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Mobile Gait Analysis - A Low Cost Solution to Providing a Specialised Service Locally

Mobile Gait Analysis - A Low Cost Solution to Providing a Specialised Service Locally. Mike Walsh MISCP MMedSc Manager of Gait Laboratory, CRC. What is Gait Analysis. Pictures Graphs Video. Identification of Need. Client demand/location Referrer demand/location

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Mobile Gait Analysis - A Low Cost Solution to Providing a Specialised Service Locally

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  1. Mobile Gait Analysis- A Low Cost Solution to Providing a Specialised Service Locally Mike Walsh MISCP MMedSc Manager of Gait Laboratory, CRC

  2. What is Gait Analysis • Pictures • Graphs • Video

  3. Identification of Need • Client demand/location • Referrer demand/location • Database study/prevalence figures • Concerns over representative data • CRC Strategic Plan • Government Health Policies • Identification of ability – “Eureka Moment”

  4. Processes used • Planning phase • Technology testing • Stakeholder meetings/contacts - Informal • Financing – Cost/benefit analysis • Project Management Strategy • Risk assessment • Training • Implementation phase • Stakeholders - Formal • Pilot • PR strategy – Local/National Media, People First. • Workshops/Information sessions • QA testing and development

  5. Stakeholders • Clients • Referring clinicians • CRC Board • Gait Lab Team • Manufacturers • HSE

  6. Impact/Outcomes • Local service in Mid West and South East (70 clients/yr, ~ 25%) • Impact on families – 100% Satisfaction, ↓travel time, cost, stress, service contact time, ↑ quality of care • Impact on referrers – ↑ 20% new referrers, education/knowledge, ↑interaction/working trust with gait lab staff, ↑ quality of care, • ↑referral numbers from those regions • Research/Publications • ↑ Gait lab profile nationally and internationally • HSE Innovations award • Impact on gait lab staff • Technology Used in other areas/departments • Temporary mobile lab • ↑ Academic links

  7. Measurements and Continuous Improvement Processes • Review phase • Client survey (interviews/questionnaire) • Referrer survey (interviews/workshops) • Gait lab staff survey (continual review) • Service review with local managers • Cost/output/operational efficiency analysis • Peer review • Manufacturer’s review • Clinical Movement Analysis Society (CMAS) audit • Independent risk assessment • Strategy plan for service expansion

  8. Changes Based on Review • Achieved • Environmental / equipment changes • Clinic model / transport • Experience of client • Communication processes • Education • Technical protocols / QA / support procedures • Planned • North/West/Southern service • ↑ Staffing resource • ↑ Gait Course/Education Modules • ↑ Academic Links • ↑ PR

  9. Key Learning Points for the Organisation • Innovative work practice improved experience of client and filled a service gap • Potential of telemedicine • Hunger/need for education/knowledge • Communications infrastructure • Benefits of partnership • ? Formal project management training / support / infrastructure for all heads of departments • Strategy for increasing staffing resource for national services

  10. Learning transferred/use for NFPBA member organisations • Working model of mobile gait lab may provide solution in other areas of specialised clinical practice • Flexibility is key • Potential of telemedicine/communications infrastructure • Value of a partnership approach to provision of local services (maximisation of resources) • Hunger/market for knowledge/education (link it with service provision) • Strategy for resourcing service development early in a project • Methodology for supporting HSE’s Primary, Community and Continuing Care Directorate plans

  11. Research/Publications • “Mobile gait analysis – A low-cost solution to provision of this specialised service to a large geographical area” M Walsh BPhysio MMedSc, R O’Sullivan BPhysio MSc, D Bennett BAI PhD, A Jenkinson BPhysio MSc, C Dunlevy BSc PhD, T O’Brien MCh FRCSI, O Hensey BSc FRCPI. Developmental Medicine & Child Neurology. Supplement No. 103 November 2005. Vol 47. • “Mobile Gait Analysis – A Low Cost Solution to Provision of this Specialised Service to a Large Geographical Area” Walsh Mike BPhysio MMedSc, Bennett D BAI PhD, O’Sullivan R BPhysio MSc, Jenkinson A BPhysio MSc, Dunlevy C BSc PhD, O’Brien T MCh FRCSI. JEGM Proceedings 2006, Amsterdam. • “The characteristics of gait in Charcot-Marie-Tooth disease type I and II”. Christopher J. Newman, Mike Walsh, Rory O’Sullivan, Ann Jenkinson, Bryan Lynch, Timothy O’Brien. Gait & Posture 2007;26(1):120-127. • “The gait of young people with Charcot-Marie-Tooth Disease”. Christopher J. Newman, Mike Walsh, Rory O’Sullivan, Ann Jenkinson, Bryan Lynch, Timothy O’Brien, Owen Hensey. Developmental Medicine & Child Neurology. Supplement No. 102 September 2005 Vol 47. Page 19.

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