2023 Early Hearing Detection & Intervention Conference
March 5-7, 2023 • Cincinnati, OH
4/16/2013 | 11:00 AM - 12:00 PM | Using EHDI topics for Medical Home Quality Improvement and Pediatric Maintenance of Certification | Solana E | 5
Using EHDI topics for Medical Home Quality Improvement and Pediatric Maintenance of Certification
The pediatric medical home is critical in the care of children with, or at risk for, hearing loss. Because hearing loss is a low incidence condition, engaging pediatric primary care sites in improving care for children with, or at risk for, hearing loss can be challenging. The American Board of Pediatrics (ABP) requires that pediatricians participate in practice-based quality improvement (QI) initiatives in order to maintain certification. With approval from the ABP, Connecticut and Iowa have developed innovative QI activities that can improve care for children with, or at risk for, hearing loss and provide pediatricians with certification credits.
The Children and Youth with Special Health Care Needs program in Iowa designed a QI activity for pediatricians and family physicians. Staff train providers to monitor newborns that passed their newborn hearing screening but have risk factors for late onset or progressive hearing loss as outlined in the Joint Committee on Infant Hearing Guidelines. Participating providers complete monthly data entry on children with risk factors for the 18, 24 and 30 month well child visits. The goal of the activity is to provide pediatricians with data-driven performance measures and ensure follow up and referral to appropriate resources for children at risk for hearing loss.
In Connecticut, a QI coach initiates communication with the the primary care provider for each baby who is diagnosed with hearing loss. The QI coach, a board-certified pediatrician and AAP EHDI Chapter Champion, helps providers ensure that babies receive appropriate follow up after diagnosis, including linkage to EI, otolanryngology, opthalmology, genetics and family support services. She provides participating pediatricians with monthly dashboards on their progress connecting babies to services. Pediatricians are also required to review quarterly statewide data on follow of newborns with hearing loss and provide input into improvement strategies.
This session will review these QI efforts.
- develop quality improvement and maintenance of certification activities related to EHDI for pediatric providers
- use data driven QI measures to assess monitoring of infants for hearing loss risk factors
- implement a coaching program that engages pedaitricians in improving practice follow up for newborns diagnosed with hearing loss and contributing to statewide EHDI goals
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Presenters/Authors
Lisa Honigfeld
(POC,Primary Presenter,Author), Child Health and Development Institute, honigfeld@uchc.edu;
Lisa Honigfeld directs CHDI’s efforts to strengthen pediatric primary and preventive care. Her responsibilities include work designed to test innovations in child health services delivery, policy and systems. Lisa has more than 25 years of experience working in child health organizations, such as the American Academy of Pediatrics, Saint Francis Hospital in Hartford and ProHealth Physician. She serves on several statewide committees related to medical home, care for children with special health care needs, family support, pediatric training and quality improvement. Her work focuses on: care coordination, developmental screening, the interface between primary care and community and services, and expanding the capacity of pediatric primary care to address mental health issues. Lisa has a BA in sociology from the University of Massachusetts and an MA and PhD, both in sociology, from the University of Chicago. She holds a faculty appointment in Pediatrics at the University of Connecticut School of Medicine.
ASHA DISCLOSURE:
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Vicki Hunting
(Co-Presenter,Author), Hands & Voices, vicki@handsandvoices.org;
Vicki Hunting is mom to two adult daughters; the youngest a young adult who is deaf/hard of hearing. She has worked in project management, process reengineering and quality/process improvement and evaluation for over 20 years with experience. Ms. Hunting has experience using the Model for Improvement using Plan-Do-Study-Act(PDSA) cycles as a framework for QI projects. This experience also includes; testing, implementing and spreading changes as well as using data for improvement, and developing and interpreting run charts and control charts. In her current staff position as Director of Data and Evaluation at Hands & Voices Headquarters Ms. Hunting works to ensure data and evaluation functions and practices of the organization are developed and monitored, works on establishing efficient, accurate, and timely data tracking to ensure data quality, integrity, reliability and validity. Vicki has been involved in the H&V in Iowa since it began in 2004.
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Brenda Kinsella Balch
(Co-Presenter,Author), AAP CT Chapter Champion, bkbalch@sbcglobal.net;
Brenda Kinsella Balch, M.D. has been a pediatrician for over 25 years and has been the American Academy of Pediatrics Early Hearing Detection and Intervention Connecticut Chapter Champion since 2006. In addition she serves as the EHDI Regional Network Liaison for New England
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