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Leadership & Management

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Jazimin Haron

on 31 March 2014

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Transcript of Leadership & Management

Leadership & Management
in Physiotherapy
Fiona.Jazimin.Jessie.Nathan.PeiHan.Shelby
POLYCLINIC
Singapore
Problems
Accessibility
Time wastage
POLYCLINIC
PHYSIOTHERAPIST
Total costs
Elderly may have difficulties commuting to hospitals
Waiting list vary between 2 to 4 months
Alternative treatments seeked by patients
Early Community Physiotherapy Access
Increase accessibility
Reduced cost
Early management of injuries
2nd most efficient healthcare system
Context
"To promote good health, reduce illness, ensure access to good and affordable healthcare, and pursue medical excellence"
Strategy
PHYSIOTHERAPIST
Nearest hospital may be far
6
Delay in receiving prompt physiotherapy treatment
Extra pain medication while waiting
Absence from work
Increasing and aging population. Limited resources
Early Community Physiotherapy Access
from polyclinics
within 3 days
HOSPITAL
PHYSIOTHERAPIST
Provide accessible (place & time) and affordable physiotherapy services outside the acute hospital
Enable patients to receive an appointment within 3 days
Aim
Objective
Political framework
Advocacy Group
Present case

Get support among
Physiotherapists

Fine tune plans
SPA
Plan
Healthcare Clusters
Present case

Address issues/concerns

Fine tune to suit cluster
Ministry of Health
Group CEO
Present how Singaporeans will benefit in general

Approval and funding
Health Minister
Engaging Stakeholders
Patients
Healthcare Professionals
Gathering feedback
Use of social media
Story telling videos
Gathering feedback
Persuade and inform professionals of good outcomes for early physiotherapy access
Identify
Approval
needs of cluster groups and customize program to suit the workflow of polyclinics
of details of project by higher management
(manpower, budget, operations)
Programme Flow
Trials for booking appointments, physiotherapy sessions and discharge flow.
Process evaluation.
Launch
Using marketing & communication strategies to inform of launch
Support & Maintenance
Manpower support, equipment maintenance, support from stakeholders.
Monitor Performance
Audit
Outcome evaluation
Service enhancement
WORKFLOW
Learning Points
Application of the different frameworks with different stakeholders and decision makers
Role of physiotherapists in enhancing healthcare
Types of evaluations for advocacy campaigns
Benefits of early access to physiotherapy
Summary
Highlights the role of physiotherapists
--> Save costs
--> Better clinical outcomes

Community physiotherapy in the polyclinics allows early access to physiotherapy treatment
Allows hospital space for patients which require more medical attention
A step towards physiotherapists as first-contact practitioners
References
Feasible and acceptable
Cost effective
Pinnington MA, Miller J, Stanley I. (2004) An evaluation of prompt access to physiotherapy in the management of low back pain in primary care. Family Practice. 21 (4): 372-380

AsiaOne News (2012) New physiotherapy service in Tampines. Retrieved from http://news.asiaone.com/News/Latest+News/Health/Story/A1Story20120907-370086.html

Community Health Centre. (2012) Physiotherapy for musculoskeletal conditions, sports related injuries. Retrieved from http://www.easternhealth.sg/Documents/Physiotherapy%20Brochure.pdf

Jindee B., Lee WY, Goh MR., Tan G., & Ong MK. (nd) Effects of early access to musculoskeletal physiotherapy for non-ambulant patients with acute low back pain presenting to the emergency department. Retrieved from http://www.cgh.com.sg/Research/ASM/Documents/Oral%20-%20AH%203%20Boolsambatra%20Jindee.pdf

Beattie PF, Pinto MB, Nelson MK and Nelson R (2002) Patient Satisfaction With Outpatient Physical Therapy: Instrument Validation. Physical Therapy and KNGF. 82: 557-565

Roush SE & Sonstroem RJ (1999) Development of the Physical Therapy Outpatient Satisfaction Survey (PTOPS). Physical Therapy 79:159-170.

Lee, V. J., Earnest, A., Chen, M. I., & Krishnan, B. (2005). Predictors of failed attendances in a multi-specialty outpatient centre using electronic databases.BMC health services research, 5(1), 51.

Fournier, J., Heale, R., & Rietze, L. (2012). Advanced Access Decreases Wait Times in Primary Healthcare. Healthcare Quarterly, 15(1), 64-68.
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