Title: 'Taking Hearing Diagnostics to the Frontier, An Exercise in Remote Diagnostic ABR Assessment'
Track: 2 - Audiological Services
Keyword(s): ABR, Diagnostics, Remote
Learning Objectives:
  1. Formulate implementation of a remote diagnostic ABR Assessment service.
  2. Describe the challenges involved with remote ABR diagnostic testing and how to resolve them.
  3. Witness testimonials of the efficacy of a remote diagnostic ABR service.


One of our most difficult challenges for meeting 1-3-6 EHDI goals is getting a diagnosis on hearing before three months of age. This is especially true for families living in rural areas who have limited resources for travel. In an effort to alleviate this significant barrier, reduce lost-to-follow-up and meet EHDI goals the Utah EHDI team has explored a strategy using remote controllable equipment and the assistance of a midwife who serves as the local attendant. An EHDI audiologist conducts a diagnostic ABR from the EHDI center over 100 miles away with infants not passing newborn hearing screening and young children living in the rural area who need diagnostic testing. The midwife at the local site manages setup, etc. This presentation will describe the recruitment strategy, equipment used, challenges faced and first hand comments from the midwife, parent and audiologist regarding aspects of the project. It will also describe successes and recommendations for future implementation. Thus far results have shown that remote diagnostic ABR assessment is indeed possible, accurate, and only limited by the efficiency of the internet technology.
Presentation: This presentation has not yet been uploaded or the speaker has opted not to make the presentation available online.
Handouts: Handout is not Available
Kurt Randall - POC,Co-Presenter
Utah Dept of Health
     Credentials: MEd, MS Pediatric Audiologist
     Other Affiliations: ASHA, AAA
      Kurt Randall has devoted his career to identification and intervention of infants and young children with hearing disorders. He has received numerous awards for his efforts including The Outstanding Contribution Award from the Utah Speech-Language,Hearing Association, ASHA Clinical Achievement Award and The Community Champion for Children Award.

Financial - No relevant financial relationship exist.

Nonfinancial - No relevant nonfinancial relationship exist.
Stephanie Browning McVicar - Co-Presenter
Utah Department of Health
     Credentials: Au.D., CCC-A
      Dr. McVicar is the Director of the Early Hearing Detection and Intervention (EHDI) Program, the Children’s Hearing Aid Program, and the Cytomegalovirus Public Health Initiative in Utah. She is Program Manager in the Utah Department of Health's Children with Special Health Care Needs Bureau in Salt Lake City. She is the Audiology Core Faculty member and Director of the Infant-Pediatric Audiology Program for the URLEND (Utah Regional Leadership Education in Neurodevelopmental Disabilities) Program, training future leaders in transdisciplinary family-centered care of children and adolescents with special healthcare needs. Clinically, Dr. McVicar is a pediatric audiologist. She is originally from Western New York and has over two decades of experience and knowledge in Audiology and the management of health care programs in both the public and private sectors. Dr. McVicar serves on the Board of Ethics in Audiology for the American Speech-Language-Hearing Association.

Financial - No relevant financial relationship exist.

Nonfinancial - No relevant nonfinancial relationship exist.