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A Change Project to Introduce a Multidisciplinary Quality Improvement Forum Within a Rehabilitation Unit St. James’s Hospital MedEl Rehabilitation Quality Committee INTRODUCTION Improving quality of care in a post acute elderly rehabilitation unit Planning – During the initial meetings terms of references were is an important service goal. The multidisciplinary rehabilitation agreed. An idea-generating session determined QIPs for the year. A team (MDT) of a large Dublin teaching hospital have an ongoing detailed plan of each QIP developed including the description and commitment to improving service delivery. Previous quality scope of the change project, objectives, sequence of actions and improvement who was responsible, timeframe, performance measures and projects (QIPs) developed among individual disciplines were invariably difficult to implement and sustain. Quality improvement projects which combine multidisciplinary expertise increases communication, improves motivation, encourages responsibility, facilitates commitment among staff and ultimately delivers high quality services1. The aim of this change resource requirements. Examples include: • Patient Satisfaction Questionnaire • Rehabilitation Folder • Stroke Information Sessions project was to introduce a forum for healthcare professionals to engage in quality improvement initiatives within a rehabilitation unit. Implementation – A clear implementation plan for all staff, including commencement dates and staff training was developed. • Patient METHODOLOGY satisfaction questionnaire – an aphasia friendly questionnaire was devised and piloted with specific patients. From The HSE Change Model was selected to facilitate the introduction patient feedback sessions the necessary changes were of the Quality Improvement Forum. The Model comprises initiation, implemented and now the MDT are able to monitor patients planning, implementation and mainstreaming phases. Results were perception of the service they have experienced. based on tasks achieved under each phase of the Model. • Rehabilitation Folder – all patients on the rehabilitation unit now benefit from individual rehabilitation folders which include goal HSE Change Model plans, exercise programmes and condition specific leaflets. • Stroke Information Sessions – the MDT now host regular information sessions to ensure patients and family members have access to relevant, specific information on stroke and rehabilitation. Mainstreaming – QIPs have now been integrated into established work practices within the unit. The rehabilitation team continue to meet on a regular basis to ensure each QIP is implemented as initially outlined. CONCLUSION RESULTS The Quality Improvement Forum was successfully initiated and Initiation – the Quality Improvement Forum was established in has implemented a number of QIPs. An audit of each QIP will be November 2012. All stakeholders within the rehabilitation unit were performed to determine if the initiative is sustainable in the long approached to partake in the forum. There is currently involvement term. from speech and language therapy, physiotherapy, occupational therapy, clinical nutrition, medical social work, nursing, the medical team and the service user. REFERENCES 1. HSE 2008. Improving Our Services: A Users’ Guide to Managing Change in the Health Service Executive Email: Sinead Coleman (Chair) [email protected]