Title: 'Hearing Rescreening in the Medical Home – a State Model to Improve Follow-up Reporting'
Track: 4-Medical Home
Audience: Primary Audience: Other - EHDI State Program
Secondary Audience: Medical Provider
Tertiary Audeince:
Keyword(s): medical home, rescreening, guidelines
Learning Objectives: evaluate the model proposed by the Louisiana state EHDI program developed to improve data acquisition from physicians in the medical home


Infants lost to follow-up after newborn screening are often in reality just lost to documentation. In Louisiana, an infant failing newborn screening is legally mandated to be referred to an audiologist and a primary care physician. When this law was created it was assumed that the audiologist would be the professional performing the rescreening test. Since 2002 when our law was implemented, the cost of screening equipment has become so affordable that many medical home providers have purchased OAE and AABR screening equipment for their office use. This equipment is now being used regularly during well-baby check-ups to repeat failed hospital screening or to test those infants born outside of the hospital setting. In 2007 there were 26 physician offices identified with screening equipment and in 2008 the number had risen to 48 offices. These offices however were not being required to report results to the Department of Health and Hospitals EHDI state database. Parents rarely took the infant to see the audiologist if the test was passed in the physicians office. Since the audiologist was not performing the testing, results on these children were never reported and they were considered lost to follow-up. Louisiana EHDI Program tackled this issue with a unique approach to identify, educate, and encourage our medical homes to join us in our mission to identify all children born with hearing loss. This approach includes collaborations with new partners, compiling and creating guidelines for appropriate testing and reporting by physician offices, monitoring of the information, and providing outreach to those sites in need of assistance. This presentation will describe the genesis of the newly created Physician Guidelines for Rescreening of Infants, the follow-up forms and procedures initiated and included in the guidelines, and the other factors and collaborations that were involved in this newly created program
Presentation(s): Not Available
Handouts: Not Available
Christy Fontenot - Louisiana EHDI
     Credentials: MS from Southern Methodist University , Dallas TX and advanced training at Lousiana Statue University, ASHA Certificate of Clinical Competancy in Audiology, Type A Louisiana Teaching Certificate
     Other Affiliations: Louisiana Speech/Language Hearing Association, Women's and Children's Hospital- Lafayette,LA
      Program Coordinator, Early Hearing Detection and Intervention Program, Louisiana Office of Public Health, Department of Health and Hospitals 2000-present Clinical Audiologist, Women’s and Children’s Hospital, Lafayette, Louisiana 1986-present
Lorraine Farr - Louisiana EHDI
     Credentials: M.S. Audiology/Speech Pathology, Tulane University, New Orleans Certificate of Clinical Competence, Audiology and Speech Pathology, ASHA Louisiana License, Audiology and Speech/Language Pathology, Number 358 Louisiana Type A Teacher’s Certificate
     Other Affiliations: ASHA, Louisiana Speech Language Hearing Association
      Program Director, Hearing, Speech and Vision Program (HSV), Children’s Special Health Services (CSHS), Office of Public Health (OPH), Department of Health and Hospitals 2004-present. Responsible for both CDC and MCHB grant programs and staff Audiologist/Speech Pathologist, Jefferson Parish Public Schools:1981- 2004
Melinda Peat - Louisiana EHDI
     Credentials: MS in Audiology CCC-A
     Other Affiliations: ASHA, Louisiana Speech Language Hearing Association
      State Audiology Coordinator, Hearing, Speech and Vision Program (HSV), Children’s Special Health Services (CSHS), Office of Public Health (OPH), Department of Health and Hospitals