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A performance improvement programme at a public hospital in Sri Lanka: an introduction

Nimnath Withanachchi (Faculty of Medicine, University of Colombo, Sri Lanka)
Wimal Karandagoda (Castle Street Hospital for Women, Colombo, Sri Lanka)
Yujiro Handa (Japan International Cooperation Agency (JICA), assigned to Ministry of Health, Sri Lanka and Health Science University of Hokkaido, Japan)

Journal of Health Organization and Management

ISSN: 1477-7266

Article publication date: 1 October 2004



Five‐S, a simple tool was utilized as the initial step towards total quality management activities at a public hospital in Sri Lanka. This paper introduces the system improvement activities at the hospital which won several awards for quality of service at national level. Though there are multiple reasons for the significant improvement of performance at the hospital, the study team observes that Five‐S has contributed heavily towards the success. The unique feature observed was that Five‐S activity reorganizes the system radically compared to most of the continuous quality improvement (CQI) approaches which depend on problem solving. In the hospitals of developing countries, in which even the basic processes are unsatisfactory, Five‐S approach may be suited for the initiation of the CQI process. Further research is needed to evaluate the quality improvement activity based on standardized criteria and to assess the factors which influenced the process.



Withanachchi, N., Karandagoda, W. and Handa, Y. (2004), "A performance improvement programme at a public hospital in Sri Lanka: an introduction", Journal of Health Organization and Management, Vol. 18 No. 5, pp. 361-369.



Emerald Group Publishing Limited

Copyright © 2004, Emerald Group Publishing Limited

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