This course predominantly teaches quality improvement methodology and real projects are initiated to bring these skills to life. The methodology taught is a blend of the Institute for Healthcare ‘Model for Improvement’ and ‘Lean’ (Toyota Production System).


The main course objective is for participants to identify a problem of their own choosing, and work in a team to create and sustain their own live improvement project to solve that problem.

Specifically, by the end of the 5-day course, participants will:

  • understand the principles and history of quality improvement generally worldwide and in Kenya
  • be able to apply the principles of 5S, the A3 worksheet and a driver diagram
  • be able to apply major QI analytical tools : problem definition, value stream mapping, identification of “waste”, root cause analysis (5 Whys, Pareto, fishbone etc)
  • appreciate the importance of data and measurement in improvement projects
  • be able to produce ‘run charts’ for presentation of data
  • understand ‘process’ tools such as the PDSA cycle and ‘huddles
  • know the relationship between the science of improvement and the art of team & individual leadership
  • learn their personal learning and leadership preferences as individuals and within teams

Course Content & Structure

Day 1:  

Introduction to some of the principles of quality and patient safety.
Identification of delegates learning needs/objectives.
Formation of QI teams and identification on real facility based QI project to work on.
Overview of the tool that will be used it to describe chosen QI projects.

Day 2:  

Introduction to patient flow, capacity and demand
Teams and facilitators go into the health facility for 1st ‘Go See’ exercise
Teams are guided in defining their project goal/aim statement

Day 3:  

Introduction to Root Cause Analysis (RCA) and tools used
Teams compare different RCA tools to their project
Introduction of QI methodology and teams are guided in their application to their chosen projects

Day 4:  

Introduction to Innovation and reverse brainstorming
Introduction to storytelling and importance of (e.g. for publication, networking).
Teams and facilitators go into the health facility for 2nd ‘Go See’ exercise

Day 5:  

Discussions around confidence, communication, body language and presentations
Next step planning

Eligibility Criteria

Healthcare professionals of all disciplines and levels of experience can attend the Foundation Course. Support from participant’s direct supervisors / managers is highly recommended as a crucial component of the course is the completion of a quality improvement project identified in their own facility.