Kauvery Hospital Trichy region’s journey towards 5S model hospital recognition
R. Sneha
Business Excellence, Kauvery Hospital, Trichy
Introduction
Kauvery Hospital, Trichy region, has achieved a significant milestone by being recognized as a First 5S Model Hospital, along with the Kauvery Hospital Salem unit. The Trichy region includes Tennur, Heart City, and Cantonment units. This prestigious award emphasizes our hospital’s unwavering commitment to operational excellence, patient safety, patient delight, and employee satisfaction. The Trichy region units were awarded the coveted ABK AOTS’s 5S Model Hospital recognition on 18th Aug 24, demonstrating exemplary 5S practices and integrating 5S into their culture.
Impact of the Model Hospital Award
The Model Hospital award serves as a powerful motivator, boosting team morale and promoting a sense of accomplishment. It validates the successful implementation of 5S practices at our hospital. This recognition reinforces Our commitment to excellence and provides a clear direction for further growth. Furthermore, the award process allows us to assess its progress, identify areas for improvement, and refine its 5S methods, ensuring long-term sustainability and continual improvement.
Model Level Kick-off
The journey towards 5S Model Hospital achievement began with a kick-off event. This gathering served as a platform to inspire and motivate all stakeholders, from senior management to frontline staff. The model level kick-off for the 5S initiative was held in November 2022. Our esteemed Managing Director, Dr. Manivannan, formally inaugurated the event.
Model level kick-off Event Inauguration
Strengthening the 6-Pillar Approach for the journey towards Model Hospital
At sustenance level 2, our hospital had already adopted the six-pillar approach. To achieve model level, we scaled up our 5S initiatives and adopted new innovative practices to strengthen 5S improvements. These initiatives included:
- Deepening the understanding and practice of 5S.
- Adopting Lean practices through the elimination of non-value-added activities (NVAs).
- Introducing 5S ambassadors to promote 5S at all levels of employees.
- Implementing campaigns to eliminate 5S abnormalities.
- Driving 5S adoption in other industry partners in collaboration with the Confederation of Indian Industry (CII)
Leadership Pillar
Led by Mr. Anbuchezian R, Facility Director of the Tennur unit, this pillar provides a clear vision for the 5S initiative and sets achievable goals. Through effective leadership, we empowered employees to take ownership of the 5S process and motivated them to achieve excellence. Our leadership team demonstrated top-level commitment, active participation, and setting clear expectations for the Model Hospital journey. Our Leadership team’s regular, visible support encouraged employee efforts. This Pillar had a Structured meetings were held to review 5S progress and hold individuals accountable for 5S compliance, ensuring its ongoing success.
Basic 5S Pillar
Led by Mr. Jayakumar P, GM Operations at the Cantonment unit. “This pillar focused on sustaining basic 5S practices. To scale up and initiate Lean practices, we identified and eliminated non-value-added activities and promoted 5S practices through 5S ambassadors. 5S ambassadors play a crucial role in promoting a culture of continuous improvement. They possess strong knowledge of 5S, effective communication, leadership, and interpersonal skills. By leading by example and providing guidance, ambassadors drive 5S implementation, inspire others, and promote knowledge sharing.
Basic 5S pillar head continuously reviewed 5S progress with unit 5S coordinators and the Business Excellence team on a regular basis”.
Mr. Jayakumar conducted thorough 5S audits in all three units to assess the basic 5S status and identify areas for further improvements. Our hospital implemented the 5-min 5S concept to create a cleaner, safer, and more efficient workplace. Departmental in-charges drives 5S initiatives, which were further strengthened by surprise audits conducted by the Business Excellence team. The Basic 5S pillar ensured that employees were motivated to practice 5S principles with more rigor. An important factor for easy review and compliance mechanism is that the Trichy region units successfully transitioned from hard copy zone files to digital folders, streamlining operations and reducing paper waste
Management Improvement Projects Pillar
Led by Mr. Androse Nithiyadoss, Senior General Manager of Operations at the Heart city unit. “The Management Improvement Project (MIP) pillar focuses on identifying and implementing initiatives that deliver significant improvements in key operational areas. 18 projects were completed to achieve Model level recognition. The main objective of this pillar is to incorporate a structured approach for identifying and selecting issues aligned with business direction and to execute projects that have significant infrastructure improvements”.
