Structured MentorshipStructured MentorshipStructured MentorshipStructured MentorshipA Key Ingredient to Sustaining and Extending the

Impact

Talkmore Maruta (MPH)

Foundation for Innovative New Diagnostics

ASLM 2012

What is What is What is What is MentoringMentoringMentoringMentoring

The Greek mythology story of Telemachus, the son of King

Odysseus during the Trojan Wars

Picture from : teammatesmentoringprogram.wordpress.com.

What is mentoringWhat is mentoringWhat is mentoringWhat is mentoring

Lab staff’s commitment

Dedicated mentors,

consistent mentorship, or access to

expertise

Support from

hospital upper

management

MOH commitment & leadership (lab policy,

system issues, etc.)

A champion determined to drive the

process forward

SLMTA: Observed Ingredients of Success

The building blocks of a Structured The building blocks of a Structured The building blocks of a Structured The building blocks of a Structured

Mentorship ProgramMentorship ProgramMentorship ProgramMentorship Program

Set Goals for the Program

• Set the goals of the Mentorship

• What are the mentors expected to achieve over

what period of time?

o Set/agree on goals/targets for the mentors

o How will progress on these goals/targets be reviewed

o Who reviews the progress/targets

MOH, Partners; Labs; Hospitals must create an

environment possible to achieve these goals

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Mentorship GoalsMentorship GoalsMentorship GoalsMentorship Goals

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TIMETIME

• Is the resource most critical to effective mentoring

o Spend extended periods of dedicated time

o Embedded in the life of the Lab

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Time: Essential ResourceTime: Essential ResourceTime: Essential ResourceTime: Essential Resource

• Sustained presents in the laboratory

o Essential to creating a culture that understands and

values quality

o Effects behaviour changes within the laboratory.

• Mentorship must be a series of engagements over

time

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Time: Essential ResourceTime: Essential ResourceTime: Essential ResourceTime: Essential Resource

6 Weeks

LSCScore

250

150

100

0

200

Final: 76

Period of absence help to gauge how well a lab is able to sustain,

or even extend, quality improvement without the mentor

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Follow Up JuneBaseline

158

119

End of 10 Wks July 2010

165

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TIMETIME

Me

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Pro

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• Regular collection of lab performance data helps

measure impact of mentorship and how well lab is

implementing QMS

• Data must be collected using standardized tools e.g.

WHO AFRO SLIPTA checklisto Clarity on who keeps data and who uses it and how

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Measuring progress and Measuring progress and Measuring progress and Measuring progress and ImpactImpactImpactImpact

Baseline

Assessment

Exit

Assessment

Return

Assessment

Concluding

Assessment

Assess at

regular

intervals

1 1

1

Mentor engagement at Lab XMentor engagement at

another lab

Mentor

engagement at

Lab X

• Data collection intervals should be structured

to capture

o During mentoring engagements as well as

o Between mentoring engagements

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Measuring progress and Measuring progress and Measuring progress and Measuring progress and ImpactImpactImpactImpact

• Training of In-country assessors available

• Data collected and list of non conformities must be

relayed upwards for review and resolving

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Measuring progress and Measuring progress and Measuring progress and Measuring progress and ImpactImpactImpactImpact

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TIMETIME

Me

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Pro

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Ali

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• Mentorship is aligned with National Quality

Improvement efforts

o Allows for system wide approach to resolving chronic

problem National Quality Assurance

Entire Lab System

Mentored Labs

Lab Z

Lab YLab X

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Alignment With National ProgramAlignment With National ProgramAlignment With National ProgramAlignment With National Program

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TIMETIME

Me

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Sta

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A

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• Standard approach to the mentorship allows for

o Streamline Mentor Activities

o Comparison across labs

• After the each assessment formulate standard

assessment reports

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Standard ApproachStandard ApproachStandard ApproachStandard Approach

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TIMETIME

Me

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Mentor will report:

o To Whom?

o On what?

o How often?

How does feed back gets back to Mentor?

What would be the expected TAT for response?

Who receives & evaluates Mentor evaluation forms?

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ReportingReportingReportingReporting

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TIMETIME

Me

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Mentor Support and IntegrationMentor Support and Integration

• Technical and logistical support for the mentor must

seriously be considered and planned for

• Mentors should access technical support from

o Leadership in the MOH

o TWG

o Other national & international experts

• Mentor orientation & introductions should include

all these resource persons

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Mentor Support & Mentor Support & Mentor Support & Mentor Support & IntegrationIntegrationIntegrationIntegration

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TIMETIME

Me

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Mentor Support and IntegrationMentor Support and Integration

Mentor Selection

• The following criteria are essential

o Broad experience as a bench technician/technologist

o Management experience at least at the bench section

level

o Knowledge of QMS and implementation of ISO Lab Stds

o Experience conducting training, including on-the-bench

training

o Passion for laboratory quality improvement

o Persistence, patience, and positive attitude

o Commitment to team approach in the laboratory

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Mentor Mentor Mentor Mentor SelectionSelectionSelectionSelection

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TIMETIMEMentor TrainingMentor Training

Me

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Mentor Support and IntegrationMentor Support and Integration

Mentor Selection

• Being experienced does not equate to an effective

mentor

• Mentors must be trained in

o Mentoring methods & techniques

o Existing structures in-country

o Reporting

• Training ensures standardization of approach

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TrainingTrainingTrainingTraining

28TIMETIMEMentor TrainingMentor Training

Me

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Ali

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rog

ram

Mentor Support and IntegrationMentor Support and Integration

Mentor Selection

8 8 8 8 Pillars of MentorshipPillars of MentorshipPillars of MentorshipPillars of Mentorship

• Mentors can be drawn from experienced

international, regional & national mentors

• Long term goal must be to localize mentorship

o Twin international mentors with local mentors

o Allow technicians from mentored Labs to share

experience and mentor other labs

o Organize scheduled attached to mentored Labs

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Sourcing Sourcing Sourcing Sourcing MentorsMentorsMentorsMentors

• Standardization of mentorship

Approaches

o Adoption of published

Mentorship Guidelines

• Scale up of Mentor Training

o Mentorship Training Toolkit

Available

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Way ForwardWay ForwardWay ForwardWay Forward