Title: 'Using Maternal and Child Public Health Program Connections to Reduce EHDI Loss to Follow-up'
Track: 1 - EHDI Program Enhancement
Keyword(s): Maternal and Child Health; Home Visiting; Public Health; Partnerships
Learning Objectives:
  1. Summarize existing public health programs in order to identify potential partners in reducing EHDI loss to follow-up.
  2. Identify strategies to build effective partnerships with existing state public health programs to improve state’s tracking and follow-up systems.
  3. Describe existing collaborative models states are using to engage public health partners to improve the EHDI system.


Clear opportunities for collaborative partnerships exist to ensure rescreening and follow-up care for newborns, infants, and young children identified as deaf or hard of hearing. This presentation will provide a systems overview of established public health programs in order to facilitate collaboration efforts with Early Hearing Detection and Intervention programs (EHDI). A “silo” approach to EHDI can miss significant opportunities to screen, identify, and provide appropriate follow-up for infants and young children with hearing loss. This is exacerbated in communities that are considered “hard to reach.” Small changes in the way EHDI programs work with existing public health programs serving infants and children can make a dramatic difference in improving loss to follow-up rates and improve efficiency, cost-effectiveness and health outcomes. Tests using quality improvement methods have indicated that local public health agencies served approximately 80-85% of children “lost” to Minnesota’s EHDI Surveillance System in one or more existing local public health programs. These programs included Home visiting, WIC, Birth Defects Surveillance, and Early Periodic Screening, Diagnosis and Treatment (EPSDT). The extent to which state EHDI programs currently coordinate with these established public health programs will be highlighted. Models that states are using to foster better coordination of existing public health and EHDI efforts will be emphasized.
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Nicole Brown - POC,Co-Presenter,Author
Minnesota Dept of Health
     Credentials: MSN, PHN, CPNP
     Other Affiliations: Public Member, Board of Governors American Board of Audiology
      Nicole Brown is a certified pediatric nurse practitioner and has worked in Minnesota’s Maternal and Child Health/Public Health field for over 17 years at both the state and local level. She is Minnesota’s EHDI Coordinator responsible to provide long-range planning and direction for the development, implementation, and evaluation of a statewide EHDI system for children once they are identified with hearing loss. Nicole served as the National Association of Pediatric Nurse Practitioners’ liaison to the American Academy of Pediatrics Task Force on Improving the Effectiveness of Newborn Hearing Screening, Diagnosis, and Intervention. She works with NCHAM as Quality Improvement Advisor and is the parent of two children who are deaf.

Financial - No relevant financial relationship exist.

Nonfinancial - No relevant nonfinancial relationship exist.
Kirsten Coverstone - Co-Presenter,Author
MN Dept. of Health
     Credentials: Au.D.
      Kirsten Coverstone is an audiologist with many years of service dedicated to early hearing detection and intervention. She grew up in southern Minnesota, earned her masters degree from the Univ. of Northern Iowa and her doctorate from Salus University. Kirsten has actively worked at the local state and national levels to promote universal newborn screening for hearing. As coordinator of the Lions Infant Hearing Program at the University of Minnesota she worked directly with hospitals to establish effective hearing screening programs and audiologists to confirm hearing loss. In addition, Kirsten implemented a statewide hearing instrument loaner program for infants and young children in Minnesota. She is dedicated to making a difference in the lives of children and their families as the MDH EHDI Screening Program Coordinator.

Financial - No relevant financial relationship exist.

Nonfinancial - No relevant nonfinancial relationship exist.