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objectives
• Contextualize the implementation of the methodology
• Describe step by step each of the stages of the model
• Standardize Methodology
QUALITY IS FOR YOU??????
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
For example:
2) Clinical washing hands
Results/Semmelweis
video
DINAMICA WASH HAND
Optimizing PerformanceImprovement 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?
What is Performance?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.
Example
• Waste Management
Laundry
pharmacy
Toma de presion arterial
Wash Hands
INSTRUMENT AREA
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
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
INSTRUMENT AREA
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
MODEL OPQ
Work Group
Optimizing Performance and Quality
Monitor and evaluateMonitor and evaluate
Support stakeholder engagement, ownership and leadershipSupport 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
Monitor and evaluateMonitor and evaluate
2. Support stakeholder engagement, ownership and leadership
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
OPQ Stage 3
Monitor and evaluateMonitor and evaluate
Support stakeholder engagement, ownership, and leadership
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
OPQ Stage 4
Monitor and evaluateMonitor and evaluate
Support stakeholder engagement, ownership, and leadershipSupport 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
OPQ Stages 5-6
Monitor and evaluateMonitor and evaluate
Support stakeholder engagement, ownership, and leadershipSupport 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
OPQ Stage 7
7. Monitor and evaluate7. Monitor and evaluate
Support stakeholder engagement, ownership, and leadershipSupport 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
Optimizing Performance and Quality
Monitor and evaluateMonitor and evaluate
Support stakeholder engagement, ownership and leadershipSupport 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