Title: 'Strategies to Involve Medical Home After Diagnosis of Hearing Loss'
Track: 4-Medical Home
Audience: Primary Audience: State Health Department
Secondary Audience: Medical Provider
Tertiary Audeince: Audiologist
Keyword(s): medical home, referral to specialists, follow-up
Learning Objectives: 1) Learn how the Minnesota EHDI program works with the medical home for children with a hearing loss. 2) Identify tools used to better involve primary care providers after a child is diagnosed with a hearing loss. 3) Explore strategies that can work to improve state’s tracking and follow-up systems.


Minnesota’s landmark EDHI legislation in the spring of 2007 propelled the State’s EHDI Program forward causing significant improvements. Improvement in the education of and communication with primary care providers in the medical home has greatly increased the awareness of the primary care providers about the EHDI national goals and objectives, as well as the recommendations of the 2007 JCIH Position Statement and other best practice guidelines by the American Academy of Pediatrics (AAP), American Speech, Language and Hearing Associations (ASHA) etc. Standard Operation Procedures (SOP) have been developed, refined, and utilized to improve the long-term follow-up after a child is diagnosed with a hearing loss. Strategies to involve the medical home for the coordination of care, including referrals to medical specialists (otolaryngologist, geneticist, ophthalmologist, and speech language pathologist), early intervention programs and family support services will be shared. These strategies include making direct calls to the Primary Care Provider (PCP), sending Just-in-Time education and resource material packet to the PCP and follow-up communication with the PCP once a gap is identified as the possible lost-to-follow-up in the EHDI process. Learn more about ideas that have been tested and are being used successfully to improve the quality of MN’s EHDI long-term follow-up system. Interaction with the audience will induce more discussion about how to effectively involve medical home and specialists in the EHDI process so children with a confirmed hearing loss can reach their ultimate developmental goals.
Presentation(s): Not Available
Handouts: Not Available
Yaoli Li - Minnesota Dept of Health
     Credentials: MD (ENT), CCC-A
      Dr. Yaoli Li was trained and practiced more than 15 years as an otolaryngologist in China and received her degree in audiology upon moving to the US. She has worked as a clinical audiologist and researcher at the University of Minnesota before joining the Minnesota EHDI program since its inception in 2000. She has been involved in contacting physicians following the referral of infants from newborn hearing screening since the passage of Minnesota EHDI legislation in 2007.
Nicole Brown - Minnesota Dept of Health
     Credentials: MSN, PHN, CPNP
     Other Affiliations: Public Member, Board of Governors American Board of Audiology
      Nicole Brown is a certified pediatric nurse practitioner and has worked in Minnesota’s Maternal and Child Health/Public Health field for over 17 years at both the state and local level. She is Minnesota’s EHDI Coordinator responsible to provide long-range planning and direction for the development, implementation, and evaluation of a statewide EHDI system for children once they are identified with hearing loss. Nicole served as the National Association of Pediatric Nurse Practitioners’ liaison to the American Academy of Pediatrics Task Force on Improving the Effectiveness of Newborn Hearing Screening, Diagnosis, and Intervention. She works with NCHAM as Quality Improvement Advisor and is the parent of two children who are deaf.