2023 Early Hearing Detection & Intervention Conference

March 5-7, 2023 • Cincinnati, OH

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3/19/2018  |   2:15 PM - 3:15 PM   |  Using EI SNAPSHOT for State EHDI – EI Systems Evaluation and Improvement: Applications from the Field   |  Capitol 2

Using EI SNAPSHOT for State EHDI – EI Systems Evaluation and Improvement: Applications from the Field

EI SNAPSHOT - Early Intervention for Children who are Deaf or Hard of Hearing: Systematic Nationwide Analysis of Program Strengths, Hurdles, Opportunities, and Trends - collected comprehensive data from families, EI providers, audiologists, family organizations, and Deaf Education program directors and graduates. Results from this study revealed important national-level strengths and challenges that serve to inform state EHDI and EI stakeholders about potential system improvements, particularly at a state policy level. The purpose of this presentation is to highlight how states can utilize the methods, materials, and results from EI SNAPSHOT to evaluate and improve their EI systems. First, the cross-cutting trends from the EI SNAPSHOT study will be presented. Opportunities for systems improvement, such as strengthening formal partnerships with family organizations, data sharing to improve monitoring, and service coordination models to better meet the needs of families will be presented. Second, examples involving the use of the EI SNAPSHOT materials and data will be shared by two state EHDI leaders, describing the composition of their stakeholder groups, how they identified common goals and objectives, the utilization of the EI SNAPSHOT data, and adaptations to the survey tools to assist them in their efforts. One panel member will describe their multi-state consortium’s adaptation of the surveys to guide quality improvement. The other panel members will speak to the use of their state’s EI SNAPSHOT data to assist their learning community in identifying priorities and build strategies. This presentation has direct application to state HRSA grants, emphasizing family engagement and inter-agency collaboration. Ample time will be allotted so participants can share their own experiences as well as to pose questions to panel members. Due to the breadth of the information to be covered in this proposed presentation, this presentation will not lend itself to a 25 minute format.

  • Gain an understanding of the key findings from the EI SNAPSHOT study.
  • Learn how to use the EI SNAPSHOT findings as a platform for identifying systems building goals.
  • Obtain insights from state EHDI programs that have used the study results as well as the research survey tools to collect their own state-specific data to drive their systems building.

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Presenters/Authors

Diane Behl (), NCHAM, diane.behl@usu.edu;
Diane Behl is a Senior Faculty member at the National Center for Hearing Assessment and Management. She facilitates telehealth learning communities and is a co-investigator for cost-effectiveness studies. She has expertise in evaluating the effectiveness of service coordination provided via Part C Early Intervention and Maternal and Child Health programs. Diane was a primary researcher on the EI SNAPSHOT study.


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Nicole Brown (), Minnesota Dept of Health, nicole.brown@state.mn.us;
Nicole Brown is a certified pediatric nurse practitioner and has worked in Minnesota’s Maternal and Child Health/Public Health field for over 19 years at both the state and local level. She is the supervisor for Newborn Screening long-term follow-up and is Minnesota’s EHDI Coordinator responsible to provide long-range planning and direction for the development, implementation, and evaluation of a statewide EHDI system for children once they are identified with hearing loss. Nicole served as the National Association of Pediatric Nurse Practitioners’ liaison to the American Academy of Pediatrics Task Force on Improving the Effectiveness of Newborn Hearing Screening, Diagnosis, and Intervention. She has worked with NCHAM as Quality Improvement Advisor and is the parent of two children who are deaf.


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Melinda Marsolek (), Minnesota Department of Health, melinda.marsolek@state.mn.us;
Melinda Marsolek is an epidemiologist with the Minnesota Department of Health's Newborn & Child Follow-up Unit. She has been working with Minnesota's EHDI program since 2012.


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Linda Hazard (), Vermont Department of Health, linda.hazard@partner.vermont.gov;
Linda Hazard is the Program Director for the Vermont Early Hearing Detection and Intervention Program and the Deaf and Hard of Hearing Program at Nine East Network. She has a masters degree in Audiology and a doctorate in Educational Leadership and Social Policy. Linda is currently the President Elect of DSHPSHWA, the ASHA STAR/Habilitative representative for Vermont and serves on the ASHA Medicaid Committee. Prior to coming to VTEHDI Linda was the Director of Audiology and the Cochlear Implant Program for the University of Vermont Medical Center. Additionally she worked for Cochlear Americas in clinical research and Advanced Bionics in Education and Training.


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Sara Doutre (), National CMV Foundation, saradoutre@gmail.com;
Sara Doutre is a PHD student studying sociobehavioral epidemiology at Utah State University. She has an MA in education policy studies and a BS in elementary and special education. A former special education teacher, she currently consults with state departments of education and health on special education policy. Her six-year-old daughter is deaf due to congenital cytomegalovirus.


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Karl White (), Utah State University, karl.white@usu.edu;
Dr. White is a Professor of Psychology, the Emma Eccles Jones Endowed Chair in Early Childhood Education, and the founding Director of the National Center for Hearing Assessment and Management. He has been the PI or Co-PI for over $50 million of competitively awarded research. His work has been recognized with awards from such diverse organizations as the Deafness Research Foundation, the American Association for Speech Language and Hearing, The Swedish Society of Medicine, and the Alexander Graham Bell Association for the Deaf. He has hundreds of publications and presentations at scholarly meetings, and has been an invited speaker to more than 35 countries. He also serves on many national and international advisory groups for organizations such as the United States Department of Health and Human Services, the World Health Organization, the Institute of Medicine, and the American Academy of Pediatrics.


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