Facility Continous Quality Improvement 1.pptx

Continous Qaulity improvement

1. USING 5S-CQI-TQM TO IMPROVE QUALITYOF HEALTH SERVICES IN UGANDA

2. Presentation outline Introduction Implementation of 5S-CQI-TQM at Tororo General Hospital Results Conclusions 2

3. Introduction There is worldwide and national concern about quality and safety of health care. Poor quality of health services can be found at all levels of the health care system. A disorganized hospital is prone to medical errors resulting in many deaths and injuries. Currently the quality of health services in hospitals in Uganda is unsatisfactory as shown by long waiting time, overcrowding at service points and unhygienic work environments among others. Many hospitals ignore the non health expectations of the people like dignity, basic human needs, prompt attention in care and treatment, communication , confidentiality and autonomy resulting in growing public dissatisfaction with the quality of hospital services. Implementation of a more responsive, client focused and sustainable health care system is therefore a felt need in Uganda. 3

4. Financial problems Human Resource problems Time limitation Infrastructure problems Technical problems Lots of problems

5. However…….. Government cannot stop providing health services, even under serious resource shortage.

6. Looking at reality…. Hospitals are disorganized and: A test result is lost A long waiting for consultation A doctor cannot be contacted for emergencies A death due to a fall from the bed A death from sepsis in wards or theatres A failing /shortage in supply system

7. Q&S should be sought of by us even under shortage of resources . Quality and Safety in Health Service!

8. Who should manage the work? All health personnel, who are allocated his or her working territory and responsibility, should manage their work…!

9. Everybody likes to do what he/she likes and NOT what should be done!!! BUT wait a minute…!

10. What else do we need??? In order to do what should be done, Knowledge and skills are not enough!! POSITIVE “ATTITUDE”

11. Part-1 5S activities?

12. Situation of Workplace

13. 12-May-23 1

14. 12-May-23 1

15. What is 5S ? 5S is a philosophy and a way of organizing and managing the workspace and work flow with the intent to improve efficiency by eliminating waste , improving flow and reducing process unreasonableness . It is Working Environment Improvement

16. Question Which shop would you like to do shopping?

17. 5S in Japanese/English Japanese English S-1 Seiri Sort S-2 Seiton Set S-3 Seiso Shine S-4 Seiketsu Standardize S-5 Sitsuke Sustain

18. 1st S: Sort ( Seiri ) Focuses on eliminating unnecessary items from the workplace that are not needed for current process in the hospital Materials/Items Classification Need it May not need it Not need it

19. 2nd S: Set ( Seiton ) After Sorting, organize layout of items Designated locations Use tapes and labels Ensure everything is available as it is needed and at the “point of use”

20. 20 minutes 20 seconds W ork E nvironment I mprovement by 5 S Searching a file S ort S et

21. 3rd S : Shine ( Seiso ) Cleaning with meaning and Beautifying Taking care of one’s working place and tools Fail to do so = Irresponsible worker! Who can provide quality of services???

22. Shine Your territory can be nicely arranged only by your participation…!

23. 4th S: Standardize ( Seiketsu ) Generate a maintenance system for the first 3 S Work instructions Standard operational procedures Color coding / Sign boards for easy understanding General Un sterile Empty Negative Sterile Full Positive Safe Infected materials

24. Standardize Visualize slogans

25. 5th S : Sustain ( Shitsuke ) Self discipline and Training Training people to follow good work habits and the strict observation of workplace rules Periodical staff training Poster display On the job training

26. Sustain Improve attitude to learn and practice

27. Sort, Set, Shine, Standardize Well organized work environment can be achieved from small and day-to-day efforts. Work-load reduction

28. 5-S Targets of Five-S include: Zero changeovers leading to product/ service diversification Zero defects leading to higher quality Zero waste leading to lower cost Zero delays leading to on time delivery Zero injuries promoting safety Zero breakdowns bringing better maintenance

29. ..and finally Sort Set Shine Standardize Sustain 5s

30. Questions?!