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ABSTRACT INFORMATION
Title: 'Factors Associated With Timely Completion Of Newborn Hearing Screening 2007-2012' Track: 6 - Follow-up, Tracking and Data Management Keyword(s): Newborn Hearing Screening, Loss to Follow-up, Hospital practices Learning Objectives: Identify groups at high risk for loss to follow-up and delayed completion of newborn hearing screening. Identify opportunities at the state and hospital levels to improve timely completion of newborn hearing screening. Abstract: The Joint Commission on Infant Hearing recommends completion of newborn hearing screening (NHS) by 1 month old. Loss to follow-up (LTF) and delayed completion of outpatient NHS among infants who do not pass the inpatient NHS is a nationwide problem. Some patient/family-level factors associated with timely completion of NHS have been identified, but few studies have examined hospital-level factors. To identify patient/family-level and hospital-level factors associated with timely completion of NHS, we conducted a retrospective study of all infants born in Colorado hospitals who did not pass the inpatient NHS from 2007-2012. Outcomes were completion of outpatient NHS ever and completion by 1 month. Data sources were the Electronic Birth Record and the Infant Hearing Integrated Data System at the Colorado Department of Public Health and Environment, and an electronic survey of NHS coordinators at Colorado birthing hospitals. Data were analyzed using multi-level modeling approaches. Among 15,366 infants who did not pass the inpatient NHS from 2007-2012, 12,306 (80%) had documentation of a completed outpatient NHS. 100% of NHS coordinators (n=53) completed the survey. Factors associated with completion of outpatient NHS ever were private insurance, white race, maternal age > 20, maternal education > college, small family size, maternal non-smoking, urban residence, and maternal birthplace outside of the U.S. (p<0.05) Factors associated with completion of NHS by 1 month were private or public insurance, maternal education > college, urban residence and primary care provider notification of inpatient NHS results prior to discharge. (p<0.05) In addition to these findings this presentation will review survey responses, examine how EHDI programs can improve outreach to groups at high risk for LTF for NHS, and promote hospital-level practices to improve timely completion of NHS. Presentation: This presentation has not yet been uploaded or the speaker has opted not to make the presentation available online. Handouts: Handout is not Available CART: CART Transcription is not Available
PRESENTER(S) / AUTHOR(S) INFORMATION
Maureen Cunningham - Primary Presenter,Co-Presenter,POC University of Colorado Denver School of Medicine      Credentials: MD, MPH, FAAP       Maureen Cunningham is an Assistant Professor of Pediatrics at the University of Colorado School of Medicine. Dr. Cunningham completed her MD in 2007 and pediatric residency in 2010 at the University of Colorado School of Medicine. She completed a Primary Care Research Fellowship and earned her MPH from the Colorado School of Public Health in 2014. She has appointments in the Section of Hospital Medicine at Children’s Hospital Colorado and the Center for Global Health at the Colorado School of Public Health.       ASHA DISCLOSURE: Financial - No relevant financial relationship exist. Nonfinancial - No relevant nonfinancial relationship exist. Vickie Thomson - Co-Presenter University of Colorado      Credentials: PhD       Vickie Thomson, PhD, served at the Director of the Colorado Newborn Hearing Program at the Colorado Department of Public Health and Environment from 1991 to 2012. She received her master’s degree in audiology from the University of Northern Colorado in 1978 and her doctorate degree from the University of Colorado Boulder in 2007. As a clinical audiologist Vickie started one of the first infant hearing programs at Boulder Community Hospital. She has provided technical assistance in developing screening programs in Colorado and in other states and countries. She has written numerous articles on the importance of early identification and intervention of hearing loss in infants. She currently is the principle investigator if the HRSA EHDI grant and is a consultant to the National Center on Hearing Assessment and Management.       ASHA DISCLOSURE: Financial - No relevant financial relationship exist. Nonfinancial - No relevant nonfinancial relationship exist.