Speech Pathology – Australia

The Children’s Hospital at Westmead

Interview with Jane Pettigrew and Jeanette Cowell

1. What was the issues initially and why we’re you looking for a new system?: There were lots of issues with our old system. There were issues with the way the whole study was being captured. There was a challenging process around viewing the study, how we saved things, the process was very long and tedious and not particularly accurate or efficient. For example, when viewing the study, if we wanted to review the last segment of feeding with the radiologist, to have consensus about what was happening, we could only view the last 30 seconds. The whole section would need to be transfer onto a DVD and then we would have to replay it. When we are doing this mid study, it would take a long time. We really couldn’t review segments that we were interested in. When reviewing the study on DVD for further analysis, we were finding the quality of what was saved to the DVD was different to what we were seeing at the time of the study. So when we may have seen aspiration, it wasn’t so evident on the DVD. This became difficult when showing doctors who are managing the patient and it wasn’t truly reflecting what we thought we saw.

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2. What other solutions did you find?: The digital swallow station was another option but we had difficultly contacting the distributor. There was also the issue of purchasing with no trial and the high expense. We had also received feedback from another hospital in Sydney who were not overly happy with the product.

3. How did you find TIMS?: Jane spoke with a colleague from a hospital in QLD at the Liverpool Hospital Dysphagia Workshop about the digital swallow station and they mentioned that they were unhappy with the product. They suggested to go and speak with Dominic and Inline about the TIMS as it seems a much better product.

4. What was it about TIMS that you liked?: We are still in the process of learning how to use it but the flexibility of reviewing, both at the time of the study and afterwards is much improved. So like today, we were able to watch a whole section of feeding, come to consensus with the radiologist which we wouldn’t be able to do previously. We have a lot more control with the rate and zoom so the study is clearer than previously. It seems easy to use even for the technologically challenged. The quality of the images are far better than we’ve ever seen before.

5. How did you go about funding?: We have managed to generate department funding though workshops that we have run previously. The funding mainly comes from registration fees, over a number of workshops. These workshops were paediatric speech pathology focused.

6. How has TIMS helped with clinical diagnosis for Dysphagia?: The reviewing process is clinically meaningful. TIMS allows us to look at it more closely and more accurately at the studies. There is a lot more flexibility in the reviewing as we are able to go back to the different segments with ease.

7. What has you experience been like with Inline for installation and training on TIMS?: It has been faultless. Dominic has been readily available, he has been very approachable, it has been an easy process. Dominic has gone beyond particularly engaging with other departments, he has built his own relationship with IT and with Medical Imaging. Very personable, easy to work with.

8. Would you recommend Inline and TIMS to other Speech Pathologists?: Yes, definitely.