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 19 th June 2015
Transcript of What do you mean you are declining? › wp... · Gaby Kavanagh, Victorian Infant Hearing Screening...
What do you mean you are declining?Gaby Kavanagh, Victorian Infant Hearing Screening Program
19th June 2015
• Determine decline rate• Analyse case notes• Identify trends• Inform program changes
Analysis of declines from 2011 - 2014
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
Informed choice
CONSENT DECLINE
Sufficient information to make choice
Monitoring
• VIHSP expects and monitors declines
Decline Key Performance Indicator< 1% of eligible babies
Jan 2011 – Dec 2014
0
5
10
15
20
25
30
Jan‐11 Feb
Mar
April
May Jun Jul
Aug
Sept Oct
Nov Dec
Jan‐12 Feb
Mar
April
May Jun Jul
Aug
Sept Oct
Nov Dec
Jan‐13 Feb
Mar
April
May Jun Jul
Aug
Sept Oct
Nov Dec
Jan‐14 Feb
Mar
April
May Jun Jul
Aug
Sept Oct
Nov Dec
Rollout Complete
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
Where? Who? Why?
Where?
outpatient decline
inpatient decline
Seasonal influences?
0
20
40
60Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
outpatientin patient
Maybe not
0
20
40
60Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Screening not commenced
AABR1 Complete
AABR2 Complete
655 62 12
Location in Pathway
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
Where? Who? Why?
Where? Who? Why?
Where? Who? Why?
• Further questions– Non English Speaking Background – analysis
of case notes and LOTE fields inconclusive
Where? Who? Why?
Where? Who? Why?
0
5
10
15
20
25
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
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
0
5
10
15
20
25
30
Jan‐11 Feb
Mar
April
May Jun Jul
Aug
Sept Oct
Nov Dec
Jan‐12 Feb
Mar
April
May Jun Jul
Aug
Sept Oct
Nov Dec
Jan‐13 Feb
Mar
April
May Jun Jul
Aug
Sept Oct
Nov Dec
Jan‐14 Feb
Mar
April
May Jun Jul
Aug
Sept Oct
Nov Dec
?
[email protected] Project Officer, VIHSP
Images: shutterstock, visit Victoria, the fourth revolution