MIP Pillar members
Standardization Pillar
Led by Mr. Clement, Manager – CST (Central Support Team). “The Standardization Pillar focuses on establishing clear procedures, guidelines, and standards to ensure consistency, efficiency, and quality across all units. The Standardization pillar had the challenge of writing the 5S Model Manual and 5S standardization manual, which contain all the implemented standards and practices. Pillar members also have the task to collate forms pertaining to 5S and initiate digital checklists in our hospital”.
Total Employee Involvement (TEI) Pillar
Led by Mr. Veeramanikandan, Senior Manager of HR. “The Total Employee Involvement (TEI) Pillar empowers and engages all employees in continuous improvement. Employees are encouraged to share ideas and suggestions for enhancing efficiency, quality, and productivity. Valuable ideas are implemented to drive positive change. We had enhanced the TEI avenues through Kaizen Melas, Quality Circle activities, Thangamanasu, Flying Angles, internal 5S quizzes, and slogan competitions. We have also completed benchmark visits to Jayajothi Mills, Yokohama ATC Tires, and ZF Rane, and TVS Panjapur to learn from best-in-class 5S practices”.
Beyond Boundaries (BYB) Pillar
Led by Mr. Sowmesh, Manager – Business Excellence. “The BYB (Beyond boundaries) Pillar extends the principles of 5S beyond the workplace and into the lives of employees and their communities. We initiated 5S in employee homes and conducted a 5S competition for employee children, known as Kids 5S. We also implemented the 5S concept in the following areas: Occupational Health Centre (OHC) at Bharathidasan University, IIM Trichy, and the Pharmacy vendor Curtis Drug Point, and the Mutharasanallur special children day-care centre. We also provided training on 5S and its benefits to students, staff, and parents. For special children, we developed standard operating procedures (SOPs) for physiotherapy equipment. In the primary school, students are actively participating in 1S, 2S, and 3S activities”.
Overcoming 5S Challenges in Trichy’s Three-Unit Region
Since the Trichy region comprises three units, we faced challenges in standardizing 5S practices, especially in basic 5S, where Floor 5S is very critical. The Basic Pillar head conducted regular reviews with coordinators from all three units to align them and demonstrate standardized 5S practices. One of the agenda was to showcase the best practices adopted in each unit and how they could be adopted in the other two units. With decades of experience in practicing 5S by all three units and mentoring each other, we possessed the knowledge and courage to pursue model assessment as a region, including all three units.
Another challenge faced was increasing attrition and the need for new employee training. We overcame this challenge by using the “train the trainer” concept and 5S ambassadors
Mock Assessments: A Stepping Stone to Improvement
To assess progress and identify areas for improvement, ABK AOTS conducted mock assessments led by Mr. R. Mohanakrishnan on August 2nd and 3rd, 2024, in its Trichy region units. These assessments focused on pillar presentations and key 5S observation points identified during Gemba rounds. This was a valuable handholding session instead of a mere assessment. These two days were immensely helpful for everyone as Mr. RMK provided many insightful guidance on a deeper understanding of 5S and clearer guidance on how to approach deeper 5S and lean practices. In fact, the mock assessment was more beneficial for our learning and improvement than the final assessment. The final assessment was constrained by the criteria, limiting its scope.
Assessor Gemba rounds in Mock Assessment
Model Hospital Assessment Successfully Completed
The culmination of our 5S journey was the Final assessment conducted on 14th Aug 24. Assessors Mr. P.N. Rajan, Executive president of ATC tires, and Dr. N. Ramesh, Head, Quality from Taegutec India, with their extensive knowledge and experience assessed our progress based on pillar presentations, Gemba observations, a quality circle presentation, and a Kaizen presentation.
