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Caseload Characteristics For additional information, please contact Jeanette Janota, Surveys & Analysis Team American Speech-Language-Hearing Association Rockville, MD 20850 800-498-2071, ext. 8738 [email protected] ASHA SLP Health Care Survey 2015: Caseload Characteristics Report Contents Executive Summary .................................................................................................................... 1 Populations Served .................................................................................................................... 2 Facility ............................................................................................................................... 2 Population Density ............................................................................................................ 2 Adult Services ............................................................................................................................. 3 Facility ............................................................................................................................... 3 Population Density ............................................................................................................ 3 Pediatric Services ....................................................................................................................... 4 Facility ............................................................................................................................... 4 Population Density ............................................................................................................ 4 Telepractice ................................................................................................................................. 5 Survey Notes and Methodology ................................................................................................ 5 Response Rate ................................................................................................................. 5 Survey Reports ................................................................................................................. 5 Suggested Citation ..................................................................................................................... 5 Supplemental Resources ........................................................................................................... 6 Additional Information ............................................................................................................... 6 Thank You ................................................................................................................................... 6 Appendix: State Listings and Data Tables ............................................................................... 7 Regions of the Country ..................................................................................................... 8 Table 1: Populations Served by Type of Facility ........................................................... 9 Table 2: Adult Patients, Areas of Intervention ............................................................. 11 Table 3: Pediatric Patients, Areas of Intervention ....................................................... 16 Figures Figure 1: Time Spent With Specific Client Populations .................................................. 2 Figure 2: Adult Areas of Intervention .............................................................................. 3 Figure 3: Pediatric Areas of Intervention ........................................................................ 