19th ANNUAL EARLY HEARING DETECTION & INTERVENTION MEETING
March 8-10, 2020 • Kansas City, MO
3/10/2020 | 11:00 AM - 12:00 PM | Lost to follow-up after diagnosis of hearing loss: A reflective examination of provider-based improvements in communication with families | Atlanta
Lost to follow-up after diagnosis of hearing loss: A reflective examination of provider-based improvements in communication with families
It is well-documented that the language outcomes for children who are identified with hearing loss improve if they receive appropriate and timely intervention. Providers and stakeholders in the Early Hearing Detection and Intervention (EHDI) process are thus tasked with identifying specific actions that could possibly reduce the number of children that are: (1) not screened for hearing loss, (2) do not receive a subsequent assessment following an initial screening referral, or (3) do not receive intervention following a diagnosis of hearing loss. These infants are considered by the system to be “lost to follow-up” (LFU). Of all infants LFU throughout the entire Newborn Hearing Screening (NBHS) process, perhaps the most concerning are the few infants state-wide who are LFU even after a confirmed diagnosis of hearing loss. The pediatric audiologist arguably plays an important role in these infants that are LFU as they are likely the ones to convey a diagnosis of hearing loss to parents or caregivers. The quality, context, and rhetoric in which this information is conveyed to families may influence subsequent family decisions regarding initiation of early intervention services and amplification. This presentation will provide an overview of the procedures and processes followed at a major university audiology clinic and reflect on possible contributing factors and provider-based communication deficits that may have led to the LFU of two infants after a confirmed diagnosis of hearing loss. Suggestions to remediate these concerns and improve provider communication will also be discussed.
- Learners will be able to describe the audiologist’s role in the early hearing detection and intervention process.
- Learners will be able to discuss the complexities involved with delivering a diagnosis to families that involves immediate intervention and the possibly of lifelong follow-up.
- Learners will be able to identify possible ways to improve family-centered care that encourages appropriate follow-up and intervention.
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Presenters/Authors
Casey Redding
(), University of Kansas Medical Center, credding@kumc.edu;
Casey Redding is an Assistant Clinical Professor and Pediatric Audiologist at the University of Kansas Medical Center. He has a specialized interest in the educational needs of students with hearing loss and early identification of newborns with hearing loss. As clinical faculty, Casey ensures the next generation of young professionals graduate with the skills needed to work collaboratively in the field of healthcare. In addition to classroom and clinic instruction, Casey serves on the State of Kansas SoundBeginnings Early Hearing Detection and Intervention (EHDI) program Executive Advisory Committee. He is also a discipline supervisor for LEND (Leadership Education in Neurodevelopment and Related Disabilities) at the University of Kansas’ Center for Child Health and Development.
ASHA DISCLOSURE:
Financial -
No relevant financial relationship exist.
Nonfinancial -
No relevant nonfinancial relationship exist.