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Module 3 - Quality Improvement Models - Nov 2025

The document outlines various quality improvement (QI) models used in healthcare, emphasizing their importance in organizing improvement initiatives and empowering teams. It highlights models such as Kaizen and the Model for Improvement, which are adopted in Ethiopia, and discusses their frameworks and methodologies. The session aims to educate participants on the rationale for QI models and their application in enhancing patient care.

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Berhanu Yelea
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24 views22 pages

Module 3 - Quality Improvement Models - Nov 2025

The document outlines various quality improvement (QI) models used in healthcare, emphasizing their importance in organizing improvement initiatives and empowering teams. It highlights models such as Kaizen and the Model for Improvement, which are adopted in Ethiopia, and discusses their frameworks and methodologies. The session aims to educate participants on the rationale for QI models and their application in enhancing patient care.

Uploaded by

Berhanu Yelea
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
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Quality Improvement Models

Module Objectives

 By the end of this session, participants will


be able to:
 Discuss the rational for quality improvement
models
 Identify commonly used quality improvement
models in healthcare setting
 Describe quality improvement models in Ethiopia
Why Quality Improvement Models

 It is a framework or roadmap used to


organize the work of improvement
initiatives or activities
 It encourages planning based on theory
 It empowers people in the
organization/facility to take action
 It facilitates use of team work
 It emphasizes and encourages iterative
learning
Commonly used QI Models in
Healthcare
Kaizen
Six Lean Challenge
Sigma

SBM-R Lean Six Sigma


Quality Improvement Models in
Healthcare
 Several overlapping and complementary
QI models exist
 All stem from Science of Improvement
– Starts with an aim
– Develops tests towards improvement
 Some provide framework to improve patient
care
– Care Model
– Lean Model
 Some focus on processes that monitor the
results of measures
– Six Sigma Model
– FADE (Focus, Analyze, Develop, Execute)
– MFI (Model for Improvement)
Kaizen Model

 It helps to identify
 Muda
– wastes
 Mura
– variation/
inconsistency
 Muri
– strain/burden on
people and machines
Kaizen Model
Kaizen 5S Framework
KAIZEN: 5S as an entry point for all
QI
• A way of organizing and managing the
workspace and work flow with the intent to
improve efficiency of work by
• eliminating waste
• improving flow and
• Improving process reasonableness

5S • SORT (SEIRI )- remove unused stuff


(unnecessary / may or may not be necessary /
necessary)
• SET (SEITON )- proper orderliness
• SHINE (SEISO) - cleanness
• STANDARDIZE (SEIKETSU) - set up norms &
equalization
• SUSTAIN (SHITSUKE) – consistent practice of
5S
Number Game-Individual Exercise

 Instruction:
 You have 60 seconds to circle or strike out the numbers 1 to
49 in sequential order (e.g.: 1, 2, 3, …)
 The facilitator will tell you when to start and when the 60
seconds is over s/he will ask you to stop.
 Each sheet/page is to be faced down until you are told to
turn/flip to a particular page.
 Each person should be prepared to call out his/her score at
the end of each exercise.

 Time: 5 minutes (1 minute per page)


Sample of Sheet/Page 1
Sample of Sheet/Page 2
Sample of Sheet/Page 3
Sample of Sheet/Page 4
Sample of Sheet/Page 5
Reflection Questions

 What difference did you notice Round Score

between sheets/pages 1 and 2?


Round 1
 What difference did you notice
Round 2
between sheets/pages 2 and 3?

 What difference did you notice Round 3

between sheets/pages 3 and 4?


Round 4
 What difference did you notice
Round 5
between sheets/pages 4 and 5?
Before & After State

Before After
 Excess materials  The correct
 Excessive search materials
time  Minimal search time
 Large area  Smaller area
 Cluttered  Clean, neat &
 Difficult organized
 Easy
Example of 5S activities in Medical
Records Room

Before 5S After 5S

Source: Dialah Clinic, Nimba County, Liberia


Model For Improvement
The model comprises
three basic questions and
a fourth element that
describes a PDSA cycle for
testing innovations
The four simple steps are:
 Set aims
 Find promising ideas
for change
 Define measurements
and
 Test those
ideas/changes on a
small scale in real
work settings
MFI-Driving all QI initiatives

Components of Model for Improvement


1. Three 2. PDSA cycle
Fundamental  Framework for an
Questions efficient trial-and-
a. What are we trying to learning methodology
accomplish?  Used for
b. What changes can we – Learning
make that will result in – Developing a change
an improvement?
– Testing a change
c. How will we know that
– Implementing a
a change is an
improvement?
change
Summary

 Different QI models exist but all with the same

concepts.

 Ethiopia had adopted two of the QI models:

 Kaizen: an entry point for all QI or the engine driving

improvement.

 Model for Improvement: driving all QI initiatives or the vehicle

that provide structure for improvements.


Thank you!

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