Impact of laryngologist and speech pathologist coassessment on outcomes and billing revenue
Objectives/Hypothesis This study investigated financial and treatment implications of a speech‐language pathologist (SLP) performing a voice evaluation at the initial laryngologic visit. Study Design Retrospective chart review. Methods Medical records from 75 consecutive adult voice therapy patients...
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| Veröffentlicht in: | The Laryngoscope 2015-09, Vol.125 (9), p.2139-2142 |
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| container_title | The Laryngoscope |
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| creator | Litts, Juliana K. Gartner-Schmidt, Jackie L. Clary, Matthew S. Gillespie, Amanda I. |
| description | Objectives/Hypothesis
This study investigated financial and treatment implications of a speech‐language pathologist (SLP) performing a voice evaluation at the initial laryngologic visit.
Study Design
Retrospective chart review.
Methods
Medical records from 75 consecutive adult voice therapy patients during a 3‐month period were categorized into two groups: group 1 (n = 37) represented patients who underwent a medical speech evaluation (MSE) at the initial voice assessment with the laryngologist (+SLP), and group 2 (n = 38) represented patients who did not receive an MSE (−SLP). Data collected included age, gender, voice diagnosis, number of therapy sessions attended and cancelled, reason for discharge, and pre– and post–voice therapy Voice Handicap Index‐10 (VHI‐10) scores.
Results
Patients in the +SLP group had fewer cancellations (P = 0.001), greater change in VHI‐10 from pre‐ to post‐therapy (P = .001), and were more likely to be discharged from therapy having met therapeutic goals (P = .007) than patients in the −SLP group. In addition, lost revenue over 3 months due to cancellations/no‐shows was $2,260 in the +SLP group compared to $7,030 in the −SLP group (P |
| doi_str_mv | 10.1002/lary.25349 |
| format | Article |
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This study investigated financial and treatment implications of a speech‐language pathologist (SLP) performing a voice evaluation at the initial laryngologic visit.
Study Design
Retrospective chart review.
Methods
Medical records from 75 consecutive adult voice therapy patients during a 3‐month period were categorized into two groups: group 1 (n = 37) represented patients who underwent a medical speech evaluation (MSE) at the initial voice assessment with the laryngologist (+SLP), and group 2 (n = 38) represented patients who did not receive an MSE (−SLP). Data collected included age, gender, voice diagnosis, number of therapy sessions attended and cancelled, reason for discharge, and pre– and post–voice therapy Voice Handicap Index‐10 (VHI‐10) scores.
Results
Patients in the +SLP group had fewer cancellations (P = 0.001), greater change in VHI‐10 from pre‐ to post‐therapy (P = .001), and were more likely to be discharged from therapy having met therapeutic goals (P = .007) than patients in the −SLP group. In addition, lost revenue over 3 months due to cancellations/no‐shows was $2,260 in the +SLP group compared to $7,030 in the −SLP group (P < .001).
Conclusions
Concurrent voice evaluation by an SLP and laryngologist at initial diagnostic visit affects therapy attendance, voice therapy outcomes, and ultimately SLP and departmental billing revenue. Results may be due to more appropriate therapy referrals from SLP assessment of patients in conjunction with a laryngologist.
Level of Evidence
4 Laryngoscope, 125:2139–2142, 2015</description><identifier>ISSN: 0023-852X</identifier><identifier>EISSN: 1531-4995</identifier><identifier>DOI: 10.1002/lary.25349</identifier><identifier>PMID: 26013916</identifier><language>eng</language><publisher>United States: Blackwell Publishing Ltd</publisher><subject>adherence ; Dysphonia - economics ; Dysphonia - rehabilitation ; Female ; Follow-Up Studies ; Health Care Costs ; Humans ; Male ; Middle Aged ; multidisciplinary evaluation ; outcomes ; Referral and Consultation - economics ; Referral and Consultation - statistics & numerical data ; Retrospective Studies ; Speech disorders ; Speech-Language Pathology - economics ; Speech-Language Pathology - standards ; voice evaluation ; Voice Handicap Index-10 ; Voice Quality ; Voice therapy ; Voice Training</subject><ispartof>The Laryngoscope, 2015-09, Vol.125 (9), p.2139-2142</ispartof><rights>2015 The American Laryngological, Rhinological and Otological Society, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3959-b908afab9e31d0a7a39441b27e2e2a608d50983602d11e4edc066792822373883</citedby><cites>FETCH-LOGICAL-c3959-b908afab9e31d0a7a39441b27e2e2a608d50983602d11e4edc066792822373883</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Flary.25349$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Flary.25349$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26013916$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Litts, Juliana K.</creatorcontrib><creatorcontrib>Gartner-Schmidt, Jackie L.</creatorcontrib><creatorcontrib>Clary, Matthew S.</creatorcontrib><creatorcontrib>Gillespie, Amanda I.</creatorcontrib><title>Impact of laryngologist and speech pathologist coassessment on outcomes and billing revenue</title><title>The Laryngoscope</title><addtitle>The Laryngoscope</addtitle><description>Objectives/Hypothesis
This study investigated financial and treatment implications of a speech‐language pathologist (SLP) performing a voice evaluation at the initial laryngologic visit.
