National Training for Safe Hospitals - Sri Lanka - Module 3 - 14Sept22-25
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Transcript of National Training for Safe Hospitals - Sri Lanka - Module 3 - 14Sept22-25
Module 3: Action Planning for
Safe Hospital
Module 3 Objectives
Module 3 Objectives
At the end of this module, participants will be able to:
1.Utilize decision-making tools in identifying the most appropriate strategy for an identified goal or objective.2.Prepare an action plan for three critical gaps in each of the three “Safe Hospitals” components.3.Present action plan to hospital decision-makers.
Module 3 Expected Outcomes
Module 3 Expected Outcomes
At the end of this module,
An action plan table showing the following:• Three critical gaps in the structural components• Three critical gaps in the non-structural
components• Three critical gaps in the functional
components
Action Plan MatrixGAPS Intervention
(strategy to reach objectives)
Activities(detailed activities to achieve objectives)
Timeline(when will it be done/ accomplished)
Resources Responsible unit /person
Structural
Objectives
Non -structural
Objectives
Functional
Objectives
Module 3 Expected Outcomes
At the end of this module,
An action plan table showing the following:• Recommended interventions (broad strategies)
for each critical gap• Recommended activities for each broad
strategy• Recommended timeline (target deadline) for
each activity
Module 3 Expected Outcomes
At the end of this module,
An action plan table showing the following:• Proposed resources (human, infrastructure,
budget, etc.) for the corrective action of each critical gap
• Proposed responsible persons or units for each critical gap
Action Plan MatrixGAPS Intervention
(strategy to reach objectives)
Activities(detailed activities to achieve objectives)
Timeline(when will it be done/ accomplished)
Resources Responsible unit /person
Structural
Objectives
Non -structural
Objectives
Functional
Objectives
Module 3 Expected Outcomes
At the end of this module,
Presentation of the written action plan mainly for sharing purpose
Agreement to bring back to respective institution for further discussion and possible implementation
Module 3 Sessions
Session Number and Title Time AllotmentSession 1: Action plan: Why and How ~1 hour
Session 2: Formulation of an Action Plan ~3 hours
Session 3: Presentation of an Action Plan ~2 hours
Drafting of Policies for Safe Hospitals
Module 3Links to Module 2
Your HOSPITAL
Identify potential hazards
Do general risk analysisHazards Vulnerabilities Risks
Detailed Assessment of Vulnerabilities(Structural / Non-structural / Functional)
Action Planning
Weaknesses / Gaps
Prioritized Gaps
Modules 2-3: Concept Map of Objectives & Expected Outputs
Module 3: Action Planning for
Safe Hospital
Session 1: Action Plan: Why and
How?
Session 1: Action Plan: Why?
GAPS GOALS
How? What? When?
StrategiesActivities/Tactics
ResourcesTimeframe
How? What? When?
StrategiesActivities/Tactics
ResourcesTimeframe
• Structural• Non-
structural• Functional
Objectives
Action Plan: Why?
Session 1: Action Plan: How?
Writing the plan
Strategic analysis
Objective setting
Problem Identification
Writing the plan
Strategic analysis
Objective setting
Problem identification
Identified gaps
Prioritized gaps to solve - 6
Structural Gaps Non-structural Gaps
Functional Gaps
1. 1. 1.
2. 2. 2.
3. 3. 3.
Identified Gaps to be Prioritized for Action Planning
Problem Identification
Writing the plan
Strategic analysis
Objective setting
Problem identification
Identified gaps
Prioritized gaps to solve - 6
Objectives Setting
GAPS GOALS
How? What? When?
StrategiesActivities/Tactics
ResourcesTimeframe
How? What? When?
StrategiesActivities/Tactics
ResourcesTimeframe
• Structural• Non-
structural• Functional
• Preparedness• Response• Recovery
Objectives
• STRATEGY is an overall approach, based on an understanding of the broader context in which you function, your own strengths and weaknesses, and the problem you are attempting to address.
• STRATEGY involves the “big picture” – the overall plan, how you will achieve safe hospital objectives.
• A strategy gives you a framework within which to work, it clarifies what you are trying to achieve and the approach you intend to use.
• It does not spell out specific activities.
Example:
Objective: 100% electrical power demand of hospital available 24/7
•Life-line upgrading (electricity)
•Increase hospital power generator capacity
• An evaluation tool that helps you to compare and choose among alternative problems or solutions in a rational way
• Helps group or individuals select the best choice
• Quickly profiles every group member’s views about relative strengths and weaknesses of alternatives and graphically see the extent of disagreement
1. Select criteria for evaluating your alternatives.• Spend as much time as necessary because
these criteria are the guiding principles by which you will evaluate alternatives.
2. Write the criteria (e.g. impact, cost of unmet expectations, cost of implementation, wear and tear on staff, and so forth) in the boxes along the top of a matrix chart.
