G OSS S aat Stap t '' G' ' ad '

1
??G????? ?????OS?S ????????S
?a?a???t?? Staµp?????

??????t???? ?.?.
G. ?. ?a?d?? ?????? ?. ?. ????a???
Msc in
Health Management
????? t?? ??.?.?.?
??G????? ?????OS?S ????????S
2
?e?t??s?

• ???e? p??te?a??t?ta? importance-
  performance matrix

S?????s? µe ???? ?e?t?????a -

???st? ????? a?a??a??t?ta
ap?de?t?
?aµ???te?? ep?ped? ap?de?t?? ap?d?s??
p???de?t??? pa??µßas?
epe????sa d??s?
??a??a??t?ta ?a? ???st???µe??
???a ?aµ???
?????
3
???se???se?? st? ße?t??s?
Breakthrough ?e?t??s?
?e?t??s? Breakthrough
?p?d?s? -
p?a?µat??? ße?t??s?
-
??????
4
???se???se?? st? ße?t??s?
S??e??? ?e?t??s?
?p?d?s? -
S??e??? ?e?t??s?
p?a?µat??? ße?t??s?
-
??????
5
? s?????t??? a???????s? (Benchmarking)
??? ? s?????s? t?? ?e?t??????? ßas??eta? µ??? se
de??te? p???t?ta? , t?te d?afe????? t?? p??s????
µa? ta ßas??? a?t?a t?? d?µ??????a? a??? ?a? t??
ße?t??s?? t?? d?ad??as??? a?t??.
?ed?µ??a
?e??te? p???t?ta?
???
?p?te??sµata
??ad??as?a
????
???t?ste? p?a?t????
??et??? ??a??t?ta
O??a??sµ??
G?at??
???t??p?a ??s???µe???
????d??
6
??µ???????ta? t?? ?p?d?µ?? ??a s??e?? ße?t??s?

• ?p??e???s?a?? ??a??t?ta, ???at?t?ta
• ?????p??? S?µpe??f??? ?a? ???s?

• ? s??e??? ße?t??s? ???eta? must t??
  ?a??µe????t?ta?
• ?p????t??s? st? st??? t?? s??e???? ße?t??s??
• ? s??e??? ße?t??s? epe?te??eta? se d?atµ?µat????
  ?e?t?????e?
• ??a???? a?a???s? t?? s?st?µat?? s??e????
  ße?t??s??
• ?etaf??? t?? a??a? t?? s??e???? ße?t??s??
• ??µ??????a t?? µa??s?a??? ???a??sµ??

7
?e?????? S??e???? ?e?t??s?? 1

• ? ??????
  
• p???t?ta? (Deming)

????? e??a? ? st???? µa?
??? ????????µe ?t? ? a??a?? e??a? ße?t??s?
Se t? a??a??? p??pe? ?a p??ß??µe ?ste ?a t?
ap?t??esµa ?a e??a? ? ße?t??s?
Act Plan Study Do
8
?e?????? S??e???? ?e?t??s?? 2

• ? ??????
  
• p???t?ta? (Deming)

????? e??a? ? st???? µa?
? ?e?t??s? apa?te? t?? ?p?ß??? st????. ?? st????
p??pe? ?a e??a? SMART Specific Measurable Accepted
Related Time-constrained
9
?e?????? S??e???? ?e?t??s?? 3

• ? ??????
  
• p???t?ta? (Deming)

????? e??a? ? st???? µa?
??? ????????µe ?t? ? a??a?? e??a? ße?t??s?
??µ??????a de??t?? p???t?ta? ?p?te??sµat??- ??
ap?d?de? t? s?st?µa ??ad??as?a?-?? ap?d?d??? ta
ep?µ????? ß?µata t?? d?ad??as?a?
??t????p?st????-? s???e???µ??? d?ad??as?a
p???a?e? p??ß??µa se ???? d?ad??as?a t?? ?d???
s?st?µat?? Se ???e e??e???µa ße?t??s??
???s?µ?p??e?ta? ??a µe??µa t?? t???? e?d??
de??t?? p???t?ta?. ?a?a???????ste t??? de??te?
s?st?µat??? ?a? a?af??ete t?? pa?eµß?se?? p??
p???a???? t? µetaß??? t?? de??t??.
10
?e?????? S??e???? ?e?t??s?? 4

• ?e??te? ????t?ta?

