Patient-Provider Communication for People with Severe Dysarthria: Referral Policies that Lead to Systems Change

Abstract

The purpose of this article is to discuss policy and systems change for patient-provider communication (PPC) for dysarthric speakers in medical situations. Six groups of communication-vulnerable patients are described. The types of medical orders that can be employed to facilitate PPC systems change in medical settings are discussed. Finally, accountability checklists to document the patient experience and the medical facility PPC program are provided.

Keywords

Dysarthria - patient-provider communication - medical referrals

• References

• 1 Makary MA, Daniel M. Medical error-the third leading cause of death in the US. BMJ 2016; 353: i2139 DOI: 10.1136/bmj.i2139
• 2 Blackstone S, Beukelman D, Yorkston K. Patient Provider Communication: Roles for SLPs and Other Health Care Professionals. San Diego, CA: Plural; 2015
• 3 Yorkston K, Beukelman D, Strand E, Hakel M. Clinical Management of Speakers with Motor Speech Disorders. 3rd ed. Austin, TX: Pro-ed; 2010
• 4 Hanson EK, Beukelman DR, Yorkston KM. Communication support through multimodal supplementation: a scoping review. Augment Altern Commun 2013; 29 (04) 310-321
• 5 Fager S, Beukelman DR, Fried-Oken M, Jakobs T, Baker J. Access interface strategies. Assist Technol 2011; 24 (01) 25-33
• 6 Makary M, Daniel MM. Medical error: the third leading cause of death in US. BMJ 2016; 353: i2139 . The Joint Commission. Advancing Effective Communication, Cultural Competence, and Patient and Family Centered Care: A Roadmap for Hospitals. Oakbrook Terrace, IL: Author; 2010
• 7 Beukelman D, Nordness A. Inpatient and outpatient rehabilitation. In: Blackstone S, Beukelman D, Yorkston K. , eds. Patient Provider Communication: Roles for SLPs and Other Health Care Professionals. San Diego, CA: Plural Publishing; 2015: 225-56
• 8 Bryen D, Carey A, Frantz B. Ending the silence: adults who use augmentative communication and their experiences as victims of crimes. Augment Altern Commun 2003; 19: 125-134
• 9 Pearson SD, Goulart-Fisher D, Lee TH. Critical pathways as a strategy for improving care: problems and potential. Ann Intern Med 1995; 123 (12) 941-948
• 10 Burns M, Baylor C, Dudgeon BJ, Starks H, Yorkston K. Asking the stakeholders: perspectives of individuals with aphasia, their family members, and physicians regarding communication in medical settings. Am J Speech Lang Pathol 2015; 24 (03) 341-357
• 11 Hemsley B, Balandin S. A metasynthesis of patient-provider communication in hospital for patients with severe communication disabilities: informing new translational research. Augment Altern Commun 2014; 30 (04) 329-343
• 12 Birkland T. An Introduction to the Policy Process: Theories, Concepts, and Models of Public Policy Making. 93rd ed. Armonk, NY: M. E. Sharpe, Inc.; 2010
• 13 Hemsley B, Lee S, Munro K, Seedat N, Bastock K, Davidson B. Supporting communication for children with cerebral palsy in hospital: views of community and hospital staff. Dev Neurorehabil 2014; 17 (03) 156-166
• 14 Patient Provider Communication. Communication tools. Available at: http://www.patientprovidercommunication.org/communication_tools.htm. Accessed April 21, 2017
• 15 Rao PR. Outcomes and quality: Key characteristics of a successful SLP value journey. SIG, 2. Perspectives on Neurophysiology and Neurogenic Speech and Language Disorders 2015; (25) 94-106