4 i ASHA SLP Health Care Survey 2015: Caseload Characteristics Report Executive Summary The American Speech-Language-Hearing Association (ASHA) conducted a survey of speech-language pathologists (SLPs) in the spring of 2015. The survey was designed to provide information about health care based service delivery and to update and expand information gathered during previous SLP Health Care Surveys. The results are presented in a series of reports. This report addresses only questions on the survey pertaining to caseload. Data are drawn from all six types of health care facilities: general medical, Veterans Affairs (VA), and long-term acute care (LTAC) hospitals; rehabilitation (rehab) hospitals; pediatric hospitals; skilled nursing facilities (SNFs); home health agencies and clients’ homes; and outpatient clinics and offices. Highlights: w 54% of SLPs’ clinical time was spent providing services to adults. w In adult settings, 41% of time spent delivering services was in the area of swallowing. w Time spent on swallowing was highest in general medical, VA, and LTAC hospitals (55%). w Times spent on aphasia (22%) and traumatic brain injury (TBI; 17%) in adults were highest in rehabilitation hospitals. w In pediatric settings, 29% of time spent delivering services was in the area of language. w SLPs who provided pediatric services in home health agencies and clients’ homes spent more time on language (35%) than did SLPs in other types of facilities. w SLPs in pediatric hospitals spent more time on swallowing and feeding (31%) than did SLPs who worked with pediatric patients in other facility types. w 29 (2%) of the survey participants delivered clinical services remotely (i.e., via telepractice). 1 ASHA SLP Health Care Survey 2015: Caseload Characteristics Report Populations Served On average (mean), 54% of time spent on service delivery was with adult clients (see Figure 1). Remaining times were fairly evenly distributed among infants and toddlers, preschoolers, and school-age children. Figure 1. Time Spent With Specific Client Populations Infants/ toddlers 16% Adults 54% Preschoolers 16% School-age children 15% n = 1,526 Facility Population Density The range of clients’ ages varied widely by type of facility (p = .000; see Appendix, Table 1): • Not surprisingly, a large majority of service delivery time spent in SNFs (95%), general medical, VA, and LTAC hospitals (85%) and rehab hospitals (81%) was with adult clients. • In pediatric hospitals, service delivery time was distributed among infants and toddlers (40%), preschoolers (33%), and school-age children (26%). • In home health agencies and clients’ homes, most time was spent delivering services to infants and toddlers (39%) and adults (32%), with the remainder going to preschoolers (17%) and school-age children (12%). • Outpatient clinics and offices showed the most even distribution of time spent delivering services across age groups: 30% to preschoolers and school-age children, 22% to adults, and 18% to infants and toddlers. Clinical service providers identified the type of area where they worked (rural, suburban, city/urban) and the time spent serving each age group. Only services to school-age children varied significantly by population density. Those in rural areas spent 11% of their time with school-age children; those in city/urban areas, 15%; and those in suburban areas, 16% (p = .005). 2 ASHA SLP Health Care Survey 2015: Caseload Characteristics Report Adult Services Facility More adult service delivery time was spent in the area of swallowing (41%) than in any other area of intervention (see Figure 2 and Appendix, Table 2). Figure 2. Adult Areas of Intervention Voice/ resonance 5% Other 1% AAC 4% Accent modification 1% Aphasia 16% Swallowing 41% Dementia 13% TBI 8% Motor speech 8% Other cognitive 3% n = 970 AAC = augmentative and alternative communication TBI = traumatic brain injury Facility Population Density All 10 areas of intervention were affected by the type of facility where the SLPs worked (see Appendix, Table 2): • SLPs in outpatient clinics and offices spent more time on AAC (8%; p = .000), accent modification (2%; p = .026), voice/resonance (12%; p = .000), and other treatment areas (4%; p = .000) than did SLPs in other types of facilities. • Times spent on aphasia (22%; p = .000), TBI (17%; p = .000), and other cognitive communication disorders (5%; p = .000) were highest in rehabilitation hospitals. • Time spent on motor speech disorders was highest in rehab hospitals and home health agencies and clients’ homes (10%; p = .000). • Time spent on dementia services was highest in SNFs (23%; p = .000). • Time spent on swallowing was highest in general medical, VA, and LTAC hospitals (55%; p = .000). Only two adult services varied by population density (not shown in any table). Approximately 5% of SLPs’ time in rural areas was spent on TBI compared with 8% of SLPs’ time in suburban areas and 9% of SLPs’ time in city/urban areas (p = .006). Time spent on swallowing depended on locale and accounted for 40% of SLPs’ time in city/urban and suburban areas and 45% of SLPs’ time in rural areas (p = .044). 