Following the assessment, assessors and attendees provided feedback. The feedback from the assessors was valuable and enabled us to peek into Total Quality Management (TQM) initiatives. By addressing these recommendations, including the need for more Kaizen implementations, a stronger focus on 4S and 5S in audit checklists, and a focus on the implementation process, we can build upon our existing strengths and further enhance its our 5S journey.
Through the collaborative efforts of these six pillars, we have successfully driven 5S practices and improvements. In recognition of exceptional teamwork, the model hospital award was received by the pillar heads and all 5S team members during a ceremony held in Chennai.
Our 5S team with ABK AOTS Assessors
Conclusion
Our 5S journey has been a significant milestone in our commitment to operational excellence. By adopting a structured approach and involving all stakeholders, we made substantial progress toward achieving the recognition of a 5S model hospital. Regular review, audits, and employee engagement will ensure that the positive gains achieved are maintained over time.
Upon achieving the Model Hospital award, employees expressed immense satisfaction and pride. This success is attributed to the teamwork and dedication demonstrated by all staff members.
The successful achievement of 5S model hospital recognition is not merely the end goal; it serves as a crucial stepping-stone toward a broader Lean culture. By establishing a foundation of organization, cleanliness, and standardization, 5S paves the way for continuous improvement culture, leading to a more efficient and effective workplace.
Model hospital Award received by Pillar Heads and 5S Team
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- Our Nurses-Our Future: Investing in Nurses Empowerment for Enhancing the Nursing Workforce
- Empowering Patients in Patient Care – Prevention of Medication Error
- Case Publication Report: Malignant Ascites and Pleural Effusion in Stage 4 Ovarian Carcinoma – An Elaborated Case
- Case Study: Management of Thoracic Endovascular Aneurysm Repair (TEVAR) in an 82-Year-Old Male with Type B Aortic Dissection
- Case Study: A Rare Presentation of Type A Wellens Syndrome in a 45-Year-Old Male with Type 2 Diabetes Mellitus and Systemic Hypertension.
- A case report on Endometriosis
- Molar Pregnancy: A case report
- Review article of immune checkpoint inhibitors in cancer patients
- Case Study: Management of Kawasaki Disease in a Pediatric Patient
- Empowering Nurses through Hands-on BLS Training: A Large-Scale RNRM CNE Renewal Initiative by Kauvery Hospital, Trichy
- Editorial
- Empowering Clinical Participation Nurses Through Academic and Research participation
- From policy to practice: Transforming nurse competence through a restraint management recall program
- Peritoneal equilibration test in our CAPD patients: A retrospective analysis
- Perinatal asphyxia with hypoxic-ischemic encephalopathy stage I in a late preterm neonate: A case report
- A case of vibrio cholera
- Emergency nursing management of a patient with acute aortic intramural hematoma
- Case report on testicular cancer
- Case study on abdominal tuberculosis
- Monoclonal IgG kappa (IgGk) associated crescentic glomerulonephritis: A case of PGNMID in disguise
- Critical management of upper gastrointestinal bleed with septic shock in an elderly patient
- My experience in a renal transplant ICU
- Pulmonary vein stenosis
- A case report: Rheumatic heart disease and congestive heart failure in antenatal mother
- Case of corrosive poisoning with pneumonia
- A case report on Stevens Johnson Syndrome
- A case report on Sub Arachnoid Hemorrhage (SAH)
- Autosomal Recessive Polycystic Kidney (ARPKD) with cavernous transformation of portal vein
- A case report on open heart valve replacement
- Editorial
- The impact of home-based physiotherapy on functional capacity and quality of life in patients with severe heart failure
- Liver transplantation
- The Invisible Man – Androgen Insensitivity Syndrome: Disorders of sexual development
- Pericardial effusion
- A case report and discussion: Burns
- Challenges of polypharmacy in a geriatric patient with neurological disorder
- A case report on Bullous Pemphigoid (BP)
- Herpes Zoster Encephalitis: Diagnostic and Clinical Insights
- A Case Report & Review on Sternal Osteomyelitis
- Continuing Nursing Education on Prevention of Hospital Acquired Pressure Injury
- Prevention of Hematoma and Thrombus After CAG /PTCA
- Case Report: Neonatal Hirschsprung Disease
- Current Treatment, Challenges, and Research Updates in Sexually Transmitted Infections: A Detailed Review
- Lipoinjection for fat deficiency in right cheek
- LA Myxoma
- Nursing care of Sturge – Weber Syndrome (SWS), referred for Digital Subtraction Angiography (DSA)
- Nursing care of patient with Sick Sinus Syndrome
- Post-Partum Acute Kidney Injury
- Service Uniqueness and Management Outcomes (SUMO) in Healthcare Services
- Poem – அம்மா!!!
