19th ANNUAL EARLY HEARING DETECTION & INTERVENTION MEETING
March 8-10, 2020 • Kansas City, MO
3/09/2020 | 2:00 PM - 2:30 PM | Identifying and Addressing Medical Home EHDI MisSteps: A Family-Centered Response | Empire C
Identifying and Addressing Medical Home EHDI MisSteps: A Family-Centered Response
Challenges in ensuring a continuum of quality care for EHDI families arise as the role of the medical home continues to evolve. Patterns include primary care providers (PCPs) sharing information with families that is not accurate or timely, and failing to make appropriate referrals to diagnostic audiology or early intervention. More recently, an increasing number of PCPs are administering outpatient OAE screenings without full understanding of protocols, reporting requirements or implications of test results. These trends place infants at risk for loss to follow up/documentation. It is critical that these missteps in systems and services be addressed in a manner that does not undermine the medical provider or place unreasonable expectations on families. The Follow Through Guide Project with Texas Hands & Voices has been supporting the efforts of the Texas EHDI program in developing a response to medical home concerns through family support and provider connections. Initial steps have included gathering quantitative and qualitative data from EHDI families, surveying identified PCP offices about their practices, targeting regions of high need, providing gentle coaching to providers and educating families through direct personal contact. This session describes a piloted quality-improvement strategy using a PDSA (Plan-Do-Study-Act) model. A targeted, regional approach that leverages parent-to-parent support is described.
- Participants will describe three trends in primary care service provision that place EHDI families at risk for loss to follow up
- Participants will review features that place families at risk for loss to follow-up, with particular emphasis on families who are non-English speaking and economically disadvantaged
- Participants will apply a PDSA model with two to three strategies for addressing medical home concerns that could be applied to their EHDI system
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Presenters/Authors
Karen Ditty
(), Texas Hands & Voices, karenditty@txhv.org;
Karen Ditty is a pediatric audiologist with extensive experience and expertise in Early Hearing Detection and Intervention (EHDI) programs. Her career includes initiating newborn hearing screening and hearing aid legislation while implementing EHDI activities in Louisiana and Texas. She has been associated with the National Center for Hearing Assessment and Management for more than 20 years, and has worked on a variety of projects such as the Newborn Hearing Screening Training Curriculum and issues related to program quality, financing, and sustainability.
ASHA DISCLOSURE:
Financial -
No relevant financial relationship exist.
Nonfinancial -
No relevant nonfinancial relationship exist.
Sarah Wainscott
(), Texas Woman's University, swainscott@twu.edu;
Sarah Wainscott trains teachers of the deaf and speech-language pathologists at Texas Woman’s University, with an emphasis on language acquisition, auditory supports, and interdisciplinary collaboration. She is also the parent of two children who are deaf, and supports parent outreach and provider training for Texas Hands & Voices.
ASHA DISCLOSURE:
Financial -
No relevant financial relationship exist.
Nonfinancial -
No relevant nonfinancial relationship exist.