Title: 'EHDI Collaborating with Stakeholders: Fact or Fiction?'
Track: 1 - EHDI Program Enhancement
Keyword(s): NICHQ, medical home, hospitals, feedback
Learning Objectives:
  1. Participants will be able to describe process used in KY to facilitate collaboration with EHDI stakeholders to reduce LFU/LTD
  2. Participants will be able to list tools utilized in KY to provide feedback to stakeholders to improve data entry completeness, accuracy and timeliness of submission
  3. Participants will be able to adapt and utilize processes and tools in their state/territories to facilitate improved stakeholder collaboration toward meeting National 1-3-6 EHDI goals.


In 2011-2012, KY Commission for Children with Special Health Care Needs/Early Hearing Detection and Intervention Program and extended partners participated with the NICHQ IHSIS Learning Collaborative. The focus of this project was to reduce loss to follow-up/loss to documentation (LFU/LTD) following failure to pass newborn hearing screenings. This presentation will discuss an overview of the process, collaborative projects, achievements and impact, as well as areas of opportunity identified. Initiatives were trialed, adapted, re-trialed, abandoned or spread based on success of implementation and perceived benefit of optimal outcomes for infants and their families. These initiatives included, scripting in hospitals for verbal results, dissemination of materials, feedback to hospitals with a developed scorecard, daily monitoring of data transfer from KY CHILD (Certificate of Birth, Hearing, Immunization and Lab Data) partially integrated web-based application into the EHDI database, periodic reports to hospitals with delays of submission or missing PCP and communication/feedback between medical homes and EHDI to obtain follow-up for those listed as LFU/LTD. Teaming with birthing hospitals, parents, audiologists, early interventionists and physicians for monthly teleconferences and joint initiatives has improved communication among stakeholders seeking optimal EHDI outcomes. Next steps include: 1) continuation of proven initiatives that have resulted in improved collection of data; 2) continue existing collaborations and facilitate expansion to other stakeholders; 3) continue to develop /disseminate standard reporting documents for all entities submitting data through KY CHILD and/or EHDI, including: birthing hospitals; diagnostic audiologists; out-patient hearing screens; health departments, physician offices; and surrounding states. 4) continue on going evaluation of KY EHDI in meeting the 1-3-6 National EHDI goals; 5) Jointly look for areas of opportunity to improve programming 6) Develop, trial and implement (as warranted) successful outcomes from plan-do-study-act initiatives.
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Michelle King - POC,Co-Presenter
     Credentials: Au.D., CCC-A
     Other Affiliations: JCIH; DSHPSHWAL AAA; KAA; ASHA, KSHA; KY chapter of Hands & Voices
      Michelle King has her doctoral degree in audiology and 30+ years of experience providing diagnostic and habilitative audiologic services for infants and the pediatric populations. She led the planning, developing and implementing of Universal Newborn Hearing Screening in KY and the advancement of programming to encompass Early Hearing Detection and Intervention (EHDI)and its 1-3-6 goals. She was the business lead in the development of the web-based data programming KY CHILD which supports the capture, surveillance and tracking for EHDI from birthing hospitals and diagnostic audiologists in KY. She has been a member of the Directors of Speech and Hearing Programs in State Health and Welfare Agencies (DSHPSHWA) since 1987 serving in a variety of offices on the Executive Board and served as their representative on the Joint Committee on Infant Hearing.

Financial - No relevant financial relationship exist.

Nonfinancial - No relevant nonfinancial relationship exist.
Kelly Daniel - Co-Presenter
     Credentials: M.S., CCC-A
     Other Affiliations: American Speech-Language-Hearing Association; Kentucky Speech-Language and Hearing Association
      Kelly received her Master of Science Degree in Audiology from Radford University in 1988 and a Bachelor of Science Degree from West Virginia University in 1987. She has 22+ years of pediatric audiology experience (birth to 21 years) through the Commission for Children with Specical Health Care Needs. She has served as an Audiology/EHDI Regional Coordinator at the Commission for Children with Special Health Care Needs since 2007.

Financial - No relevant financial relationship exist.

Nonfinancial - No relevant nonfinancial relationship exist.