2023 Early Hearing Detection & Intervention Conference
March 5-7, 2023 • Cincinnati, OH
10/13/2017 | 5:30 PM - 7:15 PM | The Effect on Loss To Follow Up When Babies are Scheduled for Out- Patient Follow Up Appointments Prior to Hospital Discharge | East Ballroom at Shalala Student Services Building
The Effect on Loss To Follow Up When Babies are Scheduled for Out- Patient Follow Up Appointments Prior to Hospital Discharge
Hearing loss (HL) is one of the most common congenital conditions, affecting1-3 infants per 1000. Early identification of hearing loss is now recognized as critical for babies to be on the path to language and literacy. Research has shown children who were diagnosed with HL and received appropriate intervention before 6 months of age demonstrated significantly better language and reading comprehension than children identified after 6 months. Without appropriate opportunities to learn language, children with HL will fall behind their hearing peers in communication, cognition, reading, and social-emotional development. Because of the prevalence of congenital HL, combined with the urgency of early identification, universal newborn hearing screening (UNHS) programs have been implemented across the US. These programs, along with early hearing detection and intervention (EHDI) goals, have dramatically increased the number of infants screened at birth. While it is tremendous progress that more than 97% of newborns receive the recommended hearing screen after birth, as many as half of babies that do not pass the initial screen actually return for follow-up care and the remainder are lost to the EHDI system. “Loss to Follow-Up” (LTF) refers to infants that do not pass the initial screen, and fail to return for follow-up, either an out-patient rescreen or comprehensive audiologic evaluation.
In order to improve timeliness of hearing loss diagnosis, and ultimately increase the effectiveness of UNHS programs, LTF rate must be significantly reduced. One recommendation, which will be evaluated here, concerns when the actual follow-up appointment date and time is given to the family of the referred baby. In this study, we compared the LTF rate for those with appointments scheduled prior to discharge versus those who leave the hospital without an appointment. Results discussed will evaluate the effective of LTF rates when parents receive follow-up appointment information prior to hospital discharge.
- Enhance timely follow-up for infants who refer on newborn hearing screening.
- Importance of parental involvement in follow-up of hearing screening refers.
- Early identification improves learning and reading comprehension
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Presenters/Authors
Patricia Shappell
(), Natus Peloton Incorporated , patricia.shappell@natus.com ;
Patty is a 30 year career audiologist with experience in both adult and pediatric testing. Patty came to Natus in 2014 to develop the Peloton Screening Service.
ASHA DISCLOSURE:
Financial -
Nonfinancial -
Amanda Simpson
(), Natus Peloton Incorporated, amanda.simpson@natus.com ;
Amanda is an Audiologist and Area Supervisor in Louisiana. She works directly with our hospital partners and families. Amanda is a graduate of Louisiana State University Health Sciences Center • New Orleans, LA. She has experience in both adult and pediatric audiology services.
ASHA DISCLOSURE:
Financial -
Nonfinancial -