15th ANNUAL EARLY HEARING DETECTION & INTERVENTION MEETING
March 13-15, 2016 • San Diego, CA
3/14/2016 | 11:35 AM - 12:05 PM | Topical Session 1 | Pacific Salon 6/7 | 5 - Medical Home
Assessing the Involvement of the Medical Home in Babies Not Passing a Hearing Screening
Involvement of the medical home is crucial in order to reduce loss to follow-up of babies not passing their hospital newborn hearing screen and to provide early treatment of those diagnosed. The role of the medical home includes a discussion with the family about screening results, assuring appropriate referral for either outpatient screening or diagnostic evaluation, performing a medical assessment of children diagnosed as deaf or hard of hearing, referring those children for amplification and EI services and providing support for families after diagnosis. In order to achieve data on how involved pediatricians in PA have been in this process, the PA AAP, with a grant from the PA Department of Health (DOH), obtained questionnaire information from practices regarding babies in their practices that did not pass their hospital screen. From a list of all newborns not passing their newborn screen in 2014 (where the PCP was identified on the referral form sent to the state EHDI program), a sample of medical home practices across PA were contacted and asked to complete a questionnaire for those individual patients. The questionnaire inquired from the practice information related to the follow-up of that baby, including whether information was received in a timely fashion from the hospital, how that information was transmitted, if follow up of the hospital screen had occurred, reasons why it may not have occurred and the current status of the baby’s hearing. For those babies diagnosed as deaf or hard of hearing, further questions were asked related to a medical workup and the PCP’s knowledge of the current treatment plan, including amplification and involvement in EI. Information obtained from the completed questionnaires will guide educational efforts to medical home providers and will serve as the basis for promoting practice-based quality improvement projects in medical homes across the state.
- Describe the Pennsylvania Medical Home Questionnaire implementation and results.
- Describe the implication of the questionnaire results for state EHDI programs in improving communication within the EHDI system, specifically in medical homes.
- Describe opportunities for improved education of primary care providers and for quality improvement projects in the medical home.
Presentation:
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CART:
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Presenters/Authors
Robert Cicco
(Primary Presenter,Co-Presenter), PA Chapter, American Academy of Pediatrics, rcicco@aap.net;
Robert Cicco, MD served as the Associate Director of the Neonatal Intensive Care Unit at the Western Pennsylvania Hospital in Pittsburgh, PA for 33 years and was active in the Neonatal Follow-Up Program before recently retiring. Previously, Dr. Cicco practiced general pediatrics for a number of years and this experience gave him a greater appreciation of the important role of families. Dr. Cicco is a past president of the Pennsylvania Chapter, American Academy of Pediatrics (PA AAP) and a long time AAP EHDI Chapter Champion. He been the Pediatric Advisor for the PA AAP’s EHDI Program for 14 years and is also a member of the national EHDI Advisory Committee. He has served on many state and national committees, including the PA Infant Hearing Screening Advisory Committee.
ASHA DISCLOSURE:
Financial -
No relevant financial relationship exist.
Nonfinancial -
No relevant nonfinancial relationship exist.
Art Florio
(Co-Presenter), Pennsylvania Department of Health, aflorio@pa.gov;
Arthur Florio is currently a Public Health Program Administrator in the Pennsylvania Department of Health’s Division of Newborn Screening and Genetics. He has served as the PA EHDI program administrator for 13 years and manages reporting of newborn hearing screening results by birth hospitals, reporting of diagnostic results by audiologists and the out-of-hospital births newborn hearing screening program. Additionally, Mr. Florio oversees and collaborates with the PA AAP EHDI Program and the PA Guide By Your Side Program, both of which are funded by grants from the PA Department of Health.
ASHA DISCLOSURE:
Financial -
No relevant financial relationship exist.
Nonfinancial -
No relevant nonfinancial relationship exist.