Table 3

Before and after level 1 action implementation

Perspective1Aim2Before3Action4After5
HumanTo improve empathy treatment with parentsThe medical staff explained the exercises once and a follow-up session was held every three monthsProvide better explanations of the exercises to be done at homeThe explanation of the exercises is now done in several ways: the medical staff conducts online sessions to explain/supervise the exercises through the web portal; videos are posted on the Neuro channel to explain the steps to perform the exercises; constant activity is maintained on social networks posting content; and a discussion forum is used to solve doubts. In addition, face-to-face follow-up sessions continue every three months
It was suggested to the client what material would be necessary to acquire in order to carry out the therapyImprove access to materials required for the exercisesNeuro has begun to offer the rental and sale of the necessary material to carry out the therapy
No home assistance was offeredImprove assistance with exercises at homeThe home assistance service has been implemented, either with external services or Neuro's medical staff
To increase customer trustReport delivery dates were not established. Neuro contacted the client until the report is preparedDefine a mechanism with which to establish the report delivery dateWith the new software, each report is now tracked, and the client has access to the status of his registration. Also, it has been established that every report has to be delivered within two weeks
Emails were answered approximately every 3 weeks and even, some clients claimed that they were not answered (got lost)Assign a specific time to answer emailsEvery email is answered within 48 h using the new software
BusinessTo improve the organisationAlthough Neuro's aim was not formally written, employees assumed it was, to provide personalised care for children and adults with neuropsychological conditionsRethink the aims and viewsThe objectives and mission of the organisation were redefined
There was no organisational chart, roles or defined functionsDefine the organisational chart, roles, and functions associated with rolesNow, Neuro has an organisation chart, has defined, and documented the different roles and functions of the staff
To improve the follow-upThere was no established follow-up processImprove the follow-up process from the initial contactNow, every interaction between the client and Neuro is registered in the management system, allowing each case to be followed up
TechnologyTo improve the technological areaAlthough it had online presence, it was completely out of date and provided very basic informationImprove software (website, apps, etc.) using agile methodologiesAt this time, they have a system to correctly manage their customers' information. Through this system, clients have organisation information, pieces of advice, and supervision. The new website is connected to the management system and is also kept up to date with useful information relevant to therapies

Note(s):1This column shows the SD perspective to which each improvement belongs; 2This column shows what is intended to be achieved by implementing the improvement; 3This column shows the situation of the company before the intervention; 4This column shows the actions to be implemented; 5This column shows the situation of the company after the intervention

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