Releasing time to care: a quality improvement project aimed to increase direct rehabilitation time in a Stroke Rehabilitation Centre
Stroke is a leading cause of disability among adults, and any treatment that improves functional outcome, like higher intensity of rehabilitation therapy, can significantly reduce its financial burden. Clinicians on a stroke rehabilitation ward are expected to track and nationally report on rehabili...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2024-12-01
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| Series: | BMJ Open Quality |
| Online Access: | https://bmjopenquality.bmj.com/content/13/4/e003043.full |
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| author | Susan White Benjamin Jelley Claire Haddock Jennifer Blackhouse Dolores Macchiavello Jennifer Clark James Hinder Amy Joyce Kate Matchett Eden Morris Carys Moss Chris Rees Alun Walters |
| author_facet | Susan White Benjamin Jelley Claire Haddock Jennifer Blackhouse Dolores Macchiavello Jennifer Clark James Hinder Amy Joyce Kate Matchett Eden Morris Carys Moss Chris Rees Alun Walters |
| author_sort | Susan White |
| collection | DOAJ |
| description | Stroke is a leading cause of disability among adults, and any treatment that improves functional outcome, like higher intensity of rehabilitation therapy, can significantly reduce its financial burden. Clinicians on a stroke rehabilitation ward are expected to track and nationally report on rehabilitation time to contribute to the Sentinel Stroke National Audit Programme (SSNAP), a process that was manual, paper-based, time-consuming and redundant, which in turn impacted on a reduction in clinical time to provide stroke rehabilitation. We aimed to release 20% of clinical time by reducing inefficiencies within their time management and reporting process, ensuring that clinicians had more time available for direct patient care. To do so, we developed a tool to gather and analyse SSNAP-specific data and use Kanban cards to make weekly actions visible to reduce miscommunication. As a result, the whole occupational therapists team gained 7.5 hours a month (25% of released time, 12 extra additional therapy sessions available) when improving their data gathering and analysis process. A specialist physiotherapist saw a 2 hour a month gained and 4 hours a month gained for a Physiotherapist. Dietitians also saved 3 hours a month by not having to duplicate information. This process is part of a key organisational requirement for clinical teams working with stroke patients admitted to hospital and by addressing some inefficiencies, we were able to impact on direct patient care. |
| format | Article |
| id | doaj-art-774f9f84b99949e99451d9e28f777998 |
| institution | Kabale University |
| issn | 2399-6641 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open Quality |
| spelling | doaj-art-774f9f84b99949e99451d9e28f7779982025-01-14T22:05:09ZengBMJ Publishing GroupBMJ Open Quality2399-66412024-12-0113410.1136/bmjoq-2024-003043Releasing time to care: a quality improvement project aimed to increase direct rehabilitation time in a Stroke Rehabilitation CentreSusan White0Benjamin Jelley1Claire Haddock2Jennifer Blackhouse3Dolores Macchiavello4Jennifer Clark5James Hinder6Amy Joyce7Kate Matchett8Eden Morris9Carys Moss10Chris Rees11Alun Walters12Cardiff and Vale University Health Board, Cardiff, UKCardiff and Vale University Health Board, Cardiff, UKCardiff and Vale University Health Board, Cardiff, UKCardiff and Vale University Health Board, Cardiff, UKShaping Change, NHS Wales Cardiff and Vale University Health Board, Cardiff, UKCardiff and Vale University Health Board, Cardiff, UKCardiff and Vale University Health Board, Cardiff, UKCardiff and Vale University Health Board, Cardiff, UKCardiff and Vale University Health Board, Cardiff, UKCardiff and Vale University Health Board, Cardiff, UKCardiff and Vale University Health Board, Cardiff, UKCardiff and Vale University Health Board, Cardiff, UKCardiff and Vale University Health Board, Cardiff, UKStroke is a leading cause of disability among adults, and any treatment that improves functional outcome, like higher intensity of rehabilitation therapy, can significantly reduce its financial burden. Clinicians on a stroke rehabilitation ward are expected to track and nationally report on rehabilitation time to contribute to the Sentinel Stroke National Audit Programme (SSNAP), a process that was manual, paper-based, time-consuming and redundant, which in turn impacted on a reduction in clinical time to provide stroke rehabilitation. We aimed to release 20% of clinical time by reducing inefficiencies within their time management and reporting process, ensuring that clinicians had more time available for direct patient care. To do so, we developed a tool to gather and analyse SSNAP-specific data and use Kanban cards to make weekly actions visible to reduce miscommunication. As a result, the whole occupational therapists team gained 7.5 hours a month (25% of released time, 12 extra additional therapy sessions available) when improving their data gathering and analysis process. A specialist physiotherapist saw a 2 hour a month gained and 4 hours a month gained for a Physiotherapist. Dietitians also saved 3 hours a month by not having to duplicate information. This process is part of a key organisational requirement for clinical teams working with stroke patients admitted to hospital and by addressing some inefficiencies, we were able to impact on direct patient care.https://bmjopenquality.bmj.com/content/13/4/e003043.full |
| spellingShingle | Susan White Benjamin Jelley Claire Haddock Jennifer Blackhouse Dolores Macchiavello Jennifer Clark James Hinder Amy Joyce Kate Matchett Eden Morris Carys Moss Chris Rees Alun Walters Releasing time to care: a quality improvement project aimed to increase direct rehabilitation time in a Stroke Rehabilitation Centre BMJ Open Quality |
| title | Releasing time to care: a quality improvement project aimed to increase direct rehabilitation time in a Stroke Rehabilitation Centre |
| title_full | Releasing time to care: a quality improvement project aimed to increase direct rehabilitation time in a Stroke Rehabilitation Centre |
| title_fullStr | Releasing time to care: a quality improvement project aimed to increase direct rehabilitation time in a Stroke Rehabilitation Centre |
| title_full_unstemmed | Releasing time to care: a quality improvement project aimed to increase direct rehabilitation time in a Stroke Rehabilitation Centre |
| title_short | Releasing time to care: a quality improvement project aimed to increase direct rehabilitation time in a Stroke Rehabilitation Centre |
| title_sort | releasing time to care a quality improvement project aimed to increase direct rehabilitation time in a stroke rehabilitation centre |
| url | https://bmjopenquality.bmj.com/content/13/4/e003043.full |
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