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.
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.
www.disability-federation.ie
Process Overview
HSE
• Request for a Personal
Assistant service
• Identify a Personal
Wexford
Disability Services
Assistant to deliver service
Service-user
www.disability-federation.ie
• Receives service as
requested
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.
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.
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.
www.disability-federation.ie
Dysfunctional Effect
90
80
Advertise
70
Receipt of CV
60
50
Shortlist CV
40
Interviews
30
Garda Vetting
20
10
Induction
0
Advertise
Receipt of CV Shortlist CV
www.disability-federation.ie
Interviews
Garda Vetting
Induction
Total Lead
Time in days
Total Lead Time in days
THE SOLUTION!
To Create a Pull System based on a
Buffer Panel of suitably qualified
Personal Assistants.
www.disability-federation.ie
METHODOLOGY
SMED – Single Minute Exchange Dies





Pre-interviewed
Pre-Garda Vetted
Qualifications verified
Reference checked
Inducted
www.disability-federation.ie
Process Deployed
1.
2.
3.
4.
Advertise positions
Shortlist applicants
Interview suitable applicants
Successful applicants complete Garda Vetting
forms
5. Apply Source Inspection to completed forms
for any errors or omissions.
Zero Quality Control
www.disability-federation.ie
Process Deployed
www.disability-federation.ie
Process Deployed
1.
2.
3.
4.
Advertise positions
Shortlist applicants
Interview suitable applicants
Successful applicants complete Garda Vetting
forms
5. Apply Source Inspection to completed forms
for any errors or omissions.
Zero Quality Control
www.disability-federation.ie
Buffer Panel
www.disability-federation.ie
Kanban
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www.disability-federation.ie
Results
6
Delivery time reduced by 93.4%
5
4
Recipt of request for Service
Identification of employee
3
Induction
Commencement of service
2
Total Lead Time in days
1
0
Recipt of request for
Service
Identification of
employee
www.disability-federation.ie
Induction
Commencement of
service
Total Lead Time in
days
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.
www.disability-federation.ie
Additional Benefits
 Respect for people resulting in low
turnover of staff.
 Autonomous teams.
 Work-Life Balance
 Maintains continuity of care.
www.disability-federation.ie
Thank You
Questions?
For a copy of presentation or Lean Project email
[email protected]
www.disability-federation.ie