3 ASHA SLP Health Care Survey 2015: Caseload Characteristics Report Pediatric Services SLPs who worked with pediatric patients spent a greater percentage of their time on language (29%) than on any other area of intervention. Additionally, nearly one quarter of their time was spent on articulation and phonology (see Figure 3). Figure 3. Pediatric Areas of Intervention Swallowing and feeding 13% Voice 2% Other 1% Articulation/ phonology 22% AAC 5% Language 29% Autism 16% Fluency 4% Cognitive communication 8% n = 909 Facility The type of facility in which SLPs worked had an effect on six of the nine areas of intervention included in the survey (see Appendix Table 3): • SLPs in outpatient clinics and offices spent more time on autism spectrum disorder (20%) than did SLPs in other types of facilities (p = .000). • SLPs in rehab hospitals spent more time on cognitive communication (13%) than did SLPs in other types of facilities (p = .041). • SLPs in SNFs spent more time on fluency (11%) than did SLPs in other types of facilities (p = .000). • SLPs in home health agencies and clients’ homes spent more time on language (35%) than did SLPs in other types of facilities (p = .000). • SLPs in pediatric hospitals spent more time on swallowing and feeding (31%) than did SLPs in other facility types (p = .000). They also spent more time on voice and resonance (4%) than did other SLPs (p = .008). Population Density Three of the areas of intervention differed by population density. • The amount of time spent on articulation and phonology increased as population density decreased. SLPs in city/urban areas spent 20% of their time in this area; those in suburban areas spent 22%; and SLPs in rural areas spent 24% of their time (p = .025). • The amount of time spent on swallowing and feeding increased as population density increased. SLPs in rural areas spent 9% of their time in this area compared 12% for those in the suburbs and 16% for those in city/urban areas (p = .002). • SLPs in city/urban areas (3%) spent more time on voice and resonance than did SLPs in either suburban or rural areas (1%; p = .019). 4 ASHA SLP Health Care Survey 2015: Caseload Characteristics Report Telepractice Only 29 (2%) of the survey participants indicated that they deliver clinical services remotely (i.e., via telepractice). Because this group is so small, no further analyses were run. Survey Notes and The SLP Health Care Survey has been fielded in odd-numbered years since 2005 to gather information of interest to the profession. Members, volunteer leaders, and staff rely on data from the survey to better understand the priorities and needs of SLPs. Methodology The survey was mailed in February 2015 to a random sample of 4,000 ASHA-certified SLPs who were employed in health care settings in the United States. An email reminder was sent a week later. Second (March) and third (April) mailings followed, at approximately 3- or 4-week intervals, to individuals who had not responded to earlier mailings. The sample was a random sample, stratified by type of facility and by private practice. Small groups, such as pediatric hospitals, were oversampled. Therefore, weighting was used when presenting data to reflect the actual distribution of SLPs in each type of facility within ASHA. Response Rate Survey Reports Suggested Citation Of the original 4,000 SLPs in the sample, 1 was deceased, 5 were retired, 14 had bad addresses, 42 were employed in other types of facilities, 6 were not employed in the field, and 5 were ineligible for other reasons, leaving 3,927 possible respondents. The actual number of respondents was 1,842, resulting in a 46.9% response rate. The results presented in this report are based on responses