2022 Early Hearing Detection & Intervention Virtual Conference
March 13 - 15, 2022
3/09/2020 | 2:00 PM - 2:30 PM | Identifying and Addressing Medical Home EHDI MisSteps: A Family-Centered Response | Empire C
Identifying and Addressing Medical Home EHDI MisSteps: A Family-Centered Response
Challenges in ensuring a continuum of quality care for EHDI families arise as the role of the medical home continues to evolve. Patterns include primary care providers (PCPs) sharing information with families that is not accurate or timely, and failing to make appropriate referrals to diagnostic audiology or early intervention. More recently, an increasing number of PCPs are administering outpatient OAE screenings without full understanding of protocols, reporting requirements or implications of test results. These trends place infants at risk for loss to follow up/documentation. It is critical that these missteps in systems and services be addressed in a manner that does not undermine the medical provider or place unreasonable expectations on families. The Follow Through Guide Project with Texas Hands & Voices has been supporting the efforts of the Texas EHDI program in developing a response to medical home concerns through family support and provider connections. Initial steps have included gathering quantitative and qualitative data from EHDI families, surveying identified PCP offices about their practices, targeting regions of high need, providing gentle coaching to providers and educating families through direct personal contact. This session describes a piloted quality-improvement strategy using a PDSA (Plan-Do-Study-Act) model. A targeted, regional approach that leverages parent-to-parent support is described.
- Participants will describe three trends in primary care service provision that place EHDI families at risk for loss to follow up
- Participants will review features that place families at risk for loss to follow-up, with particular emphasis on families who are non-English speaking and economically disadvantaged
- Participants will apply a PDSA model with two to three strategies for addressing medical home concerns that could be applied to their EHDI system
Presentation:
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Handouts:
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Transcripts:
CART transcripts are NOT YET available, but will be posted shortly after the conference
Presenters/Authors
Karen Ditty
(), Private Consultant, KDitty@me.com;
Dr. Ditty is a pediatric audiologist with extensive experience and expertise in Early Hearing
Detection and Intervention (EHDI) programs. Her career spans over 35 years and includes initiating newborn hearing screening and hearing aid legislation while implementing EHDI activities in Louisiana and Texas. Dr. Ditty has been associated with the National Center for Hearing Assessment and Management (NCHAM) for more than 20 years. She has been the coordinator of the NCHAM national pediatric audiology diagnostic workshops and served as a member of the Technical Assistance Network for the states of Oklahoma, New Mexico, Arkansas, Texas, and Louisiana over the last decade. Dr. Ditty works on a variety of projects related to early childhood screening and pediatric audiology, such as the Newborn Hearing Screening Training Curriculum and issues related to program quality, financing, and sustainability. Dr. Ditty has authored and contributed to publications related to EHDI, as well as presented extensively at local, national, and international forums on numerous topics related to EHDI.
ASHA DISCLOSURE:
Financial -
Nonfinancial -
Sarah Wainscott
(), Texas Woman's University, swainscott@twu.edu;
Sarah Wainscott is an Associate Professor at Texas Woman’s University, with a background in both audiology and deaf education, and supports parent outreach and provider training for Texas Hands & Voices. Sarah is also the parent of two children who are deaf.
ASHA DISCLOSURE:
Financial -
No relevant financial relationship exist.
Nonfinancial -
No relevant nonfinancial relationship exist.