Study Design
Retrospective chart review.
Methods
Medical records from 75 consecutive adult voice therapy patients during a 3‐month period were categorized into two groups: group 1 (n = 37) represented patients who underwent a medical speech evaluation (MSE) at the initial voice assessment with the laryngologist (+SLP), and group 2 (n = 38) represented patients who did not receive an MSE (−SLP). Data collected included age, gender, voice diagnosis, number of therapy sessions attended and cancelled, reason for discharge, and pre– and post–voice therapy Voice Handicap Index‐10 (VHI‐10) scores.
Results
Patients in the +SLP group had fewer cancellations (P = 0.001), greater change in VHI‐10 from pre‐ to post‐therapy (P = .001), and were more likely to be discharged from therapy having met therapeutic goals (P = .007) than patients in the −SLP group. In addition, lost revenue over 3 months due to cancellations/no‐shows was $2,260 in the +SLP group compared to $7,030 in the −SLP group (P < .001).
Conclusions
Concurrent voice evaluation by an SLP and laryngologist at initial diagnostic visit affects therapy attendance, voice therapy outcomes, and ultimately SLP and departmental billing revenue. Results may be due to more appropriate therapy referrals from SLP assessment of patients in conjunction with a laryngologist.
Level of Evidence
4 Laryngoscope, 125:2139–2142, 2015</description><subject>adherence</subject><subject>Dysphonia - economics</subject><subject>Dysphonia - rehabilitation</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Health Care Costs</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>multidisciplinary evaluation</subject><subject>outcomes</subject><subject>Referral and Consultation - economics</subject><subject>Referral and Consultation - statistics & numerical data</subject><subject>Retrospective Studies</subject><subject>Speech disorders</subject><subject>Speech-Language Pathology - economics</subject><subject>Speech-Language Pathology - standards</subject><subject>voice evaluation</subject><subject>Voice Handicap Index-10</subject><subject>Voice Quality</subject><subject>Voice therapy</subject><subject>Voice Training</subject><issn>0023-852X</issn><issn>1531-4995</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kMtKxDAYRoMoOl42PoAU3IjQMZcmaZYi3nBQEHW8LELa_jNW26Y2rTpvbzudceHCVSA53yEchHYJHhKM6VFmqtmQchaoFTQgnBE_UIqvokH7yPyQ08cNtOncG8ZEMo7X0QYVmDBFxAC9XOaliWvPTrxOU0xtZqepqz1TJJ4rAeJXrzT16_I6tsY5cC6Hoh0Vnm3q2Obg5nyUZllaTL0KPqFoYButTUzmYGdxbqH7s9O7kwt_dHN-eXI88mOmuPIjhUMzMZECRhJspGEqCEhEJVCgRuAw4ViFTGCaEAIBJDEWQioaUsokC0O2hQ56b1nZjwZcrfPUxZBlpgDbOE0kFhQrOUf3_6BvtqmK9ncdxVXAmQha6rCn4so6V8FEl1Wat3k0wbpLrrtWep68hfcWyibKIflFl41bgPTAV5rB7B-VHh3fPi2lfr9pm8P378ZU71pIJrkeX5_r55CMpeJX-oH9AEqBmpQ</recordid><startdate>201509</startdate><enddate>201509</enddate><creator>Litts, Juliana K.</creator><creator>Gartner-Schmidt, Jackie L.</creator><creator>Clary, Matthew S.</creator><creator>Gillespie, Amanda I.</creator><general>Blackwell Publishing Ltd</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>201509</creationdate><title>Impact of laryngologist and speech pathologist coassessment on outcomes and billing revenue</title><author>Litts, Juliana K. ; Gartner-Schmidt, Jackie L. ; Clary, Matthew S. ; Gillespie, Amanda I.