- Editorial
- When Banding Breaks, New Paths Awaken: The BRTO Revelation
- Smile Therapy
- Multidisciplinary approach to Thermal Burns
- Deep Brain Stimulation for Parkinson’s disease: A case report
- Zieve’s Syndrome: A review
- Acute Pulmonary Thromboembolism
- MPI scan guided revascularization in acute anterior wall Myocardial Infarction
- Ketogenic diet for Epilepsy: A case report and review
- Dietary management: Carcinoma in left buccal mucosa
- Malignant Middle Cerebral Artery (MCA) infarct and surgical decompression: Pre-op and post-op CT brain findings
- Cleistanthus collinus (Oduvanthalai poisoning): A case report
- My Experience as a Flying Angel
- In-house Continuing Nursing Education (CNE) on “Rapid Response Mastery
- Kauvery Hospital Salem’s Journey of 1st Ever Model Hospital
- மனமும் வெற்றியின் ரகசியமும்
- Editorial
- Against all odds: A road accident survivor’s journey to healing at Kauvery Hospital
- Clinical Case Report: Managing Hansen’s Disease in a 20-Years young girl
- Bilateral Internal Thoracic Artery Grafting for CABG
- Intra Pulmonary Thrombolysis
- A Case Report on Methotrexate-Induced Pancytopenia
- An Adult with an Atrial Septal Defect Presenting with a Brain Abscess
- Typhoid, a Prospective Observational Study
- Vancomycin – Therapeutic Drug Monitoring
- Cardiac’s Myxoma
- Mitral valve replacement
- Harmful effects of preservatives (Class 1) on Food Items
- In house Continuing Nursing Education (CNE) on “Shaping Excellence in Critical Care Nursing.” At Kauvery hospital, Cantonment.
- Poem – செவிலியர்
- Poem – ஒருபோதும் கேட்காதீர்கள்: “உனக்கு என்ன வேண்டும் என்று”
- Editorial
- A case report on Carbuncle
- Reverse Shoulder Arthroplasty: A case report
- A case report on severe dental caries with advanced lesions
- Supra ventricular Tachycardia: A case report
- A case of pernicious anaemia due to vitamin B12 deficiency
- A Journey of Miracles: Life Beyond the Deadly Trials for My Father
- A Victory day for CNE
- A Sapient Voyage – QCFI
- Tracheostomy: An overview
- முன்கூட்டியே கண்டறிவோம் புற்றுநோயை
- Editorial
- Emergency CABG for young female patient with critical coronary artery disease
- Meningomyelocoele: A case report and discussion
- Case study on Multiple Cranial Nerve Palsy and Necrotizing Pneumonia: The physiotherapy management
- Role of Physiotherapy in ACL Rehabilitation: A case report
- ASD Device Closure: Case report and discussion
- In-House-Continuing Nursing Education (CNE) on “Effective Nursing Strategies for Renal Transplantation” at Kauvery Hospital, Tennur
- காவேரியின் வாக்ஹோலிக் நடைபயிற்சி
- புத்தாண்டு
- Editorial
- Artificial Intelligence in Nursing: Enhancing Care and Reducing Burnout
- Report on comprehensive wound care workshop—elevating nursing excellence at Kauvery Hospital
- Cerebellopontine angle tumor
- Patient acuity score: Staffing plan
- Acute Respiratory Distress Syndrome
- Coronary Artery Disease and Carotid Stenosis: A dual threat
- Early-onset diabetic foot ulcers in CKD
- Nursing case study report: Reconstructive surgery for congenital TMJ ankylosis
- Care of severe ARDS and H1N1 Positive
- Whipple Procedure: A case report
- A milestone to remember in my career
- Poem – காதல்
- Poem – ஆரோக்கிய வாழ்வு – 2
- Editorial
- Management of Myelodysplastic Syndrome (MDS) with Probable Fungal Pneumonia
- Thrombotic Microangiopathy and Renal Cortical Necrosis in a Postpartum Patient: A rare and complex presentation
- Rising Star in Health care
- Systemic Lupus Erythematosus: A case report and discussion
