academic programs in audiology & speech-language pathology: weathering the changes ahead asahp...
TRANSCRIPT
![Page 1: Academic Programs in Audiology & Speech-Language Pathology: Weathering the Changes Ahead ASAHP Annual Conference, October 26, 2012 Shelly Chabon, PhD,](https://reader035.vdocuments.mx/reader035/viewer/2022081602/5514bd9e550346b0478b45ee/html5/thumbnails/1.jpg)
Academic Programs inAudiology & Speech-Language
Pathology: Weathering the Changes Ahead
ASAHP Annual Conference, October 26, 2012Shelly Chabon, PhD, CCC-SLP
2012 ASHA President
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ASHA Mission & Vision
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Where Members WorkASHA Constituency by Primary Employment Facility
Source: Year-End Counts (rounded), ASHA Membership and Affiliation, 2010
Schools50%
College/University
4%
Hospital13%
Non Residential Healthcare
18%Other
6%
Residential Healthcare
9%
ASHA Constituency
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Winds of CHANGE“The trouble with weather forecasting is that it’s right too often for us to ignore it & wrong too often for us to rely on it.”
--Patrick Young
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Gusts Ahead for Audiology
• Growing need for hearing services (aging population)
• Changing marketplace:
Online hearing aid sales
Perceived lack of affordable services
Pressure to “unbundle” services
Presence of insurance companies
• Increasing dependence on technology & internet
• Changing educational standards
Move from AuD to PhD models
Creation of specialty tracks
Implementation of 4th year experiences
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Gusts Ahead for Speech-Language Pathology
• Personnel shortages
• Rising costs of health care
• Fee-for-service system under fire
• Outcome-driven reimbursement
• Increasing caseloads
• Graduate programs at capacity
• Educational changes Value of clinical
doctorate Supervision training &
credentials Specialty certifications
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Forecast & Outlook for the Preparation of Future Audiologists & SLPs
• Move to team-based care
• Focus on interprofessional collaboration
• Need to present a solid identity
• Introduction of new teaching technologies
• Need to assess cost of/ access to health care
• In God We Trust – everyone else bring data
• Change in research priorities
• Need for more international experiences
• Increase in diversity of those served
• Use of online simulation
• MOCs
• Credit for experience
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STORMS on theHorizon
“The coldest winter I ever spent was a summer in San Francisco.”
--Mark Twain
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Showers Likely for Health Care & Education
Health Care Settings
Higher Education Settings
Customer Satisfaction
Patient Experience Student Experience
Cost Reduce service volume; lower delivery cost
Tuition costs; other costs
Quality Outcomes Health Function; Quality of Life
Graduation/ Placement
Reduce Length of Stay
Cut hospital days, no. of visits, etc.
Reduce time to graduation
Safety Patient welfare/ Reduce errors/ Reduce unnecessary complications
Student welfare/ Conflict resolution/Violence reduction on campuses
Adapted from Johnson, A. (2012) What is the (Preferred) Educational Future in SLP for Health Care Practice? ASHA Changing Healthcare Landscape Summit [presentation]
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Pressure to generate more clinical revenue
Pressure to increase
enrollment
Fewer scientists
Occasional Turbulence Ahead for the Professions
Students question value of advanced degrees
Fewer able to practice with under-served populations
Increased school debt + decreased salary rates
Increased demands from stakeholders
Decreased funding to colleges & universities
Pressure to place bachelor’s level students who don’t get into grad
school
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Wind Advisory
Increased need to• Expand the pipeline for
clinicians entering the professions to meet burgeoning needs of schools and clinics
• Build outreach and provide opportunities for more diverse students
• Explore the benefits of inter-professional education, credit for prior-learning experiences & innovative clinical education
• Identify funds for more scholarships
• Reassess the continuum of education
• Adjust curricula to teach skills in team-based care
• Assess value of undergraduate major as well as clinical doctorate
• Communicate value of graduate degree
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DRESSING for the weather
“There is no such thing as bad weather, just unsuitable clothing.”
--Alfred Wainwright
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Proj
ecte
d Jo
b Gro
wth
Clear Skies Ahead for Audiologists
Much faster than average growth through
2018
Additional 3,200 audiologists needed
25% increase in job openings
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Proj
ecte
d Jo
b Gro
wth
Clear Skies Ahead for SLPs
Faster than average growth through 2018
Additional 22,100 SLPs needed
19% increase in job openings
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Warming Trends
•Abundance of qualified students
•High success rates of graduates
•Personnel shortages translate into high employment availability for graduates
•Established models continue to produce successful clinicians
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Dressing for the Weather: Audiology
• Prioritize patient centered care Incentivize measure/value of outcomes Incorporate patient’s goals into treatment
• Adjust curricula to reflect healthcare changes
New reimbursement models Biotechnology Use of large data sets to evaluate
outcomes & demonstrate value Preferred practice patterns Online/blended learning Interprofessional education
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Dressing for the Weather: Speech-Language Pathology
• Expand clinical paradigm Adopt ICF framework Focus on context-based
communication effectiveness (vs. on deficit & impairment)
• Position SLPs as leaders in communication health
• Develop/enhance quality & outcomes measures
• Reframe/rebrand the profession
• Widely disseminate information
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Verbal Warming: Questions now being asked
• Do students understand the ICF framework and will they be prepared to use it to evidence the value and outcomes of their services?
• Do students understand that their ability to be reimbursed will be based on outcomes and not treatments?
• Will students be prepared to compete?
• Is the standard university clinic the right place to learn the best practice?
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Verbal Warming: Questions now being asked
• How should we be responding [to rising health costs & lack of coverage] as a profession?
• How will we evidence to regulators, health care rating organizations, accrediting bodies, employers, commercial payers and the public the necessity, quality, efficiency & accountability of our services?
• How can we energize individuals to become catalysts of change?
• What does the ideal clinician of the future look like?