from those 1,842 individuals. Results from the 2015 SLP Health Care Survey are presented in a series of reports: • Survey Summary • Workforce and Practice Issues • Caseload Characteristics • Annual Salaries • Hourly and Per Visit Wages • Private Practice Owners • Survey Methodology, Respondent Demographics, and Glossary American Speech-Language-Hearing Association. (2015). ASHA SLP Health Care Survey 2015: Caseload characteristics. Available from www.asha.org. 5 ASHA SLP Health Care Survey 2015: Caseload Characteristics Report Supplemental Resources Additional Information Thank You Practice Portal. www.asha.org/practice-portal. Information for speech-language pathologists. www.asha.org/slp. For additional information regarding the 2015 SLP Health Care Survey, please contact Gennith Johnson, associate director of Health Care Services, at 800-4982071, ext. 5681, or [email protected]; Monica Sampson, associate director of Health Care Services, at ext. 5686, or [email protected]; or Janet Brown, director of Health Care Services, at ext. 5679, or [email protected]. To learn more about resources for ASHA members working in health care, visit ASHA’s website at www.asha.org/slp/healthcare/. ASHA would like to thank the SLPs who completed the 2015 Health Care Survey. Reports like this one are only possible because people like you participate. Is this information valuable to you? If so, please accept invitations to participate in other ASHA-sponsored surveys and focus groups. You are the experts, and we rely on you to provide data to share with your fellow members. ASHA surveys benefit you. 6 ASHA SLP Health Care Survey 2015: Caseload Characteristics Report Appendix: State Listings and Data Tables 7 ASHA SLP Health Care Survey 2015: Caseload Characteristics Report Regions of the Country Northeast ♦ Middle Atlantic o New Jersey o New York o Pennsylvania ♦ New England o Connecticut o Maine o Massachusetts o New Hampshire o Rhode Island o Vermont South ♦ East South Central o Alabama o Kentucky o Mississippi o Tennessee ♦ South Atlantic o Delaware o District of Columbia o Florida o Georgia o Maryland o North Carolina o South Carolina o Virginia o West Virginia ♦ West South Central o Arkansas o Louisiana o Oklahoma o Texas Midwest ♦ East North Central o Illinois o Indiana o Michigan o Ohio o Wisconsin ♦ West North Central o Iowa o Kansas o Minnesota o Missouri o Nebraska o North Dakota o South Dakota West ♦ Mountain o Arizona o Colorado o Idaho o Montana o Nevada o New Mexico o Utah o Wyoming ♦ Pacific o Alaska o California o Hawaii o Oregon o Washington 8 ASHA SLP Health Care Survey 2015: Caseload Characteristics Report Table 1: Populations Served by Type of Facility 28. Of the time that you spend providing clinical services, approximately what percentage is spent with the following age groups? Total must equal 100%. (Percentages) Analyses limited to respondents who met the following criteria: v CCC-SLP v Employed full-time or part-time v Primarily clinical service provider General Home Outpatient Medical/VA/ Rehab Pediatric Health/ All Facility Response SNF Clinic/ LTAC Hospital Hospital Client’s Types Office Hospital Home (n = 196) (n = 133) (n = 64) (n = 348) (n = 299) (n = 426) (n = 1,526) Infant–toddler Mean Standard deviation 4.0 5.4 40.0 1.0 38.5 17.7 16.1 11.0 15.8 27.4 4.3 40.3 20.5 27.2 Statistical significance: F(5, 1459) = 117.4, p = .000 Conclusion: There is adequate evidence from the data to say that the means vary by type of facility. Preschool Mean Standard deviation 6.6 4.9 32.9 1.6 17.4 30.2 15.8 13.8 11.7 16.8 6.5 25.5 23.6 22.5 Statistical significance: F(5, 1459) = 118.0, p = .000 Conclusion: There is adequate evidence from the data to say that the means vary by type of facility. (Table 1 continues on next page.) 9 ASHA SLP Health Care Survey 2015: Caseload Characteristics Report Table 1 (Continued): Populations Served by Type of Facility 28 (cont’d). Of the time that you spend providing clinical services, approximately what percentage is spent with the following age groups? Total must equal 100%. (Percentages) Analyses limited to respondents who met the following criteria: v CCC-SLP v Employed full-time or part-time v Primarily