Title: 'The Role of the Medical Home In Reducing Loss To Follow Up'
Track: 4-Medical Home
Keyword(s): Loss to follow-up; documentation; medical home
Learning Objectives: At the end of this session, participants will be able to: 1. Define loss to follow-up/documentation 2. Understand the role of the medical home in reducing loss to follow-up/documentation 3. Learn the practice considerations that must be made in order to reduce loss to follow-up/documentation


Since 2000, the percentage of newborns screened for hearing loss dramatically increased from 38 to 95 percent. However, almost half of the children who have ‘do not pass’ hearing screening tests lack a documented diagnosis. The infant’s primary care medical home provider plays an important role in ensuring that timely follow up and appropriate documentation of that follow up occurs or the infant may be considered “lost” in the early hearing detection and intervention (EHDI) system. What is the medical home’s role in reducing the percentage of infants that fail the newborn hearing screen and are then considered lost to documented follow up? This session will outline specific actions the medical home can take to reduce the percentage of infants who fail a newborn hearing screen and either do not receive follow up care or for who follow up is not report back to the state. The session will also discuss the specific work the American Academy of Pediatrics (AAP) EHDI LTF/D Sub-committee is doing to help educate medical home providers on the importance of their role in reducing LTF/D.
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Jack Levine - Kew Gardens Hills Pediatrics
     Credentials: MD, FAAP
     Other Affiliations: Assistant Clinical Professor of Pediatrics, Hofstra University School of Medicine
      Dr. Levine is a community based general pediatrician in Queens, NY who has subspecialty certification in Developmental-Behavioral Pediatrics. He was the recipient of a 2008 American Academy of Pediatrics CATCH (Community Access to Child Health) grant and 2012 Healthy People 2020 grant. Dr. Levine is the director of the Center for Autism at Nassau University Medical Center. He is an Assistant Clinical Professor of Pediatrics at Hofstra University School of Medicine and a frequent speaker to both families and professionals. Dr. Levine is a member of the AAP Task Force on Improving the Effectiveness of Newborn Hearing Screening, Diagnosis and Intervention.
Faiza Khan - AAP
     Credentials: MPH
      Faiza Khan is the Program Manager at AAP in the Division of Children with Special Needs (DOCSN). She manages all aspects of the early hearing detection and intervention (EHDI) and FASD programs. She is the primary staff for the Improving Early hearing Detection, Diagnosis, and Intervention Task Force and other related work groups. Ms Khan works with the Task Force, CDC, and MCHB staff and other program leaders to plan and implement process and outcome evaluation, and coordinate the analysis and dissemination of results. She also provides guidance and technical assistance to chapter-level project leadership on EHDI.