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

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3/09/2015  |   2:30 PM - 3:00 PM   |  Reducing Lost to Follow-up: It Takes a Village Establishing Otoacoustic Emissions Screening in 10 Pediatric Offices   |  Breathitt   |  1

Reducing Lost to Follow-up: It Takes a Village Establishing Otoacoustic Emissions Screening in 10 Pediatric Offices

In Vermont and nationally, newborn hearing screening has been provided, monitored and tracked for many years. All Early Hearing Detection and Intervention (EHDI) programs strive to achieve these common goals: screen by one month, diagnose by three months, and enrollment in early intervention by six months. For many years Vermont has successfully screened over 90% of our births. What we are still working deligently on is decreasing our lost to follow-up after hosptial discharge. Over the years we have used various strategies and community partners to help screen and rescreen our newborns as outpatients. Initially these were provided by the birth hospitals or by a local audiologist in the community. Even with these services being offered families still did not follow through with scheduling and/or attending ouptatient screening appointments. Our EHDI program launched a PCP pilot project in 2011 to bring Otoacoustic Emission (OAE) screening equipment to 10 pediatric practices state-wide. Our goal was to decrease our lost to follow-up by having hearing screenings offered during routine appointments. This presentation will share the successes and challenges of working with pediatric practices. We will share our approach to training, on-going support both technical and clinical as well as feedback from these pilot practices from a satisfaction survey. We anticipate the information shared in this presentation to be helpful to states interested in expanding community partnerships in delivering outpatient hearing screenings. This informaton will also be helpful to medical providers looking to add hearing screening to the services they offer in the medical home.

  • Describe different approaches to training community providers to provide newborn and early childhood screenings in their practices.
  • Explain how pilot practices were determined in order to capture the lost to follow-up and high risk populations in Vermont

Presentation:
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Presenters/Authors

Stacy Jordan (Primary Presenter,POC), VTEHDI, Stacy.Jordan@partner.vermont.gov ;
Stacy Jordan is an audiologist and has been involved in various aspects of Early Hearing Detection and Intervention (EHDI) since 2001. Her experiences range from establishing and managing a hospital-based screening program, clinical work for a state-wide public health program screening children birth-eight years old, data base development, implementation and training, as well as education, training and collaboration with various community partners (Early Head Start, pediatric primary care, home birth midwives, hospitals, audiologist and Early Intervention). Employed by the University of Vermont Medical Center and contracted to the department of health Family and Child Health Division. She has worked on various projects with NCHAM over the years: Early Childhood Hearing Outreach (ECHO), Newborn Hearing Screening Training Curriculum (NHSTC), Virtual Site Visit (VSV), Cytomegalovirus (CMV) Conference planning and host site and others.


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Linda Hazard (Co-Presenter), Vermont Department of Health, linda.hazard@partner.vermont.gov;
Linda Hazard is the Program Director for the Vermont Early Hearing Detection and Intervention Program and the Deaf and Hard of Hearing and Deaf Blind Educational Services Program. She has a masters degree in Audiology and a doctorate in Educational Leadership and Social Policy. Linda is currently the Past Co-President of DSHPSHWA and serves on two Governor appointed boards in Vermont. Prior to coming to VTEHDI Linda was the Director of Audiology and the Cochlear Implant Program for the University of Vermont Medical Center. Additionally she worked for Cochlear Americas in clinical research and Advanced Bionics in Education and Training.


ASHA DISCLOSURE:

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