2024 Early Hearing Detection & Intervention Conference
March 17-19, 2024 • Denver, CO
3/15/2022 | 12:00 PM - 12:25 PM | Reducing loss to follow-up using an interdisciplinary approach to training | Room 11
Reducing loss to follow-up using an interdisciplinary approach to training
As states continue to follow the CDC 1-3-6 guidelines for EHDI programs, loss to follow-up (LFU) and loss to documentation (LTD) remain key obstacles to ensuring timely intervention for childhood hearing loss. Data from the CDC indicates that while 98.4% of newborns were screened for hearing loss in 2019, 27.5% of newborns who did not pass a hearing screening were considered LFU/LTD, and 19.1% of children who received a diagnosis of hearing loss were considered LFU/LTD (CDC 2019).
A survey distributed among licensed audiologists in Oklahoma in 2018 indicated many audiologists were unclear as to the full scope of EHDI programs as well as their own roles in the EHDI process. Incomplete understanding of required reporting protocols and timelines are thought to contribute to at least some component of children who are LFU/LTD. To address this knowledge gap, a novel, interdisciplinary approach to training was developed for the purpose of educating audiologists on their roles in the EHDI process, regardless of the frequency with which they serve pediatric patients. This approach involves utilizing the expertise of multiple stakeholders in EHDI systems, including families of children with hearing loss, to ensure the needs of each are adequately met and understood. As a secondary goal, the team-based approach was intended to model and highlight the necessity of interdisciplinary collaboration in the EHDI programs.
This talk will describe the process used to co-develop this training in partnership with EHDI state program coordinators, audiologists, early intervention specialists, and families. It will additionally provide a model for reproducing this process in other states.
- List 3 examples of potential questions to ask local audiologists regarding their experience in the EHDI system of care.
- Summarize the proposed model for gaining various interdisciplinary perspectives to include in an EHDI audiology training.
- Identify one potential avenue for inclusion of the family perspective in an EHDI audiology training.
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Presenters/Authors
Deborah Earley
(Co-Presenter,Co-Author), OSDH, DebbieE@health.ok.gov;
Debbie Earley has been an Oklahoma licensed audiologist for 35 years, with experience with a strong focus on pediatric audiology for 20 years. She currently is the Program Manager of Oklahoma’s Pediatric Audiology Program for the Oklahoma State Department of Health. She is passionate about public health and ensuring everyone and their families have access to quality audiology services no matter where they live in Oklahoma. She has been President of the Oklahoma Speech Language and Hearing Association (OSHA), the Chair of Oklahoma’s Board of Examiners for Speech Language Pathology and Audiology, Oklahoma’s representative for the American Speech Language and Hearing Association’s Audiology Advisory Council. In 2017, she received OSHA’s prestigious Honors of the Association Award.
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Patricia Burk
(Co-Presenter,Author), Oklahoma State Department of Health, PatriciaAB@health.ok.gov;
Patricia Burk, is the EHDI Coordinator for the Newborn Hearing Screening Program at the Oklahoma State Department of Health. Patricia helps to promote early identification, diagnosis, and amplification of children with hearing loss throughout the State of Oklahoma. She also facilitates the Oklahoma Audiology Taskforce to address pediatric audiology initiatives across the state. Patricia holds a Masters in Speech-Language Pathology from the University of Oklahoma Health Sciences Center. Patricia is internationally certificated as a Listening and Spoken Language Specialist, Certified Auditory-Verbal Therapist. She has experience as a Speech-Language Pathologist working with children and adults who have hearing loss. Patricia is a Quality Improvement Advisor for the National Center for Hearing Assessment and Management and currently serves on the Joint Committee on Infant Hearing as a representative for the Directors of Speech and Hearing Programs of State Health and Welfare Agencies.
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Haley Kuck
(Primary Presenter,Co-Presenter,Author), University of Oklahoma Health Sciences Center, haley-kuck@ouhsc.edu;
Haley Kuck is an audiology graduate student at the University of Oklahoma Health Sciences Center. She received her Bachelor’s degree in Communication Sciences and Disorders from the University of Oklahoma in 2019. She is a 2021 graduate of the Oklahoma Leadership Education in Neurodevelopmental Disabilities (LEND) program. She is passionate about partnering with patients and their families to ensure they receive the highest quality hearing healthcare.
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Renee Powell
(Co-Author), Oklahoma Family Network, renee-powell@oklahomafamilynetwork.org;
Renee Powell has been helping families with children with hearing loss at Oklahoma Family Network for three and a half years. She is the mother of two sons, Emerson age 10 and Nolan age 6. Nolan is hard of hearing and wears hearing aids. She assists families with various resources including hearing aid assistance, American Sign Language (ASL), early intervention information, and connecting families to other families with hearing loss. She partners with the Oklahoma School for the Deaf to host monthly “Silent(ish) Zooms” where families of children with hearing loss practice ASL in a judgement free environment. Renee obtained her Bachelor of Science in Biological Sciences from the University of Tulsa and her Master of Public Health in Epidemiology from the University of Oklahoma Health Sciences Center. She served as an epidemiologist for the Oklahoma State Department of Health in the Acute Disease Service (2004-2011) and Screening and Special Services (2011-2013). She served as a Clinical Outcomes Analyst for the Oklahoma Healthcare Authority from 2013-2014.
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Mary Hudson
(Author,Co-Author), University of Oklahoma Health Sciences Center, mary-a-hudson@ouhsc.edu;
Mary A. Hudson, PhD, CCC-A is an Associate Professor at the University of Oklahoma Health Sciences Center (OUHSC) in Oklahoma City, OK. She is the program coordinator for the OUHSC Doctor of Audiology (AuD) program and the Core Faculty Mentor in Audiology for the Oklahoma Leadership Education in Neurodevelopmental and Related Disabilities (OKLEND) program.
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