医疗行业绩效管理的好工具(英文版)课件.ppt

1、Practices,Aspects,Impacts-ConceptsMissionResourceImpactResourceResourceImpactImpactActivities/OperationsPracticesAspect Aspect AspectvInstallations have an EQA inventory in place:PracticesPractice Owners and LocationsCompliance Inspection and OversightEvaluation Frequencies and ResponsibilitiesvNeed

2、 to make comprehensive and add:AspectsImpactsPractices,Aspects,Impacts-InventoryPractices,Aspects,Impacts-RelationshipsInventoryRisk-Based PrioritiesObjectives and TargetsMonitoring and Measurement Actions,ProjectsPlanCheck Inventory is basis for risk evaluation and objectives and targets Inventory

3、is basis for EQA Internal AssessmentPractices,Aspects,Impacts-First Steps Update existing EQA inventory with aspects and impacts information Initially may not be comprehensive Goal to get EMS implementation underway Follow implementation strategy established in Pre-Planning phaseRisk to MissionMissi

4、onResourceImpactResourceResourceImpactImpactActivities/OperationsPracticesAspect Aspect AspectImpacts and RiskImpactsPotential Risks to MissionDegrade naturalareas Diminished utility for training operations Adverse public perception or noncompliance Potential mission shutdown.Noncompliance/regulator

5、yaction Fines Mission stoppage Lose access to critical resources Distraction and inefficient use of personnel resourcesAdverse publicperception Lawsuits Mission stoppage Lose access to critical training areas Distraction and inefficient use of personnel resourcesHuman healthand safetyeffects Increas

6、ed sick time Personnel injury and death Decreased individual performancePractices,Aspects,Impacts-Risk RankingvEvaluate relative risk to mission to prioritize practices/aspectsvProcess should be:repeatable,documented,defensible,and periodicvMay apply qualitative approachinitially and apply quantitat

7、ive method laterPollution Prevention OpportunitiesvNavy installations have mature P2 Programs in placevThe practice inventory may suggest P2 opportunities not considered within the traditional HW/industrial process focus of P2 Pollution Prevention Opportunities-First StepsvReview practice inventory

8、for P2 opportunitiesvApply P2 approach to identify and develop solutions for:Industrial practices not previously identifiedNon-industrial practicesEnvironmental aspectsObjectives and TargetsvObjectives define an end-state supportive of the installations environmental policy goalsvTargets are detaile

9、d performance standards that quantify each objectivevShould be achievable and measurablevPeriodically review and reviseObjectives and Targets-TypesObjective TypeExamplesEmphasizingCNO and DoDmetrics 40%reduction in pounds of hazardous wastesdisposed by the end of FY05,based on an FY02baseline.Zero s

10、pills of oil product to U.S.waters.Improvingmanagement ofenvironmentalprograms or EMSelements Develop and distribute SOPs for high riskpractices by first quarter FY03.Revise P2 Plan to incorporate new practicesidentified during EMS practice inventorydevelopment by May 02.Drivingimplementationof risk

11、-mitigationprojects Reduce VOC air releases installation wide by10%per year through FY07,from FY02 baselinelevels.Eliminate oil discharges to Muddy Creek.Objectives and Targets-RelationshipsObjectives and TargetsRequirementsRisk-Based PrioritiesEnvironmental Policy GoalsMission,Local ConditionsMedia

12、 ProgramsPlanDoActions,ProjectsActions and ProjectsvActions-behavioral/administrative initiatives or outside support within the COs meansRealign existing R/RDevelop and provide training or proceduresSecure NAVFAC supportvProjects-initiatives requiring external funding,requested and justified through

13、 PPBSP2 investmentsStudiesPlan developmentActions and Projects-RelationshipsRisk-Based PrioritiesObjectives and TargetsMonitoring and Measurement ActionsPlanDoCheckPOMProjectsProgramsPolicyPlanningImplementationChecking/Corrective ActionManagement ReviewLegal RequirementsPractices,Aspects,ImpactsPol

14、lution Prevention OpportunitiesObjectives and TargetsPPBSMonitoring and MeasurementProblem/Cause Identification andCorrective/Preventive ActionEMS ReviewStructure,Responsibilities,and ProgramsTrainingEMS Documentation,Document Control,&RecordsCommunicationStandard Operating ProceduresEmergency Prepa

15、redness&ResponseManagement ReviewEnvironmental Policy StatementCHECKING AND CORRECTIVE/PREVENTIVE ACTIONIMPLEMENTATIONPOLICYPLANNINGMANAGEMENT REVIEWStructure:The EMS TeamvDesignated by Installation/Regional CommandervIncludes Senior Management(EQB)CO/XOs of installation and tenantsDepartment/Divisi

16、on managersEnvironmental office managervIncludes Technical Support and EMS ImplementationMedia managers and other environmental office staffEnvironmental POCsEMS Team may include personnel fromvTenantsvProductionvMaintenancevROICCvSupplyvQualityvHuman ResourcesvEnvironmentalvSafety and HealthvPublic

