Implementing tele-rehabilitation for eligible speech pathology clients in a community rehabilitation setting: A process analysis

Ms Ricci Presser1, Ms Andrea  Williams1, Ms  Gabrielle  Writer1, Ms Robyn Fergus1

1MonashHealth, Melbourne, Australia



To understand the barriers and facilitators to implementing tele-rehabilitation as a service delivery option for eligible speech pathology Rehabilitation in the Home (RITH) clients


An informal literature review and scoping review was completed to investigate the project feasibility. This initiative gained management and executive support. A project plan was developed using the Safer Care Victoria Project Improvement template. The project plan detailed the strategy for engagement during implementation, including: people; systems and processes; culture; and drivers and teachings. A barrier analysis identifying areas of potential challenge was conducted within the project plan.


The project is in the establishment and trial phase. A compare and contrast analysis of themes identified in the project plan barrier analysis and those experienced during project implementation will be undertaken. Preliminary results reveal both anticipated and unanticipated challenges during implementation. Key barriers identified include staff turnover and lack of a standardised, formal training process. Potential solutions to overcoming these challenges will be discussed.

Significance of the findings to allied health:

Community Rehabilitation faces escalating growth and demand with increasing complexity of clients. Clinician EFT has not increased, resulting in a service gap. As such, clients are not receiving the recommended intensity of intervention. Tele-rehabilitation allows speech pathologists to service eligible clients remotely, decreasing travel time and cost whilst increasing intensity. The findings of this process analysis will assist other services in implementing tele-rehabilitation with speech pathology clients.


Ricci Presser is passionate about providing innovative and creative rehabilitation solutions for clients in the community. She holds a Clinical Lead role and is chair of the Neuro Special Interest Group at Monash Health, in Community Rehabilitation. She has presented this innovative work at several conferences.