Title: 'Washington State EHDDI on the Road'
Track: 9 - Program Evaluation and Quality Improvement
Keyword(s): hospital screening quality improvement
Learning Objectives:
  1. Explain how Washington State uses hospital site visits to improve UNHS.
  2. Identify tools that the EHDDI program uses to evaluate their hospital site visits.
  3. Describe the challenges that hospitals face in ensuring that all infants receive quality screening by one month of age.


There are a variety challenges facing Universal Newborn Hearing Screening (UNHS) programs. High staff turn-over, equipment issues, and lack of educational materials for families are just a few of the factors that can cause infants to miss their hearing screen, receive inaccurate screening results, or not return for follow-up screening. The Early Hearing-loss Detection, Diagnosis, and Intervention (EHDDI) program implemented EHDDI Site Visits to help newborn hearing screening programs with quality improvement. Washington State EHDDI staff travelled from Forks to Walla Walla and everywhere in between to meet with hospital staff and midwives. Improving screening techniques, addressing issues with reporting, enhancing follow-up protocols and providing them with resources are just a few reasons for the visits. Being on the road can be quite an adventure as each visit varies depending on the program’s specific needs and challenges. This poster will highlight specific strategies and materials used to improve UNHS programs through site visits.
Presentation: Poster_MarcieHoskyn_1536.pdf

Handouts: Handout_1536MarcieHoskyn.pdf
CART: CART Transcription is not Available
Marcie Hoskyn - Primary Presenter,Author
Washington EHDDI Program
     Credentials: AuD FAAA
      Marcie is a follow-up coordinator and audiologists for the Washington State Department of Health Early Hearing Loss Detection, Diagnosis and Intervention (EHDDI) Program. She graduated from Western Washington University in 2007 with a Bachelor of Arts degree in Communication Sciences and Disorders with a minor in Audiology. She continued her studies at the University of Washington from which she graduated in 2011 with a Doctor of Audiology degree. She has worked in several different organizations including; the Port of Seattle, The Northwest Lions Foundation for Sight and Hearing and The Veterans Affairs Puget Sound Health Care System. Marcie is a fellow of the American Academy of Audiology. As a native Washingtonian, she enjoys being a part of improving newborn hearing screening in her home state.

Financial - Receives Salary for Employment from Washington State Department of Health.  

Nonfinancial - No relevant nonfinancial relationship exist.
Karin Neidt - Co-Presenter,Author,POC
Washington State Dept. Of Health
     Credentials: MPH
      Karin Neidt is the Washington State Early Hearing-loss Detection, Diagnosis, and Intervention (EHDDI) Coordinator, implementing and managing the newborn hearing screen follow-up and tracking/surveillance system. Karin previously worked for two years with the Department of Health Newborn Screening Program, consulting health care providers and families in the appropriate follow-up for infants with abnormal screening results. Karin received her Master in Public Health from the University of Washington in Seattle, WA, and her Bachelor’s degree in Microbiology from Montana State University in Bozeman, MT.

Financial - No relevant financial relationship exist.

Nonfinancial - No relevant nonfinancial relationship exist.
Elysia Gonzales - Author
Washington EHDDI Program
     Credentials: RN, MPH
      Elysia Gonzales was a public health nurse in maternal child health and infectious diseases for over eight years. Elysia graduated from the University of Washington in 2011 with her Master’s in Public Health and shortly thereafter joined the Washington State EHDDI Program as a health services consultant. She is involved in tracking and surveillance as well as program evaluation and quality improvement activities.
Debra Lochner Doyle - Author
Washington State Department of Health
     Credentials: MS, CGC
      Ms. Doyle is the State Coordinator for Genetic Services and the manager of the Screening and Genetics Unit for the Washington State Department of Health. She is board certified by both the American Board of Medical Genetics and the American Board of Genetic Counseling. Ms. Doyle received her B.S. in genetics from the University of Washington and her M.S. in human genetics and genetic counseling from Sarah Lawrence College in New York. Before accepting her current position, she held positions at Memorial Sloan-Kettering Cancer Research Center, Jone's Institute for Reproductive Medicine, Children's Hospital of the King's Daughters, and Women and Infant's Hospital Prenatal Diagnosis Center. Ms. Doyle is a past President of the National Society of Genetic Counselors and is a founding member of the Coalition of State Genetics Coordinators.
Laura Steinmetz - Co-Presenter,Author
Seattle Children's Hospital
     Credentials: AuD
      Laura Steinmetz, AuD, is a pediatric audiologist at Seattle Children’s Hospital and also serves as an audiology consultant for the WA State Dept. of Health EHDDI (Early Hearing loss Detection Diagnosis and Intervention) Program. Her background includes previous work as the Hearing Screening Coordinator for Group Health Central Hospital in Seattle, and she was a recipient of specialized training in pediatric audiology through the Leadership in Education in Neurodevelopmental Disabilities (LEND) program during her doctoral studies at the University of Washington. In her current role, she works in collaboration with Seattle Children's and the WA State Dept. of Health to maintain and enhance universal newborn hearing screening and help link infants and young children to appropriate diagnostic and early intervention services in Washington State.

Financial - Receives Salary for Employment,Consulting from Seattle Children's.   Receives Consulting fee for Consulting from Dept. of Health EHDDI Program.  

Nonfinancial - No relevant nonfinancial relationship exist.