1、医疗行业绩效管理的医疗行业绩效管理的好工具好工具Practices,Aspects,Impacts-ConceptsMissionResourceImpactResourceResourceImpactImpactActivities/OperationsPracticesAspect Aspect Aspect2医疗行业绩效管理的好工具 Installations have an EQA inventory in place:Practices Practice Owners and Locations Compliance Inspection and Oversight Evaluati
2、on Frequencies and Responsibilities Need to make comprehensive and add:Aspects ImpactsPractices,Aspects,Impacts-Inventory3医疗行业绩效管理的好工具Practices,Aspects,Impacts-RelationshipsInventoryRisk-Based PrioritiesObjectives and TargetsMonitoring and Measurement Actions,ProjectsPlanCheck Inventory is basis for
3、 risk evaluation and objectives and targets Inventory is basis for EQA Internal Assessment4医疗行业绩效管理的好工具Practices,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 implementa
4、tion strategy established in Pre-Planning phase5医疗行业绩效管理的好工具Risk to MissionMissionResourceImpactResourceResourceImpactImpactActivities/OperationsPracticesAspect Aspect Aspect6医疗行业绩效管理的好工具Impacts and RiskImpactsPotential Risks to MissionDegrade naturalareas Diminished utility for training operations
5、Adverse public perception or noncompliance Potential mission shutdown.Noncompliance/regulatoryaction Fines Mission stoppage Lose access to critical resources Distraction and inefficient use of personnel resourcesAdverse publicperception Lawsuits Mission stoppage Lose access to critical training area
6、s Distraction and inefficient use of personnel resourcesHuman healthand safetyeffects Increased sick time Personnel injury and death Decreased individual performance7医疗行业绩效管理的好工具Practices,Aspects,Impacts-Risk Ranking Evaluate relative risk to mission to prioritize practices/aspects Process should be
7、:repeatable,documented,defensible,and periodic May apply qualitative approachinitially and apply quantitative method later8医疗行业绩效管理的好工具Pollution Prevention Opportunities Navy installations have mature P2 Programs in place The practice inventory may suggest P2 opportunities not considered within the
8、traditional HW/industrial process focus of P2 9医疗行业绩效管理的好工具Pollution Prevention Opportunities-First Steps Review practice inventory for P2 opportunities Apply P2 approach to identify and develop solutions for:Industrial practices not previously identified Non-industrial practices Environmental aspec
9、ts10医疗行业绩效管理的好工具Objectives and Targets Objectives define an end-state supportive of the installations environmental policy goals Targets are detailed performance standards that quantify each objective Should be achievable and measurable Periodically review and revise11医疗行业绩效管理的好工具Objectives and Targ
10、ets-TypesObjective TypeExamplesEmphasizingCNO and DoDmetrics 40%reduction in pounds of hazardous wastesdisposed by the end of FY05,based on an FY02baseline.Zero spills of oil product to U.S.waters.Improvingmanagement ofenvironmentalprograms or EMSelements Develop and distribute SOPs for high riskpra
11、ctices by first quarter FY03.Revise P2 Plan to incorporate new practicesidentified during EMS practice inventorydevelopment by May 02.Drivingimplementationof risk-mitigationprojects Reduce VOC air releases installation wide by10%per year through FY07,from FY02 baselinelevels.Eliminate oil discharges
12、 to Muddy Creek.12医疗行业绩效管理的好工具Objectives and Targets-RelationshipsObjectives and TargetsRequirementsRisk-Based PrioritiesEnvironmental Policy GoalsMission,Local ConditionsMedia ProgramsPlanDoActions,Projects13医疗行业绩效管理的好工具Actions and Projects Actions-behavioral/administrative initiatives or outside s
13、upport within the COs means Realign existing R/R Develop and provide training or procedures Secure NAVFAC support Projects-initiatives requiring external funding,requested and justified through PPBS P2 investments Studies Plan development14医疗行业绩效管理的好工具Actions and Projects-RelationshipsRisk-Based Pri
14、oritiesObjectives and TargetsMonitoring and Measurement ActionsPlanDoCheckPOMProjectsPrograms15医疗行业绩效管理的好工具PolicyPlanningImplementationChecking/Corrective ActionManagement ReviewLegal RequirementsPractices,Aspects,ImpactsPollution Prevention OpportunitiesObjectives and TargetsPPBSMonitoring and Meas
15、urementProblem/Cause Identification andCorrective/Preventive ActionEMS ReviewStructure,Responsibilities,and ProgramsTrainingEMS Documentation,Document Control,&RecordsCommunicationStandard Operating ProceduresEmergency Preparedness&ResponseManagement ReviewEnvironmental Policy StatementCHECKING AND
16、CORRECTIVE/PREVENTIVE ACTIONIMPLEMENTATIONPOLICYPLANNINGMANAGEMENT REVIEW16医疗行业绩效管理的好工具Structure:The EMS Team Designated by Installation/Regional Commander Includes Senior Management(EQB)CO/XOs of installation and tenants Department/Division managers Environmental office manager Includes Technical S
17、upport and EMS Implementation Media managers and other environmental office staff Environmental POCs17医疗行业绩效管理的好工具EMS Team may include personnel from Tenants Production Maintenance ROICC Supply Quality Human Resources Environmental Safety and Health Public Affairs Comptroller BOS Contractors18医疗行业绩效
