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Title: Gibson Community Rehabilitation Service Relaunch

The Health Roundtable. New Zealand. Title: Gibson Community Rehabilitation Service Relaunch. Allied Health Making a Difference. Presenters: Andrew Metcalfe, Stafford Thompson Hospital Name: Dunedin Public Hospital. Key Problems.

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Title: Gibson Community Rehabilitation Service Relaunch

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  1. The Health Roundtable New Zealand Title: Gibson Community Rehabilitation Service Relaunch Allied Health Making a Difference Presenters: Andrew Metcalfe, Stafford Thompson Hospital Name: Dunedin Public Hospital

  2. Key Problems • Didn’t meet service specs for day hospital & community rehabilitation • Limited goal oriented rehabilitation • Geographical discrimination with collecting people by bus (& fatigue when on it!) • Duplication, low interaction with other providers • Inappropriate use of staff

  3. Key Problems Volumes 2007/2008

  4. Key Problems Volumes 2008/2009: Reduction of volumes planned for

  5. Key Strategies / Ideas Implemented • Major service review, findings published March 2009 • Decision to “re-form” as a community based service. • Away day, focus groups, visits to similar services, new documentation, role descriptions. • Service re-born 1st September 2009

  6. New Structure PRIMARY/COMMUNITY SECTOR GP practices, Other Community Providers/NGOs Co-located, managed by 6B CNM OPH Interprofessional Clinic OPH (Gibson) Community Rehabilitation Service OPH Early Response Service OPH ATR (Wards 6A, 6B) Older Peoples Health Services

  7. Previous Structure Older Peoples Health Services Inpatient Wards (6A, 6B, other wards) AT&R Day Hospital (GRC) NASC/CSCC PRIMARY/COMMUNITY SECTOR GP practices, Other Community Providers/NGOs

  8. Timeline Planning • Stage One 16 March 2009 – 31st August • Development of project team • Direct involvement of clinical staff in service planning • Establishment of service framework • Communication with community stake-holders

  9. Timeline Implementation • 01 September 2009 – 30 April 2010 • The previous service is ceased • Referrals are accepted for the new service • New service is operational • Ongoing review of documentation • Ongoing review of meeting structure

  10. Key Outcomes Achieved • The New Gibson Rehabilitation Service model has started on schedule. • A complete change in practice has occurred – which now meets service specifications • Team members report an ownership of the new service.

  11. Lessons Learnt • Do not hang a review over a service for several years – get it done. • Involve clinical staff from the area in planning as soon as practicable. • If a clinical team is able – empower them develop solutions for identified issues

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