www.disability-federation.ie

Declan Denny, Manager of Wexford Disability Services (CIL)

Benefits Of Quality for Community and Voluntary Organisations and

Service-Users

www.disability-federation.ie

Post Graduate Diploma in Lean Healthcare Systems

The following is a summarised Presentation of a Lean Healthcare Work-Based Project.

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www.disability-federation.ie

Wexford Disability Services

• Registered Charity.• Providing Personal Assistant (PA) services to

people with physical and/or sensory disabilities.

• Aim and ethos is to enable people with disabilities to live independently in their own homes.

• Service provider to the HSE.

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www.disability-federation.ie

Process Overview

• Request for a Personal Assistant serviceHSE

• Identify a Personal Assistant to deliver service

Wexford Disability Services

• Receives service as requested Service-user

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www.disability-federation.ie

THE PROBLEM!

• Lengthy delays in Commencing Services.• Unacceptably long lead time from receipt of

HSE’s request for PA service to the delivery of the service.

• Lack of Customer Satisfaction - both HSE and Service-User!• Loss of Earnings for Organisation.

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www.disability-federation.ie

Source of Problem

Door to door Value Stream Mapping identified Source of Problem.

Garda Vetting = Main block to flow within recruitment process.

Minimum10 week delay in receiving Garda Vetting.

Garda Vetting having dysfunctional effect on Service Delivery.

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www.disability-federation.ie

Cost of Dysfunctional Effect

Recruitment Process following request for a service of 10 PA hours per week:

Advertise position: 2 days.Receipt of C.V.s: 3 weeks.Shortlist C.V.s: 1 week.Interviews: 1 week.Garda Vetting process: 10 weeks.Induction: 2 days.Total Lead Time: approximately 16 working weeks/80days.Loss of potential earnings: 10 hrs. per week x €21.04 =

€210.40 x 16 weeks = €3,366.40.

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www.disability-federation.ie

Dysfunctional Effect

Advertise Receipt of CV Shortlist CV Interviews Garda Vetting Induction Total Lead Time in days

0

10

20

30

40

50

60

70

80

90

Series1

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www.disability-federation.ie

THE SOLUTION!

To Create a Pull System based on a Buffer Panel of suitably qualified

Personal Assistants.

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www.disability-federation.ie

METHODOLOGY

SMED – Single Minute Exchange Dies Pre-interviewed Pre-Garda Vetted Qualifications verified Reference checked Inducted

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www.disability-federation.ie

Process Deployed

1. Advertise positions2. Shortlist applicants3. Interview suitable applicants4. Successful applicants complete Garda Vetting

forms5. Apply Source Inspection to completed forms

for any errors or omissions. Zero Quality Control

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www.disability-federation.ie

Process Deployed

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www.disability-federation.ie

Process Deployed

1. Advertise positions2. Shortlist applicants3. Interview suitable applicants4. Successful applicants complete Garda Vetting

forms5. Apply Source Inspection to completed forms

for any errors or omissions. Zero Quality Control

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www.disability-federation.ie

Buffer Panel

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www.disability-federation.ie

Kanban1 2 3 4 5 6 7 89 10 11 12 13 14 15 1617 18 19 20 21 22 23 2425 26 27 28 29 30 31 3233 34 35 36 37 38 39 4041 42 43 44 45 46 47 4849 50 51 52 53 54 55 5657 58 59 60 61 62 63 6465 67 68 69 70 71 72 7374 75 76 77 78 79 80 81

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www.disability-federation.ie

Results

Delivery time reduced by 93.4%

Recipt of request for Service

Identification of employee

Induction Commencement of service

Total Lead Time in days0

1

2

3

4

5

6

Series1

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www.disability-federation.ie

Benefits of Quality Process

Added Value HSE Reduced Waiting Times for Service Delivery. Organisation Reduced Loss of Earnings. Service-User Timely Delivery of Quality Service. Easily replicated by other C&V Organisations.

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www.disability-federation.ie

Additional Benefits

Respect for people resulting in low turnover of staff.

Autonomous teams. Work-Life Balance Maintains continuity of care.

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www.disability-federation.ie

Thank You

Questions?

For a copy of presentation or Lean Project emailoffice@wexfordcil.org

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