Institute of Health Policy, Management and Research » News IHPMR Sat, 11 Apr 2015 13:19:05 +0000 en-US hourly 1 Lean Café at Kisumu County Hospital Sat, 11 Apr 2015 13:17:46 +0000 admin IHPMR hosted a Lean Café for the Quality Improvement Team (QIT) on 31 March 2015. Adapted from Lean Coffee by Modus Cooperandi, Lean Café is an informal, but structured way to hold discussions that draws from the expertise and diversity around the table to build the best possible agenda and deepest possible conversation in every single meeting.  Typically, a Lean Café is held over a 1-1 ½ hour session.


How Lean Café Works

  • Participants gather around a table over a cup of coffee (currently we are doing this at Java because the coffee there is great).
  • A Lean Café Board is created with the following columns:


  •  Each participant get two post it notes on which they write a quality related topic they would like discussed.
  • Each participant is given an opportunity to introduce each of their topics in 1 or 2 sentences.  This way people know what to vote for.
  • Each participant gets two votes.  They can vote twice for the same thing or for two different topics by putting a colored round label on the topic they are interested in.
  • The votes are tallied.
  • All topics are first placed in the to be discussed column, in order of votes received, with the topic with the highest number of votes on top.
  • Topics discussed in order, starting with the one that received highest number votes. The first topic to be discussed is moved to the “Discussing” column.   Each topic is first allocated 8 minutes. After  the 8 minutes a roman vote is taken:
good  Topic not exhausted. Allow another 4 minutes of discussion
 not sure Not sure- Allow another 2 minutes of discussion
 done Done.  Can move to next topic
  • After a topic has been cleared, it is moved to the “Discussed” column. The topic that got the second highest number of votes is moved from the to be Discussed “column to the Discussing column for discussion as described above.
  • Topics are discussed until 15 minutes to the end of the agreed time.
  • A quick wrap around is done during which participants provide feedback about the meeting. Action points are also captured. The next Lean Café begins with a review of actions agreed at the last meeting

Images from the  KCH Lean Café – 31 March 2015

 voting discussion
Voting Discussion in progress 


What Participants said about the Lean Café


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KNH MOU Wed, 11 Mar 2015 07:24:46 +0000 admin MOHKenyatta National Hospital and the Institute of Health Policy Management and Research (IHPMR) have signed a Memorandum of Understanding to partner in the improvement of processes in the Maternal, Neonatal and Child Health (MNCH) and Accident and Emergency Departments. The signing of the MoU was presided over by the KNH Chief Executive Officer Lily Koros Tare and IHPMR Chairman Amb. Dr. George Masafu and Executive Director Maureen Nafula on 19th November 2014 at the Hospital Board Room.The MoU specifies the areas of cooperation in the quality improvement in a cost-effective manner using a combination of Lean and Six Sigma strategies. Lean is a method of management employed to minimize operational waste to improve treatment outcomes while driving down costs of care and can be used in combination with KQMH 5S Kaizen KNH is already implementing. Six Sigma is a quality improvement system that strives to produce perfection in products and services. It uses facts, information and data to make decisions and manage business performance, identifies root causes to problems and determines permanent solutions.
IHPMR’s areas of technical competency include quality management, capacity building and research. In the area of quality management, IHPMR is working in partnership with Evaplan GmbH and the AQUA Institute (Germany) to implement a comprehensive integrated quality management system (IQMS) in health facilities. sector program.
A Lean Six Sigma Retreat sponsored by IHPMR was also held at Maanzoni in Athi River from 17th – 18th November, 2014. The team comprised of the three prototypes namely accident and Emergency, Reproductive Health and Peadiatrics. IHPMR will assist KNH to implement the Joint Commission International Accreditation Standards for Hospitals through coaching and mentorship. Both JCI and Lean Six Sigma are geared towards a journey on culture change and continuous quality improvement.

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Scaling up and Institutionalization of quality management in health care facilities Sun, 11 Jan 2015 07:31:03 +0000 admin IHPMR is the local implementing partner of the evaplan consortium which has been retained by the Deutsche Gesellschaft für Internationale Zusammenarbeit (GIZ) Health Sector Programme to scale up the institutionalization of quality management in health facilities in Kenya.

This project will run from March 2015 to December 2016. Twenty one facilities including Kenyatta National Hospital will benefit from the technical assistance to be provided under this project.

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Bungoma MNH Project Sun, 11 Jan 2015 07:28:50 +0000 admin IHPMR is part of the Options-led consortium of 8 agencies (CARE Kenya, AMREF, Population Council, MannionDaniels, KPMG, IHPMR and MSI) which is implementing a programme to reduce maternal and neonatal mortality in Bungoma County. The program will run from January 2015 to December 2017.  The expected outcome is an increased access to and utilisation of quality maternal and newborn health services.  The programme is expected to contribute to preventing 1,092 maternal and 3,836 neonatal deaths by 2018.

The programme’s strategy focuses on reducing the three common delays women face in accessing quality maternal and neonatal care, especially in Bungoma County:

–      Delay in decision to seek care

–      Delay in reaching care

–      Delay in receiving adequate health care

The Consortium will deliver the programme results under three integrated outputs:

  • Output 1: Strengthening health systems to manage and deliver quality maternal and newborn health (MNH) services, to ensure that women and newborns receive quality services (delay 3).
  • Output 2: Increasing demand for and uptake of MNH services to ensure that mothers and newborns seek and access the appropriate care (delays 1 and 2).
  • Output 3: Establishing and managing a Maternal and Newborn Health Innovations Challenge Fund to support innovative approaches to addressing challenges across the three delays.

IHPMR will be supporting the achievement of Output 1 and Output 2.Under Output 1; IHPMR will lead the technical assistance to strengthen the medical supply chain in Bungoma County. Under Output 2, IHPMR will be implementing the Integrated Quality Management System (IQMS).IQMS is an indicator based quality management system that approaches quality from various perspectives, including those of patients and staff.

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