Title: 'Meeting the Needs of Physicians in Support of EHDI'
Track: 5 - Medical Home
Keyword(s): medical home, physicians, knowledge, EHDI
Learning Objectives:
  1. Describe the current knowledge and opinions of physicians throughout the country regarding EHDI.
  2. Identify the training needs of physicians regarding EHDI.
  3. Learn about strategies for building partnerships with physicians serving as a medical home and the EHDI system.


Although approximately 95% of infants are screened for hearing loss, up to one third of infants in some states are “lost to follow up”. A system perspective is needed to address this problem, focusing on the roles of key partners, such as the medical home. Strong medical home involvement is one of the keys to having an effective EHDI system. An investigation of the knowledge, skills, and practices of the medical home in regard to EHDI was conducted with physicians across the country in 2006. At that time, physicians reported a lack of confidence in discussing follow-up procedures and intervention needs with families, and important gaps in knowledge were revealed. To gauge progress made in improving the knowledge, attitudes, and practices of medical home providers, the National Center for Hearing Assessment and Management and Boy’s Town National Research Hospital conducted a survey in 2012-2013 with primary care providers and otolaryngologists across 24 states. Results reflected some positive changes, such as making referrals to appropriate specialists. Other aspects reflect little or no change, such as a continued perceived lack of preparation to meet the needs of infants with hearing loss and a limited knowledge about risks associated with hearing loss. Although close to 25% of physicians reported performing hearing screening in their offices, few used of objective screening methods, such as otoacoustic emissions. This presentation will discuss findings from this recent survey, sharing aggregate results from 24 states. Ways in which these results can guide EHDI training, technical assistance, and outreach activities for medical home providers will be offered, along with opportunities for obtaining participant recommendations. New resources available for supporting the medical home will be shared.
Presentation: 1314DianeBehl.pdf


Handouts: Handout is not Available
Karl White - Primary Presenter,Author
Utah State University
     Credentials: PhD
      Dr. White is a Professor of Psychology, the Emma Eccles Jones Endowed Chair in Early Childhood Education, and the founding Director of the National Center for Hearing Assessment and Management. He has been the PI or Co-PI for over $50 million of competitively awarded research. His work has been recognized with awards from such diverse organizations as the Deafness Research Foundation, the American Association for Speech Language and Hearing, The Swedish Society of Medicine, and the Alexander Graham Bell Association for the Deaf. He has hundreds of publications and presentations at scholarly meetings, and has been an invited speaker to more than 35 countries. He also serves on many national and international advisory groups for organizations such as the United States Department of Health and Human Services, the World Health Organization, the Institute of Medicine, and the American Academy of Pediatrics.

Financial - No relevant financial relationship exist.

Nonfinancial - No relevant nonfinancial relationship exist.
Diane Behl - Co-Presenter,Author,POC
     Credentials: M.Ed.
      Diane Behl is a Senior Faculty member at the National Center for Hearing Assessment and Management. She facilitates telehealth learning communities and is a co-investigator for cost-effectiveness studies. She has expertise in evaluating the effectiveness of service coordination provided via Part C Early Intervention and Maternal and Child Health programs.

Financial - No relevant financial relationship exist.

Nonfinancial - No relevant nonfinancial relationship exist.
Rachel St. John - Co-Presenter
Dallas Children's Medical Center/UT Southwestern Medical Center, Dept of Otolaryngology
     Credentials: MD, NCC, NIC-A, FAAP
     Other Affiliations: Registry of Interpreters for the Deaf Gallaudet University
      Rachel St. John is a board-certified pediatrician, and a certified sign language interpreter through the Registry of Interpreters for the Deaf. She received her BS degree in psychology at George Mason University. She completed her MD degree at the University of Virginia School of Medicine, and then attended Georgetown University Hospital for her residency in pediatrics. She also holds an MA degree in counseling from Gallaudet University. Previously, she served as AssistantProfessor of Clinical Pediatrics and Director of the Kids Clinic for the Deaf at Georgetown University Hospital in Washington, DC. Currently, she is a health education consultant at the state and national level, as well as a freelance interpreter specializing in medical encounters. Dr. St. John is Adjunct Faculty in the Gallaudet Department of Counseling, and is a member of the AAP Task Force on Improving the Effectiveness of Newborn Hearing Screening, Diagnosis and Intervention.

Financial -

Nonfinancial -
Mary Pat Moeller - Co-Presenter,Author
Director, Center for Childhood Deafness Lied Learning and Technology Center at Boys Town National Research Hospital
     Credentials: Ph.D.

Financial - Receives Grants for Independent contractor from National Institute on Deafness and Other Communication Disorders (NIDCD).  

Nonfinancial - No relevant nonfinancial relationship exist.