2024 Early Hearing Detection & Intervention Conference

March 17-19, 2024 • Denver, CO

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  |  Striving to Meet or Beat JCIH Benchmarks in a Large Pediatric Audiology Practice: Barriers and Next Steps

Striving to Meet or Beat JCIH Benchmarks in a Large Pediatric Audiology Practice: Barriers and Next Steps

Balancing access for all patient populations being cared for at large pediatric hospitals can be challenging. One of the most vulnerable and at risk populations we serve are newborns who do not pass their newborn hearing screening. A priority at our facility is that these families receive appointments and know the outcomes of their child’s hearing status without delay to minimize any stress for the parents and delays in appropriate follow up. A quality improvement project was initiated at our facility to investigate how we were meeting the Joint Committee on Infant Hearing’s recommended timelines related to audiologic management/care for this population. We completed a retrospective chart review of infants under six months of age who were diagnosed with a bilateral hearing loss. This presentation will review the findings of the project, including: 1. Age at which infants were diagnosed with hearing loss and fit with hearing aids (if parents so chose); 2. Barriers to timely diagnosis and provision of amplification; and 3. Strategies to address these barriers. Adjustments to the information provided to families prior to the appointment, scheduling and appointment options, collaboration with other providers, and audiologic practices will be discussed. Additionally, further areas for investigation will be highlighted.

  • Identify how the clinical practices at a large metropolitan children’s hospital align with Joint Committee on Infant Hearing (JCIH, 2007) principles.
  • Describe barriers to timely diagnosis and amplification fitting within a large children’s hospital setting.
  • Identify strategies to overcome barriers to timely diagnosis and amplification fitting in a large pediatric audiology clinic.

Presentation:
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Transcripts:
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Presenters/Authors

Rebecca Awad (Point of Contact,Primary Presenter), Children's Hospital Colorado, rebecca.awad@childrenscolorado.org;
Becky Awad is a PASC certified audiologist who has worked at Children's Hospital Colorado for 11 years. She has served as the Newborn Hearing Screen Coordinator there since 2009. Her audiologic interests include evidenced based practice, risk factors for hearing loss in the NICU population, quality improvement projects focused on improving the patient/family experience, and multicultural issues.


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Johanna Oropeza (Co-Presenter), Children's Hospital Colorado, johanna.oropeza@childrenscolorado.org;
Johanna Oropeza is an audiologist at Children's Hospital Colorado (CHCO) where she completed her 4th year externship. She received her Doctorate of Audiology from the University of Colorado at Boulder in May of 2016.


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Kristin Uhler (Co-Presenter), Children's Hospital Colorado, Kristin.uhler@cuanschutz.edu;
Kristin Uhler is an Associate Professor in the Department of Physical Medicine and Rehabilitation and Chair of Audiology, Speech Pathology, and Learning Services; Kelley Family/Schlessman Family Scottish Rite Masons Chair in Childhood Language Disorders; and Co-Chair Bill Daniels Center for Children’s Hearing at Children’s Hospital Colorado. Her research aims to decrease the age at which speech perception can be assessed by developing a biomarker of infant speech perception in infants with and without hearing loss and exploring how speech perception relates to later language development. She has successfully completed several research grants and projects and is currently a recipient of a mentored K23 grant funded through the National Institute of Health/ National Institute on Deafness and other Communication Disorders. A practicing audiologist since 2000, she strives to standardize protocols in support of good clinical practices locally and nationally.


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