clinical service provider General Home Outpatient Medical/VA/ Rehab Pediatric Health/ All Facility Response SNF Clinic/ LTAC Hospital Hospital Client’s Types Office Hospital Home (n = 196) (n = 133) (n = 64) (n = 348) (n = 299) (n = 426) (n = 1,526) School age Mean Standard deviation 4.6 8.8 25.8 2.9 11.8 29.8 14.5 10.8 18.3 22.1 11.2 22.0 25.6 22.9 Statistical significance: F(5, 1459) = 93.6, p = .000 Conclusion: There is adequate evidence from the data to say that the means vary by type of facility. Adult Mean 84.8 81.0 1.4 94.5 32.3 22.3 53.6 Standard deviation 27.8 33.5 3.6 14.9 44.7 35.2 46.1 Statistical significance: F(5, 1459) = 311.5, p = .000 Conclusion: There is adequate evidence from the data to say that the means vary by type of facility. 10 ASHA SLP Health Care Survey 2015: Caseload Characteristics Report Table 2: Adult Patients, Areas of Intervention 30. Of the time that you spend providing ADULT services, approximately what percentage is spent in the following areas? Total must equal 100%. (Percentages) Analyses limited to respondents who met the following criteria: v CCC-SLP v Employed full-time or part-time v Primarily clinical service provider General Outpatient Medical/VA/ Rehab Pediatric Home Health/ All Facility Response SNF Clinic/ LTAC Hospital Hospital Client’s Home Types Office Hospital (n = 180) (n = 104) (n = 10) (n = 337) (n = 119) (n = 193) (n = 970) AAC Mean 1.2 2.7 Standard deviation 2.6 6.0 n < 25 2.1 5.7 8.2 3.6 4.0 13.1 21.6 11.5 Statistical significance: F(5, 936) = 10.0, p = .000 Conclusion: There is adequate evidence from the data to say that the means vary by type of facility. Accent modification/communication effectiveness Mean 0.4 0.3 Standard deviation 1.6 1.9 n < 25 0.4 1.7 2.2 0.9 2.8 10.1 11.7 6.7 Statistical significance: F(5, 936) = 2.6, p = .026 Conclusion: There is adequate evidence from the data to say that the means vary by type of facility. (Table 2 continues on next page.) 11 ASHA SLP Health Care Survey 2015: Caseload Characteristics Report Table 2 (Continued): Adult Patients, Areas of Intervention 30 (cont’d). Of the time that you spend providing ADULT services, approximately what percentage is spent in the following areas? Total must equal 100%. (Percentages) Analyses limited to respondents who met the following criteria: v CCC-SLP v Employed full-time or part-time v Primarily clinical service provider General Outpatient Medical/VA/ Rehab Pediatric Home Health/ All Facility Response SNF Clinic/ LTAC Hospital Hospital Client’s Home Types Office Hospital (n = 180) (n = 104) (n = 10) (n = 337) (n = 119) (n = 193) (n = 970) Aphasia Mean 14.6 21.7 Standard deviation 11.4 13.2 n < 25 13.8 15.9 18.9 16.2 12.3 12.6 19.2 14.1 Statistical significance: F(5, 936) = 8.3, p = .000 Conclusion: There is adequate evidence from the data to say that the means vary by type of facility. Cognitive-communication: Dementia Mean 6.1 10.5 Standard deviation 9.5 14.9 n < 25 22.7 14.6 5.3 13.2 17.5 16.1 12.6 16.4 Statistical significance: F(5, 936) = 49.1, p = .000 Conclusion: There is adequate evidence from the data to say that the means vary by type of facility. (Table 2 continues on next page.) 12 ASHA SLP Health Care Survey 2015: Caseload Characteristics Report Table 2 (Continued): Adult Patients, Areas of Intervention 30 (cont’d). Of the time that you spend providing ADULT services, approximately what percentage is spent in the following areas? Total must equal 100%. (Percentages) Analyses limited to respondents who met the following criteria: v CCC-SLP v Employed full-time or part-time v Primarily clinical service provider General Outpatient Medical/VA/ Rehab Pediatric Home Health/ All Facility Response SNF Clinic/ LTAC Hospital Hospital Client’s Home Types Office Hospital (n = 180) (n = 104) (n = 10) (n = 337) (n = 119) (n = 193) (n = 970) Cognitive-communication: Traumatic brain injury Mean Standard deviation 7.8 16.8 14.8 17.2 n < 25 2.2 6.6 14.1 8.0 4.7 14.3 20.0 14.9 Statistical significance: F(5, 936) = 28.2, p = .000 Conclusion: There is adequate evidence from the data to say that the means vary by type of facility. Cognitive-communication: Other Mean 2.2 4.9 Standard deviation 5.2 10.5 n < 25 1.3 3.4 3.2 2.5 4.4 11.8 9.2 7.7 Statistical significance: F(5, 936) = 4.5, p = .000 Conclusion: There is adequate evidence from the data to say that the means vary by type of facility. (Table 2 continues on next page.) 13 ASHA SLP Health Care Survey 2015: Caseload Characteristics Report Table 2 (Continued): Adult Patients, Areas of Intervention 30 (cont’d). Of the time that you spend providing ADULT services, approximately what percentage is spent in the following areas? Total must equal 100%. (Percentages) Analyses limited to respondents who met the following criteria: v CCC-SLP v Employed full-time or part-time v Primarily clinical service provider General Outpatient Medical/VA/ Rehab Pediatric Home Health/ All Facility Response SNF Clinic/ LTAC Hospital Hospital Client’s Home Types Office Hospital (n = 180) (n = 104) (n = 10) (n = 337) (n = 119) (n = 193) (n = 970) Motor speech Mean 7.1 10.1 Standard deviation 9.8 8.8 n < 25 5.7 10.1 9.6 8.0 6.6 14.9 13.2 11.0 Statistical significance: F(5, 936) = 8.2, p = .000 Conclusion: There is adequate evidence from the data to say that the means vary by type of facility. Swallowing Mean 55.3 28.0 Standard deviation 24.6 21.3 n < 25 49.2 35.1 23.2 40.8 21.3 20.3 24.8 25.7 Statistical significance: F(5, 936) = 55.0, p = .000 Conclusion: There is adequate evidence from the data to say that the means vary by type of facility. (Table 2 continues on next page.) 14 ASHA SLP Health Care Survey 2015: Caseload Characteristics Report Table 2 (Continued): Adult Patients, Areas of Intervention 30 (cont’d). Of the time that you spend providing ADULT services, approximately what percentage is spent in the following areas? Total must equal 100%. (Percentages) Analyses limited to respondents who met the following criteria: v CCC-SLP v Employed full-time or part-time v Primarily clinical service provider General Outpatient Medical/VA/ Rehab Pediatric Home Health/ All Facility Response SNF Clinic/ LTAC Hospital Hospital Client’s Home Types Office Hospital (n = 180) (n = 104) (n = 10) (n = 337) (n = 119) (n = 193) (n = 970) Voice/resonance Mean 4.8 4.8 Standard deviation 8.0 6.7 n < 25 2.7 5.1 11.5 5.4 4.3 6.0 20.5 11.1 Statistical significance: F(5, 936) = 16.7, p = .000 Conclusion: There is adequate evidence from the data to say that the means vary by type of facility. Other Mean 0.4 0.3 Standard deviation 3.2 1.2 n < 25 0.1 1.7 3.9 1.3 0.7 10.8 16.6 9.7 Statistical significance: F(5, 936) = 10.0, p = .000 Conclusion: There is adequate evidence from the data to say that the means vary by type of facility. 15 ASHA SLP Health Care Survey 2015: Caseload Characteristics Report Table 3: Pediatric Patients, Areas of Intervention 29. Of the time that you spend providing PEDIATRIC services, approximately what percentage is spent in the following areas? Total must equal 100%. (Percentages) Analyses limited to respondents who met the following criteria: v CCC-SLP v Employed full-time or part-time v Primarily clinical service provider General Home Outpatient Medical/VA/ Rehab Pediatric Health/ All Facility Response SNF Clinic/ LTAC Hospital Hospital Client’s Types Office Hospital Home (n = 78) (n = 52) (n = 65) (n = 80) (n = 214) (n = 381) (n = 909) Articulation-phonology Mean 21.6 21.0 17.1 22.8 20.0 23.9 21.9 Standard deviation 23.5 29.1 17.6 22.2 19.0 19.0 20.2 Statistical significance: F(5, 862) = 1.9, p = .095 Conclusion: There is not enough evidence from the data to say that the responses vary by type of facility. Augmentative and alternative communication (AAC) Mean 1.8 4.8 6.0 6.1 4.9 5.5 5.0 Standard deviation 4.2 8.8 15.4 16.5 8.0 11.5 10.9 Statistical significance: F(5, 862) = 1.7, p = .127 Conclusion: There is not enough evidence from the data to say that the responses vary by type of facility. (Table 3 continues on next page.) 16 ASHA SLP Health Care Survey 2015: Caseload Characteristics Report Table 3 (Continued): Pediatric Patients, Areas of Intervention 29 (cont’d). Of the time that you spend providing PEDIATRIC services, approximately what percentage is spent in the following areas? Total must equal 100%. (Percentages) Analyses limited to respondents who met the following criteria: v CCC-SLP v