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ABSTRACT INFORMATION
Title: 'Out of Hospital Hearing Clinics in Rural Areas of Wisconsin'
Track: 1 - EHDI Program Enhancement
Keyword(s): Newborn hearing screening, Out of hospital births, Midwives, Loss-to-follow-up, hearing evaluations
Learning Objectives:
  1. Descrbie barriers to initial and follow-up hearing screenings in rural Amish and Mennonite populations in Wisconsin
  2. List the hearing health services provided through the Out of Hospital (OOH) hearing clinics in remote areas of Wisconsin

Abstract:

Newborn hearing screenings in the Amish and Mennonite communities are being conducted throughout the state of Wisconsin by Licensed Midwives performing out of hospital births. However, some plain families in remote areas of Wisconsin do not have access to newborn hearing screenings because the traditional birth attendant or other person who is providing their care is not a licensed provider with access to hearing screening equipment. Additionally some families with an infant who has referred on the hearing screenings performed by the Licensed Midwife caring for them, have not, due to many barriers to care, been seen by an audiologist for follow-up. To address both of these obstacles a team from Wisconsin Sound Beginnings (Audiologist, parent advocates, and a Licensed Midwife), in addition to Audiologists and Doctoral Audiology students from the University of Wisconsin-Madison, are establishing Out of Hospital (OOH) hearing clinics in homes and community buildings in remote areas of Wisconsin. The purpose of the OOH clinics is to provide free newborn hearing screenings, diagnostic hearing evaluations, diagnostic auditory brainstem response (ABR) testing, diagnostic otoacoustic emissions (OAEs) testing, resources for families, and hearing aid fittings with a six month loan period through the WISHES program. Through speaking with families in the Amish and Mennonite communities in Wisconsin, attitudes toward hearing loss, newborn hearing screenings, and who is receiving and not receiving audiological services are being explored.
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PRESENTER(S) / AUTHOR(S) INFORMATION
Jon Douglas - POC,Co-Presenter
University of Wisconsin Waisman Center
     Credentials: AuD, CCC-A
      Jon C. Douglas, AuD is a clinical audiologist at the University of Wisconsin Doctor of Audiology Program. In addition, Dr. Douglas is the LEND Audiology Clinical Faculty at the Waisman Center University Center for Excellence in Developmental Disabilities. He specializes in diagnostic hearing evaluations in children and adults with different abilities. In addition, Dr. Douglas is the clinical audiologist on the LEND Pediatric Audiology Supplement grant to improve pediatric audiology training.
      ASHA DISCLOSURE:

Financial - No relevant financial relationship exist.

Nonfinancial - No relevant nonfinancial relationship exist.
Gretchen Spicer - Co-Presenter
Wisconsin Guild of Midwives
     Credentials: Certified Professional Midwife Licensed Midwife
     Other Affiliations: Wisconsin Guild of Midwives
      CPM LM
      ASHA DISCLOSURE:

Financial - No relevant financial relationship exist.

Nonfinancial - No relevant nonfinancial relationship exist.
Jenna Woestman - Co-Presenter
St. Claire Hospital
     Credentials: Au.D.
      Dr. Woestman graduated from the University of Wisconsin in 2014. Dr. Woestman is a clinical audiologist at St. Clare hospital in Baraboo, WI. She is currently providing diagnostic audiologic assessments and hearing aid services for the pediatric and adult populations.
      ASHA DISCLOSURE:

Financial - No relevant financial relationship exist.

Nonfinancial - No relevant nonfinancial relationship exist.
Trista Fugate - Co-Presenter
University of Wisconsin - Madison
     Credentials: B.S.
      Trista is currently in her third year, and will complete her program in May of 2014 earning a clinical doctorate in Audiology (Au.D.) from University of Wisconsin-Madison.
      ASHA DISCLOSURE:

Financial - No relevant financial relationship exist.

Nonfinancial - No relevant nonfinancial relationship exist.
Amy Hartman - Author
University of Wisconsin Doctor of Audiology Program, Department of Communication Sciences and Disorders
     Credentials: Au.D., CCC-A
      Dr. Hartman’s clinical focus is working with deaf and hard of hearing children. She is particularly interested in audiologic assessment of infants and young children and (central) auditory processing evaluations. Dr. Hartman has clinical expertise in the area of diagnostic audiologic assessment and hearing aid assessments and fittings for the pediatric population. Her previous clinical experiences include work at a children’s hospital and a large multi-specialty clinic. Dr. Hartman has clinical experience in the areas of behavioral diagnostic testing, electrophysiological assessment, including sedated and non-sedated auditory brainstem response testing, newborn hearing screening, (central)auditory processing evaluations, and the fitting of hearing aids and other assistive listening devices.
      ASHA DISCLOSURE:

Financial - No relevant financial relationship exist.

Nonfinancial - No relevant nonfinancial relationship exist.