2022 Early Hearing Detection & Intervention Virtual Conference

March 13 - 15, 2022

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3/07/2023  |   3:00 PM - 3:30 PM   |  Adjusting EHDI Systems of care to provide timely and automated follow-up   |  DECC 236

Adjusting EHDI Systems of care to provide timely and automated follow-up

The VA EHDI program has always strived to ensure all children receive timely and accurate screening, diagnosis and intervention services. In 2019, Virginia had a 98.0% screening rate. In 2019, VA EHDI made 2,355 telephone calls, sent 1,269 texts, and mailed out 21,357 letters to primary care providers (PCPs) and parents. The COVID-19 pandemic highlighted barriers including the inability to contact families in a timely manner, VA EHDI expanded its electronic follow-up efforts to continue to meet the needs of stakeholders, consumers and advances in technology. Previously, Virginia provided access to the EHDI Information System (EHDI-IS) to birthing facilities, Pediatric Audiologists and Early Intervention Providers. VA EHDI recently expanded access to PCP offices to ensure timely electronic notifications. Previously, Virginia had a follow-up team in which each member focused on one part of the 1-3-6 methodology. In order to provide continuous and timely support for families, Virginia realized follow-up activities should not be dependent on availability of staff. Thus, VA EHDI redesigned its’ follow-up model to include automated follow-up activities. The VA EHDI successfully incorporated automated texting via the EHDI-IS in 2018. Recently, VA EHDI expanded follow-up with novel updates to the EHDI-IS to ensure timely follow-up. These include incorporating an Interactive Voice Response (IVR) system for incoming calls, sending automated robo calls, and sending on demand SMS via the EHDI-IS. The VA EHDI program is continuously updating the EHDI-IS to make it user friendly while still gathering optimal data for internal and external continuous quality improvement (CQI). The enhancements allowed VA EHDI to ensure consistent and thorough follow-up from screening to diagnosis. This session will outline the changes to the follow-up process, the quality improvement methods reviewed for implementation, and will serve as a resource for other states wishing to make enhancements in their program model and system.

  • How to implement follow-up changes/ enhacements in your EHDI systems of care.
  • Quality Improvements methods for EHDI Systems of Care
  • Resources for other states implementing program enhacements

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Presenters/Authors

Daphne Miller (), Virginia EHDI, daphne.miller@vdh.virginia.gov;
Daphne Miller is currently the Early Hearing Detection & Intervention Coordinator for the Virginia Department of Health. The VA EHDI Program ensures all infant's hearing is screened at birth and if children are diagnosed with hearing loss they are referred to Early Intervention. Daphne has a Bachelor of Science in Business Administration and has worked with families and children over 15 years. In her spare time she enjoys binge watching shows, listening to music and spending time with family and friends. Daphne resides in Richmond, Virginia with her husband and daughter.


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Deepali Sanghani (), Virginia Early Hearing Detection and Intervention Program, deepali.sanghani@vdh.virginia.gov;
Deepali Sanghani is the CMV Follow-Up Coordinator for the Virginia Department of Health, Virginia Early Hearing Detection and Intervention (VA EHDI) Program. Deepali has a Bachelors of Science in Psychology and a Masters in Public Health. Deepali has worked in Public Health for over 5 years and has a passion for helping others. In her role with VA EHDI, she oversees hearing screening and cCMV screening follow-up. In her spare time Deepali enjoys reading, listening to music and spending time with family and friends. Deepali resides in Richmond, Virginia with her husband and two daughters.


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Parker Brodsky (), VA EHDI, Parker.Brodsky@vdh.virginia.gov;
Parker Brodsky is the Newborn Screening Epidemiologist for the Virginia Department of Health Division of Population Health Data. Parker has a Bachelor of Arts in Global Public Health and a Masters in Public Health. In her role as an epidemiologist, she analyzes trends in data for VA EHDI to inform programmatic decision making. Parker lives in Richmond Virginia and enjoys reading, painting, and finding new restaurants.


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Christen Crews (), Virginia Department of Health, christen.crews@vdh.virginia.gov;
Christen Crews, MSN, RN, is the Newborn Screening and Birth Defects Surveillance Programs Manager for the Virginia Department of Health (VDH). She has over 20 years of leadership experience, with 9 years specifically focusing on newborn screening. She has an established passion for public health as evidenced by current and past dedication to program development, education, and management of the Dried Blood Spot (DBS) Newborn Screening (NBS), Critical Congenital Heart Disease (CCHD) and Sickle Cell Disease, Early Hearing Intervention and Detection (VA EHDI), Rare Disease Council, and Birth Defects Surveillance (BDS) programs in Virginia. She is a leader of change with documented successful outcomes of quality improvements by designing, integrating, troubleshooting, and providing training on new technology to revolutionize NBS-DBS critical reporting, follow-up, and communication across the Commonwealth of Virginia with national recognition.


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