18、管理的好工具Structure:Environmental Office Media programs Mature Already in place EMS elements in place P2 Legal requirements Emergency response PPBS TrainingAirSolid Waste19医疗行业绩效管理的好工具Structure:Practice Owners“Command,unit,or office that uses a practice to accomplish its mission”Authority to accomplish
19、their mission using a practice responsibility to control its aspects Accountability=Responsibilities+Authority420医疗行业绩效管理的好工具Accountability=Responsibilities+AuthorityEMSElementsMediaProgramsPracticesEMSTeamEnvironmentalOfficePracticeOwners4421医疗行业绩效管理的好工具Training-Current Required by Regulation Media
20、 related:HW worker,WWTP operation,asbestos worker,emergency response Job Related Generally for environmental staff:NEPA,ERMS,computer skills22医疗行业绩效管理的好工具Training for EMS Implementation Initial EMS Team Training Senior Management Environmental Support Staff Practice Owners Training Environmental SOP
21、s Video Interactive Web23医疗行业绩效管理的好工具Communication Internal Senior managements role Environmental staff translate requirements into procedures and distribute to practice owners Mechanism for practice owners to communicate with Environmental Office External Public Affairs Office25医疗行业绩效管理的好工具Environm
22、ental SOPs Document for each practice Location,owner,POC Aspects and potential impacts26医疗行业绩效管理的好工具Environmental SOPs Document for each practice Location,owner,POC Aspects and potential impacts Requirements,Procedures,Responsibilities for Operational control Communications Emergency preparedness an
23、d response Inspection Training27医疗行业绩效管理的好工具Environmental SOPs Document for each practice Location,owner,POC Aspects and potential impacts Requirements,Procedures,Responsibilities for Operational control Communications Emergency preparedness and response Inspection Training Design,capacity,inputs Ph
24、ysical controls,P2 options,and BMPs in place28医疗行业绩效管理的好工具Tailored Environmental SOPs Practice owners need to know or provide Location,owner,POC Procedures,Responsibilities for Operational control Communications Emergency preparedness and response Inspection Training29医疗行业绩效管理的好工具Emergency Preparedn
25、ess&Response Plans prepared,not distributed Training up to date?Distribute procedures in Environmental SOPs30医疗行业绩效管理的好工具PolicyPlanningImplementationChecking/Corrective ActionManagement ReviewLegal RequirementsPractices,Aspects,ImpactsPollution Prevention OpportunitiesObjectives and TargetsPPBSMonit
26、oring and MeasurementProblem/Cause Identification andCorrective/Preventive ActionEMS ReviewStructure,Responsibilities,and ProgramsTrainingEMS Documentation,Document Control,&RecordsCommunicationStandard Operating ProceduresEmergency Preparedness&ResponseManagement ReviewEnvironmental Policy Statemen
27、tCHECKING AND CORRECTIVE/PREVENTIVE ACTIONIMPLEMENTATIONPOLICYPLANNINGMANAGEMENT REVIEW31医疗行业绩效管理的好工具Monitoring and Measurement Sampling and analysis Internal assessment efforts Tracking progress in meeting objectives and targets32医疗行业绩效管理的好工具Problem/Cause Identification Corrective/Preventive Action
28、 Review results of internal assessment efforts Conduct“problem solving”33医疗行业绩效管理的好工具Problem/Cause Identification Corrective/Preventive Action Suggested“problem solving”approach Define problem Analyze root causes Develop alternatives Select corrective action Develop corrective action Implement corre
29、ctive action Follow-up34医疗行业绩效管理的好工具EMS Review Answer two questions Does 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医疗行业绩效管理的好工具PolicyPlanningImplementationChecking/Cor
30、rective ActionManagement ReviewLegal RequirementsPractices,Aspects,ImpactsPollution Prevention OpportunitiesObjectives and TargetsPPBSMonitoring and MeasurementProblem/Cause Identification andCorrective/Preventive ActionEMS ReviewStructure,Responsibilities,and ProgramsTrainingEMS Documentation,Docum
31、ent Control,&RecordsCommunicationStandard Operating ProceduresEmergency Preparedness&ResponseManagement ReviewEnvironmental Policy StatementCHECKING AND CORRECTIVE/PREVENTIVE ACTIONIMPLEMENTATIONPOLICYPLANNINGMANAGEMENT REVIEW36医疗行业绩效管理的好工具Management Review Analyze results of following EMS review In
32、ternal assessments Status of corrective/preventive actions Progress in meeting objectives and targets Implement improvements to EMS Revise policy Revise objectives and targets Revise EMS procedures Document results37医疗行业绩效管理的好工具Conclusions You already have a lot elements in place Requirements P2 Pro
33、grams PPBS Emergency Response Checking and Corrective Action(EQA Program)38医疗行业绩效管理的好工具Conclusions Initial EMS improvements you can do Designate EMS Team Obtain/provide initial EMS training Develop/distribute Policy Add aspects and impacts to practice inventory Conduct risk evaluation Develop objective and targets Complete EQA implementation39医疗行业绩效管理的好工具Questions?Discussion40医疗行业绩效管理的好工具