17、 AffairsvComptrollervBOS ContractorsStructure:Environmental OfficevMedia programsMatureAlready in placevEMS elements in placeP2Legal requirementsEmergency responsePPBSTrainingUSTStructure:Practice Ownersv“Command,unit,or office that uses a practice to accomplish its mission”vAuthority to accomplish

18、their mission using a practice responsibility to control its aspectsvAccountability=Responsibilities+Authority4Accountability=Responsibilities+AuthorityEMSElementsMediaProgramsPracticesEMSTeamEnvironmentalOfficePracticeOwners44Training-CurrentvRequired by RegulationMedia related:HW worker,WWTP opera

19、tion,asbestos worker,emergency responsevJob RelatedGenerally for environmental staff:NEPA,ERMS,computer skillsTraining for EMS ImplementationvInitial EMS Team TrainingSenior ManagementEnvironmental Support StaffvPractice Owners TrainingEnvironmental SOPsVideoInteractiveWebEMS Description DocumentvIn

20、clude installation EMS Policy vDemonstrates&communicates implementationObjectives and targetsOrganizational structure and key responsibilitiesEMS elements Incorporate or provide a roadmap to information supporting each EMS elementCommunicationvInternalSenior managements roleEnvironmental staff trans

21、late requirements into procedures and distribute to practice ownersMechanism for practice owners to communicate with Environmental OfficevExternalPublic Affairs OfficeEnvironmental SOPsvDocument for each practiceLocation,owner,POCAspects and potential impactsEnvironmental SOPsvDocument for each prac

22、ticeLocation,owner,POCAspects and potential impactsRequirements,Procedures,Responsibilities forvOperational controlvCommunicationsvEmergency preparedness and responsevInspectionvTrainingEnvironmental SOPsvDocument for each practiceLocation,owner,POCAspects and potential impactsRequirements,Procedure

23、s,Responsibilities forvOperational controlvCommunicationsvEmergency preparedness and responsevInspectionvTrainingDesign,capacity,inputsPhysical controls,P2 options,and BMPs in placeTailored Environmental SOPsvPractice owners need to know or provideLocation,owner,POC Procedures,Responsibilities forvO

24、perational controlvCommunicationsvEmergency preparedness and responsevInspectionvTrainingEmergency Preparedness&ResponsevPlans prepared,not distributedvTraining up to date?vDistribute procedures in Environmental SOPsPolicyPlanningImplementationChecking/Corrective ActionManagement ReviewLegal Require

25、mentsPractices,Aspects,ImpactsPollution Prevention OpportunitiesObjectives and TargetsPPBSMonitoring and MeasurementProblem/Cause Identification andCorrective/Preventive ActionEMS ReviewStructure,Responsibilities,and ProgramsTrainingEMS Documentation,Document Control,&RecordsCommunicationStandard Op

26、erating ProceduresEmergency Preparedness&ResponseManagement ReviewEnvironmental Policy StatementCHECKING AND CORRECTIVE/PREVENTIVE ACTIONIMPLEMENTATIONPOLICYPLANNINGMANAGEMENT REVIEWMonitoring and MeasurementvSampling and analysisvInternal assessment effortsvTracking progress in meeting objectives a

27、nd targetsProblem/Cause Identification Corrective/Preventive ActionvReview results of internal assessment effortsvConduct“problem solving”Problem/Cause Identification Corrective/Preventive ActionvSuggested“problem solving”approachDefine problemAnalyze root causesDevelop alternativesSelect corrective

28、 actionDevelop corrective actionImplement corrective actionFollow-upEMS ReviewvAnswer 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?PolicyPlanningImplement

29、ationChecking/Corrective ActionManagement ReviewLegal RequirementsPractices,Aspects,ImpactsPollution Prevention OpportunitiesObjectives and TargetsPPBSMonitoring and MeasurementProblem/Cause Identification andCorrective/Preventive ActionEMS ReviewStructure,Responsibilities,and ProgramsTrainingEMS Do

30、cumentation,Document Control,&RecordsCommunicationStandard Operating ProceduresEmergency Preparedness&ResponseManagement ReviewEnvironmental Policy StatementCHECKING AND CORRECTIVE/PREVENTIVE ACTIONIMPLEMENTATIONPOLICYPLANNINGMANAGEMENT REVIEWManagement ReviewvAnalyze results of followingEMS reviewI

31、nternal assessmentsStatus of corrective/preventive actionsProgress in meeting objectives and targetsvImplement improvements to EMSRevise policyRevise objectives and targetsRevise EMS proceduresDocument resultsConclusionsvYou already have a lot elements in placeRequirementsP2ProgramsPPBSEmergency Res

32、ponseChecking and Corrective Action(EQA Program)ConclusionsvInitial EMS improvements you can doDesignate EMS TeamObtain/provide initial EMS trainingDevelop/distribute PolicyAdd aspects and impacts to practice inventory Conduct risk evaluationDevelop objective and targetsComplete EQA implementationQuestions?Discussion