医疗行业绩效管理的好工具.pptx

Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,*,*,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,*,*,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,*,*,Environmental Management System Implementation,The Draft Navy EMS Implementation Guide,25 July Workshop,医疗行业绩效管理的好工具,第1页,Practices,Aspects,Impacts-Concepts,Mission,Resource,Impact,Resource,Resource,Impact,Impact,Activities/,Operations,Practices,Aspect,Aspect,Aspect,医疗行业绩效管理的好工具,第2页,Installations have an EQA inventory in place:,Practices,Practice Owners and Locations,Compliance Inspection and OversightEvaluation Frequencies and Responsibilities,Need to make comprehensive and add:,Aspects,Impacts,Practices,Aspects,Impacts-Inventory,医疗行业绩效管理的好工具,第3页,Practices,Aspects,Impacts-Relationships,Inventory,Risk-Based Priorities,Objectives and Targets,Monitoring and Measurement,Actions,Projects,Plan,Check,Inventory is basis for risk evaluation and objectives and targets,Inventory is basis for EQA Internal Assessment,医疗行业绩效管理的好工具,第4页,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 implementation strategy established in Pre-Planning phase,医疗行业绩效管理的好工具,第5页,Risk to Mission,Mission,Resource,Impact,Resource,Resource,Impact,Impact,Activities/,Operations,Practices,Aspect,Aspect,Aspect,医疗行业绩效管理的好工具,第6页,Impacts and Risk,医疗行业绩效管理的好工具,第7页,Practices,Aspects,Impacts-Risk Ranking,Evaluate relative risk to mission to prioritize practices/aspects,Process should be:repeatable,documented,defensible,and periodicMay apply qualitative approachinitially and apply quantitative method later,医疗行业绩效管理的好工具,第8页,Pollution Prevention Opportunities,Navy installations have mature P2 Programs in place,The practice inventory may suggest P2 opportunities not considered within the traditional HW/industrial process focus of P2,医疗行业绩效管理的好工具,第9页,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 aspects,医疗行业绩效管理的好工具,第10页,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 revise,医疗行业绩效管理的好工具,第11页,Objectives and Targets-Types,医疗行业绩效管理的好工具,第12页,Objectives and Targets-Relationships,Objectives and Targets,Requirements,Risk-Based Priorities,Environmental Policy Goals,Mission,Local Conditions,Media Programs,Plan,Do,Actions,Projects,医疗行业绩效管理的好工具,第13页,Actions and Projects,Actions,-behavioral/administrative initiatives or outside support 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 development,医疗行业绩效管理的好工具,第14页,Actions and Projects-Relationships,Risk-Based Priorities,Objectives and Targets,Monitoring and Measurement,Actions,Plan,Do,Check,POM,Projects,Programs,医疗行业绩效管理的好工具,第15页,PolicyPlanning,Implementation,Checking/Corrective ActionManagement Review,医疗行业绩效管理的好工具,第16页,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 Support and EMS Implementation,Media managers and other environmental office staff,Environmental POCs,医疗行业绩效管理的好工具,第17页,EMS Team may include personnel from,Tenants,Production,Maintenance,ROICC,Supply,Quality,Human Resources,Environmental,Safety and Health,Public Affairs,Comptroller,BOS Contractors,医疗行业绩效管理的好工具,第18页,Structure:Environmental Office,Media programs,Mature,Already in place,EMS elements in place,P2,Legal requirements,Emergency response,PPBS,Training,Air,Asbestos,Radon,Pesticides,Cultural Resources,Natural Resources,HM/HW,IPR,NEPA,Noise,P2,Solid Waste,Drinking Water,Infectious Wastes,UST,医疗行业绩效管理的好工具,第19页,Structure: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 aspects,Accountability,=Responsibilities+Authority,4,医疗行业绩效管理的好工具,第20页,Accountability,=Responsibilities+Authority,EMS,Elements,Media,Programs,Practices,EMS,Team,Environmental,Office,Practice,Owners,4,4,医疗行业绩效管理的好工具,第21页,Training-Current,Required by Regulation,Media related:HW worker,WWTP operation,asbestos worker,emergency response,Job Related,Generally for environmental staff:NEPA,ERMS,computer skills,医疗行业绩效管理的好工具,第22页,Training for EMS Implementation,Initial EMS Team Training,Senior Management,Environmental Support Staff,Practice Owners Training,Environmental SOPs,Video,Interactive,Web,医疗行业绩效管理的好工具,第23页,EMS Description Document,Include installation EMS Policy,Demonstrates&communicates implementation,Objectives and targets,Organizational structure and key responsibilities,EMS elements,Incorporate or provide a roadmap to information supporting each EMS element,医疗行业绩效管理的好工具,第24页,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 Office,医疗行业绩效管理的好工具,第25页,Environmental SOPs,Document for each,practice,Location,owner,POC,Aspects and potential impacts,医疗行业绩效管理的好工具,第26页,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,医疗行业绩效管理的好工具,第27页,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,Physical controls,P2 options,and BMPs in place,医疗行业绩效管理的好工具,第28页,Tailored Environmental SOPs,Practice owners need to know or provide,Location,owner,POC,Procedures,Responsibilities,for,Operational control,Communications,Emergency preparedness and response,Inspection,Training,医疗行业绩效管理的好工具,第29页,Emergency Preparedness&Response,Plans prepared,not distributed,Training up to date?,Distribute procedures in Environmental SOPs,医疗行业绩效管理的好工具,第30页,PolicyPlanning,Implementation,Checking/Corrective Action,Management Review,医疗行业绩效管理的好工具,第31页,Monitoring and Measurement,Sampling and analysis,Internal assessment efforts,Tracking progress in meeting objectives and targets,医疗行业绩效管理的好工具,第32页,Problem/Cause Identification Corrective/Preventive Action,Review results of internal assessment efforts,Conduct“problem solving”,医疗行业绩效管理的好工具,第33页,Problem/Cause Identification Corrective/Preventive Action,Suggested“problem solving”approach,Define problem,Analyze root causes,Develop alternatives,Select corrective action,Develop corrective action,Implement corrective action,Follow-up,医疗行业绩效管理的好工具,第34页,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?,医疗行业绩效管理的好工具,第35页,PolicyPlanningImplementationChecking/Corrective Action,Management Review,医疗行业绩效管理的好工具,第36页,Management Review,Analyze results of following,EMS review,Internal 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 results,医疗行业绩效管理的好工具,第37页,Conclusions,You already have a lot elements in place,Requirements,P2,Programs,PPBS,Emergency Response,Checking and Corrective Action(EQA Program),医疗行业绩效管理的好工具,第38页,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 implementation,医疗行业绩效管理的好工具,第39页,Questions?,Discussion,医疗行业绩效管理的好工具,第40页,