSION PRE-IMPLEMENTATION SURVEY Level of Satisfaction No Value Factor (s) 1 (Unsatisfactory) 2 (Satisfactory) 3 (Very Satisfactory) NO. OF RESPONDENTS % NO. OF RESPONDENTS % NO. OF RESPONDENTS % 1 Promptness 4 3.64 63 57.27 43 39.09 2 Friendly Service 3 2.73 48 43.64 59 53.63 3 Empathy 1 0.91 57 51.82 52 47.27 4 Information Accuracy 1 0.91 68 61.82 41 37.27 5 Informative Counter 1 0.91 69 62.73 40 36.36 6 Staff Efficiency 2 1.82 67 60.91 41 37.27 7 Queue Management System (QMS) 7 6.36 47 42.73 56 50.91 8 Sufficient Facility 3 2.73 58 52.73 49 44.54 9 Conducive Waiting Area 23 20.91 48 43.64 39 35.45 PRE-IMPLEMENTATION SURVEY BAR CHART Conducive Waiting Area Sufficient Facility Queue Management System (QMS) Staff Efficiency Informative Counter Very Satisfactory Information Accuracy Satisfactory Empathy Unsatisfactory Friendly Service Promptness 0 10 20 30 40 SATISFACTION (%) 50 60 70 STRATEGY CANVAS (AS-IS) ON CUSTOMERS' SATISFACTION TOWARDS COUNTER SERVICE OF LUNDU HOSPITAL 10 9 8 Offering 7 6 5 4 3 2 1 AS-IS 0 Value Factor (s) ERRC Grid on Customers’ Satisfaction Towards Counter Service of Lundu Hospital Eliminate Raise Nil • Queue Management System • Conducive Waiting Area • Sufficient Facility Reduce Create Nil Nil STRATEGY CANVAS (TO-BE ¹ PRE-IMPLEMENTATION) ON CUSTOMERS' SATISFACTION TOWARDS COUNTER SERVICE OF LUNDU HOSPITAL 10 RAISE 9 8 TO-BE ¹ Offering 7 6 5 4 AS-IS 3 AS-IS 2 TO-BE ¹ 1 0 Value Factor (s) TO RAISE Queue Management System (QMS) Problem Identification: Poor patient flow resulting in consultation delay. Aim: To improve patient flow and to increase the practicality of QMS. Plan of Action: Assisting nurse to call the next patient ready waiting outside of the room to avoid time wasted looking for the particular patient. Conducive Waiting Area¹ Problem Identification: Long waiting time to see MO, patients overcrowd at waiting area thus making it highly congested. Aim: To reduce patient waiting time . Plan of Action: MO to review patients early to shorten patient waiting time. PATIENT WAITING TIME NO WAITING TIME TO SEE MO BEFORE IMPLEMENT AFTER IMPLEMENT SEPTEMBER 2013 OCTOBER 2013 NUMBER PERCENTAGE NUMBER PERCENTAGE 76 - 57 - - - <10 <20% 3 NO. WAITING TIME > 90 MINS 20 26% 9 16% 4 NO. WAITING TIME < 90 MINS 56 74% 48 84% 1 NO. OF PATIENTS 2 TARGET NO. WAITING TIME > 90 MINS AVERAGE WAITING TIME PER PATIENT SUMMARY: 64 MINS 56 MINS Based on the data collected after implementation done in October, number of patients for waiting time > 90 mins managed to achieve below target set which is < 10. TO RAISE Conducive Waiting Area ² Problem Identification: Inappropriate TV height location and viewing position making it under utilized. Aim: To keep patients entertained while waiting. Plan of Action: FABER to relocate the TV to a more comfortable viewing position as well as to improve on the signal strength. TV is on during office hours only. BEFORE RELOCATION o TV was mounted too high in such a way that patients need to look upward at the TV AFTER RELOCATION o TV position more ergonomic for watching TO RAISE Conducive Waiting Area ³ Problem Identification: Overcrowding waiting area due to patients from OPD and Diabetes Clinic. Aim: To create less crowded waiting area for the comfort of patients. Plan of Action: Diabetes Clinic to move to old A&E building with bigger waiting area for