kaizen activities at a public hospital in a developing

KAIZEN ACTIVITIES AT A PUBLIC HOSPITAL IN A DEVELOPING COUNTRY: CHO RAY HOSPITAL, VIETNAM

Ton Thanh Tra MD.PhD

Head of Quality Management Department, Cho Ray hospital

Ho Chi Minh City- Vietnam

CONTENTS

Brief introduction about Vietnam condition and Cho Ray hospital

Some examples on low cost Kaizen activities at Cho Ray hospital

Lessons learnt

Practitioner’s expectation for Kaizen

Conclusions

1

2

3

4

5

• Our community get more expectation in health care services,

aging population

• Communicable and non communicable diseases

• Overload patients in public hospitals

• Staff has overload of work

• People centred care

• Patient safety becomes the most

Important thing in hospital management

HEALTH CARE QUALITY SHOULD BE IMPROVED

BỘ Y TẾ Ministry of Health

VIETNAM HOSPITAL QUALITY CRITERIA 2.0 (Circular 6858/QĐ-BYT, dated November 18, 2016, by Minister, Ministry of Health )

3,48

3,78

3,55

3,64 012345

Workenvironment

Leadership

InternalRegulation and

Outcomes

Opportunitiesfor study and

Promotion

QUALITY IMPROVEMENT FROM MINISTRY OF HEALTH

QUALITY MANAGEMENT ORGANIZATION

Ministry of Health

Department of Health

Quality management

division

Quality management

committee

HQM network

Patient safety

Board Satisfaction Guidelines Surveillance IT application

HQM departments

HOSPITAL QUALITY MANAGEMENT SYSTEM

Hospital Director

Board

Quality management

Dept

Quality management

committee

Members of

Quality network

Patient safety Clinical

Indicators

Standariza

tion Satisfaction IT application

Supporting team

Continuing quality

improvement 7

• Plan

• Doing

• Check

• Action

KAIZEN

Make safety workplace with low cost.

ACTIVITIES IN LIMITED RESOURCE: 5 S

5,5

15,5

25,2

4,1 3,7

26,6

5,9

0

10

20

30

0

100

200

300

2009 2010 2012 2013 2014 2015 2016 2017

28 28 59

76 80

130

214

270

THE INCIDENT REPORT SYSTEM

Hand hygiene compliances Hospital acquired infection

COMPLIANCES

Inspection → Feedback → Monitoring → Evaluation

PATIENT SAFETY ROUND WITH MULTI-PROFESSIONAL TEAM

• Pocket manual on patient

safety

• Training in patient safety

• Patient safety news letters

• Person in charge in patient

safety at clinical departments

OTHER ACTIVITIES

Local government and Ministry of health commendations

MOH commemdations

AWARDS – COMMENDATIONS

• The leadership

• Training, encouragement, motivation

• Using PDCA cycle

• Human resources (professional staff)

• Showing the data and outcomes

• Setting goals, sharing the outcomes

• Budget.

LESSON LEARNT

• Patient safety needs support from government, local and

International organizations

• We need professional staff for patient safety

• Patient safety should be learnt in medical Universities and in

continuing medical education program for all medical staff

• Patient safety should be one of the priorities in hospital

management

A PRACTITIONER’S EXPECTATIONS

• Continuing quality improvement (KAIZEN) would be done at

limited resources medical settings

• To be successful, Kaizen need support from Government,

Ministry of Health, Director of medical setting and all staff

• Kaizen is easy to start but difficult to keep sustain

CONCLUSIONS

• Japanese Government for inviting me and supporting my country.

• JICA experts for supporting me a lot in doing Kaizen

• All my colleagues who have been doing together with me on patient

safety and quality improvement.

ACKNOWLEDGEMENTS

THANK YOU VERY MUCH

Email: tonthanhtra@yahoo.com