2023 Early Hearing Detection & Intervention Conference
March 5-7, 2023 • Cincinnati, OH
2/28/2017 | 1:45 PM - 2:15 PM | EHDI Programs Risk Indicator Monitoring Practices | Hanover D
EHDI Programs Risk Indicator Monitoring Practices
Since the 1970s, the Joint Committee on Infant Hearing (JCIH) has recommended audiological monitoring for newborns and young children identified with risk indicators for delayed-onset hearing loss (HL). The JCIH 2007 position statement provided guidance on which risk indicators to monitor, including those to monitor more frequently. The statement recommended "audiological assessment at least once by 24-30 months of age." Unfortunately, the 2007 JCIH position statement did not provide detailed protocols on how long to monitor, how frequent to monitor and when to discharge children from risk monitoring. As a result, there are inconsistencies in risk monitoring programs from state to state, clinic to clinic, and even audiologist to audiologist. The JCIH provides guidelines only and therefore it is implemented differently depending on the individual Early Hearing Detection and Intervention (EHDI) program’s interpretation of the guideline. To date, it is unclear how all EHDI programs implement this guideline.
In Idaho, approximately 50% of infants identified with HL present with risk indicators. At least half of infants with risk indicators and diagnosed HL had more than one risk indicator (HiTrack, 2015). An understanding of how risk factors are being monitored within each state, commonwealth and territory mandated by EHDI will provide information to help guide future recommendations for monitoring risk indicators in an effort to increase consistency. A survey was created to evaluate this information with the aim to clarify the implementation of this guideline across EHDI programs.
Information was obtained through an electronic survey sent to EHDI Program Coordinators within the United State and Canada. This survey, administered via Qualtrics, provided insight into programs implementation of risk indicator monitoring. This presentation will review the survey responses and provide recommendations for a universal process for appropriate and consistent monitoring of risk indicators for delayed-onset HL which all EHDI programs may implement.
- Following completion of the presentation, participants will be able to identify which EHDI programs within the United States and Canada monitor risk indicators for delayed-onset hearing loss.
- Following completion of the presentation, participants will be able to identify which risk indicators are monitored and tracked by EHDI programs within the United States and Canada.
- Following completion of the presentation, participants will be able to explain an appropriate and consistent process for monitoring risk indicators for delayed-onset HL.
Presentation:
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Presenters/Authors
Jessica Stich-Hennen
(), Idaho Elks Hearing & Balance Center -Boise , stichhej@slhs.org;
Dr. Jessica Stich-Hennen, AuD, PASC, earned her doctorate degree in audiology from Idaho State University. In 2011, Dr. Stich-Hennen earned Specialty Certification in Pediatric Audiology from American Board of Audiology. Her areas of clinical and research focus include: pediatric diagnostics, pediatric amplification, osseointegrated implants, central auditory processing disorder evaluations, newborn hearing screening programs and risk monitoring for delayed-onset hearing loss in pediatrics.
Dr. Stich-Hennen is the Director of Audiology for Idaho Speech Language Hearing Association and works as the primary audiologist for the Idaho Cleft Palate and Craniofacial Deformities team. Dr. Stich-Hennen has given numerous professional presentations (locally and nationally) and published a chapter in the 2013-2015 EHDI E-book on risk indicator monitoring for delayed-onset hearing loss. In 2017, she co-authored an article on EHDI risk indicator monitoring system in the Journal of Early Hearing Detection and Intervention (JEHDI).
ASHA DISCLOSURE:
Financial -
Nonfinancial -
Brian Shakespeare
(), Idaho Sound Beginnings, Brian.Shakespeare@dhw.idaho.gov;
Brian Shakespeare has worked for Idaho Sound Beginnings since 2011; starting as the Data Manager and being promoted as Program Coordinator in 2014. He received his Baccalaureate of Science in Psychology from Boise State University in 2009. Following graduation he worked with children with developmental disabilities for two years, eventually becoming a Certified Behavioral Interventionist. Brian’s major accomplishments with Idaho Sound Beginnings include receiving the Outstanding Organization of the Year Award from the Idaho Chapter of the American Academy of Pediatrics, overseeing data linkages between HiTrack, Idaho’s Early Hearing Detection and Intervention Information System, and the databases of both Idaho Vital Records and ITPKIDS, Idaho’s Part C database, as well as implementing process improvements in screening programs and audiology clinics across the state. Brian enjoys playing soccer, rock climbing, and taking his two Boston Terriers to the park to play Frisbee golf.
ASHA DISCLOSURE:
Financial -
No relevant financial relationship exist.
Nonfinancial -
No relevant nonfinancial relationship exist.
Gabriel Bargen
(), Idaho State University, barggabr@isu.edu;
Gabriel Anne Bargen, Ph.D., is an Associate Professor at Idaho State University in the Department of Communication Sciences and Disorders at the Meridian Health Science Center. She also serves as the Interim Executive Director for the ISU Health Science Center in Meridian. She teaches courses at ISU, including pediatric audiology, auditory anatomy and physiology, and advance aural rehabilitation. Professional interests include pediatric audiology specifically diagnostic hearing assessment and treatment; assessing risks associated with hearing dysfunction in infants; clinical application of auditory brainstem response (ABR) for hearing screening in newborns, infants, and toddlers. Dr. Bargen’s current research focuses on evaluating risk indicators for delayed-onset hearing loss and finding ways to make resources accessible to all children who are hard of hearing or deaf in Idaho by connecting community entities across the state.
ASHA DISCLOSURE:
Financial -
• Receives Salary,Consulting fee,Grants for Employment from Idaho State University and URLEND.
Nonfinancial -
• Has a Professional (member of advisory board)
relationship for Board membership.