- Effectiveness of Cardiopulmonary Resuscitation( CPR) and its Outcome
- Guillain-Barre syndrome
- Radiation-free ERCP in pregnancy
- Utilization of injection Sovateltide for acute ischemic stroke
- A case of severe malaria complicated by concurrent H 3 N 2 influenza infection: Diagnostic and therapeutic challenges
- Pulmonary Function Test Concepts
- Rapid Review of CNE – Enhancing Nursing Practice in Arrhythmia Management: Evidence Based Strategies
- நூறைக் கடந்த காவேரியின் மருத்துவ இதழ்(ஜர்னல்)
- பெண் என்பவள்
- வியக்கத்தகும் அதிசயமே! கண்டு வியக்கிறேன்
- Editorial
- Early Rescue PCI in Failed Thrombolysis in STEMI
- Internal Jugular Vein Thrombosis: A Case Report and Discussion
- The Beat of Compassion: A Clinical Presentation of Nursing Excellence
- Acute Necrotizing Pancreatitis: Challenges in Management and Recovery
- “From Struggle to Breathe to Freedom to Live”: The Miracle of Pulmonary Thromboendarterectomy
- Waugh Syndrome (Ileocolic Intussusception +Malrotation): A Case Report and Discussion
- Corrosive Poisoning: A Case Report
- Multiple Intracranial Aneurysms: A Case Report and Discussion
- Steroid-Dependent Nephrotic Syndrome in Pediatric Patients: Pharmacologic and Preventive Management
- Shared Decision-Making should be an Integral Part of Physiotherapy Practice: A Case Study on Total Knee Replacement
- NICU Graduate Day: “Saving the Unsavable” by Trusted Quality Care
- Balancing Technology and Patient Safety: Insights from the Workshop
- Impact of Nurse Leadership on Patient Outcomes
- பெற்றெடுக்காத அன்னை
- மனம் – ஒரு மாயை!
- Editorial
- Idiopathic Parkinson’s Disease
- A case report on Guillain–Barré Syndrome
- A case of Iatrogenic Mediastinitis
- A case of puerperal sepsis due to ESBL E. coli with multi-organ involvement: A clinical challenge
- Critical management of severe obstructive cholangitis with septic shock in an elderly patient with cardiac and renal comorbidities
- Acute cholecystitis after cardiovascular surgery (CABG)
- Comprehensive management of diabetic cellulitis in hand and its outcome
- A case of successful kidney transplantation after a long-term maintenance in haemodialysis
- “Mystery of Blue boy” Methemoglobinemia poisoning: Challenging in identification and treatment
- A case report on ovarian cyst torsion: Emergency procedure
- A case report on status epilepticus
- A new lease on life: Successful discharge after brain tumor
- The road to recovery: A case study on liver transplant success
- Systemic Lupus Erythematosus: A case report and discussion
- Carpal tunnel release surgery: A nursing case study on post-operative care
- Evidence-based nursing practice: A case study on Zadek’s procedure for ingrown toenail”
- Against the Odds: Impella-supported revival in an octogenarian with cardiogenic shock (stage E) and advanced coronary artery disease
- A structured approach for patient safety and experience: Enhancing traditional nursing practices with new dimension
- Nursing care of patient with penetrating left chest pain
- Through the crack of a blast, light of care found its way—Multisite Blast injury in a Farmer from Improvised Explosive Device: A Nursing Perspective
- Pulmonary Tuberculosis: A case study and clinical perspectives
- Secondary Postpartum Hemorrhage
- Care of patient with spondylodiscitis
- Nursing care of patient with cauda equina syndrome
- Editorial
- A case of spinal tuberculosis with acute spastic paraplegia managed with medical therapy and surgical fixation: A comprehensive clinical and nursing perspective
