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ABSTRACT INFORMATION
Presenter Information:
Presenter 1: Name: Hallie Morrow

Affiliation: California Department of Health Care Services

Hallie W. Morrow, M.D., M.P.H., has been a program medical consultant with the California Department of Health Care Services, Children’s Medical Services Branch since 1997. She is responsible for the development and implementation of the California Newborn Hearing Screening Program, including program standards, outreach materials, and provider education efforts. She received her bachelor of arts degree in biology, summa cum laude, from Washington University, graduated from Tulane University School of Medicine, and earned her Master’s of Public Health in Epidemiology from the University of California, Berkeley. She is board certified in Pediatrics and was in clinical pediatric practice for six years with The Permanente Medical Group, Inc. in Northern California. Dr. Morrow has worked in Public Health administration since 1991. She served as the Maternal and Child Health Director for Solano County, California for six years before joining the California Department of Health Care Services.
Author Information:
Author 1: Name: Hallie Morrow
Affiliation: California Department of Health Care Services
Abstract Information:
Title: Small Changes Making Waves in California – Maintaining a Quality Improvement Collaborative over Time
Primary Track: 7-Program Evaluation and Quality Assurance
Keyword(s): Quality Improvement, Learning Collaborative

Abstract:

California was one of the initial eight states that participated in the National Initiative for Children’s Healthcare Quality (NICHQ) learning collaborative addressing early hearing detection and intervention. Due to the complexity of the health care delivery system in California and the enormity of the state’s size and population, the project focused on the Los Angeles area of Southern California. Though developed under the guidance of and facilitated with the help of the faculty from NICHQ from 2006 to the summer of 2007, the collaborative has evolved into a core group of dedicated partners that continues to meet by conference call every other week to discuss intervention activities, review data results, and brainstorm new ideas. Specific aims that impact the success of Early Hearing Detection and Intervention (EHDI) programs at all levels have been identified and will be discussed - reporting of primary care provider and additional family contact information, access to and completion of diagnostic evaluations, decreasing no-show rates for outpatient screening and diagnostic appointments, and improving language outcomes for infants and toddlers with hearing loss in early intervention. This session will also focus on the challenges associated with the long-term maintenance of a quality improvement learning collaborative. The presentation will cover stakeholder participation, the evolution of interventions, successes and failures, struggles with measurements, data collection, attempts to spread best practices, and outcomes related to the project’s aims. Innovative approaches and the development of physician education strategies will also be shared. Data over the life of the collaborative, which demonstrates the difficulty in maintaining the gains over time, will be reviewed.
Presentation(s): Not Available
Handouts: Not Available