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Midland Health Board annual report 1997

Midland Health Board (MHB)
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1997
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en
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During 1997 the gradual, but steady, transformation of the way the Board seeks to improve the health of the people it serves continued. Staff identify to a greater extent with serving care groups - children, the elderly, the mentally ill, people with disabilities and episodic illness and injuries- and, to a lesser extent, with the services themselves. For example, the Board's Occupational Therapists undertook a fundamental review of their role as it relates to each of the care groups. As a result these health professionals will change their professional practices and influence the professional practices of others in ways which improve the outcomes users of services can expect to obtain. Important serious work is taking place which will enable us to measure the outcomes being obtained and lead to improvements in quality resulting from the learning which will be derived from work of that nature. For example, the results of the study, being led by a doctor working in public health, of the assessed results of the treatment of 150 patients admitted to the orthopaedic unit, General Hospital, Tullamore with fractured femurs will inform future service and clinical practice in that area. Management by projects is the approach being used to effect change. The advantage of this approach is that small projects can individually and collectively contribute to the overall change process. A unit to facilitate the change process has been established and a facilitator has been assigned to facilitate projects relating to each of the care groups. The geographical sectors chosen for the mental health services some ten years ago have been adopted for the purpose of serving the needs of the other care groups also. The principal advantage of this approach is that it aids the Board's desire to locate services close to where people live. In addition they are suitable units for mapping needs and the uptake of services.
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