Excellence Planning

MD-PhD 93

11Six Sigma Executive Overview#

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(O) (S)( TOWS QSPM)

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BudgetProgramRulesProcedurePolicyStrategyGoalV,M P&P 12 Keywords: 13Survey Surveyor Criteria Evidence Findings Self Assessment Internal assessment ( ) Continuous(Continual )Improvement () .Continuous improvement means, regular or unbroken series or pattern or you can say, prolonged without interruption. On the other side, continual improvement consists to frequent changes, but steady..One thing I would like to mention here, those organizations who keep focus on continuous improvement in quality management are usually try to over manage the things, which could be turn out in the disaster.Six Sigma Executive Overview# ( Continual ) ( Continues )

15 : Surveyor Competencies ( () ) ( - - - ) ( ) ( ) ( Mentoring)

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17 Investigation Level: 1 2 3 4 5

18Six Sigma Executive Overview# Investigation Level: 1 19Six Sigma Executive Overview# Investigation Level: 2 20Six Sigma Executive Overview# Investigation Level: 3 21Six Sigma Executive Overview# Investigation Level: 4 22Six Sigma Executive Overview# Investigation Level: 5 23Six Sigma Executive Overview# Investigation Level:24 ()Departmental Interdepartmental Organization- Wide Moderate(standards not related to patient care) (2) (2) (3) Important (standards related indirectly to patient care and directly to quality)

(3) (4) (5) / / / / Very Important(standards affect directly the safety of the patient, staff and Visitors)

(4) (5) (5)

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27Six Sigma Executive Overview# Survey Tools:

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Six Sigma Executive Overview# Document Review: ( off-site desk review ) ( on-site visit)

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31Six Sigma Executive Overview# Interview Technique: . : 32Six Sigma Executive Overview# Interview Technique: ( ) 33Six Sigma Executive Overview# : (Drill Down Question) ( )NO Leading or Misleading (Active Listening) 3 : 34 : ( )- ... -

Six Sigma Executive Overview# : open- ended questions : . ( green light ): closed- ended questions : . ( red light ) :

35Six Sigma Executive Overview# : Double-barreled questions : . .

36Six Sigma Executive Overview# :Observation :

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Points to stresspatients pass though many departmental / organisational boundariesout patient process is on part of total patient process of caregood place to startexplain what a handoff is

everyone in health care working hard - often chasing their own tales doing rework because of the system