1. 5S-KAIZEN IMPLEMENTATION IN BMC
Presenters:
-Esther Pastory
-Esther Mashauri

2. What is KAIZEN?
KAIZEN is a "problem” solving process for continuous quality improvement (KAI-ZEN) “CHANGE FOR BETTER” What is a problem: Is the gap between desired/ideal situation and actual situation
Aim of KAIZEN is to bridge the gap

3. PURPOSE OF KAIZEN To enhance Timely services(customer satisfaction)
To promote Safety
To increase productivity
Cost effective

4. QC story (KAIZEN Processes)
Standardization of effective measures
Check effectiveness of the counter measures
Implementation of identified counter measures
Identify Countermeasures for solving KAIZEN theme
Root Cause Analysis
Situation Analysis of selected theme, and target setting
Selection of KAIZEN theme

5. KAIZEN PROCESS EMD, BMC 8TH JULY TO 27TH DEC 2016
STEP1 SELECTION OF KAIZEN THEME( 8TH JULY TO 21TH JULY 2016)
PROBLEM IDENTIFIED (Suggested Kaizen Problems);
Delaying in taking samples to laboratory
Loss of patients’ properties
Inadequate payment for used medical tools
Paying of used medical tools

6. Cont… Then possible suggested KAIZEN themes are
Timely taking samples to the laboratory is improved.
Keeping of patients’ properties is improved
Payments of used medical tools and services is Improved
Keeping of patients’ lab results is improved

7. MATRIX DIAGRAM: EVALUATION OF FEASIBILITY OF KAIZEN THEME.
Possible Kaizen themes
Impact
Urgency
Realization
Burden to service users
Feasibility
1.Timely taking samples to the laboratory is improved
xxxx xx 8
2. Keeping of patients’ properties is improved
xxx 7
3. Payments of used medical tools and services is Improved 11
4. Keeping of patients’ lab results is improved 9

8. Cont..
SCORE SCALE：
×=0point
XX=1point,
XXX=2 points,
xxxx=3 points

9. Period of Data Collection: 22nd July to 11th Aug 2016(3 weeks).
STEP 2: SITUATION ANALYSIS (22nd July to 11th Aug 2016) INCIDENCES RELATED TO THE KAIZEN THEME
Period of Data Collection: 22nd July to 11th Aug 2016(3 weeks).
Source of Data: Staff errors when caring NHIF patients.
Methodology: Direct Observation with tallying sheet.

10. DATA TABLE INCIDENCES RELATED PAYMENT OF USED ITEMS/SERVICES FREQUENCY
CUMULATIVE FREQUENCY
ACCUMULATION RATIO
Inadequate
payment through NHIF 28
0.48
Inadequate payment through CASH 22 50
0.86
Inadequate payment through Contracts 8 58
1.00
TOTAL

11. PARETO CHART
Target SET: To Solve The Problem by at least ≥50% :Monthly average NHIF Income before Kaizen=172,708,032

12. STEP 3 Fish bone diagram (tool) used to analyze root causes
Identified root causes used in step 4 to establish counter measures
Brainstorming on actions to achieve the countermeasures

13. STEP 5
Action plan developed on implementation of the identified activities
Assigned tasks to specific people for implementation
Check list was used to monitor progress of implementation
In step 6 two Pareto charts used for comparison

14. STEP 6 CHECK EFFECTIVENESS OF COUNTERMEASURES

15. Cont…
Monthly Average NHIF Collection After KAIZEN=203,723,285: PERCENTAGE INCREAMENT= 18%
Effective implemented countermeasures taken to step 7 as standards
Agreed standards shared within the section and other departments to prevent recurrence of the problem

16. Cont…
Continuous KAIZEN implementation is a key to quality improvement

17. MANAGENMENT DECLAIRED BMC AS A 5S KAIZEN IMLEMENT INSTITUTION

18. INNOVATIVE PRACTICE OF 5S

19. PROPER WASTE MANAGEMENT TO PREVENT INFECTION

20. 5S APPLIED FOR STOCK MANAGEMENT TO PREVENT ERRORS

21. CUSTOMER NEEDS CONSIDERED

22. DIRECTIONAL BOARDS TO GUIDE PATIENTS/CLIENTS

23. RECOGNITION AND AWARDING FOR BEST PERFOMANCE MOTIVATES STAFF

24. THANK YOU