2023 Early Hearing Detection & Intervention Conference

March 5-7, 2023 • Cincinnati, OH

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3/04/2019  |   2:50 PM - 3:15 PM   |  Partnership between Parents, Academic Medicine, and EHDI Improves the Care of Children At Risk of Becoming Deaf or Hard of Hearing   |  Vienna

Partnership between Parents, Academic Medicine, and EHDI Improves the Care of Children At Risk of Becoming Deaf or Hard of Hearing

As early as 1973, the Joint Committee on Infant Hearing (JCIH) addressed risk factors known to cause delayed-onset or progressive hearing loss for children. Despite the knowledge gained in the intervening 45 years, managing and following-up risk factors in the infant/child population remains a challenge. Many infants with risk factors pass their newborn hearing screens in the hospital, and thus are never referred to an audiologist for management. The responsibility of monitoring these children for potential hearing loss falls to their primary care physicians (PCP). PCP’s are often unaware of the presence of known risk factors and, even if aware, are unsure of the protocol through which monitoring should occur. Although approximately 10% of all infants will exhibit one or more of the risk factors for hearing loss, about 50% of the infants who are deaf or hard of hearing (DHH) will be in this group. Utilizing guidance published by American Academy of Audiologists, American Speech and Language Association and the JCIH, the Kentucky EHDI Advisory Board developed a guide for medical practitioners (including primary care, otolaryngologists, and audiologists) for following infants with known risk factors. The Advisory Board consists of parents of children that are DHH, deaf individuals, audiologists, advocacy groups, pediatricians and otolaryngologists from across the state. Utilizing KY specific data regarding risk factor prevalence, the Advisory Board developed a guide that defines each known risk factor, and proposes guidelines for the initial evaluation and ongoing follow-up through age 5. At the end of the workshop, participants should leave with a better understanding of how EHDI programs can maximize the work of their multidisciplinary Advisory Boards to improve care for children at risk of hearing loss and build the knowledge and capacity of community-based providers caring for children at-risk.

  • Identify risk factors for permanent childhood hearing loss (PCHL) and discuss the epidemiology of risk factors using Kentucky data.
  • Discuss the importance of risk factor awareness for providers as a way to increase knowledge of PCHL and the 1-3-6 Early Hearing Detection and Intervention (EHDI) guidelines.
  • Summarize the importance of the state EHDI advisory board in developing a protocol to improve awareness of and follow-up for infants with known risk factors for PCHL, and describe use of the new protocol.

Presentation:
18878_10389CathyLester.pdf

Handouts:
Handout is not Available

Transcripts:
18878_10389CathyLester.rtf


Presenters/Authors

Cathy Lester (), cathy.lester63@gmail.com;
Cathy graduated in 1985 with a BA in Biology. She taught high school biology and math for then moved to Child Welfare at Home of the Innocents for 6 years and then moved to DCBS in CPS Investigations. She worked in investigations, family court, adoptions, and with medically fragile foster children. She joined the EHDI program at the Commission for Children with Special Health Care Needs in September 2011. As the EHDI Health Program Administrator, she works within KY CHILD and CCSHCN’s database to ensure accuracy of data, assist families and providers with information and programming technical assistance. She has her Master’s degree in Social Work and 35 hours post Master’s work. She has also taught Research and Statistics at Kent School of Social Work and Social Work Practice at Spalding School of Social Work.


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Liza Creel (), University of Louisville School of Public Health and Information Sciences, liza.creel@louisville.edu;
Liza M. Creel is currently an Assistant Professor and Commonwealth Scholar in the Department of Health Management and Systems Sciences at the University of Louisville School of Public Health and Information Sciences. Her research is in the areas of delivery system transformation, maternal and child health, organizational collaboration within the health care system, and policy evaluation (including that related to implementation of the Affordable Care Act). Dr. Creel has worked extensively with the KY Early Hearing Detection and Intervention Program in 2016 under a Memorandum of Understanding outline her role in assisting the Program in data analytics and evaluation. She received her PhD in Health Services Research from the Texas A&M Health Science Center, School of Public Health; MPH in Health Policy from the University of Michigan, School of Public Health; and BS in Health Services Administration from the University of Texas, Southwestern School of Allied Health Sciences.


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Judy Ann Theriot (), Office for Children with Special Health Care Needs, judy.theriot@ky.gov;
Dr. Theriot completed her medical school and pediatric residency training as well as a chief resident year at the University of Louisville School of medicine, and currently is a professor of pediatrics at the UofL. During her years at UofL she has served as the director of the General Pediatrics Clinical Research Unit and the medical director of the Children and Youth Project; a multidisciplinary primary care clinic serving the inner-city high risk children of Louisville Kentucky. Dr. Theriot is a certified physician executive and continues to teach at UofL. These roles make her uniquely qualified for her current position as the Medical Director of the Kentucky Office for Children with Special Health Care Needs where she has served since 2013.


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Lynzee A. Cornell (), University of Louisvill , l.alworth@louisville.edu;
Lynzee Cornell is the audiology clinic director and an assistant professor at the University of Louisville. She is also the director for pediatric audiology and newborn hearing screening at the University, is a co-director for Healthy Hearing within Special Olympics Kentucky, serves on the Early Hearing Detection and Intervention State Advisory Board, and is the faculty advisor to the Student Academy of Audiology at UofL.


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Shelley Moats (), Norton Children's ENT and Audiology, shelley.moats@nortonhealthcare.org;
Dr. Moats is a pediatric audiologist with Norton Children's Medical Group in Louisville, KY. She has been practicing audiology since 1996. Dr. Moats specializes in the diagnosis and treatment of childhood hearing loss, with special interests in early intervention, amplification and cochlear implants. Dr. Moats is active in state and national organizations, including KY-EHDI Advisory Board (co-chair) and various committees and boards for the American Academy of Audiology. Dr. Moats is the recipient of the 2022 Marion Downs Pediatric Audiology Award from the American Academy of Audiology. She is the first, and currently only, board certified pediatric audiologist in the state of Kentucky.


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Julia Richerson (), Family Health Centers of Louisville, jricherson@fhclouisville.org;
Dr. Richerson is from Mayfield, Kentucky and attended Transylvania University and medical school at the University of Kentucky. She completed her residency in pediatrics at Cedars Sinai Medical Center (Los Angeles). After residency she joined the White House Clinic in McKee Kentucky, where she served as pediatrician and medical director. She is currently with Family Health Centers in Louisville where she has been for the past 11 years as pediatrician and also served as medical director. She currently serves on the Board of the Kentucky Primary Care Association, Mama2Mama, Little Ears Hearing Center and the Executive Committee of the Kentucky Chapter of the American Academy of Pediatrics (AAP). She chairs the Child Health Committee of Passport Health Plan. She is on community faculty at UK and UofL Colleges of Medicine. She serves as a member of the AAP Committee on Practice and Ambulatory Medicine at the national level.


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Susan Buchino (), University of Louisville Commonwealth Institute of Kentucky, susan.buchino@louisville.edu;
Susan Buchino, PhD, OTR/L serves as Assistant Professor in the Department of Health Promotion and Behavioral Sciences and Assistant Director for the Commonwealth Institute at the University of Louisville. Her research focus includes health care access and utilization, with specific aims to investigate population mental health and integrated care, evaluate policy outcomes and health care work force capacity, and reduce health disparities. Dr. Buchino’s current work is influenced by her experiences as an occupational therapist providing community-based services to adults with cognitive disabilities. She uses research to demonstrate the impact of policies and programs and bring marginalized voices to the forefront.


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