Session2_A New Approach to Supervision

8/3/2019 Session2_A New Approach to Supervision

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Facilitative SupervisionA new Approach to Supervision

2009


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People who share a common direction and sense of

community can get where they are going quicker and

easier because they are traveling on the thrust of

each other.

As each goose flaps its wings, it creates an uplift for the

birds that follow. By flying in a V formation, the whole

flock adds 71% greater flying range than if each bird flew

alone.

Angeles Arrien, Leadership Lessons from Geese, 1991


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Session Objectives

By the end of the session, you will be able to: Describe the new approach to supervision

Assess your own supervisory style

Describe the levels of supervision in Kenya

Explain the benefits of facilitative

supervision


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Session Objectives contd

By the end of the session, you will be able to: Compare and contrast the traditional and

the new approach to supervision

Define quality of services

Explain reasons to improve staffperformance and the quality of services

Describe the QI process and principles


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Self-Assessment: do you need to

change your approach?

Work individually

Answer Yes or No to thequestions on the Self-Assessment Checklist (in yourfolders)

Duration: 5 mins


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Brainstorming:

What issupervision?


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Supervision

Management by overseeing the performance oroperation of a person or group

Authoritative control over the affairs of others:

administration, direction, government,management, superintendence.

The function of watching, guarding, oroverseeing: care, charge, custody,guardianship, keeping, superintendence,trust.


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Levels of supervision in Kenya

NationalProvincial

DistrictSite

CommunityOther levels


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Brainstorming:

How issupervision

currently done?


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Weaknesses of Traditional Supervision

Systems

Superficial

Often punitive, fault-finding

& critical Focuses on individuals

rather than processes

Emphasizes the past ratherthan the future

Not continuous


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How Do Staff Relate To The Arrival of

the Traditional Supervisors?

THE TRADITIONAL

SUPERVISORS

LETS RUN,

THOSE GUYS

ARE HERE

AGAIN

TS RURAL HEALTH CENTRE


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What is Facilitative Supervision? FS is a system of management whereby

supervisors at all levels in an institution focus onthe needs of the staff they oversee.

Focuses on helping staff solve problems

through the use of QI, PI, & other tools Focuses on process rather than onindividuals Assists staff in planning for future QI

goals Is continuous, builds on past gains while

setting higher QI goals


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The most important role of thefacilitative supervisor is to enable

staff to:

manage the quality-improvementprocess,

meet the needs of clients, and

implement institutional goals.

Facilitative Supervision (2)


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Benefits of Facilitative Supervision

As staff learn to solve their own problems,

you will have fewer routine, low-levelproblems are solved by yourself

As other supervisors under your authority

learn to supervise in facilitative manner,you will need to provide them with lesstechnical assistance

You will gain a reputation as a leader, aseffective supervisor, and an enabler.


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Benefits of Facilitative Supervision (2)

You will be more welcome by staff becauseyou help staff to solve their problems, ratherthan criticize them for their faults.

You will have the satisfaction of working as ateam member, watching staff learn and growand watching quality improve.

Your job will become more fulfilling as yourstaffs motivation and commitment increase.


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How Do Staff Relate To The Arrival of aFacilitative Supervisor?

PARADISE

HEALTH CENTRE

FACILITATIVE

SUPERVISOR

ALI

WELCOME

WERE GLAD

TO SEE YOU

HI !

EVERYONE


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Lets

Energize!!


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Facilitative Supervision & Quality

Improvement

The most important role of the

facilitative supervisor is to enable

staff to: manage the quality-improvement

process,




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What is Quality?


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Lets try defining it


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Client definition Of Quality. Q: What do you think quality is?Imagine you

are clients.

What would you like to see?

What would you like to learn and to know?

What would you like to have available at afacility?

How would you want to be treated if you oryour mother, sister, spouse, or a child came tothis facility for health care?

How would you describe a model facility?


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Client Rights Needs

Clients Have Rights to:

q Information

q Access q Informed choice

q Safe Services

q Privacy and confidentiality

q Dignity, comfort, and expression ofopinion.

q Continuity of care


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Quality From the Staff Point ofView

Now we will look at quality from the point of

view of the staff.

Think about what you need in order to be

able to deliver such high-quality services asyou described thinking about clients

expectations?


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Provider Needs.

Health Care Staff Have Needs for:

Facilitative supervision and management

(clear expectations, feedback, motivation) Information, training, and staff development

(skills and knowledge)

Supplies, equipment, and infrastructure(organizational and environmental support)


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Quality meansthat clients rights areobserved and the

staffs needs aresatisfied


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Definition of Quality

Improvement

QI is the concerted effort to

continuously do things better untilthey are done right the first time,

every time

Berwick, Godfrey, & Roessner, 1990


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Actual

Practice

BESTPRACTICE

Goals of Quality Improvement

Quality services that meet clients needs

Improved performance of staff and institutions

Better health

2


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Reasons to improve quality

Safeguard staff and clients health

Quality leads to savings (less reworkand less waste)

Add features to attract customers(clients, donors, etc.)

All organizations have strengths to

maintain!

There is always room for improvement!


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The QI Process

Information Gatheringand Analysis

Action Plan Development

and Prioritization

Implementation

Follow-up/

Evaluation


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INFO

CommunityAssessment

ClientInterview

CFA Observation

of Services

DataReview

FacilityAudit

Record/caseReview

INFO

StaffInterview

COPE

Information Gathering

Identify gap between

actual practice and best

practice

QualityMeasuring

Tool Cost Analysis

PNA


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Underlying QI Principles

Customer focus or mindset

Staff involvement and ownership

Focus on processes and systems Cost-consciousness and efficiency

Ongoing quality improvement

Continuous learning, development and

capacity building


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Who are Our Customers?

External

customers?

Internal customers?


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Remember

The most important role of the

facilitative supervisor is to enable

staff to: manage the quality-improvement

process,




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Session Objectives

Have we achieved these? Describe the new approach to supervision

Assess your own supervisory style

Describe the levels of supervision in Kenya

Explain the benefits of facilitative

supervision


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Session Objectives contd

Have we achieved these? Compare and contrast the traditional and

the new approach to supervision

Define quality of services

Explain reasons to improve staffperformance and the quality of services

Describe the QI process and principles


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Documents

Session2_A New Approach to Supervision