Recent guam business process improvement (BPI) project accomplishments and lessons learned underscore the complex nature of process improvement and the need for a multiphase approach to be…

Recent guam business process improvement (BPI) project accomplishments and lessons learned underscore the complex nature of process improvement and the need for a multiphase approach to be successful and sustainable. BPI projects typically have a planning phase, an improvement phase, and an implementation phase. Dphss, the governor of guam, and astho have already started the foundation for several planning phase activities, including identifying the priority focus areas recruitment, retention, and other essential human resources functions. This proposal focuses on these planning priorities, conducting feasible improvement phase activities in 2024-2026, and anticipates moving to the implementation and monitoring phase in late 2026 through early 2027. While fostering a culture of continuous quality improvement implies that the planning, improving, and implementing cycles will continue indefinitely, astho proposes that an intense cross-agency and governors office commitment to the improvement and implementation phases from 2024-2026 will lay the foundation for sustainable, longer-term success. Building on the small purchases procurement business process improvement successes and lessons learned, astho will work with dphss staff and cross-agency leaders to more deeply and sustainably invest in change leaders who can determine a shared priority for improvement, gather data to inform and monitor progress, and engage staff-level champions who can inform and test change efforts