2. objectives Contextualize the implementation of the methodology Describe step by step each of the stages of the model Standardize Methodology

3. QUALITY IS FOR YOU??????

4. IS THE DEGREE OF A SET OF FEATURES THAT MEETS THE REQUIREMENTS. For example: 1)Emergency Room in the hospital Equipment/Suplies/Drug Human resource

5. For example: 2) Clinical washing hands

6. Results/Semmelweis

7. video

8. DINAMICA WASH HAND

9. Optimizing Performance Improvement and Quality  Methodology used to analyze, manage and improve the performance of health workers, organizations and systems.  It refers to the systematic, consistent and effective use of operational performance standards.  Useful tool that can be used independently or combined, can be implemented by an internal or external facilitator team. current situation desired situation What's this?

10. What is Performance? The tasks or activities that people, equipment or organizations conduct and achievements and those tasks. * It is not the work that goes into something, but what is achieved by doing. * Gilbert, 1996; Harless, 1992; Dean, 1994.

11. Example Waste Management

12. Laundry

13. pharmacy

14. Toma de presion arterial

15. Wash Hands

16. INSTRUMENTAREA Instrument 1 Outpatient Instrument 2 Emergency Instrument 3 Hospitalization Surgery Instrument 4 Hospitalization Gynecology- Obstetrics Instrument 5 Hospitalization Internal Medicine Instrument 6 Hospitalization Pediatrics Instrument 7 Intensive Care Instrument 8 Imaging Instrument 9 Nutrition Instrument 10 Counseling Instrument 11 Biosafety Instrument 12 Waste Management Instrument 13 Laboratory Instrument 14 Blood Bank Instrument 15 Warehouse and Pharmacy Instrument 16 Laundry Instrument 18 Management

17. Iceberg of the causes which influence PERFORMANCE ORGANIZATIONAL SYSTEMS INCENTIVES/MOTIVATION TOOLS/RESOURCES/PHYSICAL ENVIRONMENT SKILLS AND KNOWLEDGE INDIVIDUAL ATTRIBUTES What is seen CausE /FACTORS INFLUENCING PERFORMANCE

19. INSTRUMENTAREA Instrument 1 Outpatient Instrument 2 Emergency Instrument 3 Hospitalization Surgery Instrument 4 Hospitalization Gynecology- Obstetrics Instrument 5 Hospitalization Internal Medicine Instrument 6 Hospitalization Pediatrics Instrument 7 Intensive Care Instrument 8 Imaging Instrument 9 Nutrition Instrument 10 Counseling Instrument 11 Biosafety Instrument 12 Waste Management Instrument 13 Laboratory Instrument 14 Blood Bank Instrument 15 Warehouse and Pharmacy Instrument 16 Laundry Instrument 18 Management

20. MODEL OPQ Work Group

21. Optimizing Performance and Quality Monitor and evaluate Support stakeholder engagement, ownership and leadership Describe Context Organizational goals External environment Perspectives of: Employees/health workers Clients/customers Community Identify Gaps & Strengths What is the difference between desired and actual performance and quality? Find Root Causes Why do the performance and quality gaps and strengths exist? Select & Design Interventions What can be done to close the gaps or build on the strengths? Implement Interventions Results Improved: Performance and Quality Health Outcomes

22. Monitor and evaluate 2. Support stakeholder engagement, ownership and leadership Identify Gaps & Strengths What is the difference between desired and actual performance and quality? Find Root Causes Why do the performance and quality gaps and strengths exist? Select & Design Interventions What can be done to close the gaps or build on the strengths? Implement Interventions Results Improved: Performance and Quality Health Outcomes OPQ Stages 1-2 1. Describe Context Organizational goals External environment Perspectives of: Employees/health workers Clients/customers Community

23. OPQ Stage 3 Monitor and evaluate Support stakeholder engagement, ownership, and leadership Find Root Causes Why do the performance and quality gaps and strengths exist? Select & Design Interventions What can be done to close the gaps or build on the strengths? Implement Interventions Results Improved: Performance/Quality Health Outcomes 3.1. Define Desired Performance/ Quality 3.3. Identify Gaps & Strengths 3.2. Assess Actual Performance/ Quality Describe Context Organizational goals External environment Perspectives of: Employees/health workers Clients/customers Community

24. OPQ Stage 4 Monitor and evaluate Support stakeholder engagement, ownership, and leadership Identify Gaps & Strengths What is the difference between desired and actual performance and quality? 4. Find Root Causes Why do the performance and quality gaps and strengths exist? Select & Design Interventions What can be done to close the gaps or build on the strengths? Implement Interventions Results Improved: Performance and Quality Health Outcomes Describe Context Organizational goals External environment Perspectives of: Employees/health workers Clients/customers Community

25. OPQ Stages 5-6 Monitor and evaluate Support stakeholder engagement, ownership, and leadership Identify Gaps & Strengths What is the difference between desired and actual performance and quality? Find Root Causes Why do the performance and quality gaps and strengths exist? 5. Select & Design Interventions What can be done to close the gaps or build on the strengths? 6. Implement Interventions Results Improved: Performance and Quality Health Outcomes Describe Context Organizational goals External environment Perspectives of: Employees/health workers Clients/customers Community

26. OPQ Stage 7 7. Monitor and evaluate Support stakeholder engagement, ownership, and leadership Identify Gaps & Strengths What is the difference between desired and actual performance and quality? Find Root Causes Why do the performance and quality gaps and strengths exist? Select & Design Interventions What can be done to close the gaps or build on the strengths? Implement Interventions Results Improved: Performance and Quality Health Outcomes Describe Context Organizational goals External environment Perspectives of: Employees/health workers Clients/customers Community

27. Optimizing Performance and Quality Monitor and evaluate Support stakeholder engagement, ownership and leadership Describe Context Organizational goals External environment Perspectives of: Employees/health workers Clients/customers Community Identify Gaps & Strengths What is the difference between desired and actual performance and quality? Find Root Causes Why do the performance and quality gaps and strengths exist? Select & Design Interventions What can be done to close the gaps or build on the strengths? Implement Interventions Results Improved: Performance and Quality Health Outcomes