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In this thesis, we perform an Audit of efficiency on the Process and Procedures related to Cleaning Services of the Regional Hospital of CITADELLE. 
The Cleaning Services process is of great importance in the functioning of the hospital because there are recommendations of the High Council of Health whose breach would involve sanctions against the hospital institute.
Our fieldwork enabled us to see that the Cleaning Service process is not formalized enough, there are no controls, no Key performance indicator. We notice also that the Internal services in charge of issuing purchase orders do not master their inventory management. 
In our recommendations; we proceed by modeling the process with the Business Process Modeling Notation. This involves developing procedures for key activities, implement Keys Performance Indicators, identification and management of Risks related to the process system. We end up by developing a management tool "Kanban", capable of streamlining the flow in the Cleaning Services Warehouse. We identify the tasks related to the implementation of this tool, followed by an analysis of Return On Investment of the Kanban project.

Audit --- Process --- Procedures --- Regional Hospital Citadelle --- High Council of Health --- Key Performance Indicator --- Business Process Modeling Notation --- Risks --- Kanban --- Sciences économiques & de gestion > Comptabilité & audit