3. Decide on the relative weight of each criterion.
Criteria / Weight
Alternatives 1 = High 10 = Low
1 = High 10 = Low
1 = High 10 = Low
1 = High 10 = Low
Cost (x 2) Acceptability Ease of Implementation
Time Involved Tot Rank
Rating / weight / stotal
Rating / weight / stotal
Rating / weight / stotal
Rating / weight / stotal
List: criteria for rating alternatives
1
2
3
Cost, Acceptability, Ease of implementation, Time involved
4. List the alternative problems or solutions in the left-hand column.
5. Have each person in the group independently rate alternative according to criteria.
6. Have each person total his or her score.
7. Tally the score.
8. Use result to reach a decision.
Criteria / Weight
Alternatives 1 = High 10 = Low
1 = High 10 = Low
1 = High 10 = Low
1 = High 10 = Low
Cost (x 2) Acceptability Ease of Implementation
Time Involved
T
O
T
A
L
R
A
N
K
Rating / weight / subtotal
Rating / weight / subtotal
Rating / weight / subtotal
Rating / weight / subtotal
Strategy 1 1 2 2 5 1 5 3 1 3 3 1 3 13 3
Strategy 2 3 2 6 8 1 8 5 1 5 8 1 8 27 2
Strategy 3 6 2 12 3 1 3 8 1 8 4 1 4 27 2
Strategy 4 10 2 20 3 1 3 10 1 10 4 1 4 37 1
DM Matrix
Writing the plan
Strategic analysis
Objective setting
Problem identification
Identified gaps
Prioritized gaps to solve - 6
Action plan
Strategy decision matrix
Objectives
Action Plan MatrixGAPS Intervention(strategy to reach objectives)
Activities(detailed activities to achieve objectives)
Timeline(when will it be done/ accomplished)
Resources Responsible unit /person
Structural
Objectives
Non -structural
Objectives
Functional
Objectives
GO TO WORKSHOPS and WORKSHEETS
For Sessions 2 and 3Module 3 Session 2:
Formulation of Action Plans
Module 3 Session 3: Presentation of Action Plans
Module 3 Sessions
Session Number and Title Time AllotmentSession 1: Action plan: Why and How ~1 hour
Session 2: Formulation of an Action Plan ~3 hours
Session 3: Presentation of Action Plan ~2 hours
Drafting of Policies for Safe Hospitals
Drafting of Policies for Safe Hospitals
(Ministry of Health)
Policy Statement on Safe Hospital / Safe Health Facility
(from Ministry of Health)
Policy Statement on Safe Hospital / Safe Health Facility
(from Ministry of Health)
The Ministry of Health is committed to developing a national Safe Hospital / Health Facility Initiative or Program which shall strive to ensure that all hospitals / health facilities are safe during disasters and their services remain accessible and functioning, at maximum capacity and in the same facility immediately after a large scale disaster or emergency.
Policy Statement on Safe Hospital / Safe Health Facility
(from Ministry of Health)
In particular, we recognize our responsibility to:
•Create a standing permanent committee or office on Safe Hospital / Health Facility which shall oversee the national Safe Hospital / Health Facility Initiative or Program.•Ensure that all hospitals / health facilities in the country undergo training on Safe Hospital / Health Facility Initiative or Program.
Policy Statement on Safe Hospital / Safe Health Facility
(from Ministry of Health)
In particular, we recognize our responsibility to:
•Ensure that a safe hospital / health facility assessment is regularly done (at least annually) in all hospitals / health facilities.•Ensure that hospital / health facility safety improvements be promptly done upon recognition in all hospitals / health facilities.
Policy Statement on Safe Hospital / Safe Health Facility
(from Ministry of Health)
In particular, we recognize our responsibility to:
•Review the policy statement and the national Safe Hospital / Health Facility Initiative or Program formally every three years.•Subject the national Safe Hospital / Health Facility Initiative or Program to independent audit every three years.
Drafting of a 3-year Action Plan for Safe
Hospitals(Ministry of Health)
3-year Action Plan with Timelines (Safe Hospital / Health Facility Initiative or Program)
[After training on Safe Hospital / Health Facility Initiative or Program with baseline Safe Hospital / Health Facility
Vulnerability Assessment data and action planning by the hospital / health facility participant - trainee for improvement
of identified gaps]
3-year Action Plan with Timelines (Safe Hospital / Health Facility Initiative or Program)
Tasks / Activities Timeline
Refinement of the baseline Safe Hospital / Health Facility Vulnerability Assessment data, particularly those with UNSURE of Status entries
1 week after training course
Formulation of a 3-year action planning for improvement of identified gaps with prioritization on the critical ones and with an "as soon as possible" timeline
2 weeks after training course
Presentation of 3-year action plan to top management for approval and budget
3 weeks after training course
3-year Action Plan with Timelines (Safe Hospital / Health Facility Initiative or Program)
Tasks / Activities Timeline
Implementation of action plan based on agreed milestones
Tracking of action plan implementation
Quarterly basis
Annual self-assessment using the same Safe Hospital / Health Facility Vulnerability Assessment Tool (done initially)
End of 1st year; 2nd year; and 3rd year after training course
3-year Action Plan with Timelines (Safe Hospital / Health Facility Initiative or Program)
Tasks / Activities Timeline
Presentation of results of tracking of action plan implementation and annual self-assessment on vulnerability to Top Management
End of 1st year; 2nd year; and 3rd year after training course
Submission of annual self-assessment on vulnerability to Ministry of Health
End of 1st year; 2nd year; and 3rd year after training course
Submission to external and field audit by the Ministry of Health or third party
2nd to 3rd year after training course
3-year Action Plan with Timelines (Safe Hospital / Health Facility Initiative or Program)
Tasks / Activities Timeline
Review of the policy statement on the Safe Hospital / Health Facility Initiative or Program
End of 3rd year after training course
Independent audit of the Safe Hospital / Health Facility Initiative or Program
End of 3rd year after training course
Drafting of Policies for Safe Hospitals
(Hospital / Health Facility)
Policy Statement on Safe Hospital / Safe Health Facility
(from Hospitals / Health Facilities)
Policy Statement on Safe Hospital / Safe Health Facility
(from Hospitals / Health Facilities)
(Name of Hospital / Health Facility) is committed to developing a Safe Hospital / Health Facility Initiative or Program which shall strive to ensure that the hospital / health facility is safe during disasters and its services remain accessible and functioning, at maximum capacity and in the same facility immediately after a large scale disaster or emergency.
