Title: 'NYEHDI: Using Data to Reduce Loss to Follow-up/Documentation'
Track: 6 - Follow-up, Tracking and Data Management
Keyword(s): LTF/D, Quality Improvement, Surveillance system, NYEHDI
Learning Objectives:
  1. Describe method used by NYEHDI to provide tracking and surveillance of hearing screening
  2. