18th ANNUAL EARLY HEARING DETECTION & INTERVENTION MEETING
March 3-5, 2019 • Chicago, IL

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4/14/2014  |   11:05 AM - 11:35 AM   |  Meeting the Needs of Physicians in Support of EHDI   |  Grand Ballroom 7   |  5

Meeting the Needs of Physicians in Support of EHDI

Although approximately 95% of infants are screened for hearing loss, up to one third of infants in some states are “lost to follow up”. A system perspective is needed to address this problem, focusing on the roles of key partners, such as the medical home. Strong medical home involvement is one of the keys to having an effective EHDI system. An investigation of the knowledge, skills, and practices of the medical home in regard to EHDI was conducted with physicians across the country in 2006. At that time, physicians reported a lack of confidence in discussing follow-up procedures and intervention needs with families, and important gaps in knowledge were revealed. To gauge progress made in improving the knowledge, attitudes, and practices of medical home providers, the National Center for Hearing Assessment and Management and Boy’s Town National Research Hospital conducted a survey in 2012-2013 with primary care providers and otolaryngologists across 24 states. Results reflected some positive changes, such as making referrals to appropriate specialists. Other aspects reflect little or no change, such as a continued perceived lack of preparation to meet the needs of infants with hearing loss and a limited knowledge about risks associated with hearing loss. Although close to 25% of physicians reported performing hearing screening in their offices, few used of objective screening methods, such as otoacoustic emissions. This presentation will discuss findings from this recent survey, sharing aggregate results from 24 states. Ways in which these results can guide EHDI training, technical assistance, and outreach activities for medical home providers will be offered, along with opportunities for obtaining participant recommendations. New resources available for supporting the medical home will be shared.

  • Describe the current knowledge and opinions of physicians throughout the country regarding EHDI.
  • Identify the training needs of physicians regarding EHDI.
  • Learn about strategies for building partnerships with physicians serving as a medical home and the EHDI system.

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Presenters/Authors

Karl White (Primary Presenter,Author), Utah State University, karl.white@usu.edu;
Dr. White is a Professor of Psychology, the Emma Eccles Jones Endowed Chair in Early Childhood Education, and the founding Director of the National Center for Hearing Assessment and Management. He has been the PI or Co-PI for over $50 million of competitively awarded research. His work has been recognized with awards from such diverse organizations as the Deafness Research Foundation, the American Association for Speech Language and Hearing, The Swedish Society of Medicine, and the Alexander Graham Bell Association for the Deaf. He has hundreds of publications and presentations at scholarly meetings, and has been an invited speaker to more than 35 countries. He also serves on many national and international advisory groups for organizations such as the United States Department of Health and Human Services, the World Health Organization, the Institute of Medicine, and the American Academy of Pediatrics.


ASHA DISCLOSURE:

Financial -
No relevant financial relationship exist.

Nonfinancial -
No relevant nonfinancial relationship exist.

Diane Behl (Co-Presenter,Author,POC), NCHAM, diane.behl@usu.edu;
Diane Behl is a Senior Faculty member at the National Center for Hearing Assessment and Management. She facilitates telehealth learning communities and is a co-investigator for cost-effectiveness studies. She has expertise in evaluating the effectiveness of service coordination provided via Part C Early Intervention and Maternal and Child Health programs. Diane was a primary researcher on the EI SNAPSHOT study.


ASHA DISCLOSURE:

Financial -

Nonfinancial -

Rachel St John (Co-Presenter), UT Southwestern Medical Center, Rachel.StJohn@UTSouthwestern.edu;
Rachel St. John is a board-certified pediatrician, and a NIC-Advanced certified sign language interpreter through RID. She received her BS degree in psychology at George Mason University, completed her MD degree at the University of Virginia School of Medicine, and then jointly attended Georgetown University Hospital for her residency in pediatrics and Gallaudet University for her MA degree in counseling. Dr. St. John is the director of the Family-Focused Center for Deaf and Hard of Hearing Children at Children’s Medical Center Dallas/UT Southwestern Medical Center. The FFC provides support for families to make informed decisions regarding their child who is deaf/hard of hearing, as well as provides education and collaborative support to providers caring for these patients in keeping with national standards. She also currently serves as an American Academy of Pediatrics representative to the Joint Committee on Infant Hearing.


ASHA DISCLOSURE:

Financial -
No relevant financial relationship exist.

Nonfinancial -
No relevant nonfinancial relationship exist.

Mary Pat Moeller (Co-Presenter,Author), Director, Center for Childhood Deafness, Language & Learning at Boys Town National Research Hospital , marypat.moeller@boystown.org;
Mary Pat Moeller, Ph.D. is the former Director of the Center for Childhood Deafness, Language & Learning and the Language Development Laboratory at Boys Town National Research Hospital in Omaha, Nebraska. Her research explores factors influencing the outcomes of children who are deaf or hard of hearing. She was co-principal investigator with J. Bruce Tomblin of an NIH-funded, prospective, multi-site, longitudinal study of spoken language development in children who are hard of hearing. Dr. Moeller conducted NIH-funded health communication research related to Newborn Hearing Screening and early intervention. She and her colleagues at Boys Town National Research Hospital developed parallel websites (www.babyhearing.org and www.audiciondelbebe.org) as part of their efforts to disseminate information on early identification. Dr. Moeller has published and lectured internationally on topics related to developmental outcomes and early intervention practices for children who are deaf or hard of hearing.


ASHA DISCLOSURE:

Financial -

Nonfinancial -