Provide Quality Health Care Service in India & beyond, Only Aim to improve the Quality Health Care Service in India. Dr. J. L. Meena

1. 5 S Implementation for Quality
Improvement
Health & Family Welfare Department
Dr J L Meena
State Quality Assurance Medical Officer
Commissioner of Health, Medical Service & Medical Education
Department of Health & Family Welfare
Government of Gujarat, India
Email:- drjlmeena@gmail.com
Web:- www.gujhealth.gov.in/quality-assurance-program.htm
1

2. Video for 5 S
Implementation
Health & Family Welfare Department 2

3. Health & Family Welfare Department 3
Game for 5 S
Implementation

4. 4

5. Health & Family Welfare Department
Game for 5 S
Implementation
5

6. 6

7. Health & Family Welfare Department
Game for 5 S
Implementation
7

8. 8

9. Health & Family Welfare Department
Game for 5 S
Implementation
9

10. 10

11. Health & Family Welfare Department
Game for 5 S
Implementation
11

12. 12

13. Health & Family Welfare Department
Game for 5 S
Implementation
13

14. 14

15. 15
Health & Family Welfare Department 15
From Mess to Five S !!

16. 16
Health & Family Welfare Department 16
Life without 5 S

17. Definition of 5 S
Health & Family Welfare Department
5 S is a system that is
designed to ensure workplace
Safety, Efficiency, Cleanliness
and Increase quality
17

18. What is 5 S
Health & Family Welfare Department
1st S Sort
સુયોગ્ય અને બિન ઉપયોગી
વસ્તુઓને અલગ તારવવી
2nd S Set in order સુવ્યવસ્સ્િત કરવુ.
3rd S Shine સ્વચ્છ અને સુશોબિત કરવુ.
4th S Standardize સુનનનિત ધારાધોરણ િનાવવા
5th S
Sustain &
Self discipline
સાતત્ય પુણણ અમલીકરણ અને
સ્વ અનુસાશન
18

19. What is 5 S
Health & Family Welfare Department
Sort
Separate out the things you use
and remove the things you don’t.
જરૂરી વસ્તુઓ અલગ કરો અને બિન
જરૂરી વસ્તુઓ દુર કરો.
Set in order
Organize the things you use and
place them where you need it.
જરૂરી વસ્તુઓને તેના ઉપયોગ અને
જરૂરીયાત પ્રમાણે ગોઠવણી કરો.
Shine
Scrub equipment, machines,
tools, work area and floors
સાધનો, મશીન, ફનીચર, દિવાલો,
િારી-િારણાાં, િાિરૂમ, કામગીરી
કરવાની જગ્યા, તળીયુ વગેરે સાફ
કરવા.
Standardize
Create a system to maintain 5-S
daily
ઉપરોકત ત્રણે સુત્રોનુાં પાલન રોજ
િાય તેવી સીસ્ટમ તૈયાર કરવી.
Sustain &
Self
discipline
Follow the new system every day-
make it a habit and always look
for improvement
ઉપરોકત ચારે સુત્રોની આિત
િનાવો અને તેનુ પાલન કરો અને
વધુ સુધારો લાવવા પ્રયત્નશીલ
રહો.
19

20. Why start with 5 S ?
Health & Family Welfare Department
 Allow everyone to “See” Waste.
 Creates discipline in Processes
 Allow productivity gains
 Allow quality improvements
 Allow safety improvements.
 Allow delivery improvements.
 ESSENTIAL to sustain all of the above.
20

