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ABSTRACT INFORMATION
Title: 'Barriers and Roadblocks for Universal Newborn Hearing Screening'
Track: 1-EHDI Program Enhancement
Audience: Primary Audience:
Secondary Audience:
Tertiary Audeince:
Keyword(s): Policies and Procedures,Technology,Insurance,Cultural diversity, Reimbursement
Learning Objectives: 1.Identify barriers and roadblocks to universal hearing screening in the hospital setting. 2. Identify system changes in universal hearing screening that have created barriers in universal hearing screening. 3. Identify specific actions that can be implemented in the hospital setting to deal with barriers and roadblocks. 4. Identify actions that can be implemented at the state and national level to effectively break down barriers and road blocks in universal hearing screening.

Abstract:

Universal Newborn Hearing Screening (UNHS) has profoundly impacted how hospitals within states and territories have managed screening of infants for hearing loss. The last decade has shown significant advances in public awareness of the need for hearing screening, in technology to provide the hearing screening, and even in the quality of training to provide the hearing screening. The fervor of providing effective and quality screening to every infant has been full of good intentions however has come at a cost to hospitals and contractors across the nation due to increased layers of bureaucracy. Although early identification of hearing loss in infants has had a positive impact on infants and their families identified with hearing loss, the process of UNHS is still fraught with barriers that impact the cost effectiveness and the quality of these programs. Barriers and roadblocks that affect the cost effectiveness and quality assurance of universal newborn hearing screening include additional layers of responsibilities for the screener, language barriers, insurance barriers, self pay issues, data entry, litigation concerns, medical home referrals, equipment costs and reimbursement issues. This presentation will identify and discuss the impact of barriers to effective and efficient UNHS programs in Hospitals. This presentation will also identify specific actions that can be implemented in the hospital setting to deal with barriers and roadblocks as well as identify actions that can be implemented at the state and national level to effectively break down barriers and roadblocks to universal hearing screening specific to the hospital setting.
Presentation(s): Not Available
Handouts: Not Available
SPEAKER INFORMATION
PRESENTER(S):
Karen Markuson Ditty - NCHAM
     Credentials: Au.D.,CCC-A Board Certified in Audiology
     Other Affiliations: Newborn Intensive Care Specialists,P.A.
      Dr. Ditty is a pediatric audiologist with extensive experience and expertise in EHDI programs. Her career spans over 30 years and includes leading and implementing EHDI activities in Baton Rouge, Louisiana and in the Houston and Dallas areas of Texas. She is the former Director of Audiology and Speech Pathology at the Woman’s Hospital in Baton Rouge, and continues to oversee hospital programs in the Houston and Dallas areas of Texas. Dr. Ditty has been associated with NCHAM for more than 15 years as a member of the Technical Assistance Network and coordinates the NCHAM national pediatric audiology diagnostic workshops. She also works on a variety of projects related to early childhood screening and pediatric audiology such as the Newborn Hearing Screening Training Curriculum and issues related to program quality, financing and sustainability. Dr. Ditty has authored and contributed to publications related to EHDI at local, national and international forums.
Sharon Parham - Newborn Hearing Screener
     Credentials: M.S. Retired supervisor for Cypress Fairbanks Regional Day Program, Houston, Texas
     Other Affiliations: Texas Chapter of Hands and Voices Texas Association of Parents and Educators for the Deaf
      Sharon M. Parham, M.S. has over 30 years of experience in working with infants and toddlers who are deaf and hard of hearing. She worked early in her career as a parent infant advisor and ended her career as the Supervisor of the Cypress Fairbanks Cooperative for the deaf and hard of hearing (one of the largest in the state of Texas) Regional Day School that included parts of Houston and surrounding counties. She retired in 2008 only to find herself assisting her sister in providing newborn hearing screening in local hospitals. She is currently on the board for the Texas chapter of Hands and Voices and is actively involved in the Texas Association of Parents and Educators for the Deaf.
 
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