1、醫(yī)療行業(yè)績效管理的好工具醫(yī)療行業(yè)績效管理的好工具Practices, Aspects, Impacts-ConceptsMissionResourceImpactResourceResourceImpactImpactActivities/ OperationsPracticesAspectAspectAspect2醫(yī)療行業(yè)績效管理的好工具Practices, Aspects, Impacts-CoInstallations have an EQA inventory in place:PracticesPractice Owners and LocationsCompliance Inspe

2、ction and OversightEvaluation Frequencies and ResponsibilitiesNeed to make comprehensive and add:AspectsImpactsPractices, Aspects, Impacts-Inventory3醫(yī)療行業(yè)績效管理的好工具Installations have an EQA invePractices, Aspects, Impacts-RelationshipsInventoryRisk-Based PrioritiesObjectives and TargetsMonitoring and M

3、easurement Actions, ProjectsPlanCheckInventory is basis for risk evaluation and objectives and targetsInventory is basis for EQA Internal Assessment4醫(yī)療行業(yè)績效管理的好工具Practices, Aspects, Impacts-RePractices, Aspects, Impacts-First StepsUpdate existing EQA inventory with aspects and impacts informationInit

4、ially may not be comprehensiveGoal to get EMS implementation underwayFollow implementation strategy established in Pre-Planning phase5醫(yī)療行業(yè)績效管理的好工具Practices, Aspects, Impacts-FRisk to MissionMissionResourceImpactResourceResourceImpactImpactActivities/ OperationsPracticesAspectAspectAspect6醫(yī)療行業(yè)績效管理的好工

5、具Risk to MissionMissionResourceImpacts and Risk7醫(yī)療行業(yè)績效管理的好工具Impacts and Risk7醫(yī)療行業(yè)績效管理的好工具Practices, Aspects, Impacts - Risk RankingEvaluate relative risk to mission to prioritize practices/aspectsProcess should be: repeatable, documented, defensible, and periodicMay apply qualitative approachinitial

6、ly and apply quantitative method later8醫(yī)療行業(yè)績效管理的好工具Practices, Aspects, Impacts - Pollution Prevention OpportunitiesNavy installations have mature P2 Programs in placeThe practice inventory may suggest P2 opportunities not considered within the traditional HW/industrial process focus of P2 9醫(yī)療行業(yè)績效管理的

7、好工具Pollution Prevention OpportuniPollution Prevention Opportunities- First StepsReview practice inventory for P2 opportunitiesApply P2 approach to identify and develop solutions for:Industrial practices not previously identifiedNon-industrial practicesEnvironmental aspects10醫(yī)療行業(yè)績效管理的好工具Pollution Pre

8、vention OpportuniObjectives and TargetsObjectives define an end-state supportive of the installations environmental policy goalsTargets are detailed performance standards that quantify each objectiveShould be achievable and measurablePeriodically review and revise11醫(yī)療行業(yè)績效管理的好工具Objectives and Targets

9、ObjectivObjectives and Targets-Types12醫(yī)療行業(yè)績效管理的好工具Objectives and Targets-Types12Objectives and Targets-RelationshipsObjectives and TargetsRequirementsRisk-Based PrioritiesEnvironmental Policy GoalsMission, Local ConditionsMedia ProgramsPlanDoActions, Projects13醫(yī)療行業(yè)績效管理的好工具Objectives and Targets-Rela

10、tioActions and ProjectsActions - behavioral/administrative initiatives or outside support within the COs meansRealign existing R/RDevelop and provide training or proceduresSecure NAVFAC supportProjects - initiatives requiring external funding, requested and justified through PPBSP2 investmentsStudie

11、sPlan development14醫(yī)療行業(yè)績效管理的好工具Actions and ProjectsActions - Actions and Projects-RelationshipsRisk-Based PrioritiesObjectives and TargetsMonitoring and Measurement ActionsPlanDoCheckPOMProjectsPrograms15醫(yī)療行業(yè)績效管理的好工具Actions and Projects-RelationsPolicyPlanningImplementationChecking/Corrective Action

12、Management Review16醫(yī)療行業(yè)績效管理的好工具PolicyPlanningImplementationStructure: The EMS TeamDesignated by Installation/Regional CommanderIncludes Senior Management (EQB)CO/XOs of installation and tenantsDepartment/Division managersEnvironmental office managerIncludes Technical Support and EMS ImplementationMe

13、dia managers and other environmental office staffEnvironmental POCs17醫(yī)療行業(yè)績效管理的好工具Structure: The EMS TeamDesignEMS Team may include personnel fromTenantsProductionMaintenanceROICCSupplyQualityHuman ResourcesEnvironmentalSafety and HealthPublic AffairsComptrollerBOS Contractors18醫(yī)療行業(yè)績效管理的好工具EMS Team m

