Structured MentorshipStructured MentorshipStructured MentorshipStructured MentorshipA Key Ingredient to Sustaining and Extending the
Impact
Talkmore Maruta (MPH)
Foundation for Innovative New Diagnostics
ASLM 2012
What is What is What is What is MentoringMentoringMentoringMentoring
The Greek mythology story of Telemachus, the son of King
Odysseus during the Trojan Wars
Picture from : teammatesmentoringprogram.wordpress.com.
What is mentoringWhat is mentoringWhat is mentoringWhat is mentoring
Lab staff’s commitment
Dedicated mentors,
consistent mentorship, or access to
expertise
Support from
hospital upper
management
MOH commitment & leadership (lab policy,
system issues, etc.)
A champion determined to drive the
process forward
SLMTA: Observed Ingredients of Success
The building blocks of a Structured The building blocks of a Structured The building blocks of a Structured The building blocks of a Structured
Mentorship ProgramMentorship ProgramMentorship ProgramMentorship Program
Set Goals for the Program
• Set the goals of the Mentorship
• What are the mentors expected to achieve over
what period of time?
o Set/agree on goals/targets for the mentors
o How will progress on these goals/targets be reviewed
o Who reviews the progress/targets
MOH, Partners; Labs; Hospitals must create an
environment possible to achieve these goals
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Mentorship GoalsMentorship GoalsMentorship GoalsMentorship Goals
8
TIMETIME
• Is the resource most critical to effective mentoring
o Spend extended periods of dedicated time
o Embedded in the life of the Lab
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Time: Essential ResourceTime: Essential ResourceTime: Essential ResourceTime: Essential Resource
• Sustained presents in the laboratory
o Essential to creating a culture that understands and
values quality
o Effects behaviour changes within the laboratory.
• Mentorship must be a series of engagements over
time
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Time: Essential ResourceTime: Essential ResourceTime: Essential ResourceTime: Essential Resource
6 Weeks
LSCScore
250
150
100
0
200
Final: 76
Period of absence help to gauge how well a lab is able to sustain,
or even extend, quality improvement without the mentor
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Follow Up JuneBaseline
158
119
End of 10 Wks July 2010
165
11
12
TIMETIME
Me
asu
rem
en
t o
f
Pro
gre
ss
• Regular collection of lab performance data helps
measure impact of mentorship and how well lab is
implementing QMS
• Data must be collected using standardized tools e.g.
WHO AFRO SLIPTA checklisto Clarity on who keeps data and who uses it and how
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Measuring progress and Measuring progress and Measuring progress and Measuring progress and ImpactImpactImpactImpact
Baseline
Assessment
Exit
Assessment
Return
Assessment
Concluding
Assessment
Assess at
regular
intervals
1 1
1
Mentor engagement at Lab XMentor engagement at
another lab
Mentor
engagement at
Lab X
• Data collection intervals should be structured
to capture
o During mentoring engagements as well as
o Between mentoring engagements
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Measuring progress and Measuring progress and Measuring progress and Measuring progress and ImpactImpactImpactImpact
• Training of In-country assessors available
• Data collected and list of non conformities must be
relayed upwards for review and resolving
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Measuring progress and Measuring progress and Measuring progress and Measuring progress and ImpactImpactImpactImpact
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TIMETIME
Me
asu
rem
en
t o
f
Pro
gre
ss
Ali
gn
me
nt
wit
h
Na
tio
na
l P
rog
ram
• Mentorship is aligned with National Quality
Improvement efforts
o Allows for system wide approach to resolving chronic
problem National Quality Assurance
Entire Lab System
Mentored Labs
Lab Z
Lab YLab X
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Alignment With National ProgramAlignment With National ProgramAlignment With National ProgramAlignment With National Program
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TIMETIME
Me
asu
rem
en
t o
f
Pro
gre
ss
Sta
nd
ard
A
pp
roa
ch
Ali
gn
me
nt
wit
h
Na
tio
na
l P
rog
ram
• Standard approach to the mentorship allows for
o Streamline Mentor Activities
o Comparison across labs
• After the each assessment formulate standard
assessment reports
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Standard ApproachStandard ApproachStandard ApproachStandard Approach
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TIMETIME
Me
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t o
f
Pro
gre
ss
Sta
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ard
A
pp
roa
ch
Re
po
rtin
g
Ali
gn
me
nt
wit
h
Na
tio
na
l P
rog
ram
Mentor will report:
o To Whom?
o On what?
o How often?
How does feed back gets back to Mentor?
What would be the expected TAT for response?
Who receives & evaluates Mentor evaluation forms?
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ReportingReportingReportingReporting
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TIMETIME
Me
asu
rem
en
t o
f
Pro
gre
ss
Sta
nd
ard
A
pp
roa
ch
Re
po
rtin
g
Ali
gn
me
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wit
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Na
tio
na
l P
rog
ram
Mentor Support and IntegrationMentor Support and Integration
• Technical and logistical support for the mentor must
seriously be considered and planned for
• Mentors should access technical support from
o Leadership in the MOH
o TWG
o Other national & international experts
• Mentor orientation & introductions should include
all these resource persons
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Mentor Support & Mentor Support & Mentor Support & Mentor Support & IntegrationIntegrationIntegrationIntegration
24
TIMETIME
Me
asu
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en
t o
f
Pro
gre
ss
Sta
nd
ard
A
pp
roa
ch
Re
po
rtin
g
Ali
gn
me
nt
wit
h
Na
tio
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l P
rog
ram
Mentor Support and IntegrationMentor Support and Integration
Mentor Selection
• The following criteria are essential
o Broad experience as a bench technician/technologist
o Management experience at least at the bench section
level
o Knowledge of QMS and implementation of ISO Lab Stds
o Experience conducting training, including on-the-bench
training
o Passion for laboratory quality improvement
o Persistence, patience, and positive attitude
o Commitment to team approach in the laboratory
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Mentor Mentor Mentor Mentor SelectionSelectionSelectionSelection
26
TIMETIMEMentor TrainingMentor Training
Me
asu
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f
Pro
gre
ss
Sta
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ard
A
pp
roa
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Re
po
rtin
g
Ali
gn
me
nt
wit
h
Na
tio
na
l P
rog
ram
Mentor Support and IntegrationMentor Support and Integration
Mentor Selection
• Being experienced does not equate to an effective
mentor
• Mentors must be trained in
o Mentoring methods & techniques
o Existing structures in-country
o Reporting
• Training ensures standardization of approach
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TrainingTrainingTrainingTraining
28TIMETIMEMentor TrainingMentor Training
Me
asu
rem
en
t o
f
Pro
gre
ss
Sta
nd
ard
A
pp
roa
ch
Re
po
rtin
g
Ali
gn
me
nt
wit
h
Na
tio
na
l P
rog
ram
Mentor Support and IntegrationMentor Support and Integration
Mentor Selection
8 8 8 8 Pillars of MentorshipPillars of MentorshipPillars of MentorshipPillars of Mentorship
• Mentors can be drawn from experienced
international, regional & national mentors
• Long term goal must be to localize mentorship
o Twin international mentors with local mentors
o Allow technicians from mentored Labs to share
experience and mentor other labs
o Organize scheduled attached to mentored Labs
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Sourcing Sourcing Sourcing Sourcing MentorsMentorsMentorsMentors
• Standardization of mentorship
Approaches
o Adoption of published
Mentorship Guidelines
• Scale up of Mentor Training
o Mentorship Training Toolkit
Available
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Way ForwardWay ForwardWay ForwardWay Forward
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