Title: 'Pediatric Primary Care and EHDI'
Track: 4-Medical Home
Audience: Primary Audience: Medical Provider
Secondary Audience: State Health Department
Tertiary Audeince: Federal Agency
Keyword(s): medical home, pediatrics, primary care, follow-up
Learning Objectives: Learners will be able to discuss the facilitators and barriers to follow-up regarding EHDI for pediatric primary care physicians.


Infants with hearing loss identified at birth and who receive appropriate services at an early age show better language outcomes than children who do not. Pediatric primary care physicians (PCPs) can play an important role in the Early Hearing Detection and Intervention (EHDI) process by ensuring that infants who fail their newborn hearing screen or who are identified with hearing loss receive appropriate follow-up services. We used responses from the 2008 annual DocStyles survey to assess practices among practitioners who serve pediatric populations (Family/General physicians, Internists, Pediatricians). We examined patient, physician, and practice variables associated with facilitators and barriers to following the 2007 Joint Commission on Infant Hearing (JCIH) recommendations. The responses of 871 pediatric PCPs were included in the analyses. Logistic regression analyses showed that Family/General physicians, internists, and pediatricians who served more pediatric patients per week were more likely to receive newborn hearing screening results. For Family/General physicians, this was also true for whether they asked for results if they were not received. For pediatricians only, gender and group work settings were associated with likelihood of asking for results. None of the physician or patient demographic characteristics measured (e.g. race, gender, age, years of practice) were associated with likelihood of pediatric PCPs counseling parents to have their infant’s hearing screened. Detailed results will also be presented showing which barriers to following specific JCIH guidelines were reported by pediatric PCPs. This study provides insight into patient, physician, and practice variables associated with barriers and facilitators to following the 2007 JCIH recommendations for pediatric PCPs and what the specific reasons are for failure to follow these recommendations. Future research should examine how to address these barriers. Such research, including the present study, can help ensure all infants have their hearing screened and receive appropriate follow-up services if needed.
Presentation(s): Not Available
Handouts: Not Available
Danielle S Ross - CDC
     Credentials: PhD, MSc
      Danielle S. Ross is a Senior Service Fellow in the CDC Early Hearing Detection and Intervention program. Dr. Ross holds a Ph.D. in Brain and Cognitive Sciences from the University of Rochester a Masters degree in SLP from McGill University. Dr. Ross’ research focuses on hearing loss in young children.
Susanna Visser - CDC
     Credentials: MS
      Susanna Visser, MS, is the lead Epidemiologist for the Child Development Studies team in the National Center on Birth Defects and Developmental Disabilities (NCBDDD). Ms. Visser?s areas of expertise include the epidemiologic study of neurobehavioral and mental health conditions of children, including ADHD, Tourette Syndrome , and autism. She is also an expert in analyzing longitudinal survey data, which is data covering developmental trends across the life span, and population-based survey data.