Basic Concept of 5S-KAIZEN-TQM Approach BY F. M. CHIBUNDA JULY, 2017 MWANZA

Presentation outline Introduction and background of 5S-KAIZEN-TQM Approach What do 5S –KAIZEN-TQM activities target Benefits of 5S – KAIZEN-TQM activities

History In 2000, Dr. Wimal Karandagoda, Director of Castle Street Hospital in Sri Lanka, first applied this industrial tool (approach) to health sector. He invented the stepwise approach from 5S to KAIZEN then to TQM. KAIZEN is a Japanese word for the Continuous Quality Improvement. This problem solving process can spread to whole organization under the top management’s leadership. The success is based on bottom up approach “5S” as the continuous team approach “KAIZEN”

5S-KAIZEN-TQM originated in the operational management in Japanese manufacturing industry. However in recent years the focus has shifted from manufacturing industry to the cutting-age emerging service providers. Objective of this approach have been transferred to the value co- creation activities of service sector including health care and medical services.

In health sector there is always a mismatch between demand and supply of resources for health with demand being higher than supply In the hospital setting there is a lot of problems which needs to be addressed by management and frontline health workers

PROBLEMS OF HOSPITAL SETTING Human Resource Financial Problems Time limitation PROBLEMS OF HOSPITAL SETTING Technical Problems Infrastructure What do we do with all these problems in our settings ??? What about management and front line workers

Let’s come together and navigate through with an appropriate approach than waiting for some one to offer a help/ assist

Unnecessary transportation Unnecessary inventory 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 (Working Environment Improvement) 5S can do the following:- Identify Abnormalities Identify wastes and reduce the wastes Improve safety Improve productivity Reduce cost Increase Morale Improve delivery of services Over processing Unnecessary transportation Unnecessary waiting Unnecessary inventory Unnecessary motion Over production

What is “KAIZEN” ? “KAIZEN” is continuous problem solving process to improve working environment, process and conditions with existing resources KAIZEN are adopted not only to clinical setting but also several hospital management settings in health care facilities KAIZEN can help a hospital to create “continuous quality improvement culture” to meet internal and external clients’ satisfaction Make things better step by step and the target is “your work”

What is “Lean thinking” (Lean management) ? Is a process of eliminating waste from your working environment with the goal of adding value.

Types of Waste in work place

LEARN PRINCIPLES LEARN MANAGEMENT

Two ways communication and improve organization

What Kaizen can help ? Find root causes of problems and solutions Improve management skills Improve/promote quality of services Strengthen team work

Total Quality Management TQM is a multi-disciplinary and participatory processes which optimize all categories of activities in all departments/units and staff for realizing high quality services TQM process, (consisting of 5S and KAIZEN), should be a part of institutional managerial framework for seeking high productivity and quality of services delivery

What TQM can do? Improve quality of the final product or services Increase customer satisfaction Visible growth of health setting Help on making right decisions of existing resource for success Reduction of cost Managing whole facility with certain level of quality

NOTE: 5S-KAIZEN-TQM Approach is the step-wise quality improvement approaches that can be done and applied in any organization and by anyone with: Little knowledge Little dedication Little hard work and A very big positive attitude

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