Change Management for Hospitals

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Change
Management
For Hospitals
Through Stepwise Approach, 5S-KAospegawa
MD, MPH, PhD
And

Wimal Karandagoda
MBBS, MSc.(Med. Adm.)

First Edition
January 2011

Table of contents
Editorial Committee* and Contributors (Alphabetical order)
Abbreviations
I...Introduction .................................................................................................................................. 1 I-1...Objective and Contents of the textbook .................................................................................. 1 I-2…History of the newly developed stepwise approach ................................................................. 2 I-3…Ultimate goal of the change management through stepwise approach “5S-KAIZEN-TQM” is to Change hospital toward “Value Creating Organization”................................................... 4 II…Basic Concept ............................................................................................................................. 5 II-1…Why do we need “three-step approach” of 5S-KAIZEN-TQM? ........................................... 5 II-2…Process toward Total Quality Management (TQM) Framework ........................................... 6 II-2-1…Important three steps and two tracks toward quality health services ............................. 6 II-2-2…Step 1: Work Environment Improvement (WEI) through 5S activities at each work place .............................................................................................................................. 9 II-2-3…KAIZEN Phase, an improvement of work process and contents of services through participatory problem solving ..................................................................................... 14 II-2-4… From KAIZEN to TQM .............................................................................................. 16 II-3…Navigation through 3 steps (5S-KAIZEN-TQM) processes using change management: Team building and KAIZEN ........................................................................................................ 17 II-4…WHO concept of Health System ......................................................................................... 19 II-5…Quality ............................................................................................................................... 20 II-6…Productivity ....................................................................................................................... 21 II-7…Safety management in 5S-KAIZEN-TQM approach .......................................................... 21 III…Methodologies ......................................................................................................................... 24 III-1…5S Principles and the activities ........................................................................... 24 III-1-1…Definitions .................................................................................................................. 24 III-1-2…5S activities and actual sequence of the works ............................................................ 26 III-2…Navigation process of 5S from kick off to stabilization ...................................................... 39 III-2-1…Implication of 5S Principles to objective of respective work unit ................................ 40 III-2-2…Navigation process for introduction and stabilization of 5S activities ......................... 41 III-3...KAIZEN ............................................................................................................................ 45 III-3-1…Definition ................................................................................................................... 45 III-3-2…Objective, implications and the effects ....................................................................... 45 III-3-3…Phasing and the...
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