Utilizing Change Management Strategies to Design and Implement an Innovative Service Delivery Model for Occupational and Physiotherapy Services

Last modified by Paula Robeson on 2020/01/24 21:33

Children’s rehabilitation services are constantly struggling with increasing demands and operating costs without increased funding. Innovative ideas and models are required to continue to enhance service delivery for families and change management strategies must be utilized to successfully implement these ideas. Children’s Treatment Network (CTN) supports more than 20,000 families in York Region and Simcoe County by providing specialized clinical and rehabilitation services for children and youth with special needs through a network of contracted partner organizations in the education, health and community sectors. In order to enhance services for families we designed and implemented a new service delivery model for Occupational Therapy (OT) and Physiotherapy (PT) for children with multiple special needs using change management strategies. 

This webinar will outline the innovative occupational and physiotherapy service delivery model and the change management strategies used to implement it across seven different service delivery agencies. It will review how the service delivery model was designed using evidence and stakeholder engagement input to optimize functional outcomes for children with special needs by providing the right intervention, in the right amount, at the right time, and in the right location. We will outline the foundational principles underpinning the model such as equity of service and the F-words in Childhood Development and explain how it is focused on functional needs, ensures family involvement at every level, and emphasizes a coaching approach to therapy. We will describe how we used change management strategies such has emphasizing the urgency and need to change, building a guiding coalition, engaging stakeholders, and outlining  a schedule to achieve short and long term objectives. As CTN leads a complex multi-agency partnership service model we faced several challenges including diverse organizational structures, multiple teams, financial limitations, different regional cultures, and resistance to a new approach. We will review these obstacles and how they were addressed in order to effectively support changes in approaches/attitudes across all partners. We will also include the evaluation framework and first year outcomes.  

Learning Objectives:

Upon completion, participants will be able to:

  1. Describe change management strategies used to design and implement a major service delivery shift across multiple agencies
  2. Understand an innovative service delivery model for OT and PT that has been utilized by multiple agencies
  3. Describe barriers to change and possible solutions
  4. Understand the evaluation framework used to assess implementation of the new service model

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Kim Hesketh, MScPT, BKIH, is currently the Manager, Rehabilitation Services at Children’s Treatment Network. She has spent her career dedicated to pediatric rehabilitation in various areas including, acute care, community based services, and early intervention. Her passion and previous research has focused on the orthopedic management of children with cerebral palsy. Kim is a member of the American Academy of Cerebral Palsy and Developmental Medicine Association, sitting on the Clinical Care Pathways Committee, and co-chair of the Empowered Kids Ontario (EKO) Best Practice Committee. Kim is co-founder of K2: Continuing Education in Paediatric Physiotherapy, teaching courses throughout Canada. She has been involved with a number of international initiatives and has taught in a various countries. Kim earned her Masters in Physical Therapy from University of Toronto and a Bachelor’s of Kinesiology with Honours (specialization in Athletic Therapy) from Acadia University. She also holds a Community Based Rehabilitation, Disability and International Development Certificate from Queens University, and a certificate in Project Management through University of Waterloo.  Kim is also a mom of two young men, one of which has ASD. @khesketh22

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Mary Riggin Springstead, MClSc, CCC-SLP, Reg. CASLPO, is the Director of Programs and Services for CTN and responsible for all of CTN’s clinical, rehabilitation and specialized services. Joining CTN in 2014, Mary previously spent 30 years with the Royal Victoria Regional Health Centre, a CTN partner organization, initially in a clinical speech-language pathology role followed by progressive leadership positions. Most recently she was the Manager, Child and Youth Outpatient Services and responsible for preschool speech and language, occupational therapy and physiotherapy services, along with several additional rehabilitation and medical pediatric programs. Mary was awarded the 2013 Royal Victoria Regional Health Centre’s Board of Director’s Award of Excellence in the Leadership category. Mary was also involved in the original planning and implementation of CTN and has always been a strong advocate for the network and ensuring that children with special needs have access to quality services and inclusive communities to enable full participation in all aspects of life. She holds a Master’s Degree in Speech-Language Pathology and an undergraduate degree in Communicative Disorders, both from the University of Western Ontario.

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Lisa Spencer, Parent, Family Mentor, Family Advisory Committee Member, Children’s Treatment Network Simcoe York, is a parent of two children with disabilities in multiple domains. She earned an Honours degree in Child Development and a Masters degree in Child and Youth Care. Lisa wrote her thesis on autonomy development for disabled children. In addition to her academia, Lisa is a family mentor with Children's Treatment Network and a member of the family advisory committee.

Created by Paula Robeson on 2019/12/30 19:21