What do you mean you are declining? › wp... · Gaby Kavanagh, Victorian Infant Hearing Screening...
Transcript of What do you mean you are declining? › wp... · Gaby Kavanagh, Victorian Infant Hearing Screening...
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What do you mean you are declining?Gaby Kavanagh, Victorian Infant Hearing Screening Program
19th June 2015
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• Determine decline rate• Analyse case notes• Identify trends• Inform program changes
Analysis of declines from 2011 - 2014
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What is decline?VIHSP screen #1
Pass result in both ears Refer result in 1 or both ears
VIHSP screen #2
Pass result in both ears Refer result in 1 or both ears
Referral to Audiology & Early Support Services
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Informed choice
CONSENT DECLINE
Sufficient information to make choice
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Monitoring
• VIHSP expects and monitors declines
Decline Key Performance Indicator< 1% of eligible babies
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Jan 2011 – Dec 2014
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Rollout Complete
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Eligible Screened Decline Decline Rate
2011 71,290 70,572 239 0.33%
2012 77,048 76,104 195 0.25%
2013 77,083 76,102 149 0.19%
2014 78,173 77,246 141 0.19%
VIHSP decline rate 2011-2014
729
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Where? Who? Why?
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Where?
outpatient decline
inpatient decline
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Seasonal influences?
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outpatientin patient
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Maybe not
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Screening not commenced
AABR1 Complete
AABR2 Complete
655 62 12
Location in Pathway
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Where? Who? Why?• Further questions…
– Inpatients - effective use of time within the postnatal setting
– Outpatients - communication tools– Mobile/drop in centres. Home visits. – My New Baby Organiser app
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Where? Who? Why?
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Where? Who? Why?
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Where? Who? Why?
• Further questions– Non English Speaking Background – analysis
of case notes and LOTE fields inconclusive
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Where? Who? Why?
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Where? Who? Why?
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1/2011 2/2011 3/2011 4/2011 1/2012 2/2012 3/2012 4/2012 1/2013 2/2013 3/2013 4/2013 1/2014 2/2014 3/2014 4/2014
No Case Notes 2011 ‐14
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Where? Who? Why?• Parental experience• Refuse all medical intervention• Logistical difficulties• Distrust equipment• Older children didn’t have a hearing screen• Older children have a hearing loss
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?
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[email protected] Project Officer, VIHSP
Images: shutterstock, visit Victoria, the fourth revolution