2024 Early Hearing Detection & Intervention Conference
March 17-19, 2024 • Denver, CO
3/19/2024 | 3:00 PM - 3:25 PM | Addressing Barriers to Care in a Rural Setting | Mineral Hall D/E
Addressing Barriers to Care in a Rural Setting
The Joint Committee on Infant Hearing (JCIH) 1-3-6 guidelines are in place to ensure all infants with hearing loss are identified, the families are provided with the necessary resources, and children are enrolled in the appropriate early intervention services (JCIH, 2019). Historically, South Dakota (SD) has achieved a minimum 95% screening rate by one month (98%, 2020 CDC Data) but lags significantly behind at the three-month diagnostic and six-month intervention guidelines (13.9% of those not passed; 8.3% of those with hearing loss; 2020 CDC Data). One significant barrier was that SD did not mandate newborn hearing screening. As of September 2023, SD's Newborn Advisory Committee ruled in favor of adding hearing screening to the state-mandated newborn screening panel. In this study, we will discuss the new ruling and barriers that still exist within the state regarding audiology follow-up and hearing loss intervention. Moreover, we will discuss the newly established role of the SD EHDI Collaborative in coordinating and supporting hearing screenings as well as hearing loss diagnosis and intervention. These include providing numerous otoacoustic emissions screeners and “how-to” guides to midwives and community health nurses; expanding teleaudiology services from diagnostic auditory brainstem response testing to taking earmold impressions and hearing aid fittings; partnering with the state Women, Infant, and Children’s Community Innovation and Outreach Project to offer hearing screenings; and more. By identifying factors that have the greatest impact on newborn screenings and follow-up care, SD EHDI stakeholders including the SD Early Hearing Detection and Intervention (EHDI) Collaborative can work to improve the disparities within the state.
- Participants will be able to discuss strategies for improving loss to follow-up/documentation rates.
- Participants will be able to recognize key operational aspects of a newborn hearing care teleaudiology program.
- Participants will be able to explain how hearing healthcare is impacted in a rural setting.
Presentation:
3478265_16350CallieNiemann.pdf
Handouts:
Handout is not Available
Transcripts:
CART transcripts are NOT YET available, but will be posted shortly after the conference
Presenters/Authors
Callie Niemann
(Primary Presenter,Author), University of South Dakota, callie.niemann@coyotes.usd.edu;
Callie Niemann, BS, is a third year Doctor of Audiology student at the University of South Dakota. She received her undergraduate degree in Communication Sciences and Disorders from the University of Wisconsin-Eau Claire in 2020. She currently serves as the SD Early Hearing Detection and Intervention (EHDI) graduate research assistant through a Health Resources and Service Administration (HRSA) grant.
ASHA DISCLOSURE:
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No relevant financial relationship exists.
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No relevant nonfinancial relationship exists.
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No relevant nonfinancial relationship exists.
Shelby Hintze Jepperson
(Co-Author), University of South Dakota, Shelby.Jepperson@usd.edu;
Shelby Hintze Jepperson currently serves as faculty for the University of South Dakota, School of Health Sciences, Master of Public Health program. She has a Master of Public Health degree and is pursuing a Ph.D. in Health Sciences with an interest in maternal child health and rural health. She has worked on South Dakota EHDI projects as part of the SD EHDI Collaborative since May of 2017, and currently serves as the Project Director of the HRSA EHDI grant.
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Baylee Abraham
(Co-Presenter,Author,Co-Author), University of South Dakota, baylee.abraham@coyotes.usd.edu;
Baylee Abraham, BA, is a second year Doctor of Audiology student at the University of South Dakota where she received her undergraduate degree in Communication Sciences and Disorders in 2022. She currently serves as the SD Early Hearing Detection and Intervention (EHDI) graduate student worker through a Health Resources and Service Administration (HRSA) grant.
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Coral Dirks
(Author,Co-Author), University of South Dakota, coral.dirks@usd.edu;
Coral Dirks is an assistant professor at the University of South Dakota. She completed her AuD and PhD in Speech Language Hearing Sciences at the University of Minnesota in 2017 and 2020, respectively. She worked as a research audiologist at Walter Reed National Military Medical Center in Bethesda, MD from 2020-2022 working on projects related to cochlear implants and auditory fitness for duty. She joined the University of South Dakota in Fall 2022 where she teaches audiology graduate students, works as an adult and pediatric cochlear implant audiologist, and performs research on spatial hearing and early hearing loss detection and intervention.
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