15th ANNUAL EARLY HEARING DETECTION & INTERVENTION MEETING
March 13-15, 2016 • San Diego, CA
3/15/2016 | 3:45 PM - 4:15 PM | Topical Session 8 | Towne/Esquire | 5 - Medical Home
Pediatricians' Reports of Hearing Screening on Early Childhood Health Assessment Records
This pilot project was designed to assess the value of Early Childhood Health Assessment Records (records) as a communication tool for parents, medical homes and early care and education sites. The Connecticut Office of Early Childhood requires licensed childcare and preschool programs to have a completed record on file for every child in their care. The record solicits critical child health information from parents and child health providers. When completed properly, the record is a useful for sharing health information among health providers, parents and childcare and preschool providers. Sharing of hearing screening information across sites allows providers from both sites to engage with parents in planning for and monitoring of hearing health. Most importantly, the records ensure that parents contribute and have access to important information. We developed a computer-based system for data entry, reporting, and monitoring of the records. Using the database, forty-one childcare and preschool programs from eight Connecticut communities submitted de-identified records (n=2,630) to us for data analysis. We analyzed physician-completion rates for several pieces of health information, including hearing screening for children ages four and older, as recommended by the American Academy of Pediatrics. We found that of the 1,672 records for children four and older, only 598 (36%) had the hearing screening information completed. About half (334, 56%) of the 598 records with any hearing information noted the practice was “unable to assess hearing.” This session will discuss the implications of these findings for the state ECHO efforts and other hearing screening opportunities.
- analyze their role in transmitting hearing screening information to early care and education providers
- improve their completion of hearing screening information for early care and education providers
- develop practice protocols for completion and transmission of health data to early care and education sites
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Presenters/Authors
Lisa Honigfeld
(Primary Presenter), Child Health and Development Institute, honigfeld@uchc.edu;
Lisa Honigfeld directs CHDI’s efforts to strengthen pediatric primary and preventive care. Her responsibilities include work designed to test innovations in child health services delivery, policy and systems. Lisa has more than 25 years of experience working in child health organizations, such as the American Academy of Pediatrics, Saint Francis Hospital in Hartford and ProHealth Physician. She serves on several statewide committees related to medical home, care for children with special health care needs, family support, pediatric training and quality improvement. Her work focuses on: care coordination, developmental screening, the interface between primary care and community and services, and expanding the capacity of pediatric primary care to address mental health issues. Lisa has a BA in sociology from the University of Massachusetts and an MA and PhD, both in sociology, from the University of Chicago. She holds a faculty appointment in Pediatrics at the University of Connecticut School of Medicine.
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No relevant financial relationship exist.
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Dorothy Wakefield
(Author), University of Connecticut, dwakefield@uchc.edu;
Dorothy Wakefield, MS, PStat® is a research associate in Center for Public Health and Health Policy at UConn Health and has served as a project statistician in different capacities since 1998. She has contributed significant work for many research projects using her expertise in biostatistics and data management.
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Susan Macary
(Author), Child Health and Development Institute, macary@uchc.edu;
Susan Macary is the Senior Associate for Health Initiatives at the Child Health and Development Institute of Connecticut (CHDI). She coordinates work related to the integration of health and mental health care in settings where young children are served, primarily in pediatric practices and in early care and education sites. Prior to joining CHDI, Susan’s work focused on health, social, and community-based research and grant writing related to maternal, child, and Medicaid projects. Susan earned a Master of Public Health degree at the University of Minnesota. She enjoys spending time with her husband and two daughters.
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