20 Keys – PPORGP


Adapting 20 Keys to General Practice or PPORGP (Practical Program of Revolutions in General Practice)

Please use the menu to navigate to each key. Keys will be added as they are adapted.

Other actions identified for implementation of the process or improvements already identified.

  • Simplify protocols, distil them till they are set in stages, have separate document to state why they are important but no more than that
  • Process mapping.
  • Grouping work to maximise contact with services
  • Recreate the 20 key relations diagram
  • Ask all employees to score each key 1 to 20
  • Input these into the radar diagram to identify improvement areas.
  • Recreate 5S audit sheet

Below is the 20 Keys Diagram for PPORPP

20 Keys Original

The 20 Keys for General Practice are

Key 1 – Cleaning and Organising

Key 2 –Rationalising the system/ Management of Objectives (For managers)

Key 3 – Small Group Activities

Key 4 – Reducing Inventory

Key 5 – Quick Changeover Systems

Key 6 – Value Analysis of Practice Operations

Key 7 – Anti Monitoring

Key 8 – Coupling Teams

Key 9 – Maintaining Machines and Equipment

Key 10 – Work Floor Time Policies

Key 11 – Quality Assurance System

Key 12 – Developing External Services

Key 13 – Eliminating waste with a Treasure Mountain Map

Key 14 – Empowering Employees to make improvements

Key 15 – Skills Versatility and Cross Training

Key 16

Key 17

Key 18

Key 19

Key 20