2023 Early Hearing Detection & Intervention Conference
March 5-7, 2023 • Cincinnati, OH
4/14/2014 | 2:00 PM - 2:30 PM | Closer Look into Loss to Documentation | City Terrace 7 | 6
Closer Look into Loss to Documentation
How does a state EHDI program know that information is not reported if it has never been documented?
The Oklahoma EHDI Program took a deeper look into Loss to Follow-up (LTF) and found that some of the issues lie within the category of Loss to Documentation (LTD). Oklahoma EHDI
complete a two-year trial of individualized patient charts needing appropriate closure to determine follow-up received/not received to confirm or negate loss to documentation activities occurring within county health departments completing hearing screenings. The program reviewed over 1600 patient charts ready to be closed as Loss to Follow-up.
There are approximately 800 hearing screening devices at county health departments to serve children between the ages of birth to twelve years of age. All appointments are entered in the
Public Health Oklahoma Client Information System (PHOCIS) which is linked with the Oklahoma State Immunization Information System (OSIIS). All charts were compared to the PHOCIS and OSIIS system to determine if additional screenings were completed or to determine if updated addresses were available to reduce loss to documentation. It was also noted if children were seen at the county health department for services such as Women, Infants, and Children (WIC), Immunizations, Part C Early Intervention, etc. Through this process, it was determined that many infants were receiving follow-up hearing screenings but were not reported in accordance to state law. The process allowed OK EHDI to educate providers about reporting loss to documentation as well as develop new partnerships and collaborations to assist with reducing loss to follow-up.
- Identify ways to reduce loss to documentation
- Identify ways to educate providers about reporting all state mandated hearing results
- Identify partners within county health departments that can assist families in obtaining needed hearing follow-up services
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Presenters/Authors
Patricia Burk
(Primary Presenter), Oklahoma State Department of Health, PatriciaAB@health.ok.gov;
Patricia Burk, is the EHDI Coordinator for the Newborn Hearing Screening Program at the Oklahoma State Department of Health. Patricia helps to promote early identification, diagnosis, and amplification of children with hearing loss throughout the State of Oklahoma. She also facilitates the Oklahoma Audiology Taskforce to address pediatric audiology initiatives across the state. Patricia holds a Masters in Speech-Language Pathology from the University of Oklahoma Health Sciences Center. Patricia is internationally certificated as a Listening and Spoken Language Specialist, Certified Auditory-Verbal Therapist. She has experience as a Speech-Language Pathologist working with children and adults who have hearing loss. Patricia is a Quality Improvement Advisor for the National Center for Hearing Assessment and Management and currently serves on the Joint Committee on Infant Hearing as a representative for the Directors of Speech and Hearing Programs of State Health and Welfare Agencies.
ASHA DISCLOSURE:
Financial -
No relevant financial relationship exist.
Nonfinancial -
No relevant nonfinancial relationship exist.
Deborah Earley
(Co-Presenter), OSDH, DebbieE@health.ok.gov;
Debbie Earley has been an Oklahoma licensed audiologist for 35 years, with experience with a strong focus on pediatric audiology for 20 years. She currently is the Program Manager of Oklahoma’s Pediatric Audiology Program for the Oklahoma State Department of Health. She is passionate about public health and ensuring everyone and their families have access to quality audiology services no matter where they live in Oklahoma. She has been President of the Oklahoma Speech Language and Hearing Association (OSHA), the Chair of Oklahoma’s Board of Examiners for Speech Language Pathology and Audiology, Oklahoma’s representative for the American Speech Language and Hearing Association’s Audiology Advisory Council. In 2017, she received OSHA’s prestigious Honors of the Association Award.
ASHA DISCLOSURE:
Financial -
No relevant financial relationship exist.
Nonfinancial -
No relevant nonfinancial relationship exist.