- Antiphospholipid antibody syndrome presenting as pulmonary thromboembolism and diffuse alveolar hemorrhage in a young female
- Ethical and clinical management of a jehovah’s witness patient undergoing deceased donor renal transplantation
- Effective management of type II endoleak post EVAR: A multidisciplinary approach by nurses
- Case Study: “Successful TAVI procedure for severe aortic stenosis, a patient’s journey”
- CRRT: More than renal replacement, a case study in multiple organ support
- Clinical practice guidelines on peripheral IV therapy practices
- Gulliain Barre Syndrome: A case report
- Case Report: Multiple sclerosis in a 28-year-young female
- Comparative case study report: Paraquat poisoning with multiorgan dysfunction
- Naegleria fowleri (Brain-Eating Amoeba): A comparative epidemiological and pathophysiological review—Global, Indian, and Kerala perspectives (2025)
- Patient safety colloquium 2025: “Safe care for every patient, every time”
- A lifesaving miracle: Bone marrow transplant gives six-month old baby a new lease of life
- The Healing of broken wings: A case of paediatric firecracker injuries
- Ureterovaginal Fistula Following Hysterectomy – A Clinical and Nursing Management Case Report
- Case Study: Adult-Onset Henoch–Schönlein Purpura (HSP)
- Desidustat: Role in management of anemia of chronic kidney disease (CKD)
- Comprehensive clinical management of an extensive lumbo-sacral wound with multiple sinuses in an elderly male
- Autoimmune encephalitis with anti-LGI1-antibody: A case report
- Case presentation on Total Knee Replacement
- In-House-Continuing Nursing Education (CNE): “Nursing Perspectives in Oncology”, Kauvery Hospital, Tennur
- Editorial
- Abdominal aortic aneurysm repair
- A case of ovarian cyst with partial torsion in an adolescent girl
- Clinical presentation and nursing care of a patient with acute ischemic stroke
- Nursing care of young patient with aortic valve replacement for bicuspid aortic valve and aortic valve stenosis
- Young patient care of abdominal aortic aneurysm repair
- Nursing management of multiple diagnoses and thrombectomy procedure
- Bypass to the future: A CABG success story
- A case report on pharyngeal fistula
- Chandipura virus: an overview
- Nursing case study: Management of right Common Iliac Artery (CIA) stenosis with Chronic Total Occlusion (CTO)
- Case study on peripheral arterial disease and its complications: Chronic limb threatening ischemia
- Foreign body removal: A case report
- The role of breast milk in enhancing nutritional and immunological properties
- A case report on sub dural hematoma in a patient on dual antiplatelet therapy
- Highly concentration electrolytes: A silent risk every nurse must recognize
- Transverse limb defect: A case report
- A quick review on the management of myasthenia gravis during pregnancy
- Youngest pediatric bone marrow transplant: Thalassemia major donor—thalassemia major marked sibling, bone marrow transplantation
- MOG antibody-associated optic neuritis: A case report
- Stuttering cerebrovascular accident and a rare intervention: A case report
- Thoracotomy with pleuropericardial window
- Enhancing healthcare leadership and sustainable team building through the OODA loop: insights from Kauvery hospital
- Clinical spectrum and management outcomes of GDM and GHTN: A case series from a tertiary care center
- The future of insulin: Innovations, AI, and the evolving role of pharmacists in diabetes care










