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ABSTRACT INFORMATION
Title: '10 Years of UNHS: Quality Improvement is Perpetual for Parkland Universal Hearing Screening Program'
Track: 8-Program Evaluation and Quality Assurance
Audience: Primary Audience: Hospital/Birthing Center<
Secondary Audience: Audiologist
Tertiary Audeince: Medical Provider
Keyword(s): quality improvement, follow-up, education, program protocols
Learning Objectives: 1.) understand quality improvement process 2.) analyze the effectiveness of program modifications

Abstract:

Universal newborn hearing screening programs strive to meet state and national performance guidelines to insure patient care is optimized. Each program, however, is reflective of the community it serves. In order to meet performance goals, one must be sensitive to the facility in which services are provided, the patient population served, community specific resource availability and access. What is effective for one newborn hearing screening program may not be the most effective approach for another. One must maintain an ongoing dedication to identifying opportunities for improvement, implementing change, measuring effects of the change and then readdressing the issue as needed. Parkland Hospital, the largest single-site birthing facility in the United States with an annual census of >15,000 births, has been conducting universal newborn hearing screening for more than 10 years. During this time, several areas in need of improvement were identified and a team approach taken to implement changes. Areas targeted were (a) return for follow-up (changes improved outpatient show rate), (b) parent education (developing material to increase parent awareness of screening and conducting studies to determine outcome results), (c) establishing an At-Risk for Progressive Hearing Loss Program (performing several trials to find a protocol best suited for the patient, provider and hospital) and (d) working with other health care providers in acceptance and support of the program. We are fortunate to be in a learning facility with opportunities to routinely present to students and residents about the importance of early identification of hearing loss and implementation of intervention services. This presentation will provide data from the program as well as a brief review of some of the program modifications made to improve patient care and education. Unusual cases and outcomes will be also included.
Presentation(s): Not Available
Handouts: Not Available
SPEAKER INFORMATION
PRESENTER(S):
Angela Shoup - UT Southwestern Medical Center at Dallas, Texas
     Credentials: Ph.D.
     Other Affiliations: Parkland Hospital, Dallas, Texas Children's Medical Center at Dallas, Texas
      Angela Shoup, Ph.D. is an Associate Professor in the Department of Otolaryngology – Head and Neck Surgery at the University of Texas Southwestern Medical Center where she also serves as Director of the Division of Communicative and Vestibular Disorders. Dr. Shoup is affiliated with the Aston Ambulatory Care Center, Parkland Hospital and Childrens Health. Dr. Shoup has published articles and textbook chapters on audiologic procedures, including newborn hearing screening, and implantable hearing aids. She has been an invited speaker at national and international meetings. She served as President of the Texas Academy of Audiology, Chair of the Ethical Practices Committee for the American Academy of Audiology, and Chair of the Board of Trustees for the American Academy of Audiology Foundation.
Kris Owen, Au.D. - UT Southwestern Medical Center
     Credentials: Au.D.
     Other Affiliations: Parkland Hospital, Dallas, Texas Children's Medical Center at Dallas, Texas
      Kris Owen, Au.D. is an audiologist and faculty associate at UT Southwestern Medical Center. She coordinates the newborn hearing screening program at Parkland Hospital and provides pediatric audiology services at Children's Medical Center at Dallas.
 
AUTHOR(S):
Gregory Jackson, M.D. - UT Southwestern Medical Center
     Credentials: M.D., M.B.A.
     Other Affiliations: Parkland Hospital, Dallas, Texas
      BIO: Greg Jackson, M.D. is a Professor of Pediatrics at UT Southwestern Medical Center at Dallas. He spent 14 years in general pediatric practice in Denton, Texas before he arrived at UTSW as the Clinical Director of the Parkland Memorial Hospital Newborn Nursery in 1989. Newborn medicine has been his main interest beginning prior to medical school, when he worked with Arnold Rudolph, M.D. at the now closed Jeff Davis Hospital in Houston, Texas. Dr. Jackson provides clinical services in the management of the normal newborn, performs research in various areas of newborn medicine, and assists in the administration of one of the largest newborn nurseries in the U.S.
Angela Shoup - UT Southwestern Medical Center at Dallas, Texas
     Credentials: Ph.D.
     Other Affiliations: Parkland Hospital, Dallas, Texas Children's Medical Center at Dallas, Texas
      BIO: Angela Shoup, Ph.D. is an Associate Professor in the Department of Otolaryngology – Head and Neck Surgery at the University of Texas Southwestern Medical Center where she also serves as Director of the Division of Communicative and Vestibular Disorders. Dr. Shoup is affiliated with the Aston Ambulatory Care Center, Parkland Hospital and Childrens Health. Dr. Shoup has published articles and textbook chapters on audiologic procedures, including newborn hearing screening, and implantable hearing aids. She has been an invited speaker at national and international meetings. She served as President of the Texas Academy of Audiology, Chair of the Ethical Practices Committee for the American Academy of Audiology, and Chair of the Board of Trustees for the American Academy of Audiology Foundation.
Kris Owen, Au.D. - UT Southwestern Medical Center
     Credentials: Au.D.
     Other Affiliations: Parkland Hospital, Dallas, Texas Children's Medical Center at Dallas, Texas
      BIO: Kris Owen, Au.D. is an audiologist and faculty associate at UT Southwestern Medical Center. She coordinates the newborn hearing screening program at Parkland Hospital and provides pediatric audiology services at Children's Medical Center at Dallas.