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ABSTRACT INFORMATION
Title: '“Kentucky’s Journey to Mandating Audiology Reporting and Reducing Loss to Follow-Up”'
Track: 9-Policy, Advocacy, and Legislative Issues
Audience: Primary Audience: Audiologist
Secondary Audience: State Health Department
Tertiary Audeince: Part C Agency/Program
Keyword(s): Audiology Mandate Electronic Submission
Learning Objectives: 1. state Kentucky's path to mandating audiology follow-up reporting 2. Identify the elements required for successful implementation of the mandate. 3. Analyze participant's own state's readiness for mandating audiology follow-up.

Abstract:

In July 2008 the Kentucky EHDI Advisory Board reviewed the 2007 statistics with 99% of all newborns screened prior to discharge from the hospital but with only 42% of the refers recorded as receiving diagnostic follow up. The Board determined and directed the EHDI Program Coordinator and staff to prioritize development of legislation to require audiologists throughout the Commonwealth of Kentucky to report results of all hearing evaluations for infants and toddlers from birth to 3 years of age. By December 2008, the proposed legislation, an expansion of the UNHS (2000), had been approved at the agency level and cabinet level. Representative Tom Burch, Louisville sponsored the legislation and filed House Bill 5 in January 2009. March 26, 2009 HB 5 became the last bill passed during the legislative session. Governor Steve Beshear signed it on March 27th. With the HB 5 as Kentucky Statute, the next step was to promulgate regulations and in doing that determine what program actions were necessary to get the law implemented by January 2010. Development of regulations converged with the federally funded development of a web based application for submission of outpatient screening and diagnostic audiology results through KY CHILD. Following training at 3 audiology pilot sites, this project is slated to launch in December 2009. Additionally, with HRSA MCHB grant funding application packets were developed and sent to all audiology practices across the state, so that the “Approved Infant Audiology Assessment Centers” list could be compiled and distributed via by both electronic access and hardcopy version. The passage of HB 5, electronic submission of audiology results and the continued efforts of the Kentucky EHDI team to assist families, hospitals, and providers while collaborating with all stakeholders broadens and strengthens the net that prevents loss to follow-up.
Presentation(s): Not Available
Handouts: Not Available
SPEAKER INFORMATION
PRESENTER(S):
N. Carolyn Kisler - KY CCSHCN
     Credentials: M.A., CCC-A Kentucky EHDI Coordinator
      Carolyn Kisler obtained her Bachelor of Science degree and Master of Arts degree in Audiology from the University of Tulsa. In 2001 she joined the Commission for Children with Special Health Care Needs as UNHS West Region Coordinator. From June 2001 to April 2007, she worked directly with audiologists in her area and sometimes statewide to implement the goals of Early Hearing Detection and Intervention (EHDI). She presented statewide on High Risk Factors and other issues at Kentucky Speech-language Hearing Conferences. Additionally, she served as co-chair on the Centers for Disease Control and Prevention (CDC- EHDI) Provider Relations Sub-Committee which developed the “Just in Time” materials for primary care providers and parents used throughout the United States. With Amy Rosenthal, she presented these materials at the EHDI national conference in 2003 and 2004. Currently, Ms. Kisler is the Audiology-EHDI Branch Manager for CCSHCN and Kentucky’s EHDI Coordinator.
Anne Swinford - CCSHCN
     Credentials: M.S., CCC-SPL Director of Clinical and Augmentative Services
      Completed a B.A. at Brescia University in Speech & Hearing and an M.S. at Purdue University in Speech/Language Pathology. Currently holds a Certificate of Clinical Competence in Speech/Language Pathology from the American Speech-Language-Hearing Association. Past professional experiences include: speech/language services in public schools, hospital, and Head Start/Preschool settings; Clinical Supervision and Lecturer at Brescia University; out-patient clinical speech/language services; cleft lip & palate team member; Part C Coordinator of First Steps – Kentucky’s Early Intervention System; and administration of clinical and augmentative services for children with special health care needs in Kentucky.
 
AUTHOR(S):
N. Carolyn Kisler - KY CCSHCN
     Credentials: M.A., CCC-A Kentucky EHDI Coordinator
      BIO: Carolyn Kisler obtained her Bachelor of Science degree and Master of Arts degree in Audiology from the University of Tulsa. In 2001 she joined the Commission for Children with Special Health Care Needs as UNHS West Region Coordinator. From June 2001 to April 2007, she worked directly with audiologists in her area and sometimes statewide to implement the goals of Early Hearing Detection and Intervention (EHDI). She presented statewide on High Risk Factors and other issues at Kentucky Speech-language Hearing Conferences. Additionally, she served as co-chair on the Centers for Disease Control and Prevention (CDC- EHDI) Provider Relations Sub-Committee which developed the “Just in Time” materials for primary care providers and parents used throughout the United States. With Amy Rosenthal, she presented these materials at the EHDI national conference in 2003 and 2004. Currently, Ms. Kisler is the Audiology-EHDI Branch Manager for CCSHCN and Kentucky’s EHDI Coordinator.