Mobile gait analysis a low cost solution to providing a specialised service locally
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Mobile Gait Analysis - A Low Cost Solution to Providing a Specialised Service Locally. Mike Walsh MISCP MMedSc Manager of Gait Laboratory, CRC. What is Gait Analysis. Pictures Graphs Video. Identification of Need. Client demand/location Referrer demand/location

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Mobile Gait Analysis - A Low Cost Solution to Providing a Specialised Service Locally

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Mobile gait analysis a low cost solution to providing a specialised service locally

Mobile Gait Analysis- A Low Cost Solution to Providing a Specialised Service Locally

Mike Walsh MISCP MMedSc

Manager of Gait Laboratory, CRC


What is gait analysis

What is Gait Analysis

  • Pictures

  • Graphs

  • Video


Identification of need

Identification of Need

  • Client demand/location

  • Referrer demand/location

  • Database study/prevalence figures

  • Concerns over representative data

  • CRC Strategic Plan

  • Government Health Policies

  • Identification of ability – “Eureka Moment”


Processes used

Processes used

  • Planning phase

    • Technology testing

    • Stakeholder meetings/contacts - Informal

    • Financing – Cost/benefit analysis

    • Project Management Strategy

    • Risk assessment

    • Training

  • Implementation phase

    • Stakeholders - Formal

    • Pilot

    • PR strategy – Local/National Media, People First.

    • Workshops/Information sessions

    • QA testing and development


Stakeholders

Stakeholders

  • Clients

  • Referring clinicians

  • CRC Board

  • Gait Lab Team

  • Manufacturers

  • HSE


Impact outcomes

Impact/Outcomes

  • Local service in Mid West and South East (70 clients/yr, ~ 25%)

  • Impact on families – 100% Satisfaction, ↓travel time, cost, stress, service contact time, ↑ quality of care

  • Impact on referrers – ↑ 20% new referrers, education/knowledge, ↑interaction/working trust with gait lab staff, ↑ quality of care,

  • ↑referral numbers from those regions

  • Research/Publications

  • ↑ Gait lab profile nationally and internationally

  • HSE Innovations award

  • Impact on gait lab staff

  • Technology Used in other areas/departments

  • Temporary mobile lab

  • ↑ Academic links


Measurements and continuous improvement processes

Measurements and Continuous Improvement Processes

  • Review phase

    • Client survey (interviews/questionnaire)

    • Referrer survey (interviews/workshops)

    • Gait lab staff survey (continual review)

    • Service review with local managers

    • Cost/output/operational efficiency analysis

    • Peer review

    • Manufacturer’s review

    • Clinical Movement Analysis Society (CMAS) audit

    • Independent risk assessment

  • Strategy plan for service expansion


Changes based on review

Changes Based on Review

  • Achieved

    • Environmental / equipment changes

    • Clinic model / transport

    • Experience of client

    • Communication processes

    • Education

    • Technical protocols / QA / support procedures

  • Planned

    • North/West/Southern service

    • ↑ Staffing resource

    • ↑ Gait Course/Education Modules

    • ↑ Academic Links

    • ↑ PR


Key learning points for the organisation

Key Learning Points for the Organisation

  • Innovative work practice improved experience of client and filled a service gap

  • Potential of telemedicine

  • Hunger/need for education/knowledge

  • Communications infrastructure

  • Benefits of partnership

  • ? Formal project management training / support / infrastructure for all heads of departments

  • Strategy for increasing staffing resource for national services


Learning transferred use for nfpba member organisations

Learning transferred/use for NFPBA member organisations

  • Working model of mobile gait lab may provide solution in other areas of specialised clinical practice

  • Flexibility is key

  • Potential of telemedicine/communications infrastructure

  • Value of a partnership approach to provision of local services (maximisation of resources)

  • Hunger/market for knowledge/education (link it with service provision)

  • Strategy for resourcing service development early in a project

  • Methodology for supporting HSE’s Primary, Community and Continuing Care Directorate plans


Research publications

Research/Publications

  • “Mobile gait analysis – A low-cost solution to provision of this specialised service to a large geographical area” M Walsh BPhysio MMedSc, R O’Sullivan BPhysio MSc, D Bennett BAI PhD, A Jenkinson BPhysio MSc, C Dunlevy BSc PhD, T O’Brien MCh FRCSI, O Hensey BSc FRCPI. Developmental Medicine & Child Neurology. Supplement No. 103 November 2005. Vol 47.

  • “Mobile Gait Analysis – A Low Cost Solution to Provision of this Specialised Service to a Large Geographical Area” Walsh Mike BPhysio MMedSc, Bennett D BAI PhD, O’Sullivan R BPhysio MSc, Jenkinson A BPhysio MSc, Dunlevy C BSc PhD, O’Brien T MCh FRCSI. JEGM Proceedings 2006, Amsterdam.

  • “The characteristics of gait in Charcot-Marie-Tooth disease type I and II”. Christopher J. Newman, Mike Walsh, Rory O’Sullivan, Ann Jenkinson, Bryan Lynch, Timothy O’Brien. Gait & Posture 2007;26(1):120-127.

  • “The gait of young people with Charcot-Marie-Tooth Disease”. Christopher J. Newman, Mike Walsh, Rory O’Sullivan, Ann Jenkinson, Bryan Lynch, Timothy O’Brien, Owen Hensey. Developmental Medicine & Child Neurology. Supplement No. 102 September 2005 Vol 47. Page 19.


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