High Quality Speech and Language Services for Richmond Preschoolers.... Now with Less than Half the...
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Transcript of High Quality Speech and Language Services for Richmond Preschoolers.... Now with Less than Half the...
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High Quality Speech and Language Services for Richmond Preschoolers
… now with less than
half the wait!!
Andrea Gates, M.Sc., RSLP Richmond Public Health
Speech and Language Program
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Disclosure Statement I am an employee of Vancouver Coastal
Health. I have no relevant financial or non-
financial relationships in the services described in this presentation.
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This is a story about a team …
who cut wait times by 50%.
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Once Upon a Time (circa September 2010)
Engaged team
Consistent staffing
Growing community
capacity
Initiatives to improve access to services
Wait times for ongoing services were about 1 year.
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Importance of Early Intervention • Investments in early language development
benefit future language abilities, literacy, socialization and behaviour.
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The Art of Possibility
“What might I now invent, that I haven’t yet invented,
that would give me other choices?”
From “The Art of Possibility” by Rosamund Stone Zander and Benjamin Zander, Penguin Books, 2000
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Ideal State
• services provided match client needs
• wait times meet national guidelines
• no family has a reason to be dissatisfied with
timeliness and quality of services provided
• parents feel empowered to help child while waiting for services
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Know What You’re Facing Clinical Pathways
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Tools • Trained all team members in
Lean problem solving tools
Team • Increased staffing – speech language & social work • Capitalized on already engaged team
Time • Dedicated time semi-annually (recently two full days with entire team) to
visioning/quality improvement • Piloting dedicated weekly or biweekly time saved in everyone’s schedules
for quality improvement project work
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Wait Time Target Smashed! Target of 48 weeks, result of 24 weeks
Wait Time for SLP Services
0
10
20
30
40
50
60
Sept2012
Oct 2012 Dec 2012 Jan 2013 Feb 2013 March2013
April 2013
Wai
t Tim
e (W
eeks
)
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Sustainment
Waitlist
again
SLP services on demand
Continuous Improvement
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Keys to Success
• Involve team • Collect and use data • Leadership support • “Goal is zero; target is improvement” • Problem solving tools and time to apply • Plan, Do, Study, Act … but don’t forget to DO
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Questions & Discussion
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It’s not about what it is, it’s about what it can become.
Dr. Seuss