Employed full-time or part-time v Primarily clinical service provider General Home Outpatient Medical/VA/ Rehab Pediatric Health/ All Facility Response SNF Clinic/ LTAC Hospital Hospital Client’s Types Office Hospital Home (n = 78) (n = 52) (n = 65) (n = 80) (n = 214) (n = 381) (n = 909) Autism spectrum disorder Mean 10.6 16.4 10.4 12.4 15.3 19.5 16.4 Standard deviation 16.3 24.5 13.0 22.4 17.3 20.0 19.2 Statistical significance: F(5, 862) = 5.6, p = .000 Conclusion: There is adequate evidence from the data to say that the means vary by type of facility. Cognitive-communication Mean 12.3 13.0 8.7 9.4 8.1 6.9 8.4 Standard deviation 22.1 25.7 18.7 19.0 11.5 15.4 16.8 Statistical significance: F(5, 862) = 2.3, p = .041 Conclusion: There is adequate evidence from the data to say that the means vary by type of facility. (Table 3 continues on next page.) 17 ASHA SLP Health Care Survey 2015: Caseload Characteristics Report Table 3 (Continued): Pediatric Patients, Areas of Intervention 29 (cont’d). Of the time that you spend providing PEDIATRIC services, approximately what percentage is spent in the following areas? Total must equal 100%. (Percentages) Analyses limited to respondents who met the following criteria: v CCC-SLP v Employed full-time or part-time v Primarily clinical service provider General Home Outpatient Medical/VA/ Rehab Pediatric Health/ All Facility Response SNF Clinic/ LTAC Hospital Hospital Client’s Types Office Hospital Home (n = 78) (n = 52) (n = 65) (n = 80) (n = 214) (n = 381) (n = 909) Fluency Mean 2.1 6.0 5.6 10.5 1.4 3.5 3.7 Standard deviation 5.1 15.5 18.1 29.0 5.1 7.8 12.3 Statistical significance: F(5, 862) = 7.3, p = .000 Conclusion: There is adequate evidence from the data to say that the means vary by type of facility. Language Mean 24.7 20.0 14.5 27.5 35.1 28.9 28.6 Standard deviation 22.8 19.7 15.1 27.1 22.6 19.4 21.8 Statistical significance: F(5, 862) = 12.2, p = .000 Conclusion: There is adequate evidence from the data to say that the means vary by type of facility. (Table 3 continues on next page.) 18 ASHA SLP Health Care Survey 2015: Caseload Characteristics Report Table 3 (Continued): Pediatric Patients, Areas of Intervention 29 (cont’d). Of the time that you spend providing PEDIATRIC services, approximately what percentage is spent in the following areas? Total must equal 100%. (Percentages) Analyses limited to respondents who met the following criteria: v CCC-SLP v Employed full-time or part-time v Primarily clinical service provider General Home Outpatient Medical/VA/ Rehab Pediatric Health/ All Facility Response SNF Clinic/ LTAC Hospital Hospital Client’s Types Office Hospital Home (n = 78) (n = 52) (n = 65) (n = 80) (n = 214) (n = 381) (n = 909) Swallowing and feeding Mean 23.3 16.9 31.4 10.3 14.0 7.5 12.9 Standard deviation 33.2 26.5 35.0 17.1 21.8 15.4 22.7 Statistical significance: F(5, 862) = 18.2, p = .000 Conclusion: There is adequate evidence from the data to say that the means vary by type of facility. Voice/resonance Mean Standard deviation 3.4 2.0 4.3 0.9 0.3 2.9 2.1 10.0 3.7 11.8 2.5 1.6 12.7 9.4 Statistical significance: F(5, 862) = 3.2, p = .008 Conclusion: There is adequate evidence from the data to say that the means vary by type of facility. (Table 3 continues on next page.) 19 ASHA SLP Health Care Survey 2015: Caseload Characteristics Report Table 3 (Continued): Pediatric Patients, Areas of Intervention 29 (cont’d). Of the time that you spend providing PEDIATRIC services, approximately what percentage is spent in the following areas? Total must equal 100%. (Percentages) Analyses limited to respondents who met the following criteria: v CCC-SLP v Employed full-time or part-time v Primarily clinical service provider General Home Outpatient Medical/VA/ Rehab Pediatric Health/ All Facility Response SNF Clinic/ LTAC Hospital Hospital Client’s Types Office Hospital Home (n = 78) (n = 52) (n = 65) (n = 80) (n = 214) (n = 381) (n = 909) Other Mean 0.2 0.0 2.1 0.0 0.8 1.5 1.1 Standard deviation 4.5 0.0 9.0 0.0 6.3 9.5 7.9 Statistical significance: F(5, 862) = 1.2, p = .288 Conclusion: There is not enough evidence from the data to say that the responses vary by type of facility. 8/18/15 20