Speech Language Pathology Professional Practice Leader (Interim) (West 5th, Charlton) Bonnie Reaburn-Jones, MSc, Reg. CASLPO Number of Members of Discipline

Charlton 12.7 FTE West 5th .4 FTE

P A G E 1

P R O F E S S I O N A L A D V I S O R Y C O M M I T T E E

R E P O R T O F T H E H E A L T H D I S C I P L I N E S 2015

Clinical Practice Achievements Quality & Safety Implemented the use of two patient identifiers for each patient visit.

Documentation of two patient identifiers occurs on first visit with patient/client. Audit of compliance of documentation was 99% across the pediatric and adult Speech Language Pathologists.

Sustained use of Transfer of Accountability (TOA) across the pediatric and adult Speech Language Pathologists. Audit revealed 99% compliance.

Adult Speech Language Pathologists are members of Quality Councils for General Internal Medicine, Rehab, Complex Care, Ambulatory Therapeutics and Thoracics.

Adopted an evidence-based standardized assessment, analysis and reporting protocol for Videofluroscopic Swallowing Studies, the Modified Barium Swallow Impairment Profile (MBSImP)

Co- lead and member of the Pneumonia Working group, an interdisciplinary working group addressing the use of oral care for adult patients who are at risk for aspiration

Member of the General Internal Medicine patient bedside board implementation team. The team is supporting the interdisciplinary use of a patient bedside board to improve communication at the bedside.

Advocate for obtaining funding for alternative communication devices for patients on the Head and Neck Unit.

In collaboration with infection control, reviewed and revised infection control protocol, including personal protective equipment, with the head and neck population.

The Adult Speech Language Pathology team was the recipient of the Professional Advisory Committee (PAC) Team Clinical Practice Award of Excellence

Scope of Practice:

The practice of

speech-language

pathology is the

assessment of

speech and

language functions

and the treatment

and prevention of

speech and

language

dysfunctions or

disorders to

develop, maintain,

rehabilitate or

augment oral

motor or

communicative

functions

P A G E 2

Active member of the Therapeutic Seniors Care Education Team which included identified topics and speakers for monthly Lunch and Learn sessions.

Co-Chair of Day Therapy Initiative which promoted education regarding Day Therapy services to stakeholders

Received an overall satisfaction rating of 100% in the Outpatient Speech-Language Pathology Service, as per results on the Ambulatory Therapeutics Patient Satisfaction Survey.

Achieved hand hygiene compliance of 93.3% in the outpatient Speech-Language Pathology Service, as per results on the Ambulatory Therapeutics Patient Satisfaction Survey.

The pediatric Speech Language Pathology team implemented strategies to improve attendance.

Change Standardized all adult Speech Language Pathology reports. Standardized the organization and the location of the pediatric outpatient charts to improve

accessibility.

Community Supported building leadership within adult and pediatric Speech Language Pathology teams through annual rotation

of team leader and attendance at the Emerging Leaders Program. Participated in the employee engagement survey. Established a journal club for the Adult Speech Language Pathology team

Interconnection Collaborated with the Early Words Regional team, the Hamilton-Wentworth District School

Board and the Hamilton-Wentworth Catholic District School Board to establish an ”intentional transition model for successful transitions” between Early Words, school boards and Community Care Access Centres (CCAC) of Hamilton, Niagara and Haldimand

Provided community-based Speech Language Pathology services to target the hard to service population though participation in the Community Support Team and New Choices

Participated in the Integration of Rehabilitation Services planning table for the Special Needs Strategy in Hamilton.

Academic Pursuits

Formal Teaching Four learners completed clinical placements (students in Speech-Language Pathology, Communicative

Disorders Assistant and Cognitive Linguistic programs as well as a High School CO-OP student) One Speech-Language Pathologist is a part-time professor in the Occupational Therapy

Assistant and Physical Therapy Assistant Program at Mohawk McMaster Institute for Applied Teaching

P R O F E S S I O N A L A D V I S O R Y C O M M I T T E E

R E P O R T O F T H E H E A L T H D I S C I P L I N E S 2015

S P E E C H L A N G U A G E P A T H O L O G Y

P A G E 3

Internal Teaching Provided Gentle Persuasive Approach (GPA) refresh sessions to allied health team members. Collaborated on an interdisciplinary poster presentation at “Partnering with Patients and Families Event at

SJHH”. Poster was entitled “Improving Communication with Patients and Families: An Interprofessional Approach in General Internal Medicine”

Provided orientation and education sessions for staff across various clinical programs and services:

Volunteer orientation regarding the role of the Speech-Language Pathologist in communication and dysphagia

“Role of the Speech-Language Pathologist” for new hires in General Internal Medicine

