Presenter Information:
Presenter 1: Name: Jeff Hoffman
Affiliation: Nebraska EHDI Program
Jeff Hoffman, MS, CCC-A is the program manager for the Nebraska Early Hearing Detection and Intervention Program and an NCHAM EHDI consultant. In addition to audiology, Jeff has also worked in a variety of other fields: elementary education, counseling and family services, administration of early childhood programs, and provision of training and technical assistance services to Head Start programs. Jeff is the current president of Director of Speech and Hearing Programs in State Health and Welfare Agencies and has been president of the Dimensions Educational Research Foundation since 2006.
Presenter 2: Name: Jim Beavers
Affiliation: Nebraska EHDI Program
Jim Beavers, BGS, has been the Business Analyst consultant with the Nebraska Early Hearing Detection and Intervention Program since 2006. Jim has guided the development of the NE-EHDI integrated electronic data system by defining, analyzing and documenting essential business functions and serving as liaison to the software vendor. Jim also has experience as a systems analyst and programmer analyst
Author Information:
Author 1: Name: Jeff Hoffman
Affiliation: Nebraska EHDI Program
Author 2: Name: Debora Barnes-Josiah
Affiliation: Nebraska Lifespan Health Services
Author 3: Name: Jim Beavers
Affiliation: Nebraska EHDI Program
Abstract Information:
Title: EHDI System Outcomes and Selected Demographics
Primary Track: 7-Program Evaluation and Quality Assurance
Keyword(s): "Lost-to-System," demographics, outcomes, Learning Collaborative


Reducing the number of babies who are categorized as Lost to System (Follow-up/Documentation) is a challenge for EHDI systems. The inability of EHDI programs to document services can happen at any point from hearing screening to diagnostic evaluations to early intervention services. In addition to completion of the recommended sequence of activities, timeliness is also a critical factor since earlier intervention has been shown to have a positive effect on long-term outcomes. In January, 2007, the Nebraska EHDI Program implemented an electronic reporting system that is an integrated module of the state’s new Vital Records System (ERS-II). For each birth, a Hearing Information (HINFO) record is populated with data from the electronic birth record. Data includes both identifying information and selected demographics. Initial screening, follow-up re-screening and diagnostic evaluation data are added to the basic HINFO record through detail records. This poster will provide a descriptive analysis of the relationship of six demographic factors to three EHDI system outcomes in Nebraska for the 2007 birth cohort. The demographics are maternal age, maternal education level, maternal race/ethnicity, maternal marital status, principal source of payment for medical services, and geographic location. The three system outcomes are timeliness of initiation of follow-up activities, lost to system (follow-up/documentation) and referral to Part C. As part of the first round of the National Initiative for Child Healthcare Quality (NICHQ) Learning Collaborative, the NE-EHDI Program is looking at demographic factors to develop strategies, beginning with small tests of change, that could improve follow-up. Strategies and materials developed as a result of the NICHQ Learning Collaborative will be highlighted in this poster.
Presentation(s): Not Available
Handouts: Not Available