21. Benefits of 5 S
Health & Family Welfare Department
Saves time wasted by searching for
tools, etc.
વસ્તુઓ શોધવામાાં લાગતો સમય
બચે છે.
Reduces amount of walking around
(Steps) to complete task
જરૂરી વસ્તુઓ નજીકમાાં હોવાથી
એક જગ્યાએથી બીજી જગ્યાએ
જવુ પડતુ નથી અને સમય બચે
છે.
Increase health and safety by
eliminating stretching and bending
કોઇને ઇજા થવાની સાંભાવના
ઓછી થઇ જાય છે.
Increase the reliability of equipment સાધનોની યોગ્ય જાળવણી
કરવાથી તેની આવરદા વધે છે.
Make your workplace more pleasant કાયયક્ષેત્ર વધુ આનાંદાયક બને છે.
Increase morale જુસ્સો વધારો
21

22. આપણને, લપસી જવાથી ઇજા
થવાની સાંભાવના
Health & Family Welfare Department 22

23. 23
Health & Family Welfare Department 23
Without 5 – S
Injury ???

24. 24
Health & Family Welfare Department 24
5 – S
Without 5 – S
With 5 – S

25. There are basically three
different types of
workplaces…….
Health & Family Welfare Department
5 S Implementation for Quality
Improvement
25

26. ત્રીજો વગય – લોકો આજુ બાજુ કચરો ફેંકે છે
અને તેને કોઇ સાફ કરતુ નથી.
Health & Family Welfare Department 26

27. બીજો વગય – લોકો આજુ બાજુ કચરો ફેંકે
છે અને તેને અન્ય વ્યક્તત સાફ કરે છે.
Health & Family Welfare Department 27

28. પ્રથમ વગય – જે લોકો કચરો પેદા કરે છે તે
જ લોકો કચરાનો યોગ્ય નનકાલ કરે છે.
Health & Family Welfare Department 28

29. Health & Family Welfare Department 29
5 – S Flow Chart
Set in Order &
Shine
Sort- Is item
Needed ?
Does the
Item have
value ?
Standardize and Make
Visual
Sustain
Move to Temporary
Storage
Use in another
Location or Dispose
within 2 Weeks
Trash
Yes
No No
Yes

30. Health & Family Welfare Department 30
5 – S (ફાઇવ – એસ) ફલો ચાર્ય
સરખી ગોઠવો અને
સુશોભભત કરો.
વસ્તુની
જરૂરીયાત છે?
વસ્તુનુ કોઇ
મુલ્ય છે?
ધારાધોરણો મુજબ જાળવણી
કરો અને સહેલાઇથી દેખાય તે
રીતે મુકો.
ઉપરોકત પરીક્સ્થતી
જાળવી રાખો.
કામ ચલાઉ સ્ર્ોરેજ
ખાતે ખસેડો.
નનયત સમયમાાં કાયયરત
કરો અથવા નનકાલ કરો.
કચરો (નનકાલ કરો).
હા
ના ના
હા

31. 5 S Implementation for Quality
Improvement
Health & Family Welfare Department 31

32. 1st S- Sort
Health & Family Welfare Department
Separate out the
things you use
and remove the
things you don’t.
જરૂરી વસ્તુઓ
અલગ કરો અને
બિન જરૂરી વસ્તુઓ
દુર કરો.
32

33. 5 S Implementation for Quality
Improvement
Health & Family Welfare Department 33

34. D]<I JUZGL lAGp5IMUL J:T]VMG[
SFI"1F[+YL N}Z SZM VG[ T[GM lGSF, SZM
Health & Family Welfare Department
If you don’t use
Remove the things from your workplace
1. Space recovered & scrap recovery money
deposited (About 7.5 Cr.)
• By removing TRUCK LOAD’s of old /
unwanted / broken / scrapped items that
were accumulated over decades.
34

35. D]<I JUZGL lAGp5IMUL J:T]VMG[
SFI"1F[+YL N}Z SZM VG[ T[GM lGSF, SZM
Health & Family Welfare Department
Not needed item should be
removed from workplace
35

36. The amount of dust and unwanted things
removed by Teams in one of the Civil Hospitals
Health & Family Welfare Department
From Emergency From Dispensary From OPD & Dispensary From PPU
From Labor room From OPD Regn area
Old case papers
Excess / damaged
Printers, PCs
36

