2024 Early Hearing Detection & Intervention Conference

March 17-19, 2024 • Denver, CO

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3/05/2019  |   1:45 PM - 2:45 PM   |  Moving the Needle through Regional Learning Communities   |  International A

Moving the Needle through Regional Learning Communities

How does a state EHDI program engage regional providers to increase the number of infants identified with permanent hearing loss by 41% and the percentage of babies referred to early intervention from 25% to 96% in only one year? Simply stated, it takes a village, or in this case, the entire local system working together. Ensuring all infants receive a newborn hearing screening, appropriate diagnosis, and access to early intervention services necessitates a network that works seamlessly to confirm no child or family falls through the cracks. With this in mind, the New York Early Hearing Detection and Intervention Program (NYEHDI) instituted a year long learning community approach in the Greater Buffalo region that involved all aspects of the local system: families, birthing facilities, audiologists, early intervention, and family support organizations. NYEHDI staff will share methods for choosing an appropriate region, recruitment techniques, and the timeline of this project. Implementation of Plan-Do-Study-Act (PDSA) cycles to test application of best practice recommendations outlined by the Joint Commission on Infant Hearing (JCIH) and the National Center for Hearing Assessment and Management (NCHAM) will be reviewed, and quality improvement sustainability activities will be shared. Presenters will provide in participant engagement techniques and identified methods for effective improvement in 1-3-6 outcomes, particularly highlighting establishing a link to the medical home. Lastly, family engagement and the development of parent leaders will be discussed.

  • Participants will understand how to utilize Plan-Do-Study-Act (PDSA) cycles to implement JCIH and NCHAM best practice recommendations in regional learning communities.
  • Participants will identify learning community solutions for outlined barriers in decreasing loss to follow-up for infants who failed their newborn hearing screening.
  • Participants will identify three techniques to promote engagement of regional family leaders and EHDI providers for measurable improvement in regional learning community outcomes.

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Presenters/Authors

Michaelah Townley (Co-Presenter), New York State Department of Health , michaelah.townley@health.ny.gov;
Michaelah Townley is the Follow-up Coordinator of the Early Hearing Detection and Intervention Program. Michaelah has a Master’s degree in Public Health from the University at Albany School of Public Health with a concentration in Social Behavior and Community Health. Michaelah works with birthing hospitals, audiology clinics, primary care providers and families in New York State to assist with providing support to the Universal Newborn Hearing Screening Public Health Law reporting mandate to ensure infants who are deaf or hard of hearing are identified at the soonest possible time and receive appropriate early intervention services.


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Lori Iarossi (Primary Presenter,Co-Presenter), New York State Department of Health , lori.iarossi@health.ny.gov;
Lori Iarossi is the Program Coordinator of the Early Detection and Intervention Program. She has a Bachelor’s Degree in Business, Management and Economics from Empire State College with a concentration in Information Systems and more than 25 years’ experience in the New York State Department of Health. She oversees the Health Resources and Services Administration (HRSA) and the Centers for Disease Control and Prevention (CDC) Early Hearing Detection and Intervention (EHDI) grants and all funded activities. She serves as liaison with parent and professional groups to support the goals of the EHDI program including Hands & Voices, Parent to Parent of NYS, Alexander Graham Bell Association of the Deaf, National Institute for Children’s Health Quality, American Speech-Language-Hearing Association (ASHA), Directors of Speech and Hearing Programs in State Health and Welfare Agencies (DSHPSHWA) and Joint Committee on Infant Hearing.


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Jessica Holst (Co-Presenter), Early Hearing Detection and Intervention Program, holst.jessicam@gmail.com;
Jessica Holst M.S., CCC-SLP, LSLS Cert. AVT is a Listening and Spoken Language, Certified Auditory Verbal Therapist in Buffalo, New York. Jessica earned her Masters degree from Nazareth College of Rochester with an additional joint certification in working with cochlear implant recipients from the National Technological Institute for the Deaf (NTID). Jessica currently works in a listening and spoken language program at St. Mary’s School for the Deaf. Professional areas of interest include family coaching, educational advocacy, as well as collaboration with local, state, and federal EHDI initiatives. Jessica also serves as an Education and Training Contractor with the New York State Early Hearing Detection and Intervention (NYEHDI) program.


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