Michelle Phoenix1,2,3, Peter Rosenbaum1,2,4, Denise Watson3, Chantal Camden1,5,6. 1. a 1 CanChild Centre for Childhood Disability Research, McMaster University , Hamilton, Ontario, Canada. 2. b 2 School of Rehabilitation Science, McMaster University , Hamilton, Ontario, Canada. 3. c 3 KidsAbility Centre for Child Development , Waterloo, Ontario, Canada. 4. d 4 Department of Pediatrics, McMaster University , Hamilton, Ontario, Canada. 5. e 5 School of Rehabilitation, Sherbrooke University , Sherbrooke, Québec, Canada. 6. f 6 Centre de Recherche du CHUS , Sherbrooke, Québec, Canada.
Abstract
AIMS: Pediatric rehabilitation centers constantly reorganize services to accommodate changes in funding, client needs, evidence-based practices, accountability requirements, theoretical models, and values. However, there are few service delivery models or descriptions of how organizations plan for change to guide organizations through this complex task. METHODS: This case report presents the "5Rs of Reorganization," a novel process for planning service delivery reorganization projects in pediatric rehabilitation centers. The 5Rs include: 1. Recognize the need for change, 2. Reallocate resources for project management, 3. Review the reality of clients, service delivery, and the community, 4. Reconstruct reality, and 5. Report results. RESULTS: The implementation and outcomes of the "5Rs of Reorganization" process are described for one pediatric rehabilitation center to illustrate how use of this process led to effective service delivery reorganization planning. The resulting multi-component customized service delivery plan reflects high levels of stakeholder involvement. CONCLUSIONS: Principles of project management can be applied to support service delivery reorganization planning within pediatric rehabilitation centers using the "5Rs of Reorganization." Strong communication throughout the planning phase is key to developing and sharing a plan for service delivery reorganization. Communication can be supported through use of the 5R process.
AIMS: Pediatric rehabilitation centers constantly reorganize services to accommodate changes in funding, client needs, evidence-based practices, accountability requirements, theoretical models, and values. However, there are few service delivery models or descriptions of how organizations plan for change to guide organizations through this complex task. METHODS: This case report presents the "5Rs of Reorganization," a novel process for planning service delivery reorganization projects in pediatric rehabilitation centers. The 5Rs include: 1. Recognize the need for change, 2. Reallocate resources for project management, 3. Review the reality of clients, service delivery, and the community, 4. Reconstruct reality, and 5. Report results. RESULTS: The implementation and outcomes of the "5Rs of Reorganization" process are described for one pediatric rehabilitation center to illustrate how use of this process led to effective service delivery reorganization planning. The resulting multi-component customized service delivery plan reflects high levels of stakeholder involvement. CONCLUSIONS: Principles of project management can be applied to support service delivery reorganization planning within pediatric rehabilitation centers using the "5Rs of Reorganization." Strong communication throughout the planning phase is key to developing and sharing a plan for service delivery reorganization. Communication can be supported through use of the 5R process.
Keywords:
pediatric; project management; rehabilitation; service reorganization
Authors: Kristy D M Wittmeier; Gayle Restall; Kathy Mulder; Brenden Dufault; Marie Paterson; Matthew Thiessen; Lisa M Lix Journal: BMC Health Serv Res Date: 2016-08-31 Impact factor: 2.655