DM patients in order to segregate the crowd at main waiting area. o OPD main waiting area o Newly relocated DM Clinic waiting area TO RAISE Conducive Waiting Area ⁴ Problem Identification: Lack of reading materials at waiting area. Aim: To educate and to promote awareness campaigns in public. Plan of Action: Counter to display more posters on notice board and provide pamphlets to public regarding healthcare related issues. TO RAISE Sufficient Facility ¹ Problem Identification: Counter overcrowded with patients doing registrations and asking for information. Aim: To reduce number of patients crowding at the registration counter. Plan of Action: To create Information Counter whereby the task is undertaken by Pegawai Khidmat Pelanggan who also acts as an telephone operator. TO RAISE Sufficient Facility² Problem Identification: Lack of special provision for the disabled at waiting area. Aim: To provide easy access and comfort to wheelchair users. Plan of Action: Special wheelchair parking space allocated for the convenience of disabled with logo to avoid facility abuse. TO RAISE Sufficient Facility ³ Problem Identification: Water dispenser found not in use because it is located in such a way that patients feel awkward to use in public. Aim: To provide drinking facility for public. Plan of Action: FABER to relocate the water dispenser to an appropriate space and to keep it wellmaintained all the time. BEFORE RELOCATION o Water dispenser was located inside the waiting area AFTER RELOCATION o Water dispenser moved to outside behind the waiting area. POST-IMPLEMENTATION SURVEY Level of Satisfaction No Value Factor (s) 1 (Unsatisfactory) NO. OF RESPONDENTS 2 (Satisfactory) % NO. OF RESPONDENTS 3 (Very Satisfactory) % NO. OF RESPONDENTS % 1 Promptness 1 0.91 54 49.09 55 50.00 2 Friendly Service 0 0.00 40 36.36 70 63.64 3 Empathy 0 0.00 45 40.91 65 59.09 4 Information Accuracy 1 0.91 54 49.09 55 50.00 5 Informative Counter 0 0.00 49 44.55 61 55.45 6 Staff Efficiency 1 0.91 54 49.09 55 50.00 7 Queue Management System (QMS) 1 0.91 44 40.00 65 59.09 8 Sufficient Facility 0 0.00 47 42.73 63 57.27 9 Conducive Waiting Area 4 3.64 59 53.64 47 42.72 POST-IMPLEMENTATION SURVEY BAR CHART Conducive Waiting Area Sufficient Facility Queue Management System (QMS) Staff Efficiency Informative Counter Very Satisfactory Information Accuracy Satisfactory Unsatisfactory Empathy Friendly Service Promptness 0 10 20 30 40 SATISFACTION (%) 50 60 70 STRATEGY CANVAS (TO-BE ² POST-IMPLEMENTATION) ON CUSTOMERS' SATISFACTION TOWARDS COUNTER SERVICE OF LUNDU HOSPITAL Offering RAISE 10 9 8 7 6 5 4 3 2 1 0 TO-BE ² TO-BE ¹ AS-IS TO-BE ¹ TO-BE ² Value Factor (s) CONCLUSION The outcome of To-be post implementation exceeds the To-be pre-implementation, in other word, exceeds beyond target set. Significant improvement seen in the satisfaction response after several quick implementations. Blue Ocean Strategy proves to be an innovative tool to achieve desired result with low cost but maximizing benefits. Lastly, our objectives achieved with success through simple innovations at zero cost. CONVERSION RATING TABLE SATISFACTION PERCENTAGE RANGE (%) NEW RATING 79.09 – 81.09 1 81.10 – 83.10 2 83.20 – 85.20 3 85.30 – 87.30 4 87.40 – 89.40 5 89.50 – 91.50 6 91.60 – 93.60 7 93.70 – 95.70 8 95.80 – 97.80 9 97.90 – 99.90 10 APPENDIX * FOR REFERENCE