14、ay include personnelStructure: Environmental OfficeMedia programsMatureAlready in placeEMS elements in placeP2Legal requirementsEmergency responsePPBSTrainingAirAsbestosRadonPesticidesCultural ResourcesNatural ResourcesHM/HWIPRNEPANoiseP2Solid WasteDrinking WaterInfectious WastesUST19醫(yī)療行業(yè)績效管理的好工具Str

15、ucture: Environmental OffiStructure: Practice Owners“Command, unit, or office that uses a practice to accomplish its mission”Authority to accomplish their mission using a practice responsibility to control its aspectsAccountability = Responsibilities +Authority420醫(yī)療行業(yè)績效管理的好工具Structure: Practice Owne

16、rs“CoAccountability = Responsibilities +AuthorityEMSElementsMediaProgramsPracticesEMSTeamEnvironmentalOfficePracticeOwners4421醫(yī)療行業(yè)績效管理的好工具Accountability = ResponsibilitTraining -CurrentRequired by RegulationMedia related: HW worker, WWTP operation, asbestos worker, emergency responseJob RelatedGener

17、ally for environmental staff: NEPA, ERMS, computer skills22醫(yī)療行業(yè)績效管理的好工具Training -CurrentRequired by RTraining for EMS ImplementationInitial EMS Team TrainingSenior ManagementEnvironmental Support StaffPractice Owners TrainingEnvironmental SOPsVideoInteractiveWeb23醫(yī)療行業(yè)績效管理的好工具Training for EMS Impleme

18、ntatio醫(yī)療行業(yè)績效管理的好工具培訓課件CommunicationInternalSenior managements roleEnvironmental staff translate requirements into procedures and distribute to practice ownersMechanism for practice owners to communicate with Environmental OfficeExternalPublic Affairs Office25醫(yī)療行業(yè)績效管理的好工具CommunicationInternal25醫(yī)療行業(yè)績效

19、管Environmental SOPsDocument for each practiceLocation, owner, POCAspects and potential impacts26醫(yī)療行業(yè)績效管理的好工具Environmental SOPsDocument forEnvironmental SOPsDocument for each practiceLocation, owner, POCAspects and potential impactsRequirements, Procedures, Responsibilities forOperational controlComm

20、unicationsEmergency preparedness and responseInspectionTraining27醫(yī)療行業(yè)績效管理的好工具Environmental SOPsDocument forEnvironmental SOPsDocument for each practiceLocation, owner, POCAspects and potential impactsRequirements, Procedures, Responsibilities forOperational controlCommunicationsEmergency preparednes

21、s and responseInspectionTrainingDesign, capacity, inputsPhysical controls, P2 options, and BMPs in place28醫(yī)療行業(yè)績效管理的好工具Environmental SOPsDocument forTailored Environmental SOPsPractice owners need to know or provideLocation, owner, POC Procedures, Responsibilities forOperational controlCommunications

22、Emergency preparedness and responseInspectionTraining29醫(yī)療行業(yè)績效管理的好工具Tailored Environmental SOPsPraEmergency Preparedness & ResponsePlans prepared, not distributedTraining up to date ?Distribute procedures in Environmental SOPs30醫(yī)療行業(yè)績效管理的好工具Emergency Preparedness & RespoPolicyPlanningImplementationChe

23、cking/Corrective ActionManagement Review31醫(yī)療行業(yè)績效管理的好工具PolicyPlanningImplementationMonitoring and MeasurementSampling and analysisInternal assessment effortsTracking progress in meeting objectives and targets32醫(yī)療行業(yè)績效管理的好工具Monitoring and MeasurementSampProblem/Cause Identification Corrective/Preventiv

24、e ActionReview results of internal assessment effortsConduct “problem solving”33醫(yī)療行業(yè)績效管理的好工具Problem/Cause Identification CProblem/Cause Identification Corrective/Preventive ActionSuggested “problem solving” approachDefine problemAnalyze root causesDevelop alternativesSelect corrective actionDevelop

25、corrective actionImplement corrective actionFollow-up34醫(yī)療行業(yè)績效管理的好工具Problem/Cause Identification CEMS ReviewAnswer two questionsDoes the EMS, as described in the EMS Description Document, meet current Navy criteria?Does the EMS, as implemented, effectively do what the EMS Description Document says it will do?35醫(yī)療行業(yè)績效管理的好工具EMS ReviewAnswer two questionsPolicyPlanningImplementationChecking/Corrective ActionManagement Review36醫(yī)療行業(yè)績效管理的好工具PolicyPlanningImplem