Title: 'Calling the SWOT Team: We are ready for you!'
Track: 1-EHDI Program Enhancement
Audience: Primary Audience: State Health Department
Secondary Audience: Part C Agency/Program
Tertiary Audeince: State Education Agency
Keyword(s): SWOT, Strengths, Weaknesses, Opportunities, Threats, EHDI Components
Learning Objectives: * Identify Strength, Weaknesses, Opportunities, and Threats for 12 EHDI components


In early 2009, a questionnaire was sent to Early Hearing Detection and Intervention (EHDI) coordinator in all 50 states and territories. The survey has been designed to gather information about internal strengths and weaknesses and external opportunities and threats related to 12 EHDI components. The components explored were: Newborn Hearing Screening, Audiological Assessments, Medical Homes/Medical Professionals, Early Intervention, Family Support, Quality Improvement, Data Collection and Management, Periodic Newborn Hearing Screening, Lost to Follow-Up, Professional Development, Infrastructure, and Collaboration. The coordinators were asked to answer the following questions about each component: STRENGTHS: 1) What advantage(s) or strengths does your state have in providing this service? 2) What unique resources does your state have access to? 3) What do families see as your strengths? 4) What contributes to your state’s success?; WEAKNESSES: 1) What could you improve upon in your state regarding this EHDI component? 2) What should you avoid? 3) What are people in your state likely to see as weaknesses? 4) What factors contribute to the inability to administer this EHDI component?; OPPORTUNITIES: 1) What new opportunities have been presented in your state in recent years that could positively impact this EHDI component? 2) What national trends could have a positive impact on your state if they were to be implemented in your state?; and THREATS: 1) What obstacles do you face in implementing this EHDI component? 2) What concerns do your state have that could negatively impact? With over 4,000 pieces of qualitative data, the presenters will provide highlights from the data collected. Analysis of the described SWOT has provided much insight into provision of each component at the state systems level and what opportunities lie ahead. The presenters will also respond to questions from the audience that may assist with furthering enhancement in their own systems.
Presentation(s): Not Available
Handouts: Not Available
Tamala Bradham - Vanderbilt University School of Medicine
     Credentials: Ph.D. in Speech and Hearing Sciences, University of South Carolina, 1998 CCC-A, ASHA since 1995
     Other Affiliations: NCHAM Consultant for Special Projects
      Tamala S. Bradham, Ph.D., CCC-A is a Assistant Professor at the Vanderbilt Bill Wilkerson Center in Nashville, TN and the Associate Director of Quality, Protocols, and Risk Management. She is the Coordinator for the Steering Committee of the American Speech-Language-Hearing Association (ASHA) Special Interest Division 9: Hearing and Hearing Disorders in Childhood. She is the former director of the MUSC Cochlear Implant Center in Charleston, S.C. and the past President of the South Carolina Academy of Audiology and the South Carolina Chapter of A.G. Bell. Dr. Bradham also served as the Vice-Chairman of the First Sound Universal Newborn Hearing Screening Program in South Carolina. She received her doctorate in Speech and Hearing Sciences and her Master in Audiology at the University of South Carolina.
Gayla Hutsell Guignard - Indiana State Dept. of Health
     Credentials: MA, CCC-A/SLP, LSLS Cert AVT
     Other Affiliations: NCHAM
      Gayla Hutsell Guignard, M.A., CCC-A/SLP, LSLS Cert AVT is the Program Director for the Indiana Early Hearing Detection and Intervention (EHDI) program. Prior to coming to the EHDI program, Gayla was employed with the Alexander Graham Bell Association for the Deaf and Hard of Hearing. Gayla also spent several years of her career at the University of Tennessee Audiology and Speech-Language Pathology as a Clinical Supervisor in the Child Hearing Services section. In addition to her work with the Indiana EHDI program, Gayla has recently acted as a consultant to the Indiana Office of Management and Budget in its charge by the Indiana General Assembly to develop a transition plan that will establish the new Center for Deaf and Hard of Hearing Education in July, 2013. Gayla is also consultant with the National Center on Hearing Assessment and Management’s (NCHAM) EHDI Network.
Jeff Hoffman - NCHAM
     Credentials: MS CCC-A
      Jeff Hoffman, MS, CCC-A, is an outreach coordinator with the Early Childhood Hearing Outreach (ECHO) Initiative with the National Center for Hearing Assessment and Management (NCHAM) at Utah State University. He served as the program manager for the Nebraska Early Hearing Detection and Intervention Program for six years and as an EHDI Network Consultant for NCHAM for two years. In addition to audiology and public health, Jeff has also worked in elementary education, counseling and family services, administration of early childhood programs, and provision of training and technical assistance services to Head Start programs in Nebraska and surrounding states in the areas of management, administration, and child outcomes. Jeff has served on the board of the Dimensions Educational Research Foundation since 2002 and was chair from 2006-2012. He also served as president of the Directors of Speech and Hearing Programs for State Health and Welfare Agencies in 2008.
Karen Munoz - Utah State University
     Credentials: Associate Professor
     Other Affiliations: NCHAM
      BIO: Karen Muñoz is an associate professor of audiology at Utah State University in the Department of Communicative Disorders and associate director of the National Center for Hearing Assessment and Management. Her research focus is in the area of childhood hearing loss.
Lauri Nelson - Utah State University
     Credentials: PhD
      BIO: Lauri Nelson is an Associate Professor in the Department of Communicative Disorders and Deaf Education in the Listening and Spoken Language Deaf Education program at Utah State University. She has a dual background in both clinical audiology and LSL deaf education and currently directs the LSL deaf education graduate training program at Utah State University.
K. Todd Houston - Department of Communicative Disorders & Deaf Education
     Credentials: PhD, CCC-SLP, LSLS Cert. AVT
     Other Affiliations: Director, Graduate Studies Program in Auditory Learning & Spoken Language
      BIO: Dr. K. Todd Houston is an Assistant Professor of Speech-Language Pathology in the Department of Communicative Disorders and Deaf Education at Utah State University where he continues to develop auditory-based intervention and educational opportunities for children with hearing loss who are acquiring spoken language. He also serves as Director of the Graduate Studies Program in Auditory Learning and Spoken Language, an innovative personnel preparation program for graduate students in Speech-Language Pathology, Audiology, and Deaf Education. Prior to joining the faculty at Utah State University, Dr. Houston was the Executive Director and Chief Executive Officer (CEO) of the Alexander Graham Bell Association for the Deaf and Hard of Hearing (AG Bell), located in Washington, DC.