Phoenix Michelle, Rosenbaum Peter, Watson Denise, Camden Chantal
a 1 CanChild Centre for Childhood Disability Research, McMaster University , Hamilton, Ontario, Canada.
b 2 School of Rehabilitation Science, McMaster University , Hamilton, Ontario, Canada.
Phys Occup Ther Pediatr. 2016;36(2):217-28. doi: 10.3109/01942638.2014.997954. Epub 2015 Jan 8.
Pediatric rehabilitation centers constantly reorganize services to accommodate changes in funding, client needs, evidence-based practices, accountability requirements, theoretical models, and values. However, there are few service delivery models or descriptions of how organizations plan for change to guide organizations through this complex task.
This case report presents the "5Rs of Reorganization," a novel process for planning service delivery reorganization projects in pediatric rehabilitation centers. The 5Rs include: 1. Recognize the need for change, 2. Reallocate resources for project management, 3. Review the reality of clients, service delivery, and the community, 4. Reconstruct reality, and 5. Report results.
The implementation and outcomes of the "5Rs of Reorganization" process are described for one pediatric rehabilitation center to illustrate how use of this process led to effective service delivery reorganization planning. The resulting multi-component customized service delivery plan reflects high levels of stakeholder involvement.
Principles of project management can be applied to support service delivery reorganization planning within pediatric rehabilitation centers using the "5Rs of Reorganization." Strong communication throughout the planning phase is key to developing and sharing a plan for service delivery reorganization. Communication can be supported through use of the 5R process.
儿科康复中心不断重组服务，以适应资金、客户需求、循证实践、问责要求、理论模型和价值观等方面的变化。然而，很少有服务提供模式或关于组织如何规划变革以指导组织完成这项复杂任务的描述。
本病例报告介绍了“重组的5R原则”，这是一种用于规划儿科康复中心服务提供重组项目的新颖流程。5R包括：1. 认识变革的必要性，2. 重新分配项目管理资源，3. 审视客户、服务提供和社区的实际情况，4. 重构实际情况，5. 汇报结果。
描述了一家儿科康复中心“重组的5R原则”流程的实施情况和结果，以说明该流程的使用如何促成有效的服务提供重组规划。由此产生的多组件定制服务提供计划反映了利益相关者的高度参与。
项目管理原则可应用于支持儿科康复中心使用“重组的5R原则”进行服务提供重组规划。在整个规划阶段进行强有力的沟通是制定和共享服务提供重组计划的关键。通过使用5R流程可以支持沟通。
