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ABSTRACT INFORMATION
Title: '4 Hour Versus 24 Hour Screen Time: Does it Really Make a Difference?'
Track: 9 - Program Evaluation and Quality Improvement
Keyword(s): hearing screen time; AABR, cost analysis
Learning Objectives:
  1. assess the impact of changes in overall nursery protocols on efficiency of a hearing screening program

Abstract:

Newborn hearing screening programs are integrated within the often busy, frequently changing and complex protocols of the newborn nurseries and inpatient admissions. Seemingly unrelated and minor changes in this complex microcosm can have unexpected consequences on the efficiency and outcomes of the hearing screening program. In an ever-changing landscape, hearing screening programs must constantly assess their function and make modifications as needed to maintain quality patient care. Since the inception of the Universal Newborn Hearing Screening program in 1999, Parkland Hospital in Dallas Texas has utilized screening ABR on all infants, maintaining a low initial refer rate and short screen time, with the initial screen being completed within the first 4 hours of life. On September 1, 2013 Texas House Bill 740 was implemented, requiring screening for congenital heart defects on all newborns. The Texas Department of State Health Services guidelines indicate O2 saturation screen to be completed at 24 hours of life or later. The Parkland nursery team decided the Hearing Screen Technicians would also complete the O2 saturation assessments and therefore shifted the initial hearing screen from 4 to 24 hours so they could be completed at the same time. This change in initial screen time had many unintended consequences with potential to impact the efficiency, efficacy and cost of the hearing screen program. The impact of this change on screen time, initial refer rate and cost of the program will be presented along with assessment of other contributory factors identified.
Presentation: Tuesday_Stopher_215_KrisOwen_1632.pdf

Handouts: Handout is not Available
CART: Topical Session 6- 1632.docx
PRESENTER(S) / AUTHOR(S) INFORMATION
Angela Shoup - POC,Author
UT Southwestern Medical Center at Dallas, Texas
     Credentials: Ph.D.
     Other Affiliations: Parkland Hospital, Dallas, Texas Children's Medical Center at Dallas, Texas
      Angela Shoup, Ph.D. is an Associate Professor in the Department of Otolaryngology – Head and Neck Surgery at the University of Texas Southwestern Medical Center where she also serves as Director of the Division of Communicative and Vestibular Disorders. Dr. Shoup is affiliated with the Aston Ambulatory Care Center, Parkland Hospital and Childrens Health. Dr. Shoup has published articles and textbook chapters on audiologic procedures, including newborn hearing screening, and implantable hearing aids. She has been an invited speaker at national and international meetings. She served as President of the Texas Academy of Audiology, Chair of the Ethical Practices Committee for the American Academy of Audiology, and Chair of the Board of Trustees for the American Academy of Audiology Foundation.
Kris Owen - Primary Presenter,Author
UT Southwestern Medical Center at Dallas, Texas
     Credentials: Au.D.
     Other Affiliations: Parkland Hospital, Dallas, Texas Childrens Medical Center, Dallas, Texas
      Kris Owen, Au.D. is a pediatric audiologist that serves as coordinator of the Universal Newborn Hearing Screening Program at Parkland Hospital. She also provides diagnostic pediatric assessments at Childrens Medical Center. Her research interests focus on universal newborn hearing screening, CMV, and pediatric diagnostic assessment.
      ASHA DISCLOSURE:

Financial - No relevant financial relationship exist.

Nonfinancial - No relevant nonfinancial relationship exist.
April Townsley - Author
UT Southwestern Medical Center at Dallas, Texas
     Credentials: Au.D.
     Other Affiliations: Parkland Hospital, Dallas, Texas Childrens Medical Center, Dallas, Texas
      April Townsley, Au.D. is a pediatric audiologist who serves on the nursery for the Universal Newborn Hearing Screening Program at Parkland Hospital and also serves as a diagnostic pediatric audiologist at Childrens Medical Center.