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

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3/10/2015  |   9:40 AM - 10:10 AM   |  A Multipronged Approach for Including Quality Improvement Initiatives in the Daily Life of an EHDI Program   |  Beckham   |  9

A Multipronged Approach for Including Quality Improvement Initiatives in the Daily Life of an EHDI Program

The focus of EHDI programs nationwide is on quality improvement methodology aimed at reducing loss to follow up in screening, diagnosis of permanent hearing loss and entrance into early intervention services. Plan, Do, Study Act (PDSA) cycles are an effective tool in implementing and assessing small tests of change. Data driven quality improvement initiatives can be successfully integrated into the daily life of EHDI programs. The Vermont Early Hearing Detection and Intervention Program (VTEHDI) is part of a fully integrated data base system at the Vermont Department of Health that includes electronic birth records, electronic death records, immunizations, lead, newborn screening and newborn hearing screening. The following presentation includes multiple examples of successful PDSA cycles that have been effectively implemented, integrated and adopted into the day to day business of the VTEHDI program. Additionally this presentation will include examples of challenging PDSA cycles that led to changes in our quality improvement initiatives or were abandoned in lieu of more effective tests of change. Our program uses a multipronged approach to reducing loss to follow up for screening, diagnosis and entrance into early intervention. Evaluation and measurement of quality improvement initiatives are critical in identifying successful methods of improving EHDI programs nationwide. Our program currently uses a combination of quantitative and qualitative approaches when assessing quality improvement. Quantitative methods answer the question on how successful the test of change is from a data perspective in meeting the JCIH 1, 3, 6 goals. Qualitative methodology is often used to understand the “why” behind the data improvement. Finally this presentation will include evaluation and measurement examples currently used by VTEHDI.

  • Describe examples of PDSA Cycles that can be implemented in EHDI programs.
  • Describe how quality improvement initiatives can be measured and evaluated.

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Presenters/Authors

Linda Hazard (Primary Presenter,Co-Presenter,POC), 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.


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Stacy Jordan (Co-Presenter), 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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Nonfinancial -