Title: 'Improving Lost to Follow Up Percentages In EHDI Programs: The Role of Audiology'
Track: 2 - Audiological Services
Keyword(s): Audiologists, Reporting, Documentation
Learning Objectives:
  1. At the end of the session, participants will be able to: identify the need to improve lost to follow up precentages
  2. At the end of the session, participants will be able to: see audiologists as a team member who can take reposnsibility for improved reporting and documentation
  3. At the end of the session, participants will be able to: look to the stradagies presented as tools for reducing the lost to follow up percentages


Early Hearing Detection and Intervention (EHDI) programs are charged with assureing that every child born with a permanent hearing loss is identified before 3 months of age and provided with appropriate intervention services before 6 months of age. It is impressive that in the last several years EDHI programs have created and provided detection and intervention services to hearing impaired infants. However, recent, data for 2010 from the Centers for Disease Control and Prevention (CDC) reported significant deficits in documentation of diagnostic audiologic evaluations, and those enrolled in early intervention services. CDC data show that 39.4 percent of the 58,202 infants who failed their initial hearing screening in 2010 never received follow-up diagnostic services or they were not documented. Additionally, 24.2 percent of infants with hearing loss lacked any record of receiving early intervention services. The purpose of this presentation is to demonstrate that lost to follow up percentages can be reduced through expanding the role of Audiology. Two newborn hearing screening programs will present strategies for enhancing the role of audiology and will focus on: • Counseling by an audiologist at the time of the initial refer in the nursery • Counseling by an audiologist at the time hearing loss is diagnosed • Management, tracking and communicating with other service providers • Assuming a larger role for reporting and documentation to state agencies Improving lost to follow up data on a national level will be a significant challenge as there are many variables involved. It is our position that by employing the strategies disused, significant improvements can be made in the reporting of infants receiving diagnostic audiologic evaluations and subsequent services for the hearing impaired. Through these improvements infants with significant hearing loss will be efficiently documented and followed as they progress from screening, to diagnostic audiology evaluation and on to appropriate habilitation.
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Michael Dybka - POC,Co-Presenter
St. Elizabeth's Medical Center
     Credentials: Ph.D, CCC-A
      Dr. Dybka is an experienced audiologist with a record of clinical service, academic teaching, and numerous presentations at national,state, and local meetings. Dr. Dybka developed a newborn hearing screening program at two seperate hospital and has particaped in developing a cochlear implant program at a major instutution. He has extensive pediatric auddiology eperience and is well versed in sedated and nonsedated ABR evaluations. He currently serves as director of the Newborn Hearing Screening Program and the pediatric audiology program at St. Elizabeth's Medical Center, Brighton, MA

Financial - No relevant financial relationship exist.

Nonfinancial - No relevant nonfinancial relationship exist.
Jana Ziegberman - Co-Presenter
Boston Medical Center
     Credentials: Au.D, FAAA, CCC-A
      Dr. Ziegberman been the Pediatric Audiologist and Newborn Hearing Screen Coordinator at Boston Medical Center for the last 5 years. She is also well versed in pediatric audiological evaluations, including sedated and nonsedated ABR's She received her audiology doctoral degree at Nova Southeastern University.

Financial -

Nonfinancial -