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"$]yC"n $$"$%eԻKH  $$"$DùTx{1vsqSz S$$$"$>Y3nU V 0AA33@89g4KdKd@ 0ppp@  <4BdBdlp 0ʚ;ʚ;<4ddddl@v 0X0___PPT10 pp___PPT9/ 06? %O =#.Down Lisburn Trust Community Brain Injury Team/.UBetter Access to Brain Injury Rehabilitation B.I. Conference Dublin, September 2006VV  ~Background to CBIT Aims and objectives of service improvement Outcomes How change was achieved Challenges Future Z)Background to CBIT  Background 1997 - Community Brain Injury Service CARF accreditations 2003/2006, Chartermark x3, Investors in People x2 Public Servant of the Year Team Award Waiting list problems &service flow pathway Processes not optimal Trust supportZF 3 DLT- CBIT Context[First team in Northern Ireland Developed in response to local study of need Uses interdisciplinary model of assessment, goal planning and case co-ordination Grown from core therapeutic expertise and knowledge base, funded from Disability savings in 1997. In 2003 EHSSB additional Health and Wellbeing Investment monies allowed development of model\P\5"<CBIT  Results /Outcomes FocusKey Results: Rehabilitation Goals set with individual persons served and % attained over rehabilitation period. Satisfaction of persons with outcomes achieved Brain Injury Community Re-integration Outcome questionnaire {BICRO} as a measure Access to service within desired timeframes see  Service Improvement Project {CARF Accreditation examines standards in Business Practices, Rehabilitation processes and Brain Injury Program specific standards here Home & Community}6 2 4!Community Brain Injury Team Resource 1997 Clinical Co-Ordinator-0.5 Neuro-Psychologist -0.6 Speech &Language Therapist 0.3wte Social Worker 0.4wte Physiotherapist 0.3wte Occupational Therapist 0.6 wte Admin support 0.5wte.PP,(} Resource 2006 Team Leader 0.3wte Neuro-Psychologist1.5wte Speech & Language Therapist 0.4 wte Social Worker 0.5 wte Physiotherapist 0.4 wte Occupational Therapist 1wte Rehabilitation Nurse 0.8 3 x Rehabilitation Assts 1.8wte Admin Support 0.8 wte.PPPZi*Aims and Objectives Aim of projectTo improve access to the Community Brain Injury Service Objectives: To reduce waiting time from referral to first face-to-face contact from 5 weeks to 10 days. To reduce waiting time from first face-to-face contact to start of intervention from 51 weeks to 12 weeks. To reduce waiting time from 170 weeks to a maximum of 52 weeks To achieve a high level of client and carer satisfaction with quality of information given on entry to the service. F9 CS)u+Outcomes   6Objective 1: New referrals are seen within 10 days. 77 AObjective 2: Clients are planned within 12 weeks of screening BB 9Objective 3: Length of time waiting is below 52 weeks :: uLongest wait reduced to 46 weeks ( 1 client ) Next longest wait is 5 weeks Reduction from 170 weeks to 5 weeks *vP# ,How change was achieved How.. Overcoming inertia Streamlining referral process Segmented time - screening, assessment Waiting list validation/management % Information - letters, folders, reception staff Streamlining CBIS - 3 options of service Fast track service - specific, intensive DNA/CNA procedure& yProfessional service users Regular, short project meetings Additional hours Representation at higher level in Trust- Challenges   Challenges $Project Manager left post Social worker leaving post Team working relationships Thompson House Hospital renovations Time commitment Service user satisfaction -methodology New Trust Community Stroke Team Review of Public Administration  A4C .Lessons learned 'Lessons learnedProcess mapping - lengthy but necessary! Demand and capacity - effective planning Medical/Neuro assessment informs access to service Waiting list review/validation - service process _Z("Lessons learned& .ZWorking groups - effective problem solving Innovative practice doesn t necessarily fit the service eg. partial booking Discharge policy - a  must have ! Keep it simple! eG0Spread and Sustainability 1Spread and SustainabilityShort term: stringent processes within service renewed motivational drive Withdrawal of additional 6 hours per week which meets demands of administration and data collection r3@333g733Ag 2Spread and SustainabilityLong term: Threat to service model due to RPA Down Lisburn Trust CBIS will inform service delivery within RPA arrangements n%733N333733333u/The future& ..  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Conference    .-@Arial-. (2 xQDublin, September 2006     .-՜.+,0X     On-screen ShowDown Lisburn TrustW "Times New RomanArialMonotype SortsTahoma Dads TieMicrosoft Excel Worksheet/Down Lisburn Trust Community Brain Injury TeamSlide 2Background to CBIT BackgroundDLT- CBIT ContextCBIT Results /Outcomes FocusCommunity Brain Injury Team Aims and ObjectivesAim of project Outcomes7Objective 1: New referrals are seen within 10 days. BObjective 2: Clients are planned within 12 weeks of screening :Objective 3: Length of time waiting is below 52 weeks vLongest wait reduced to 46 weeks ( 1 client ) Next longest wait is 5 weeks Reduction from 170 weeks to 5 weeks How change was achievedHow.. Slide 17 Slide 18 Challenges ChallengesLessons learnedLessons learnedLessons learned.Spread and SustainabilitySpread and SustainabilitySpread and SustainabilityThe future..Future  Fonts UsedDesign TemplateEmbedded OLE Servers Slide Titles&_]0 Frank KernohanFrank Kernohan  !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~Root EntrydO)Pictures&Current UserSummaryInformation(CPowerPoint Document(0DocumentSummaryInformation8