Policy Statement on Safe Hospital / Safe Health Facility
(from Hospitals / Health Facilities)
In particular, we recognize our responsibility to:
•Create a standing permanent committee on Safe Hospital / Health Facility which shall oversee the Safe Hospital / Health Facility Initiative or Program.•Ensure that all staff undergo training on Safe Hospital / Health Facility Initiative or Program.
Policy Statement on Safe Hospital / Safe Health Facility
(from Hospitals / Health Facilities)
In particular, we recognize our responsibility to: •Ensure that a safe hospital / health facility assessment is regularly done (at least annually).•Ensure that hospital / health facility safety improvements be promptly done upon recognition.
Policy Statement on Safe Hospital / Safe Health Facility
(from Hospitals / Health Facilities)
In particular, we recognize our responsibility to: •Review the policy statement and the Safe Hospital / Health Facility Initiative or Program formally every three years.•Subject the Safe Hospital / Health Facility Initiative or Program to independent audit every three years.
Drafting of a 3-year Action Plan for Safe
Hospitals(Hospital / Health
Facility)
3-year Action Plan with Timelines (National Safe Hospital / Health Facility
Initiative or Program)
[After training course]
3-year Action Plan with Timelines (National Safe Hospital / Health Facility Initiative or Program)
Tasks / Activities Timeline
Registry of all hospitals / health facilities in the country, stratified by regions, by cities, etc.
2 weeks after training course
Development and publication of the country's Safe Hospital / Health Facility Vulnerability Assessment Tools for different categories of hospitals / health facilities
3 months after training course
3-year Action Plan with Timelines (National Safe Hospital / Health Facility Initiative or Program)
Tasks / Activities Timeline
Training of all hospitals / health facilities on Safe Hospital / Health Facility Initiative or Program with baseline Safe Hospital / Health Facility Vulnerability Assessment data and action planning by the hospital / health facility participant - trainee for improvement of identified gaps within a 3-year period starting from right after the training and assessment session
1 year after training course
3-year Action Plan with Timelines (National Safe Hospital / Health Facility Initiative or Program)
Tasks / Activities Timeline
Tracking of Safe Hospital / Health Facility Status of all hospitals / health facilities which have undergone training
Submission of reports by all concerned hospitals / health facilities
1st, 2nd and 3rd year after training course
Field audit of all concerned hospitals / health facilities
2nd to 3rd year after training course
3-year Action Plan with Timelines (National Safe Hospital / Health Facility Initiative or Program)
Tasks / Activities Timeline
Review of the policy statement on the national Safe Hospital / Health Facility Initiative or Program
End of 3rd year after training course
Independent audit of the national Safe Hospital / Health Facility Initiative or Program
End of 3rd year after training course
Closing:Module 3
Module 3 Objectives
At the end of this module, participants will be able to:
1.Utilize decision-making tools in identifying the most appropriate strategy for an identified goal or objective.2.Prepare an action plan for three critical gaps in each of the three “Safe Hospitals” components.3.Present action plan to hospital decision-makers.
Module 3 Expected Outcomes
At the end of this module, An action plan table showing the following:
GAPS Intervention(strategy to reach objectives)
Activities(detailed activities to achieve objectives)
Timeline(when will it be done/ accomplished)
Resources Responsible unit /person
Structural
Objectives
Non -structural
Objectives
Functional
Objectives
Module 3 Expected Outcomes
At the end of this module,
Presentation of the written action plan mainly for sharing purpose
Agreement to bring back to respective institution for further discussion and possible implementation
Modules 2-3: Concept Map of Objectives & Expected Outputs
Your HOSPITAL
Identify potential hazards
Do general risk analysisHazards Vulnerabilities Risks
Detailed Assessment of Vulnerabilities(Structural / Non-structural / Functional)
Action Planning
Weaknesses / Gaps
Prioritized Gaps
Drafting of Policies and Action Plan for Safe Hospitals
(Ministry of Health / Hospitals / Health Facilities)
Module 3
Any questions?
Module 3: Action Planning for
Safe Hospital The End