Models of Audiological Service Delivery: The Role of Telepractice. Colleen Psarros, Louise Hickson, Caitlin Grenness, Robert Cowan
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1 Models of Audiological Service Delivery: The Role of Telepractice Colleen Psarros, Louise Hickson, Caitlin Grenness, Robert Cowan
2 The HEARing CRC Member Organisations creating sound value TM
3 creating sound value TM 3 The Strategic Vision The HEARing Cooperative Research Centre (CRC) is focused on the twin challenges of: more effective prevention; and improved remediation of hearing and communication disability. Aims Through research and its use, the HEARing CRC aims to reduce the economic impact of hearing loss by focusing member s expertise on: maximising lifelong hearing retention reducing loss of productivity resulting from hearing disability increasing uptake and use of hearing technology; and providing postgraduate and professional education and training to support uptake and use of prevention and remediation initiatives.
4 Audiology Australia s Mission To provide leadership in science and practice of audiology through advocacy, promotion, education and networking. We enable audiologists to deliver the highest standards of person-centered care. Recent position Paper on Audiology Service Delivery
5 Operationalizing Person-Centred Care Audiology Australia recommends the adoption of the World Health Organisation International Classification of Functioning Disability & Health (ICF) as a framework for delivery of person-centred audiological care
6 Overview 1. Outline the WHO ICF and its applicability to telepractice 2. Provide some examples of research and telepractice already happening for adults and children with hearing impairment
7 Why Use the WHO ICF Framework? Establishes a framework for service delivery that focuses on the FUNCTION of a client in the context of their everyday lives Allows for the development of person-centered management plans Provides a common language across professions and policy makers for the description of function (e.g., for the National Disability Insurance Scheme)
8 International Classification of Functioning, Disability and Health ICF Approved by the World Health Assembly in May 2001
9 ICF Framework Health condition Body structure and function Activity Participation Environmental factors Personal factors
10 Environmental Factors Individual immediate personal environment e.g. home, school, workplace Services and systems formal and informal structures in the community and overarching systems that set the pattern e.g. organisations and services related to the work environment, health care systems, laws, informal rules Telepractice
11 Audiology Example: Cathy Jones Ageing Bilateral moderate sensorineural loss problems understanding speech in noisy situations, can t hear phone ring, can t hear TV at normal volume withdraws from social situations, has stopped attending local card club Environmental factors: lives alone in Cloncurry, eligible for government hearing services Personal factors: Female, 63 years, tertiary educated, developing vision problems
12 Audiology Example: Anne Smith Large Vestibular Aqueduct Syndrome Deterioration from mild to severe to profound loss over 12 month period Plateau of speech and language development. Behaviour poor - demonstrating frustration Becomes withdrawn and not participating in play activities. Environmental factors: lives with parents and younger sibling in Mackay. Attends day care twice a week. Personal factors: 2yr old girl, motor coordination problems
13 2. Examples of Telepractice Studies in Audiology Evaluation of a self-fitting hearing aid Remote mapping of cochlear implants
14 The Self-Fitting Hearing Aid onboard, in situ measurement of hearing thresholds Real ear to coupler difference Adjust hearing aid Prescription formula automatic application of prescriptive fitting algorithm Automatic audiometer professional input computer support telephone access ear impressions user responsible for: assembly fitting fine-tuning management
15 Remote Cochlear Implant Mapping 5 Families trained face to face for newly implanted children 10 families transferred who were familiar with the mapping procedure and use of videoconferencing All post switch on with minimum of 3 weeks implant use All but 1 involved in telepractice for habilitation Software loaded on cloud computer Use of remote access software to control computer on remote end
16 Examples of Equipment ehab System (NeoRehab Pty Ltd, Brisbane, Australia) Cochlear selfmapping device creating sound value TM
17 Take-Home Message
18 Any Questions? My contact details:
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