Sheffield Community Brain Injury Rehabilitation Team (SCBIRT)
Sheffield Community Brain Injury Rehabilitation Team (SCBIRT) has been holding regular service improvement meetings using the Microsystem improvement approach since April 2015. Two former service users regularly attend and participate as equal members of the team with staff who choose to be involved in the service improvement work. The team have control over deciding what improvement work is required, how it is done and how it is evaluated. The team is supported by a trained Microsystem coach from SHSC.
Through the collection of data around our purpose, patients, professionals, patterns and processes, a wide range of themes were initially identified where improvements could be made within our service.
A range of themes were identified and prioritised to work on. We have focussed on three themes to date, with the following Global Aims agreed:
Theme 1: Patient Information Flow: Global Aim: “We aim to improve knowledge about caseloads and path of clients through the service at SCBIRT”
Theme 2: Low Complexity Response: Global Aim: "We aim to improve the process for early identification of people for whom low complexity intervention will achieve an aim”
Theme 3: Environment: Global Aim: “We aim to improve the environment for clients and visitors to the Head Injury Rehabilitation Centre”
Theme 1: Patient Information Flow
- The number of information systems used by SCBIRT was reduced from 6 to 5, replacing the Excel spreadsheet with recording updated client information directly onto Systmone caseloads and waiting lists
Theme 2: Low Complexity Response
Six change ideas were agreed with three specific aims in mind:
Specific Aim 1: to reduce the length of time between client added to SCBIRT waiting list and moving to the low complexity caseload list from baseline to a maximum of 3 weeks (to be confirmed) by December 201
Specific Aim 2: to increase the number of clients attending initial assessment with clear expectations and understanding of aims and goals from 50% to 95% by September 2017
Specific Aim 3: to increase levels of staff confidence in making decisions around when to put clients in low complexity response group from an average self evaluation score of 6 to all scoring 8 or above by December 2017
Theme 3: Environment
We are currently focussing on improving the environment for people visiting the Head Injuries Rehabilitation Centre, specifically concentrating on the point from arrival outside the door to sitting in the waiting area. This includes availability of up-to-date information, surroundings, comfort and welcome. Photographs will be a key method of measurement for this theme.