The HIPP consultation and rehabilitation team: developing a streamlined service and its implications for work processes

This paper addresses the particular experience of negotiating, creating and operationalizing streamlined processes for a specialized consultation team, within a multi-site academic health science complex, for determining the rehabilitation needs and appropriate program for patients who had experienced surgery for a fractured hip. Background information concerning the main study is provided with the focus of analysis and discussion being upon the processes and outcomes of changing the way work had been undertaken over many years. It also addresses the complexity of attempting to encourage ongoing reflection related to roles and functions within a multi-disciplinary health care team.