KHS Cross Audit

29:02:24
 1 2
Mr Clement Mr Sowmesh
Manager - CST Business Excellence
Timeline

October 16 ,2023 November 25 December 29 January 27, 2024

Model Journey & Logo Standardization Drive Projects assigment External Visits and take way discussion
Launch
WHAT
IS
MODE
 Cleaning?
Decluttering?
Labelling?
Marking?
Stickering?
Segregating?
Doing More with Less
To Elicit active participation...
Renovated Front Spacious Canteen Isolated CTICU & Separate Neuro
office TICU ICU

Aesthetics Enhanced 75 Seater canteen Lesser Infection rate Enhanced care and
reduced IR

Safer Transit paths 5000 sq ft Lesser ALOS 12 days to Lesser ALOS

8000 Sq Ft Additional 50 + Cars

Separated IP pharmacy Reduced

600 Sq Ft waiting time of ip Patients to less
than 20 min from 45 min to recieve
the medicines
 Leadership activities
• External visits to Model Companies
• 5S training Classes to nearly 350 employees
• Poster and Logo Competetion
• 5S Logo Video Competition
• 5S ambassadors Program
• 5S Internal Auditor Programs ( 30 shortlisted in progress)
• Monthly Steering Committee
• weekly 5s meetings
Additional 2 single rooms

8 bedded general ward

Renovation

Additional OP room creations -

2

Pulmonary Function Test Room

Expansion of ER Creation of Spaces

Admission and Discharge Desk

Infection Rate is 1.2
 Challenges
80% Occupancy from 62%

52 19
Contingency Room
Allotments

23 Maximized Utilization

12

85% Cash patients

AMA at Casualty is
dicharged within 100
3% vs 9% at wards
minutes of intimation
5
2
 Projects in Progress

• Standardization of clocks and calendars

• Standardization of colour coded linens
• Standardization of OPD Towels
• Standardization of Events committe
• Standardization of screens
• Standardization of Chairs in waiting Areas
• Standardization of wall painting and colours
• Standardization of Ac Remote switches
• Standardization of contingency Room Allotment process
 Staff-to-bed ratio

Staff-to-bed ratio = Total staff count / Total bed count

Staff-to-bed ratio = 500 employees / 125 beds = 4 staff per bed

10 staffs per bed in kkm

8.9 in KCH
7 in KTN
Clinical 81 % Non clinical 19 %
Kaizen Dashboard- 40 Plus implemented

Quality Circles- 12 in process

Clinical Audits -2 in process

Best Hospital For Patient safety 2nd Runner up by Assocham
Best Financial Performing unit 23-24
Share your Best way to our practices and your best practices too !