37. Health & Family Welfare Department 37
Sorting of Records & Medicines in
Medical Store Room

38. Health & Family Welfare Department 38
Classification of Records

39. Health & Family Welfare Department 39
Classification of Records in
Administration Department

40. Health & Family Welfare Department 40
Sorting of Repairable &
condemnable IT Items

41. Health & Family Welfare Department 41
Sorting of Repairable &
condemnable Items

42. Health & Family Welfare Department 42
IT Department

43. Health & Family Welfare Department 43
Red Tag on IT Items

44. Health & Family Welfare Department 44
Red Tag Items

45. Health & Family Welfare Department 45
Red Tag on Equipment

46. Health & Family Welfare Department 46
Red Tag

47. 5 S Implementation for Quality
Improvement
Health & Family Welfare Department 47

48. 2nd S- Set in Order
Health & Family Welfare Department
Set in
order
Organize the
things you use
and place them
where you need
it.
જરૂરી વસ્તુઓને
તેના ઉપયોગ
અને જરૂરીયાત
પ્રમાણે ગોઠવણી
કરો.
48

49. 5 S Implementation for Quality
Improvement
Health & Family Welfare Department 49

50. 5 S Implementation for Quality
Improvement
Health & Family Welfare Department 50

51. 5 S Implementation for Quality
Improvement
Health & Family Welfare Department 51

52. Record keeping with list of
files display
Health & Family Welfare Department 52

53. Arranging & listing all files, Labeling / numbering all
Cupboards / Racks / Workstations, Layout plan &
Cleaning schedule prepared, a good color coding
Health & Family Welfare Department 53

54. 5 S Implementation for Quality
Improvement
Health & Family Welfare Department 54

55. 5 S Implementation for Quality
Improvement
Health & Family Welfare Department 55

56. Health & Family Welfare Department
2nd S સુવ્યવક્સ્થત કરવુ.
56

57. Health & Family Welfare Department 57
Set in Order

58. Health & Family Welfare Department 58
Set in Order

59. Health & Family Welfare Department 59
Set in Order

60. Health & Family Welfare Department 60
Arrangement of Administrative
Records with Labeling

61. Health & Family Welfare Department 61
Arrangement of Drugs with
Labeling & Expiry Date

62. Health & Family Welfare Department 62
Classification & Arrangement
of Records

63. Health & Family Welfare Department 63
Arrangement of Records &
Consumables in Ward

64. Health & Family Welfare Department 64
Arrangement of Records &
Consumables in Ward

65. Health & Family Welfare Department 65
Arrangement of Crash Cart &
Other Consumables

66. Health & Family Welfare Department 66
Arrangement of Notice Board

67. Health & Family Welfare Department 67
Parking with Marking for
Movable Equipments

68. Health & Family Welfare Department 68
Parking with Marking for
Movable Equipments

69. Health & Family Welfare Department 69
Zone Map

70. Health & Family Welfare Department 70
Arrangement of BMW

71. Health & Family Welfare Department 71
Arrangement of BMW

72. Health & Family Welfare Department 72
Visual Management of Records

73. Health & Family Welfare Department 73
Arrangement of Medical
Record Department

74. Health & Family Welfare Department 74
Color Code of MRD Files

75. 5 S Implementation for Quality
Improvement
Health & Family Welfare Department 75

76. 5 S Implementation for Quality
Improvement
Health & Family Welfare Department 76

77. 5 S Implementation for Quality
Improvement
Health & Family Welfare Department 77

78. 3rd S- Shine
Health & Family Welfare Department
Shine
Scrub equipment,
machines, tools,
work area and floors
સાધનો, મશીન,
ફનીચર, દિવાલો,
િારી-િારણાાં,
િાિરૂમ, કામગીરી
કરવાની જગ્યા,
તળીયુ વગેરે સાફ
કરવા.
78

