Change Management for Hospitals

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

References: 2001-2003).