“Role of the Speech-Language Pathologist, dysphagia and communication” for clinical clerks in nephrology

“Role of the Speech-Language Pathologist and dysphagia” for nurses on the Senior Mental Health Unit

“Oral care” for Personal Support Workers on the ALC unit “Different Liquid viscosities and their impact on swallowing” for Personal Support Workers on the ALC unit

Clinical Teaching: Job shadowing experiences- 5 provided Volunteers-12 university students who required this experience for application to Graduate

School in Speech Language Pathology Provided a number of job shadowing opportunities to cooperative education students and therapeutic

students while on placements at SJHH Participated in “Take your Kids to Work Day” Education to families in Seniors Mental Health regarding: Swallowing and Communication in Dementia Education to inpatients and outpatients on the Respirology Rehabilitation Program regarding COPD,

Pneumonia and Oral Care (8 times per year)

Scholarly Pursuits

P R O F E S S I O N A L A D V I S O R Y C O M M I T T E E

R E P O R T O F T H E H E A L T H D I S C I P L I N E S 2015

S P E E C H L A N G U A G E P A T H O L O G Y

Research One Speech Language Pathologist is participating in a student research study regarding service delivery

and treatment models to support management of pediatric Speech Language Pathologist waitlist. One Speech Language Pathologist is pursuing research possibilities in the area of maternal mental health

and its influence on the child’s speech and language development.

Continuing Education Emerging Leader’s Program Motor Speech Treatment for Neurodenerative and Neuromuscular Diseases: A Systems Approach PROMPT training Niagara Literacy Conference Auditory Verbal Therapy Education: Interest group and sound intuition workshops Early literacy skill GPA refresh Modified Barium Impairment Profile (MBSImP), standardized assessment protocol for Videofluroscopic

Swallow

Leadership

Co-Chair of Pneumonia working group. Adult and Pediatric Team Leaders participated in Emerging Leaders sessions

External Committees Hamilton Regional Speech and Audiology Council (HRSLAC)

Hamilton Stroke Community Re-Engagement Network

Speech-Language Pathology of Ontario Oncology Network (SPOON)

Greater Toronto Area Speech-Language Pathology Professional Practice Leaders Group

Integrated Rehabilitation Planning for the Hamilton Special Needs Initiative

Early Words, The Hamilton Preschool Speech and Language Services:

Administrative Management

Early Literacy Hamilton

Infant Parent

Waitlist Management

Forms Review

Parent Groups

Transition to School Planning

Infant Hearing Program Committee’

External Presentations Co-presented at a Spiritual Care conference. “Following Our Surprises” focused on collaboration and the

power of community in enhancing communication and quality of life for patients who were primarily non-verbal.

Collaborated on an interdisciplinary poster presentation at Stroke Congress as a member of the Hamilton/Burlington Stroke Community Re-Engagement Network. The title of the poster was “Building a Stronger Community Network Through Language Appropriate Documentation”

Facilitator at the Interprofessional education (IPE) day through the McMaster Program for Interprofession-al Practice, Education and Research

Voice and Voice Disorders, ENT residency program Provided Gentle Persuasive Approach (GPA) sessions to Personal Support Workers from St. Joseph’s

Homecare

P A G E 4

P R O F E S S I O N A L A D V I S O R Y C O M M I T T E E

R E P O R T O F T H E H E A L T H D I S C I P L I N E S 2015

S P E E C H L A N G U A G E P A T H O L O G Y

Quality & Safety Sustain use of two patient identifiers for each patient/client visit across all Speech Language Pathology

services Sustain hand hygiene rates at the corporate targets for the outpatient Speech Language Pathology service Sustain use of MBSImp across all adult Speech Language Pathologists Maintain an accurate and sufficient consignment of voice prostheses to service the laryngectomee

population Establish an approach to oral care for patients who are at risk for aspiration in the mental health

population

Change Evaluate the impact of change in the pediatric Speech Language Pathology Discharge and

Re-evaluation reports Evaluate the impact of strategies to improve client attendance for the outpatient pediatric SLP

service

Interconnection Standardize the process for obtaining pre-admission swallowing history and transferring

swallowing discharge status and discharge swallowing care plans from and to Longterm Care Facilities

Research & Education Educate healthcare team at the West 5th Site regarding swallowing in the Huntington’s

population Develop a patient education brochure on Videofluroscopic Swallow Studies Review and update education materials in the

area of dysphagia

Discipline Goals 2016

P A G E 5

P R O F E S S I O N A L A D V I S O R Y C O M M I T T E E

R E P O R T O F T H E H E A L T H D I S C I P L I N E S 2015

S P E E C H L A N G U A G E P A T H O L O G Y