医疗行业绩效管理的好工具课件.ppt

1、资料仅供参考,不当之处，请联系改正。Practices,Aspects,Impacts-ConceptsMissionResourceImpactResourceResourceImpactImpactActivities/OperationsPracticesAspect Aspect Aspect资料仅供参考,不当之处，请联系改正。Installations have an EQA inventory in place:Practices Practice Owners and Locations Compliance Inspection and Oversight Evaluation

2、 Frequencies and Responsibilities Need to make comprehensive and add:Aspects ImpactsPractices,Aspects,Impacts-Inventory资料仅供参考,不当之处，请联系改正。Practices,Aspects,Impacts-RelationshipsInventoryRisk-Based PrioritiesObjectives and TargetsMonitoring and Measurement Actions,ProjectsPlanCheck Inventory is basis

3、for risk evaluation and objectives and targets Inventory is basis for EQA Internal Assessment资料仅供参考,不当之处，请联系改正。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 im

4、plementation strategy established in Pre-Planning phase资料仅供参考,不当之处，请联系改正。Risk to MissionMissionResourceImpactResourceResourceImpactImpactActivities/OperationsPracticesAspect Aspect Aspect资料仅供参考,不当之处，请联系改正。Impacts and RiskImpactsPotential Risks to MissionDegrade naturalareas Diminished utility for tr

5、aining operations Adverse public perception or noncompliance Potential mission shutdown.Noncompliance/regulatoryaction Fines Mission stoppage Lose access to critical resources Distraction and inefficient use of personnel resourcesAdverse publicperception Lawsuits Mission stoppage Lose access to crit

6、ical training areas Distraction and inefficient use of personnel resourcesHuman healthand safetyeffects Increased sick time Personnel injury and death Decreased individual performance资料仅供参考,不当之处，请联系改正。Practices,Aspects,Impacts-Risk Ranking Evaluate relative risk to mission to prioritize practices/as

7、pects Process should be:repeatable,documented,defensible,and periodic May apply qualitative approachinitially and apply quantitative method later资料仅供参考,不当之处，请联系改正。Pollution Prevention Opportunities Navy installations have mature P2 Programs in place The practice inventory may suggest P2 opportunitie

8、s not considered within the traditional HW/industrial process focus of P2 资料仅供参考,不当之处，请联系改正。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-industr

9、ial practices Environmental aspects资料仅供参考,不当之处，请联系改正。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 re

10、vise资料仅供参考,不当之处，请联系改正。Objectives and Targets-TypesObjective TypeExamplesEmphasizingCNO and DoDmetrics 40%reduction in pounds of hazardous wastesdisposed by the end of FY05,based on an FY02baseline.Zero spills of oil product to U.S.waters.Improvingmanagement ofenvironmentalprograms or EMSelements Dev

11、elop and distribute SOPs for high riskpractices by first quarter FY03.Revise P2 Plan to incorporate new practicesidentified during EMS practice inventorydevelopment by May 02.Drivingimplementationof risk-mitigationprojects Reduce VOC air releases installation wide by10%per year through FY07,from FY0

12、2 baselinelevels.Eliminate oil discharges to Muddy Creek.资料仅供参考,不当之处，请联系改正。Objectives and Targets-RelationshipsObjectives and TargetsRequirementsRisk-Based PrioritiesEnvironmental Policy GoalsMission,Local ConditionsMedia ProgramsPlanDoActions,Projects资料仅供参考,不当之处，请联系改正。Actions and Projects Actions-b

13、ehavioral/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资料仅供参考,不当之处，请

14、联系改正。Actions and Projects-RelationshipsRisk-Based PrioritiesObjectives and TargetsMonitoring and Measurement ActionsPlanDoCheckPOMProjectsPrograms资料仅供参考,不当之处，请联系改正。PolicyPlanningImplementationChecking/Corrective ActionManagement ReviewLegal RequirementsPractices,Aspects,ImpactsPollution Prevention O

15、pportunitiesObjectives and TargetsPPBSMonitoring and MeasurementProblem/Cause Identification andCorrective/Preventive ActionEMS ReviewStructure,Responsibilities,and ProgramsTrainingEMS Documentation,Document Control,&RecordsCommunicationStandard Operating ProceduresEmergency Preparedness&ResponseMan

16、agement ReviewEnvironmental Policy StatementCHECKING AND CORRECTIVE/PREVENTIVE ACTIONIMPLEMENTATIONPOLICYPLANNINGMANAGEMENT REVIEW资料仅供参考,不当之处，请联系改正。Structure:The EMS Team Designated by Installation/Regional Commander Includes Senior Management(EQB)CO/XOs of installation and tenants Department/Divisi

17、on managers Environmental office manager Includes Technical Support and EMS Implementation Media managers and other environmental office staff Environmental POCs资料仅供参考,不当之处，请联系改正。EMS Team may include personnel from Tenants Production Maintenance ROICC Supply Quality Human Resources Environmental Saf

