Title: 'Incorporating Culture into Quality Improvement: Case Studies from Wisconsin and Iowa'
Track: 9 - Program Evaluation and Quality Improvement
Keyword(s): culture, cultural competence, loss-to-follow-up, quality improvement, case studies
Learning Objectives:
  1. 1. Attendees will learn about key definitions about culture & cultural competence
  2. 2. Attendees will learn about the specific steps WI & IA took to incorporate culture & cultural competence into their programs for quality improvement
  3. 3. Attendees will learn about the quality improvement outcomes & ongoing efforts from each state in terms of cultural competence


The concept of becoming culturally competent can be a daunting one, leaving EHDI programs at a loss as to how to begin addressing cultural issues programmatically. As part of a Community of Learners on Cultural & Linguistic Competency in EHDI programs, Wisconsin & Iowa will present case studies based on some of their experiences developing culturally competent programming. Wisconsin’s programmatic philosophy regarding culturally competent care is to meet each family where they’re at, embracing the idea that culture is the lens through which each person views the world. After a discussion around staff’s assumptions regarding WSB’s LTFU & the cultures represented in the LTFU rate, they turned to their data system to search for any trends, identifying a pocket in one region of the state with a high LTFU rate among Hmong babies. Armed with this data, WSB arranged training with a Hmong community group to learn about Hmong culture. WSB invited audiologists to participate & met with the local health system to support their efforts to provide culturally competent care to the Hmong community as well. Iowa has a similar story. They are focusing their efforts on Hispanic and culturally Deaf communities in their state. By modifying their protocols for their first contacts with families, they are increasing enrollment rates and parent satisfaction with follow-up and parent support services offered.
Presentation: 1273RebeccaMartin.pdf

Handouts: Handout is not Available
Rebecca Martin - Primary Presenter,Co-Presenter
     Credentials: MPH, IMH-E(II)
      Rebecca Martin, MPH, IMH-E(II) is the Outreach Specialist Coordinator at Wisconsin Sound Beginnings, working to support families and providers throughout EHDI. She has a decade of experience in health education, home visitation, case management, communications and advocacy. With a focus on high-risk, minority, immigrant and teen parents and their young children, Rebecca has provided intensive case management, intervention, education and support around parent-child relationships, child development, family stability, domestic violence and physical/emotional health. Rebecca completed her public health Preceptorship at a community health center in rural Wisconsin working with Amish and Hispanic communities. Rebecca served as a Peace Corps Volunteer, working to better maternal/child health and improve community organization. She is a graduate of UW-Madison’s Infant, Early Childhood and Family Mental Health certificate program and has earned her Level II Infant Mental Health Endorsement as an Infant Family Specialist for culturally sensitive, relationship-focused practice promoting infant mental health.

Financial - No relevant financial relationship exist.

Nonfinancial - No relevant nonfinancial relationship exist.
Susan Rolinger - Primary Presenter,Co-Presenter
Iowa Guide By Your Side
     Credentials: Parent of D/hoh child, MA in counseling, GBYS coordinator
     Other Affiliations: Past President Iowa Hands & Voices
      Susan is the mother of three teenage daughters. The youngest, Madeline, is profoundly deaf, and has bi-lateral cochlear implants. Susan serves as past President of Iowa Hands & Voices and as Guide By Your Side Program Coordinator. She received her BA in Psychology from the University of Northern Iowa, and her MA in counseling from the University of Iowa. After counseling in clinical and educational settings for several years, Susan made a shift to working with and for parents of children who are d/hoh. She serves as a parent representative on the state executive council for deaf education, the Iowa EHDI Advisory Board, and the Iowa team for the National Summit on Deaf Education. Susan organizes weekend camps for families with deaf or hard of hearing children in Iowa. She shares her knowledge and experiences through workshops and presentations at both the state and national level.

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Nonfinancial -