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3959-b908afab9e31d0a7a39441b27e2e2a608d50983602d11e4edc066792822373883</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>adherence</topic><topic>Dysphonia - economics</topic><topic>Dysphonia - rehabilitation</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Health Care Costs</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>multidisciplinary evaluation</topic><topic>outcomes</topic><topic>Referral and Consultation - economics</topic><topic>Referral and Consultation - statistics & numerical data</topic><topic>Retrospective Studies</topic><topic>Speech disorders</topic><topic>Speech-Language Pathology - economics</topic><topic>Speech-Language Pathology - standards</topic><topic>voice evaluation</topic><topic>Voice Handicap Index-10</topic><topic>Voice Quality</topic><topic>Voice therapy</topic><topic>Voice Training</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Litts, Juliana K.</creatorcontrib><creatorcontrib>Gartner-Schmidt, Jackie L.</creatorcontrib><creatorcontrib>Clary, Matthew S.</creatorcontrib><creatorcontrib>Gillespie, Amanda I.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>The Laryngoscope</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Litts, Juliana K.</au><au>Gartner-Schmidt, Jackie L.</au><au>Clary, Matthew S.</au><au>Gillespie, Amanda I.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Impact of laryngologist and speech pathologist coassessment on outcomes and billing revenue</atitle><jtitle>The Laryngoscope</jtitle><addtitle>The Laryngoscope</addtitle><date>2015-09</date><risdate>2015</risdate><volume>125</volume><issue>9</issue><spage>2139</spage><epage>2142</epage><pages>2139-2142</pages><issn>0023-852X</issn><eissn>1531-4995</eissn><abstract>Objectives/Hypothesis
This study investigated financial and treatment implications of a speech‐language pathologist (SLP) performing a voice evaluation at the initial laryngologic visit.
Study Design
Retrospective chart review.
Methods
Medical records from 75 consecutive adult voice therapy patients during a 3‐month period were categorized into two groups: group 1 (n = 37) represented patients who underwent a medical speech evaluation (MSE) at the initial voice assessment with the laryngologist (+SLP), and group 2 (n = 38) represented patients who did not receive an MSE (−SLP). Data collected included age, gender, voice diagnosis, number of therapy sessions attended and cancelled, reason for discharge, and pre– and post–voice therapy Voice Handicap Index‐10 (VHI‐10) scores.
Results
Patients in the +SLP group had fewer cancellations (P = 0.001), greater change in VHI‐10 from pre‐ to post‐therapy (P = .001), and were more likely to be discharged from therapy having met therapeutic goals (P = .007) than patients in the −SLP group. In addition, lost revenue over 3 months due to cancellations/no‐shows was $2,260 in the +SLP group compared to $7,030 in the −SLP group (P < .001).
Conclusions
Concurrent voice evaluation by an SLP and laryngologist at initial diagnostic visit affects therapy attendance, voice therapy outcomes, and ultimately SLP and departmental billing revenue. Results may be due to more appropriate therapy referrals from SLP assessment of patients in conjunction with a laryngologist.
Level of Evidence
4 Laryngoscope, 125:2139–2142, 2015</abstract><cop>United States</cop><pub>Blackwell Publishing Ltd</pub><pmid>26013916</pmid><doi>10.1002/lary.25349</doi><tpages>4</tpages></addata></record> |
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| source | MEDLINE; Access via Wiley Online Library |
| subjects | adherence Dysphonia - economics Dysphonia - rehabilitation Female Follow-Up Studies Health Care Costs Humans Male Middle Aged multidisciplinary evaluation outcomes Referral and Consultation - economics Referral and Consultation - statistics & numerical data Retrospective Studies Speech disorders Speech-Language Pathology - economics Speech-Language Pathology - standards voice evaluation Voice Handicap Index-10 Voice Quality Voice therapy Voice Training |
| title | Impact of laryngologist and speech pathologist coassessment on outcomes and billing revenue |
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