15th ANNUAL EARLY HEARING DETECTION & INTERVENTION MEETING
March 13-15, 2016 • San Diego, CA

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3/14/2016  |   2:00 PM - 2:30 PM   |  Topical Session 2   |  Tiki Pavilion   |  6 - Follow-up, Tracking and Data Management

Reducing Loss to Follow-Up/Documentionation in a Diagnositc Audiology Program for Nbhs Referrals

After establishing and enacting NBHS legislation in most states in the US we have achieved an excellent 98% screening rate. Of those that do not pass NBHS the loss to follow-up/documentation rate however remains high on average 32.2% but with variance from 0% to 86% among states. In Illinois the loss to follow-up/documentation rate was found to be one of the highest in the country in 2013. When establishing the Pediatric Early Hearing Detection and Intervention (PEHDI) program at Child’s Voice, a priority was to put in place protocols and procedures that would allow for a decrease in the loss the follow-up/documentation of those babies who referred on NBHS and follow-up screening and improve the timeliness to identification. Working closely with the contracted screening entities at the local birthing hospitals and having dedicated staffs who grasp the need for early identification and intervention, we have been able to establish a efficient protocol that has proven effective in our goal. This protocol has worked pre and post implementation of many affordable care act changes in our state and may be effective for spread to other states. The statistics bearing out the success will be presented. Also, easy to follow protocols and procedures which are ready for small tests of change by your quality improvement team will be given.

  • effectively reduce loss to follow-up
  • enhance communication with referring entities
  • establish diagnostic Audiologic protocols for infants who fail NBHS

Presentation:
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Handouts:
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CART:
CART transcripts are NOT YET available, but will be posted shortly after the conference


Presenters/Authors

Dawn Violetto (Primary Presenter), Child's Voice, dvioletto@childsvoice.org;
Dr. Dawn Violetto is Director of Audiology at Child's Voice, the premier listening and spoken language school in Northern Illinois and has over 20 years of experience in pediatric audiology. At Child's Voice, Dawn serves the children and families by performing many functions as both an educational and diagnostic audiologist and also serves as a preceptor for doctoral students. Dawn received her B.A. and M.A in Audiology from Northern Illinois University and her Doctorate in Audiology from Arizona school of Health Sciences at A. T. Still University. Dawn has served on the Illinois New Born Hearing Collaborative and was involved in introducing the ECHO program in the state. She currently serves on the Illinois New Born Hearing Advisory committee and the Illinois state SIAC Health Subcommitte Hearing Ad Hoc work group.

ASHA DISCLOSURE:

Financial - No relevant financial relationship exist.

Nonfinancial - No relevant nonfinancial relationship exist.


Ginger Mullin (Co-Presenter), IL EHDI, ginger.mullin@illinois.gov;
Dr. Mullin has a bachelors degree from the University of Northern Iowa and a masters degree in Audiology from The University of Memphis. From 1996-1999 she worked for the Arkansas Department of Health specializing in pediatric diagnostics and amplification as well as infant hearing screening. In 1999, Ginger moved to Illinois where she specialized for six years as a pediatric audiologists performing electrophysiologic measures and pediatric hearing aid fittings. During that time she received her Au.D. from The University of Florida. Ginger has presented regionally and nationally in the areas of pediatrics and newborn hearing. Ginger has been the EHDI co-coordinator for the Early Hearing Detection and Intervention Program since 2005. She is currently employed by the Illinois Department of Public Health . Ginger currently works closely with the UIC- Division of Specialized Care for Children to address screening, diagnosis and intervention issues.

ASHA DISCLOSURE:

Financial - No relevant financial relationship exist.

Nonfinancial - No relevant nonfinancial relationship exist.