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