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Establishing a National CAPD Program for Children: A Quality Improvement Case Study

This case study presents the successful implementation of a national Central Auditory Processing Disorder (CAPD) program for children by Australian Hearing. Highlighting the challenges faced, including a dispersed service network and the need for new clinical skills, the study outlines the development of consistent protocols, training programs, and quality improvement measures. The initiative's success relied on coordinated rollout, support networks, and ongoing monitoring, showcasing the importance of data collection and timely intervention in improving service delivery.

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Establishing a National CAPD Program for Children: A Quality Improvement Case Study

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  1. A case study of program implementation and quality improvement - Establishing a national CAPD program for children at Australian Hearing • Alison King1, Karin Gillies1, Helen Glyde2, Sarina Sanna3, Sharon Cameron2, Simone Punch4, Meagan Ward4, Harvey Dillon2 • 1 Australian Hearing, Box Hill Centro, Victoria, Australia • 2 National Acoustic Laboratories, Sydney, NSW, Australia • 3Australian Hearing, Melbourne, Victoria, Australia • 4 Australian Hearing, Sydney, NSW, Australia • World Congress of Audiology, Brisbane, 2014

  2. The issues • Dispersed network • Service offered through ~50% of sites • New clinical service • Controversial field • New clinical skills • Different clientele

  3. Clinical Program Nationally Consistent Protocols developed, documented Clinical case note & report Proformas Link No. clinicians trained to caseload (consolidation) Single training package developed by expert Knowledge & Clinical Skill Post-course evaluation Timely, Coordinated Implementation Train-the-trainer Phased Rollout

  4. Quality Improvement - Clinical Service Delivery Support and data collection • Post Course evaluation • Clinical Support • Core group of experts • Email networks, phone support, teleconferences, F2F • Client results data • Monitor for trends, errors • Clinical audit

  5. Impact on Program • Regular monitoring enabled concerns to be addressed quickly via a range of avenues • Newsletter, teleconferences, individual assistance • Training program revised and updated to forestall future difficulties • Over time, reduced number of trainers • Avoid dilution of knowledge transfer and variability

  6. Service Delivery Network Nationally Consistent Centrally coordinated rollout Education program for all staff Resources – info sheets & presentation, website updated Identified specialist to take all early enquiries Correct information for enquiries Central phone number Appropriate appointments Front counter resource Centralised contact

  7. Quality Improvement – Service Delivery Support and data collection • Hearing centres and central contact provided • Demographic data • Referral sources – client and professionals • Clients who decided not to proceed with appointment – reasons, help assess if access problems • Client concerns and issues • Collected 3 times during the first 12 months • Support network – email, phone

  8. Impacts on service delivery • Identified ways to improve the information provided to clients • Common questions and referral types analysed • Need to be diligent about age of child at appointment • Questions about testing ADHD, Autism • Best time of day to offer appointments • Improve information resources

  9. Keeping the momentum going • Monitoring results and referrals, fed back to the network • Regular teleconferences with clinicians to discuss research, clinical practice issues and success stories • Regular teleconferences with Managers to address uncertainties about the program, lessons learned

  10. What have we learned • When field is new, identify a small group of people who can build expertise quickly • DATA-DATA-DATA • Monitor rigorously in early stages • Take prompt action to help individuals, use knowledge to build system changes • The nature of support changes as skills develop • Remember to keep supporting new people • Success involves the whole team • Share successes, feed back progress

  11. Thank you for listening Contact Australian Hearing www.hearing.com.au

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