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Jenkins F1,2, Jones R3,4, Mueller J5, Schick K6, Dunbar S7
1JJ Consulting Healthcare Management Ltd, Bath and Cardiff, United Kingdom, 2Cardiff and Vale University Health Board, Cardiff, United Kingdom, 3JJ Consulting Healthcare Management Ltd, Bath, United Kingdom, 4Moorfields Hospital FT, London, United Kingdom, 5Waipiata Consulting Ltd, Auckland, New Zealand, 6University of Wisconsin Hospitals and Clinics, Madison, United States, 7Samantha Dunbar Inc Registered Physiotherapists and Biokineticists, Johannesburg, South Africa
Background: Healthcare landscapes globally are undergoing rapid change affecting services and providers. Changes are driven by funding pressures, population needs, science and technology, research and political priorities. Physiotherapy managers and their teams can lead innovative local responses to population change, growing demand, consumer expectations and workforce shortages. The number of people aged 60+ will increase by 2050 from 962M to 2.1Bn while15% of the world´s population is disabled. Annual healthcare spending per capita nationally is disperate from $10,348 in the USA to $61 in Mozambique.
Purpose: To:
Methods: The authors, from 4 WCPT regions, with substantial national and international experience describe practical solutions based on their research and expertise demonstrating that physiotherapists can use current evidence to innovate successfully in cash-constrained healthcare systems.
From the UK a whole-systems approach, designed to reduce dependency on hospital-based care including the development of community provider models is described encompassing improvement themes in MSK and assessment services; "virtual" fracture clinics and technology developments; extension of falls pathways; community tracheostomy care and services to reduce hospital admission.
In Aotearoa, New Zealand, many staffing decisions are still made based on historical staffing patterns, with little consideration of future service demand and innovative care models. Australian work on staffing mix and allocation provides methodologies supporting evidence-based staffing allocation decisions The challenge is to use this evidence and support leaders to be courageous and innovative to articulate these decisions to executive management. Making better use of funding and providing innovative services starts with using current evidence, evaluating historical patterns, analysing future service demands and determining staffing requirements that meet consumer needs.
In 2015 in the USA, physical therapists achieved direct access in all fifty states. Expanding physical therapists services in primary care, especially for patients with MSK conditions, providing opportunities to decrease the cost of care by facilitating prompt access; generating fewer imaging referrals; decreasing the number of prescriptions and optimising coordination of care.
In South Africa, the shortfall in healthcare funding is R3.2Bn with 20,000 healthcare vacancies. Global and local research findings consistently show emergency department physiotherapists appropriately identify, manage and assess patients, achieving good outcomes. The benefits of physiotherapy "gatekeepers" impacts positively on outcomes and cost reduction.
Results: Analysis of these examples of innovations adopted, managed and led by the authors demonstrate successful, cost effective healthcare outcomes in cash-constrained environments and twenty references are provided in the presentation.
Conclusion(s): Many evidence-based approaches are available to make a positive difference to communities.
Consideration of how to appropriately resource services and develop, implement and adapt successful innovative service delivery models are important skills for physiotherapy managers, leaders and clinicians.
Implications: Physiotherapists can learn from colleagues using evidence and proven experience to manage, lead and implement change by thinking globally and acting locally.
Keywords: Innovation, Management/Leadership, Challenge
Funding acknowledgements: Unfunded
Purpose: To:
- Increase awareness of health systems globally, providing "take-away" examples of evidence-based, innovative, quality economical services that can be replicated and adapted to local situations.
- Show how to propose, manage, implement and lead positive change when faced with growing population, demand and diminishing resources.
- Show how physiotherapy can be a solution in cash-constrained environments.
Methods: The authors, from 4 WCPT regions, with substantial national and international experience describe practical solutions based on their research and expertise demonstrating that physiotherapists can use current evidence to innovate successfully in cash-constrained healthcare systems.
From the UK a whole-systems approach, designed to reduce dependency on hospital-based care including the development of community provider models is described encompassing improvement themes in MSK and assessment services; "virtual" fracture clinics and technology developments; extension of falls pathways; community tracheostomy care and services to reduce hospital admission.
In Aotearoa, New Zealand, many staffing decisions are still made based on historical staffing patterns, with little consideration of future service demand and innovative care models. Australian work on staffing mix and allocation provides methodologies supporting evidence-based staffing allocation decisions The challenge is to use this evidence and support leaders to be courageous and innovative to articulate these decisions to executive management. Making better use of funding and providing innovative services starts with using current evidence, evaluating historical patterns, analysing future service demands and determining staffing requirements that meet consumer needs.
In 2015 in the USA, physical therapists achieved direct access in all fifty states. Expanding physical therapists services in primary care, especially for patients with MSK conditions, providing opportunities to decrease the cost of care by facilitating prompt access; generating fewer imaging referrals; decreasing the number of prescriptions and optimising coordination of care.
In South Africa, the shortfall in healthcare funding is R3.2Bn with 20,000 healthcare vacancies. Global and local research findings consistently show emergency department physiotherapists appropriately identify, manage and assess patients, achieving good outcomes. The benefits of physiotherapy "gatekeepers" impacts positively on outcomes and cost reduction.
Results: Analysis of these examples of innovations adopted, managed and led by the authors demonstrate successful, cost effective healthcare outcomes in cash-constrained environments and twenty references are provided in the presentation.
Conclusion(s): Many evidence-based approaches are available to make a positive difference to communities.
Consideration of how to appropriately resource services and develop, implement and adapt successful innovative service delivery models are important skills for physiotherapy managers, leaders and clinicians.
Implications: Physiotherapists can learn from colleagues using evidence and proven experience to manage, lead and implement change by thinking globally and acting locally.
Keywords: Innovation, Management/Leadership, Challenge
Funding acknowledgements: Unfunded
Topic: Professional issues; Professional issues: business skills, leadership & advocacy; Service delivery/emerging roles
Ethics approval required: No
Institution: Not required
Ethics committee: Not required
Reason not required: The presentation is about leading and managing innovation, physiotherapy practice and policy development, not clinical/patient research
All authors, affiliations and abstracts have been published as submitted.