79. 5 S Implementation for Quality
Improvement
Health & Family Welfare Department 79

80. 5 S Implementation for Quality
Improvement
Health & Family Welfare Department 80

81. 5 S Implementation for Quality
Improvement
Health & Family Welfare Department 81

82. 3rd S Shine
Health & Family Welfare Department 82

83. All the old case papers were bundled and arranged and sent them to Records area
Some Glimpses of Improvement Actions
taken by batch Teams in OPD Case Regn
+Pharmacy - CHC
Before
After
MURI (Strain) in the sitting position of the Case writer and Pharmacist because tables were
too big. Big table of pharmacist exchanged with smaller table from Stores.
Case writer table also changed to remove MURI .
Desktop
were
very
dusty –
cleaned
83

84. 3rd S- Shine
Health & Family Welfare Department
If a workplace is gating dirty faster
then it can be cleaned, the root cause
of problem has not been identified.
84

85. 5 S Implementation for Quality
Improvement
Health & Family Welfare Department 85

86. 4th S-Standardize
Health & Family Welfare Department
Stand
ardize
Create a system
to maintain 5-S
daily
ઉપરોકત ત્રણે
સુત્રોનુાં પાલન
રોજ િાય તેવી
સીસ્ટમ તૈયાર
કરવી.
86

87. 5 S Implementation for Quality
Improvement
Health & Family Welfare Department 87

88. 4 S Standardization
Health & Family Welfare Department 88

89. 4 S Standardization
Health & Family Welfare Department 89

90. 4 S Standardization
Health & Family Welfare Department 90

91. 4 S Standardization
Health & Family Welfare Department 91

92. 4 S Standardization
Health & Family Welfare Department 92

93. 4 S Standardization
Health & Family Welfare Department 93

94. 4 S Standardization
Health & Family Welfare Department 94

95. 4 S Standardization
Health & Family Welfare Department 95

96. 4 S Standardization
Health & Family Welfare Department 96

97. 4 S Standardization
Health & Family Welfare Department 97

98. 4 S Standardization
Develop SOPs & Manual
Health & Family Welfare Department 98

99. 4 S Standardization
Developing Health Education strategy for
patients, relatives and health care providers
Health & Family Welfare Department 99
Reminder posters for health
care staff
Proper Disposal of Sanitary
pad
Critical times for hand
washing for health care staff

100. Health & Family Welfare Department 100
4 S Standardization
Hand washing steps

101. 4 S Standardization
Critical times of Hand washing for community
Health & Family Welfare Department 101

102. 4 S Standardization
Correct way of use of toilet
Health & Family Welfare Department 102

103. 5 S Implementation for Quality
Improvement
Health & Family Welfare Department 103

104. 5th S- Sustain
Health & Family Welfare Department
Sustain &
Self
discipline
Follow the new
system every day-
make it a habit and
always look for
improvement
ઉપરોકત ચારે
સુત્રોની આિત
િનાવો અને તેનુ
પાલન કરો અને વધુ
સુધારો લાવવા
પ્રયત્નશીલ રહો.
104

105. 5 S Implementation for Quality
Improvement
Health & Family Welfare Department 105

106. 5S Board Implementation
Health & Family Welfare Department 106

107. 5S Pocket Card
Health & Family Welfare Department 107

108. 5S Screen Saver
Health & Family Welfare Department 108

109. Cleaning Check List and
Crash Cart Checklist
Health & Family Welfare Department 109

110. Cleaning schedule
Health & Family Welfare Department 110

111. Cleaning schedule
Health & Family Welfare Department
Action Taken Report on
Continuous Quality Improvement /
5 S Implementation Audit.
111

112. Reward & Recognition
Health & Family Welfare Department 112

113. Video for Team work
Health & Family Welfare Department 113

114. Video for
Communication
Health & Family Welfare Department 114

115. Quality Improvement Programme
Thanks
Health & Family Welfare Department 115