2023 Early Hearing Detection & Intervention Conference
March 5-7, 2023 • Cincinnati, OH
10/13/2017 | 3:30 PM - 5:30 PM | Enhanced strategies in Screening, Tracking and Follow-Up - different approaches from Germany, Iran, Uzbekistan and Georgia | West Ballroom at Shalala Student Services Building
Enhanced strategies in Screening, Tracking and Follow-Up - different approaches from Germany, Iran, Uzbekistan and Georgia
A universal and quality controlled newborn hearing screening program requires a number of prerequisites for a long term, efficient and reliable outcome.
New technical standards enable new approaches in screening strategies. Enhanced screening procedures avoid high loss to follow-up rate as well as unnecessary appointments in diagnostic centers. Re-tests can be performed in combination with multi-level ABR, targeted ASSR- or DPOAE-frequencies in a few minutes without the need for a higher audiological knowledge. Data will be transferred for central assessment.
Especially for regions with limited medical infrastructure this approach reduces appointments and travelling to remote follow-up centers. It enables audiological expertise in areas with insufficient facilities. Approximately 80% of follow up appointments will end up without pathological findings for the patient. Approximately 50% of "lost to follow-up cases" are caused due to the long distances required to travel for the patient in order to be seen by the referral expert.
This approach of telemedicine in screening, tracking, follow-up requires a direct data transfer between instruments and tracking server. Data transfer via wireless radio technology represents an "out of the box" solution, which is independent from any hospital IT-infrastructure. Data is encrypted and transferred directly from instruments to a central database in the tracking center and vice versa. Mobile data networks are available worldwide at any time at any location, even in areas with limited infrastructure.
A nationwide or region wide screening program requires uniform prerequisites. With bi-directional communication all settings for the instruments can be made in the tracking center, generating substantial saving in resources. The independent wireless data transfer can be connected to all existing tracking systems. In combination with pathTrack software it is available in different screening approaches, e.g. in preschool, newborn hearing screening or telemedicine.
The presentation illustrates the feasibility and effectiveness of data exchange and tracking systems with respect to the varying demands in a number of screening and follow up approaches in different countries, such as Iran, Georgia, Uzbekistan and Germany.
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Presenters/Authors
Peter Bottcher
(), boettcher@pathme.de;
ASHA DISCLOSURE:
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Nonfinancial -
Peter Matulat
(), peteremailtba;
ASHA DISCLOSURE:
Financial -
Nonfinancial -