?????? ??aµ???? st? ???
Se ???e e??e???µa ße?t??s?? ???s?µ?p??e?ta? ??a
µe??µa t?? t???? e?d?? de??t?? p???t?ta?.
?a?a???????ste t??? de??te? s?st?µat??? ?a?
a?af??ete t?? pa?eµß?se?? p?? p???a???? t?
µetaß??? t?? de??t??.
?O?e?
11
?e?????? S??e???? ?e?t??s?? 5

• ? ??????
  
• p???t?ta? (Deming)

????? e??a? ? st???? µa?
??? ????????µe ?t? ? a??a?? e??a? ße?t??s?
???e ße?t??s? p???p???te? t?? a??a??, ????? ?a
?s??e? t? a?t??et?. ??a?????ste ta ???s?µa
s?µe?a p?? a? a??????? ?a ?d???s??? se ße?t??s?
Se t? a??a??? p??pe? ?a p??ß??µe ?ste ?a t?
ap?t??esµa ?a e??a? ? ße?t??s?
12
??a?????ste ta ???s?µa s?µe?a p?? a? a??????? ?a
?d???s??? se ße?t??s?
Cause and Effect Diagram ?????e?s? t?? ßas????
a?t??? d?µ??????a? e??? p??ß??µat?? ?a? a??de???
t?? a??a??? p?? p??pe? ?a ??????
??????S??S
??T?O????? ?????
?? e?????µ??? ??s? t?? µ??a??µ?t??
????p?? e?pa?de?s?
???????S??
Set pa??µßas??
????p?? ???µat?d?t?s?
?a?ad?s?a?? ?at?e?a
?????
??T???S
??F?????
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??a?????ste ta ???s?µa s?µe?a p?? a? a??????? ?a
?d???s??? se ße?t??s?

• Pareto Diagram
• Se ???e e??e???µa ße?t??s?? a???e? ?a
  d?e?????????µe ta ???s?µa s?µe?a p?? p??pe? ?a
  a???????
• .

?????aµµa Pareto ??a t?? ????? a?aµ???? st? ???
S????t?ta eµf???s??
?a??st???s? p??????µe??? d?a???se??
????p?? d?a???? t?? as?e??
?? e?asf???s? ?????? se tµ?µa
??t?a
14
?e?????? S??e???? ?e?t??s??

• ? ??????
  
• p???t?ta? (Deming)

????? e??a? ? st???? µa?
??? ????????µe ?t? ? a??a?? e??a? ße?t??s?

• ? µ???s? p?? ap??t?ta? ap? t?? eµpe???a e??a?
  ep??e?t??µ??? st? d??s?.
• ???e ep??e?µ??? a??a?? p?? st??e?e? st? ße?t??s?
  p??pe? ?a
• ?????aµµat??eta?
• ??e?e??e?ta?
• ?a?a??????e?ta?
• ?fa?µ??eta? se e???te?? ???µa?a ?
  t??p?p??e?ta?.

Se t? a??a??? p??pe? ?a p??ß??µe ?ste ?a t?
ap?t??esµa ?a e??a? ? ße?t??s?
Act Plan Study Do
15
??t? ?p??????

• ? d?a???? ße?t??s? apa?te? ?e???t?ta ?a? ?p?µ???
  ??a t?? ep?t??? efa?µ??? t??

? ?????? ???? t?? d?a????? ße?t??s??
??sa????
???pt???
O??µa?s?
?p?µ???p???s?
?pa?at??f?d?t?s?
G??s? ?a? ?ata???s?
???a??µe??? ?????s?asµ??
??t?µet?p?s? s?ßa??? p??ß??µ?t??
?p????te?s?
???sp??e?a epa???ta??? st? p????aµµa