Occupational Therapy - Adult Community by zaaaaa4

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									Adult & Community Services

   Occupational Therapy


    Jane Pegg and OT staff
         What is our business?

• Assess disabled, older people and their carers
• Provide/recommend services, equipment and
  adaptations
• To promote independent living within their own
  homes
• 65 staff
• 7,500 service requests per year
         Why did we need help?

•   Demands upon the Occupational Therapy service
•   High Expectations
•   High profile for the organisation
•   Change is difficult
•   Cost and time of home visits
•   Service user experience
        How we began to LEAN?
•   Mapped out the process – (attempted!)
•   Identified areas to LEAN
•   Staff planning day to understand the principles
•   The front end of the process:

To improve the process from initial contact to outcome
What LEAN can do for us
To utilise the LEAN model of working, as backed by BMDC,
to streamline working practices and improve quality of
service provision in the OT section – primarily in relation to
the contact / referral process

•   To reduce waste in current process and increase
    efficiency

•   To screen for appropriateness of contacts

•   To improve / reduce decision making time

•   To ensure appropriate method of assessment is identified
          LEAN Working Party

• Interested parties

• 3 LEAN days out- hard slog!

• Implement change immediately
          Process Mapping

Identified all steps in old process from initial point
of contact to coding and allocation onto waiting list

Total steps (72)

   • Ratio to value-added steps 7:1
             Planning for change

•   Identified Outcomes
•   Timeline
•   Resources
•   Skill Mix
•   Communicate Changes
•   Start Date and the birth!
      Current Contact Process

Role of Customer Service Administrator

• Contact received into OT department
• Decision made whether appropriate for service
  If not – signposted to relevant service
• Accepted contacts passed to Contact Team CSA
• CSA administers paperwork and in-house screening tool
• Identify the most appropriate assessment
    Current Contact Process cont.

Role of Occupational Therapist

•   Contact assessment form completed

•   Decision made regarding appropriate action

•   Risk management strategies

•   Client informed of outcome
      Outcomes of Contact Assessment

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      December            January                February                              March

           ADL Clinic   Issue Resolved and NFA     Referrals, Prioritised,Waiting Allocation
              Benefits Achieved
For team members:

•   Development of skills, knowledge and understanding
•   Improved staff satisfaction

For the OT service and/or service user:

•   Improved communication-

    Appropriate information gathered directly from service user

    Service user informed of outcome
       Benefits Achieved cont.
•   Service users’ needs addressed more quickly

•   Improved access to appropriate services

•   Inappropriate referrals stopped at point of contact

•   Fewer referrals onto waiting list for home assessment

•   Standardised operating procedures

•   Increased efficiency

•   Speed of response times – up to 48 hours
     pre contact team – up to 4-6 weeks


•   Increased service user satisfaction
             Areas for Further
               Development
Process of continual evaluation and improvement

• Waste reduction

• Decision making process

• Improve communication in and out of the team

• Skill mix / staffing and level of expertise / training

• Sustainability
                  Current OT Outcomes
                                Out c om e OT C o n t a c t



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       December     Januar y     Febr uar y             Mar ch   Apr i l     May




      ADL Clinic               Issue Resolved and NFA                      Referrals, Prioritised,Waiting Allo
               Reviews


Reviewed Dec 2008 - Total steps (35)

  • Ratio to value-added steps 3:1

  Review Due
               Conclusion

• LEAN works

• Continuous improvement & sustainability

• To LEAN other areas of the service

								
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