Title: 'The Value of a Value Stream Map…..and More'
Track: 9 - Program Evaluation and Quality Improvement
Keyword(s): Value Stream Map, Quality Improvement
Learning Objectives:
  1. Describe how a Value Stream Map can assist in evaluating EHDI programs
  2. Develop strategies for incorporating QI into existing EHDI processes
  3. List at least three QI tools


Continuous quality improvement is a fundamental part of Early Hearing Detection and Intervention (EHDI) programs. The Health Resources and Services Administration (HRSA) and the Centers for Disease Control and Prevention (CDC) have supported quality improvement (QI) for EHDI programs by making training, technical assistance and other resources available to states. The North Carolina EHDI program has established a partnership with the North Carolina Center for Public Health Quality to utilize QI tools and methods, including Value Stream Mapping (VSM), Model for Improvement (MFI) and Lean methodology, to enable us to identify small-scale strategies to improve EHDI policies and procedures in order to enhance the quality and timeliness of screening, diagnosis, and intervention. Staff feedback has indicated that the QI process has increased team decision making and productive communication as well as the level of trust and cooperation among internal and external partners. The VSM has been a very effective tool to tell the story of current processes, identify wastes and re-work, and present the efficiencies of improved procedures to EHDI program staff, management, and internal and/or external partners. We have learned many valuable lessons in participating, implementing and maintaining changes in the EHDI system. Though change can be a challenge, improved quality and efficiency is definitely worth the time investment. In this presentation, participants will be able to see VSM in action. It is anticipated that this information will be helpful to other states wishing to review, streamline, and improve their systems and reduce loss to follow-up or loss to documentation.
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
Marcia Fort - POC,Primary Presenter,Author
     Credentials: Au.D., CCC-A
      Dr. Fort is the Program Development and Evaluation Manager for the North Carolina EHDI Program. She has worked with the NC EHDI program for 12 years. She has 25 years of experience as a pediatric audiologist in hospital, private practice, ENT office, and public school settings.

Financial - No relevant financial relationship exist.

Nonfinancial - No relevant nonfinancial relationship exist.
Kathleen Watts - Co-Presenter,Author
Division of Public Health
     Credentials: MA
      Ms. Watts spent over six years working as the Director of Training and Technical Assistance at NCHAM. She is now the Progam Manager for Early Hearing Detection and Intervention for the state of North Carolina. She holds a Master's Degree in Health Education. Ms. Watts was employed in schools, hospitals, rural health clinics and private organizations before discovering her vocational passion: EHDI.

Financial - No relevant financial relationship exist.

Nonfinancial - No relevant nonfinancial relationship exist.