Title: 'From Colorado to Guam: Teleaudiology for Infant Diagnostic Hearing Evaluations '
Track: 1 - EHDI Program Enhancement
Keyword(s): teleaudiology telehealth diagnostic audiological evaluation
Learning Objectives:
  1. Decribe the lack of infant diagnostic audiological evaluation (DAE) services prevented timely provision of hearing aids and enrollment in early intervention on Guam.
  2. Identify technology needed for internet-based DAE and the advantages, disadvantages, and outcomes of internet-based DAE.
  3. Describe how internet-based DAE has impacted the Guam EHDI program


The advent of newborn hearing screening has resulted in significant advances in early identification and intervention of infants who are deaf or hard?of?hearing. With support from federal and state agencies, almost all areas served by the United States federal programs for maternal and child health have developed sophisticated, well?run programs of newborn hearing screening. Families who reside in major urban centers typically have access to appropriate diagnostic services provided by pediatric audiologists for those infants who refer from screening. Families who reside in rural and remote areas, however, often do not have access to these services in their home community. Infants in these communities may not receive diagnostic services during the optimum developmental timeframe, preferably before 3 months of age. A potential solution to this problem is the use of telehealth practice whereby an audiologist with extensive experience in infant diagnostic hearing evaluation conducts these evaluations over the internet for infants in their home community hospital or clinic. Bill Daniels Center for Children’s Hearing, Children’s Hospital Colorado (Children’s Colorado), and the University of Guam – Center for Excellence in Developmental Disabilities Education, Research, and Services (Guam CEDDERS) are collaborating on a pilot teleaudiology project to provide infant diagnostic hearing evaluations over the internet. Although Guam’s Early Hearing Detection and Intervention (EHDI) program has a robust newborn hearing screening component and an active early intervention component, lack of qualified providers to administer infant diagnostic hearing evaluations prevents prompt diagnosis and habilitation of infant’s with congenital hearing loss. In this presentation, presenters will describe the following: 1) how we addressed each of these issues prior to establishing the teleaudiology pilot project; 2) the creation and operation of a teleaudiology service for infant diagnostic hearing evaluations; and 3) how teleaudiology fits into the GUAM EHDI program.
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Deborah Hayes - Co-Presenter
Children's Hospital Colorado
     Credentials: Ph.D.
      Deborah Hayes, PhD, is currently a professor in the departments of pediatrics and physical medicine at the Colorado School of Medicine and chair, audiology, speech pathology and learning services at The Children’s Hospital in Denver, Colorado. She has been a leader in audiology for more than 30 years and has published significant research work in a variety of topics with such illustrious co-authors as James Jerger, Marion Downs, and Jerry Northern. Her over 50 publications are standards for the profession.

Financial - No relevant financial relationship exist.

Nonfinancial - No relevant nonfinancial relationship exist.
Elaine Eclavea - POC,Co-Presenter
Guam EHDI Project
     Credentials: M.A.
     Other Affiliations: Health, Wellnes, and Prevention Initiative Area Coordinator, Guam CEDDERS
      Elaine Eclavea has served as the Guam EHDI Coorinator since 2002 when the program first started on Guam. It has been under her leadership that other Pacific islands have established EHDI programs in the Pacific. She is the mother of 2 children and has one granddaughter.

Financial -

Nonfinancial -