Implementation of an extended scope of practice speech-language pathology allied health practitioner service: an evaluation of service impacts and outcomes.

Seabrook, Marnie, Schwarz, Maria, Ward, Elizabeth C and Whitfield, Bernard (2017) Implementation of an extended scope of practice speech-language pathology allied health practitioner service: an evaluation of service impacts and outcomes.. International journal of speech-language pathology, 1-10. doi:10.1080/17549507.2017.1380702


Author Seabrook, Marnie
Schwarz, Maria
Ward, Elizabeth C
Whitfield, Bernard
Title Implementation of an extended scope of practice speech-language pathology allied health practitioner service: an evaluation of service impacts and outcomes.
Journal name International journal of speech-language pathology   Check publisher's open access policy
ISSN 1754-9515
Publication date 2017-09-27
Sub-type Article (original research)
DOI 10.1080/17549507.2017.1380702
Open Access Status Not yet assessed
Start page 1
End page 10
Total pages 10
Abstract Extended scope of practice roles can address health service challenges and enhance patient services; however there has been limited research of extended scope roles in the discipline of speech-language pathology (SLP). The aim of this study was to examine the clinical outcomes and service impacts of a Speech-Language Pathology Allied Health Practitioner (SLP AHP) led dysphagia and dysphonia service within an Integrated Specialist Ear Nose and Throat (ENT) Service.

Low risk referrals were triaged by ENT from the waiting list into the SLP AHP dysphagia and dysphonia clinic. Outcomes from an initial 6-month pilot phase (n = 43) and 6-month implementation phase (n = 158) were evaluated.

Approximately 70% of patients managed in the SLP AHP clinic in both phases were discharged without requiring separate ENT appointments. There were no adverse events. In the pilot phase, only 4.3% of medium priority and 10% of low priority referrals were seen within clinically recommended time frames. This improved to 90% in the final three months of the implementation phase.

With appropriate governance and risk management, an extended scope SLP AHP service for low risk dysphagia and dysphonia can achieve safe, effective and beneficial changes to ENT service delivery.
Keyword ENT service
Extended scope of practice
dysphagia
dysphonia
speech-language pathology
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collection: Pubmed Import
 
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Created: Wed, 15 Nov 2017, 13:29:56 EST