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

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3/09/2015  |   11:05 AM - 11:35 AM   |  EHDI System Self-Assessment using JCIH Early Intervention Recommendations: A Foundation for Continuous Improvement   |  Caroll Ford   |  9

EHDI System Self-Assessment using JCIH Early Intervention Recommendations: A Foundation for Continuous Improvement

EHDI partners and programs are committed to implementing continuous quality improvement, yet may have difficulty prioritizing where to start or how to define and measure the various dimensions of quality that improve EHDI early intervention systems. In 2013, the Joint Committee on Infant Hearing utilized literature searches, existing systematic reviews, and professional consensus statements to develop general criteria for best practices in early intervention for children who are deaf and hard of hearing (Supplement to the JCIH 2007 Position Statement: Principles and Guidelines for Early Intervention After Confirmation That a Child Is Deaf or Hard of Hearing). Although these guidelines describe best practices in early intervention, they do not specify the exact means to identify where an organization might be in terms of achievement nor do they guide the stages of moving toward higher levels of quality. The ongoing use of an EHDI system self-assessment can provide a tangible means of guiding the quality drive and align partners in EHDI system improvement. This presentation will identify how state EHDI partners can collaboratively use self-assessment as a mechanism to evaluate their own systems and guide the development of quality improvement process to strengthen services delivered to children who are D/HH and their families. Presenters will share how Minnesota EHDI partners explored the use of self-assessment to identify strengths and areas where improvement is needed. Guidance from diverse state and national stakeholders regarding a recommended format of system self-assessment will be discussed. An additional purpose of this presentation is to gather qualitative input from participants about the value of assessing EHDI system progress towards JCIH goals and the prospect of creating a common self-assessment for use by other states.

  • Identify how state EHDI partners can collaboratively use self-assessment as a mechanism to evaluate their own systems and guide the development of quality improvement activities to strengthen services delivered to children who are D/HH and their families.
  • Discuss the value of assessing EHDI system progress towards JCIH goals.
  • Explain how EHDI partners in Minnesota tested the use of self-assessment to identify strengths and areas where improvement is needed.

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Presenters/Authors

Candace Lindow-Davies (Co-Presenter,Author,POC), Hands & Voices Headquarters, Candace@handsandvoices.org;
Candace is the mother of an adult son who is deaf plus other health concerns. For 16+ years, she developed and directed parent support services for MN Hands & Voices. May 2017, she became the Director of Outreach for Hands & Voices HQ and has served on the Core Management Team of the Family Leadership in Language in Learning or FL3 Center. She has developed materials for and provided technical assistance/training to family-based organizations in the US, US territories and China. She is passionate about supporting the needs of children/adults who are deaf/hh plus other health issues, creating health and employment equity, as well as ensuring families have access to adults who are deaf and hard of hearing. She is a Core Member of the Fostering Joy project, focusing on the joys of raising children who are D/HH.


ASHA DISCLOSURE:

Financial -
No relevant financial relationship exist.

Nonfinancial -
No relevant nonfinancial relationship exist.

Christine Yoshinaga-Itano (Co-Presenter), University of Colorado-Boulder, Christie.Yoshi@colorado.edu;
Dr. Christine Yoshinaga-Itano is a Research Professor, Institute of Cognitive Science, Professor Emerita, Department of Speech, Language & Hearing Sciences, at the University of Colorado, Boulder, and Visiting Professor, University of Witwatersrand, South Africa, Centre for Deaf. She has over 125 published articles and chapters with a focus on universal newborn hearing screening and predictors of developmental outcomes of children with hearing loss with an emphasis on children and families from multicultural/linguistic backgrounds, and those with socio-economic and linguistic challenges. She presented on this topic throughout the United States and globally. She received Honors from the American Speech/Language & Hearing Association and was a Jerger Career Research Awardee from the American Academy of Audiology. She serves as an Associate Editor for the International Journal of Audiology and is a member of the Audiology committee for the International Association of Communication Sciences and Disorders (IALP).


ASHA DISCLOSURE:

Financial -
No relevant financial relationship exist.

Nonfinancial -
No relevant nonfinancial relationship exist.

Nicole Brown (Co-Presenter,Author,POC), Minnesota Dept of Health, nicole.brown@state.mn.us;
Nicole Brown is a certified pediatric nurse practitioner and has worked in Minnesota’s Maternal and Child Health/Public Health field for over 19 years at both the state and local level. She is the supervisor for Newborn Screening long-term follow-up and is Minnesota’s EHDI Coordinator responsible to provide long-range planning and direction for the development, implementation, and evaluation of a statewide EHDI system for children once they are identified with hearing loss. Nicole served as the National Association of Pediatric Nurse Practitioners’ liaison to the American Academy of Pediatrics Task Force on Improving the Effectiveness of Newborn Hearing Screening, Diagnosis, and Intervention. She has worked with NCHAM as Quality Improvement Advisor and is the parent of two children who are deaf.


ASHA DISCLOSURE:

Financial -
No relevant financial relationship exist.

Nonfinancial -
No relevant nonfinancial relationship exist.

Diane Behl (Co-Presenter), 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 -

Alyson Ward (Co-Presenter), NCHAM, alyson.ward@usu.edu;
Ms. Ward earned a MS in Health Education in 2008 through Utah State University and became a certified as a Quality Improvement Advisor by the Institute for Healthcare Improvement in 2015. For the past 15 years, her career efforts have demonstrated commitment to improving public health through health promotion, education, research, policy development, evaluation, and grant development from the community to national levels. Ms. Ward’s positions and interests provide her with broad and valuable experiences in public health. Currently, Ms. Ward is engaged in learning systems development (e.g., coalitions, learning communities, and collaboratives) and children’s health research (e.g., environmental, viral, and genetic factors) as the Director of Quality Improvement at the National Center for Hearing Assessment and Management, an MCHB-funded technical assistance center. She is also the project coordinator of the CMV (cytomegalovirus) Public Health and Policy Conference and serves on the board of the National CMV Foundation.


ASHA DISCLOSURE:

Financial -
No relevant financial relationship exist.

Nonfinancial -
No relevant nonfinancial relationship exist.