Empower Your Teams for Proactive, Self-Driven Improvement & CIHA Excellence


Introduction:
In today’s healthcare environment, meeting accreditation standards like CIHA requires more than traditional compliance audits—it demands a proactive, ingrained culture of continuous systemic improvement. This workshop equips staff with a practical methodology to become agents of sustainable change.
Participants will shift from reactive compliance to proactive excellence, learning to identify issues, self-initiate improvements, and sustain gains—directly addressing the core requirements of continuous improvement and operational excellence in the CIHA standards.
Objective:
- Equip hospital staff with an integrated Lean-TOC-FOCUS-PDCA mindset and practical toolkit.
- Enable teams to self-identify waste, bottlenecks, and risks, and self-initiate structured improvements.
- Sustain gains and demonstrably meet CIHA accreditation standards for continuous improvement and operational excellence
Trainer Background:

Who Should Attend?
- Clinical & administrative staff (nurses, technicians, department supervisors).
- Quality management, patient safety, and operational excellence personnel.
- Hospital leaders and managers seeking to build frontline improvement capability
Expect Results:
- Lead an improvement project from problem identification through project execution.
- Apply value stream mapping to visualize processes and identify wastes and constraints.
- Conduct a proactive risk assessment using HFMEA techniques.
- Utilize a structured PDCA cycle to test, measure, and sustain improvements.
- Articulate how their improvement work aligns with CIHA continuous improvement standards.
- Paradigm of completion of the Annual Report for maintaining Hospital Accreditation
Certification and Professional Registration:
A certificate in “FOCUS-PDCA” will be awarded upon completion of an individual assignment
Group Discount
Receive 15% off when 3+ participants enroll from the same organization.
Timetable
| Workshop Schedule |
| 9 & 16 Nov 2026 09:30 – 18:00 2 Days (15 hours) |
Contents:
| Day 1 | Day 2 |
|---|---|
| Foundation, Mindset & “Self-Define” Tools | “Self-Improve” Tools, Implementation & Sustenance |
| Session 1: Opening & The Accreditation Imperative Session 2: Lean, TOC & FOCUS-PDCA Synergy Session 3: “Self-Define” Tools – Reactive & Proactive Session 4: “Self-Define” Tools – Mapping for Insight |
Session 5: The “U” in FOCUS: Root Cause Analysis – Going Deeper Session 6: Generating & Selecting Solutions Session 7: The PDCA Cycle – Planning & Doing Session 8: The PDCA Cycle – Checking & Acting |
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