A case study of establishing a national CAPD program for children at Australian Hearing - clinical support and clinical qualityKarin Gillies1, Alison King1, Helen Glyde2, Sharon Cameron2, Simone Punch3 and Meagan Ward3.

1 Australian Hearing, Box Hill, Victoria, Australia 2 National Acoustic Laboratories, Macquarie University, NSW, Australia3 Australian Hearing, Macquarie University, NSW, Australia

World Congress of Audiology, Brisbane, Australia - 2014

Australian HearingWho are we?• National program

• Funded to provide hearing services to eligible adults and young adults

• Sole provider of funded hearing services for children

• CAPD program - a fee-for-service program for normally hearing children

Australian Hearing’s CAPD program• Hierarchical CAPD assessment protocol• Spatial processing disorder

• Memory deficits

• Binaural integration deficit

• Deficit-specific remediation pathways• One of two auditory training programs

• Personal FM system

• Classroom strategies

Challenges

• Centres geographically dispersed

• Large number of clinicians involved

• One clinician per centre

Remote Clinical Support

Dedicated CAPD support network:• CAPD Audiologists email contact group

Existing clinical support networks:• One on one supervision

• Personal emails

• Clinical Support Phone Line

• Paediatric Support email inbox

Requests for Support

Jul-12

Aug-12

Sep-12

Oct-12

Nov-12

Dec-12

Jan-13

Feb-13

Mar-13

Apr-13

May-13

Jun-130

5

10

15

20

25

Requests for support from CAPD clinicians

Assessment

Month- Year

Num

ber o

f req

uest

s

Requests for Support

Jul-12

Aug-12

Sep-12

Oct-12

Nov-12

Dec-12

Jan-13

Feb-13

Mar-13

Apr-13

May-13

Jun-130

5

10

15

20

25

Requests for support from CAPD clinicians

Assessment

Remediation

Month- Year

Num

ber o

f req

uest

s

Requests for Support

Jul-12

Aug-12

Sep-12

Oct-12

Nov-12

Dec-12

Jan-13

Feb-13

Mar-13

Apr-13

May-13

Jun-130

5

10

15

20

25Requests for support from CAPD clinicians

Assessment

Remediation

Follow-up

Month- Year

Num

ber o

f req

uest

s

Clinical Suppor

t

• Provide prompt clinical advice and monitor trends• Address issues identified from national data collection• Share “good news stories”

Online Newsletters

• Summarise advice on commonly asked questions• Provide more in-depth information• Administrative updates

National

Teleconferen

ces

• Provide feedback about program• Expert advice from NAL• Share experiences

Support Structure

Clinical Quality

Clinical Audit:• Review of assessment appointment

• 100 files (2 per clinician)

Next steps:• Feedback to individual clinicians

• Summary to managers and Principal Audiologist

• Modification of training and clinical resources if indicated

Summary

• A consistent national CAPD program was achieved

• Remote clinical support networks were effective

• Supporting parents with home-based auditory training programs was the most common issue

Thank you for listening

For more information:http://www.hearing.com.auhttp://capd.nal.gov.au