15th ANNUAL EARLY HEARING DETECTION & INTERVENTION MEETING
March 13-15, 2016 • San Diego, CA
| - | 6 - Follow-up, Tracking and Data Management
The Power of Maps: Using Visual Data to Identify Populations with High Rates of Missing Hearing Screening Information
Background
New York State (NYS) public health law mandates reporting of newborn hearing screening to the Department of Health. In 2014, 11% of newborns were missing an initial hearing screening disposition. Given the size of NYS, systematic data analysis is required to identify specific geographic areas and populations without hearing screening information to target initiatives to improve screening rates.
Methods
Hearing screening information for the 30 counties of Western and Central NYS, which includes the cities of Buffalo, Rochester and Syracuse, was evaluated. Hearing screening data were analyzed by the newborn’s zip code of residence. Birth’s occurring in a hospital or facility have a Permanent Facility Identifier (PFI). A thematic map of the percent missing hearing screening information by zip code was created using ArcGIS version 10.3.
Results
While the overall region had hearing screening information reported for over 95% of newborns, the map revealed clusters of zip codes with high rates of missing information. Four regions had 60% or more newborns with no hearing screening results. These regions correlated with high rates of births not occurring in a birthing facility, as indicated by the lack of a PFI on the birth certificate. The counties in which these regions were located have ten or more Amish church districts, and the zip code missing the most information is the location of the largest Old Order Amish church.
Conclusions
Zip codes with the highest percentages of no hearing screening dispositions were found in locations with large Amish communities. The NYEDHI program plans to reach out to other states and other programs that have been successful in engaging the Amish community in the importance of hearing screening. Once evidence-based interventions have been identified, staff will implement and re-analyze data to determine if the changes were successful.
- Describe the geographic distribution of zip codes with high percentages missing initial hearing screening disposition in New York.
- Describe methods used to determine possible reasons for high percentages of missing initial hearing screening disposition in the identified zip codes.
- Understand how GIS software can be utilized to visualize data to identify patterns in geographic distribution.
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Presenters/Authors
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Michelle Cavanagh
(Primary Presenter,Author), NYS DOH , michelle.cavanagh@health.ny.gov;
Michelle Cavanagh, MPH serves as the NY EHDI Follow-Up Coordinator within the Program Evaluation and Evidence-based Practices Unit in the Bureau of Early Intervention. She received her undergraduate degree in Biological Science from the University of Delaware and a Masters of Public Health from the University at Albany.
ASHA DISCLOSURE:
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No relevant financial relationship exist.
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No relevant nonfinancial relationship exist.
Nafin Harun
(Author), NYS DOH, nafin.harun@health.ny.gov;
Nafin Harun is a graduate student in the Geography Program at the State University of New York at Albany with focus on Geographic Information Systems (GIS). He worked as an intern for the NY EHDI program from January to October of 2015. His interests are identifying risk factors in the public health arena by applying GIS, database management and statistical practices.
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Kirsten Siegenthaler
(Author), NYS DOH, kirsten.siegenthaler@health.ny.gov;
Kirsten Siegenthaler, MSPH is the Unit Manager of the Program Evaluation and Evidence-based Practices Unit, in the Bureau of Early Intervention. She has a Masters Degree in Public Health from Emory University Rollins School of Public Health. She is currently completing a Ph.D. in Epidemiology at the University at Albany, State University of New York, School of Public Health. For the past eleven years, she has worked at the New York State Department of Health to oversee data management and analysis. She serves as the coordinator for the Health Resources and Services Administration (HRSA) State Implementation Grant for Improving Services for Children and Youth with Autism Spectrum Disorders (ASD) and other Developmental Disabilities. She also supervises the activities of the HRSA Early Hearing Detection and Intervention Grant and the CDC EHDI Tracking and Surveillance grant.
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Ken Juhas
(Co-Presenter,Author), NYS DOH, ken.juhas@health.ny.gov;
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