Transportation LInks to Improved Quality of Life
The first indication of a need to analyze this situation arose when families and affiliate hospitals initiated conversations with various staff members stating, in so many words, that "families' ability to receive transportation by the facility van [there was one with limited availability at the time] made resident visitation a reality." Personal financial difficulties or reliance on mass transit puts an extreme burden on some people. This realization grew when the facility received a certificate of need for outpatient rehabilitation; it became clear from input from various staff members that there was a need for free transportation by outpatient rehabilitation clients.
Furthermore, the facility has many residents who either enjoy going out on trips or would like to conduct personal business outside the facility. One van on a limited schedule could not accommodate all these needs. Finally, as outpatient rehabilitation geared up, the facility began to experience an increase in short-term residents and, with it, a potentially increased need for visitor transportation.
|An exhaustive review of the literature yielded little information specific to the type of transportation initiative we had in mind. We would have to break new ground. We needed to establish a process, and then analyze whether it improved residents' quality of life. To further structure and organize our plan, the facility's Performance Improvement Department used the FOCUS performance improvement model-Plan, Do, Check, Act (PDCA) (table 1).|
There were three important factors to be considered: (1) Personnel: An individual would have to commit to organizing and scheduling resident trips, family/significant other transportation and outpatient transportation. Also, the number of drivers would have to increase. (2) Budgeting: There would have to be a financial allocation to purchase more vehicles and meet the cost of routine maintenance. (3) Administration: The availability of the increased transportation would have to be managed safely and effectively.
Objectives and Planning
The facility's ability to involve staff in the initiative was based on two approaches: (1) asking staff to be involved in the process, and (2) assigning appropriate staff to undertake certain tasks. Underlying the success of this approach, as it developed, was the facility's traditional interdisciplinary and team approach.
The specific performance measure used would be quality of life. The team asked, would increased availability of transportation allow residents to see their loved ones more? Would it increase customer satisfaction for outpatient rehabilitation clients? Would it allow for more individualized resident needs to be met?
Vincent Marchello, MD
Angel Davila, Edward King,
Security Guard Staff
|We would also like to acknowledge all the employees of Kings Harbor Multicare Center who are daily participants in all our programs and who make everything we do possible.|
Topics: Articles , Housing