Therapy Hub Clinical Audits (4 July) by Li Wen Yap

Done in AWWA

yapliwen — 2025-07-04 03:43:36 UTC

"Best-for-Now" Clinical Audit

yapliwen — 2025-07-04 03:51:30 UTC

Values Important to Us

yapliwen — 2025-07-04 03:52:15 UTC

Most number of audits in a year

yapliwen — 2025-07-04 07:15:16 UTC

2 / 6 / 3 / 6 / 2 / 4

Purpose of Clinical Audits

yapliwen — 2025-07-04 07:16:17 UTC

Quality of Care, Safety

Therapist Competency, Set Benchmark

Promotion / Performance Bonus / Grading

Informed 2-3/4 weeks in advance to prepare for audits.

yapliwen — 2025-07-04 07:39:12 UTC

Instances where auditors will suddenly request to change date and push it earlier. Feel stressed having to find cases.

Subjectivity of complexity and scoring of clinical audits

yapliwen — 2025-07-04 07:39:26 UTC

Feel that choice of case complexity should be lower in view that it affects appraisal vs learning

yapliwen — 2025-07-04 07:40:20 UTC

Unclear purpose and expectation of the audit

yapliwen — 2025-07-04 07:41:05 UTC

Coach/Nurture or Judge for Performance

Role of Auditors

Difficult to select clients of certain complexity or diagnostic group due to caseload in agency

yapliwen — 2025-07-04 07:41:46 UTC

Audit form too wordy

yapliwen — 2025-07-04 07:41:54 UTC

Option of coaching before audit

yapliwen — 2025-07-04 07:42:30 UTC

Feedback given was informative

yapliwen — 2025-07-04 07:42:57 UTC

Unclear criteria for scoring

yapliwen — 2025-07-04 07:43:44 UTC

Clear on preparation for clinical audits (briefing during inservice, emails, slots to book for)

yapliwen — 2025-07-04 07:44:36 UTC

Challenges finding cases for diagnostic specific audits at times. Can understand the need but could use more flexibility

yapliwen — 2025-07-04 07:45:12 UTC

Feels emotionally unsupported during prep "Will I die or won't die?" "Nurture or Shoot?"

yapliwen — 2025-07-04 07:47:02 UTC

Unclear instructions (expectations for audit, proximity of confirmation and annual; never share template; lack of briefing)

yapliwen — 2025-07-04 07:51:28 UTC

Non-Applicable Items in Audit Forms

yapliwen — 2025-07-04 07:51:38 UTC

Disparity of debrief and actual scoring

yapliwen — 2025-07-04 07:52:58 UTC

STRESS (3 auditors just observing, even TA and client also stress, everyone stressed) - not too close, propose to interject only during safety concerns*******

yapliwen — 2025-07-04 07:55:27 UTC

cos linked to performance bonus (must it be linked?)

Inter-rater reliability (different raters, unfamiliarity with raters affect experience, familiarity of rater with setting)

yapliwen — 2025-07-04 07:56:29 UTC

Snapshot of performance, not a true representative of actual performance

yapliwen — 2025-07-04 07:56:47 UTC

Discuss scoring during session to ensure alignment between auditor and auditee

yapliwen — 2025-07-04 07:59:11 UTC

Being compared to peer of same job grade during feedback which was shocking

yapliwen — 2025-07-04 08:00:15 UTC

Delivery of feedback (Unclear explanation on how to score better, nurturing?, disparity between feedback and actual scoring, timeliness)

yapliwen — 2025-07-04 08:00:48 UTC

Unclear about consequences of clinical audits

yapliwen — 2025-07-04 08:01:03 UTC

Appreciated positive and constructive feedback given in nurturing manner; prefer strength-based approach to deliver feedback

yapliwen — 2025-07-04 08:02:21 UTC

sandwich model

Need for timely feedback so auditee can understand what to work on; some were not immediate

yapliwen — 2025-07-04 08:04:54 UTC

Provide coaching after audit; follow-up by the auditor about the case

yapliwen — 2025-07-04 08:05:49 UTC

No structured follow-up post audit

yapliwen — 2025-07-04 08:07:10 UTC

Maybe have structure for follow-up, e.g. RO be informed and help to follow up