15th ANNUAL EARLY HEARING DETECTION & INTERVENTION MEETING
March 13-15, 2016 • San Diego, CA
| - | 9 - Program Evaluation and Quality Improvement
Minimize Referral Rate for an NHSP
The neonatal intensive care unit at CHOC Children’s Hospital was the first NICU to start state mandated newborn hearing screening program in Southern California in 2002. The referral rate of 10.7 percent for our high risk infant hearing screening program was relatively higher comparing to 8 percent rate for other high risk infant hearing screening programs in Southern California. The referral rate for an NHSP depends on many factors including but not limited to technology used for testing, competency of screeners, behavioral state of infant at the time testing, and ambient noise in the screening area. Therefore we adopted a multifaceted approach to minimize our referral rate. We evaluated our screening processes and quality indicators that lead to identification of improvement opportunities and proposed system changes for immediate implementation. By using multiple PDSA cycles we were able to reduce our referral rate from 10.7 percent to 3.9 percent. This study demonstrates a practical and data-driven approach to quality improvement that can be used by any NHSP.
- work on quality improvement for an NHSP of an NICU
- use PDSA cycles to improve quality
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Presenters/Authors
Teresa O'Sullivan
(Author), CHOC Children's Hospital, tosullivan@CHOC.ORG;
Director, Diagnostic Services CHOC Children's
ASHA DISCLOSURE:
Financial -
No relevant financial relationship exist.
Nonfinancial -
No relevant nonfinancial relationship exist.
Jeannette Garcia
(Author), CHOC Children's Hospital, jgarcia@CHOC.ORG;
Lead Technologist
ASHA DISCLOSURE:
Financial -
No relevant financial relationship exist.
Nonfinancial -
No relevant nonfinancial relationship exist.
Liliana Gonzalez
(Author), CHOC Children's Hospital, ;
CHOC NHSP Data Coordinator
ASHA DISCLOSURE:
Financial -
Nonfinancial -
Donna Prochnow
(Author), CHOC Children's Hospital, ;
RN, BSN, NHSP Registered Nurse, SCHCC
ASHA DISCLOSURE:
Financial -
Nonfinancial -
Sudeep Kukreja
(Primary Presenter), CHOC Children's Hospital, sudeepmd@yahoo.com;
Board Certified Neonatologist, Associate Professor of Pediatrics University of CA Irvine, Director of NICU at St. Koseph Hospital Orange CA, Associate Director of NICU, Director of NHSP, and Director of quality Improvement at CHOC Children's Hospital Orange,
Past President of American Academy of Pediatrics chapter 4, Past President of Orange County Medical Association
ASHA DISCLOSURE:
Financial -
Nonfinancial -