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Title: | Implementation of speech pathology telepractice services for clinical swallowing assessment: An evaluation of service outcomes, costs and consumer satisfaction | Authors: | Burns, Clare L Ward, Elizabeth C Gray, Amy Baker, Lisa Cowie, Brooke Natalie Winter Rusch, Rukmani Saxon, Robyn Barnes, Sarah Turvey, Jodie |
Issue Date: | 2019 | Source: | Burns CL, Ward EC, Gray A, Baker L, Cowie B, Winter N, Rusch R, Saxon R, Barnes S, Turvey J. Implementation of speech pathology telepractice services for clinical swallowing assessment: An evaluation of service outcomes, costs and consumer satisfaction. J Telemed Telecare. 2019 Oct;25(9):545-551. doi: 10.1177/1357633X19873248. PMID: 31631757. | Journal: | Journal of Telemedicine and Telecare | Abstract: | Timely assessment of swallowing disorders (dysphagia) by speech pathologists helps minimise patient risk, optimise quality of life, and limit healthcare costs. This study involved a multi-site implementation of a validated model for conducting adult clinical swallowing assessments via telepractice and examined its service outcomes, costs and consumer satisfaction. Five hub-spoke telepractice services, encompassing 18 facilities were established across a public health service. Service implementation support, including training of the telepractice speech pathologists (T-SP) and healthcare support workers in each site, was facilitated by an experienced project officer. New referrals from spoke sites were managed by the hub T-SP as per published protocols for dysphagia assessments via telepractice. Data was collected on existing service models prior to implementation, and then patient demographics, referral information, session outcomes, costs and patient and T-SP satisfaction when using telepractice. The first 50 sessions were analysed. Referrals were predominantly for inpatients at spoke sites. Telepractice assessments were completed successfully, with only minor technical issues. Changes to patient management (i.e. food/fluid changes post assessment) to optimise safety or progress oral intake, was required for 64% of patients. Service and cost efficiencies were achieved with an average 2-day reduction in waiting time and an average cost benefit of $218 per session when using the telepractice service over standard care. High clinician and patient satisfaction was reported. Telepractice services were successfully introduced across multiple sites, and achieved service and cost benefits with high consumer satisfaction. | Description: | Cairns & Hinterland Hospital and Health Service (CHHHS) affiliated authors: Natalie Winter, Rukmani Rusch | DOI: | 10.1177/1357633X19873248 | Keywords: | Swallowing assessment;Dysphagia;Telepractice;Telehealth;Cost analysis | Type: | Article |
Appears in Sites: | Cairns & Hinterland HHS Publications |
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Implementation of speech pathology telepractice services for clinical swallowing assessment.pdf | 205.34 kB | Adobe PDF | View/Open |
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