AN OVERVIEW OF INPATIENT SERVICE EFFICIENCY AT SUMBER WARAS HOSPITAL, CIREBON REGENCY, 2022–2026 USING THE BARBER–JOHNSON METHOD

Abstract

The efficiency of inpatient care, particularly in bed utilization, is a key factor in improving the quality of hospital services. Efficiency is measured using the Barber Johnson method, which includes four main parameters: BOR (Bed Occupancy Rate), AVLOS (Average Length of Stay), TOI (Turn Over Interval), and BTO (Bed Turn Over). Based on medical records from Sumber Waras Hospital in 2025, inpatient care indicators show results that do not yet meet the ideal standards set by the Ministry of Health, where the AVLOS value of 2,8 days and the BOR of 55.35% remain below the standard, while the BTO value of 70,81 times actually exceeds the ideal limit. This study aims to describe the efficiency of inpatient services at Sumber Waras Hospital for the 2022–2026 period using the Barber-Johnson method. Methods: This study employs a quantitative method with a descriptive design and utilizes secondary data from inpatient medical records for the 2022–2026 period. Results: The BOR for 2022–2026 ranges from 51.95% to 55.61%, AvLOS ranges from 2.67 to 3.16 days, TOI ranges from 2.30 to 2.77 days, and BTO ranges from 18.06 to 70.81 times. Conclusion: The utilization of inpatient beds at Sumber Waras Hospital for the 2022–2026 period is not yet efficient. Of the four indicators, only the TOI meets the ideal standard, while the BOR, AvLOS, and BTO all fall short of the standard. The Barber-Johnson chart shows that the intersection points for 2022–2026 all lie outside the efficiency zone.