2022 Early Hearing Detection & Intervention Virtual Conference

March 13 - 15, 2022

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4/15/2014  |   11:00 AM - 11:30 AM   |  American Academy of Pediatrics Tools for Medical Home Providers to Address Loss to Follow-Up/ Documentation   |  Grand Ballroom 6   |  5

American Academy of Pediatrics Tools for Medical Home Providers to Address Loss to Follow-Up/ Documentation

Since 2000, the percentage of newborns who receive a newborn hearing screening has dramatically increased from 52% to 97.9%. However, almost half of the children who “do not pass”* hearing screening tests lack documented follow up. An infant who does not pass his/her newborn hearing screening and does not have immediate access to language can experience a potential developmental emergency. A wait and see approach is never appropriate. Unidentified hearing changes at birth can adversely affect speech and language development as well as academic achievement and social-emotional development. The infant’s primary care medical home provider plays an important role in ensuring that timely follow-up and the appropriate documentation of that follow-up occur. Without active assistance of the medical home, the infant may be considered “lost” in the early hearing detection and intervention (EHDI) system. To support primary care physicians’ efforts, the American Academy of Pediatrics (AAP) Task Force on Improving Newborn Hearing Screening, Diagnosis, and Intervention (EHDI Task Force) has developed five tools/resources for medical home providers to improve care around early hearing detection and intervention, including reducing loss to follow-up/documentation. There are five tools that make up the complete packet of hearing screening tools for medical home providers. These include an algorithm for clinical decision support; newborn hearing screening checklist; office rescreening guidelines; a set of considerations for medical homes to employ best practices regarding newborn hearing screening; and a glossary of EHDI terms.

  • Understand the role of the medical home in reducing loss to follow-up/documentation
  • Identify specific ways to reduce loss to follow-up/documentation within their practice
  • Become familiar with how to effectively utilize the above mentioned resources in practice

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Presenters/Authors

Faiza Khan (Author), AAP, fkhan@aap.org;
Faiza Khan is the Program Manager at AAP in the Division of Children with Special Needs (DOCSN). She manages all aspects of the early hearing detection and intervention (EHDI) and FASD programs. She is the primary staff for the Improving Early hearing Detection, Diagnosis, and Intervention Task Force and other related work groups. Ms Khan works with the Task Force, CDC, and MCHB staff and other program leaders to plan and implement process and outcome evaluation, and coordinate the analysis and dissemination of results. She also provides guidance and technical assistance to chapter-level project leadership on EHDI.


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Albert Mehl (Primary Presenter,Co-Presenter), Kaiser Permanente, albert.mehl@kp.org;
Dr. Albert Mehl is the Chapter Champion for Colorado. He is a member of the Joint Committee on Infant Hearing representing the Academy of Pediatrics and has been a significant contributor both within the state of Colorado and nationally. He is the chairman of the American Academy of Pediatrics Task Force on Improving Newborn Hearing Screening, Diagnosis and Intervention.


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Rachel St John (Co-Presenter), UT Southwestern Medical Center, Rachel.StJohn@UTSouthwestern.edu;
Rachel St. John is a board-certified pediatrician, and a NIC-Advanced certified sign language interpreter through RID. She received her BS degree in psychology at George Mason University, completed her MD degree at the University of Virginia School of Medicine, and then jointly attended Georgetown University Hospital for her residency in pediatrics and Gallaudet University for her MA degree in counseling. Dr. St. John is the director of the Family-Focused Center for Deaf and Hard of Hearing Children at Children’s Medical Center Dallas/UT Southwestern Medical Center. The FFC provides support for families to make informed decisions regarding their child who is deaf/hard of hearing, as well as provides education and collaborative support to providers caring for these patients in keeping with national standards. She also currently serves as an American Academy of Pediatrics representative to the Joint Committee on Infant Hearing.


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Janet Farrell (Co-Presenter), Department of Public Health, janet.farrell@state.ma.us;
Janet Farrell is the Program Director for the Massachusetts Department of Public Health, Universal Newborn Hearing Screening Program. She is also the project director for two federal grants related to the program she oversees. She has over twenty-five years experience implementing and overseeing public health programs. Her passion is ensuring young children with hearing loss are identified early and receive appropriate services. She has a strong interest in data/research and has published articles on newborn hearing screening and related topics.


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