18、ety and Health Public Affairs Comptroller BOS Contractors资料仅供参考,不当之处，请联系改正。Structure:Environmental Office Media programs Mature Already in place EMS elements in place P2 Legal requirements Emergency response PPBS TrainingAirSolid Waste资料仅供参考,不当之处，请联系改正。Structure:Practice Owners“Command,unit,or offic

19、e that uses a practice to accomplish its mission”Authority to accomplish their mission using a practice responsibility to control its aspects Accountability=Responsibilities+Authority4资料仅供参考,不当之处，请联系改正。Accountability=Responsibilities+AuthorityEMSElementsMediaProgramsPracticesEMSTeamEnvironmentalOffi

20、cePracticeOwners44资料仅供参考,不当之处，请联系改正。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资料仅供参考,不当之处，请联系改正。Training for EMS Implementation Initial EMS Team Training Sen

21、ior Management Environmental Support Staff Practice Owners Training Environmental SOPs Video Interactive Web资料仅供参考,不当之处，请联系改正。EMS Description Document Include installation EMS Policy Demonstrates&communicates implementation Objectives and targets Organizational structure and key responsibilities EMS

22、 elements Incorporate or provide a roadmap to information supporting each EMS element资料仅供参考,不当之处，请联系改正。Communication Internal Senior managements role Environmental staff translate requirements into procedures and distribute to practice owners Mechanism for practice owners to communicate with Environ

23、mental Office External Public Affairs Office资料仅供参考,不当之处，请联系改正。Environmental SOPs Document for each practice Location,owner,POC Aspects and potential impacts资料仅供参考,不当之处，请联系改正。Environmental SOPs Document for each practice Location,owner,POC Aspects and potential impacts Requirements,Procedures,Respons

24、ibilities for Operational control Communications Emergency preparedness and response Inspection Training资料仅供参考,不当之处，请联系改正。Environmental SOPs Document for each practice Location,owner,POC Aspects and potential impacts Requirements,Procedures,Responsibilities for Operational control Communications Eme

25、rgency preparedness and response Inspection Training Design,capacity,inputs Physical controls,P2 options,and BMPs in place资料仅供参考,不当之处，请联系改正。Tailored Environmental SOPs Practice owners need to know or provide Location,owner,POC Procedures,Responsibilities for Operational control Communications Emerge

26、ncy preparedness and response Inspection Training资料仅供参考,不当之处，请联系改正。Emergency Preparedness&Response Plans prepared,not distributed Training up to date?Distribute procedures in Environmental SOPs资料仅供参考,不当之处，请联系改正。PolicyPlanningImplementationChecking/Corrective ActionManagement ReviewLegal Requirements

27、Practices,Aspects,ImpactsPollution Prevention OpportunitiesObjectives and TargetsPPBSMonitoring and MeasurementProblem/Cause Identification andCorrective/Preventive ActionEMS ReviewStructure,Responsibilities,and ProgramsTrainingEMS Documentation,Document Control,&RecordsCommunicationStandard Operati

28、ng ProceduresEmergency Preparedness&ResponseManagement ReviewEnvironmental Policy StatementCHECKING AND CORRECTIVE/PREVENTIVE ACTIONIMPLEMENTATIONPOLICYPLANNINGMANAGEMENT REVIEW资料仅供参考,不当之处，请联系改正。Monitoring and Measurement Sampling and analysis Internal assessment efforts Tracking progress in meeting

29、 objectives and targets资料仅供参考,不当之处，请联系改正。Problem/Cause Identification Corrective/Preventive Action Review results of internal assessment efforts Conduct“problem solving”资料仅供参考,不当之处，请联系改正。Problem/Cause Identification Corrective/Preventive Action Suggested“problem solving”approach Define problem Analy

30、ze root causes Develop alternatives Select corrective action Develop corrective action Implement corrective action Follow-up资料仅供参考,不当之处，请联系改正。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 d

31、o what the EMS Description Document says it will do?资料仅供参考,不当之处，请联系改正。PolicyPlanningImplementationChecking/Corrective ActionManagement ReviewLegal RequirementsPractices,Aspects,ImpactsPollution Prevention OpportunitiesObjectives and TargetsPPBSMonitoring and MeasurementProblem/Cause Identification a

32、ndCorrective/Preventive ActionEMS ReviewStructure,Responsibilities,and ProgramsTrainingEMS Documentation,Document Control,&RecordsCommunicationStandard Operating ProceduresEmergency Preparedness&ResponseManagement ReviewEnvironmental Policy StatementCHECKING AND CORRECTIVE/PREVENTIVE ACTIONIMPLEMENT

33、ATIONPOLICYPLANNINGMANAGEMENT REVIEW资料仅供参考,不当之处，请联系改正。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

34、 procedures Document results资料仅供参考,不当之处，请联系改正。Conclusions You already have a lot elements in place Requirements P2 Programs PPBS Emergency Response Checking and Corrective Action(EQA Program)资料仅供参考,不当之处，请联系改正。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资料仅供参考,不当之处，请联系改正。Questions?Discussion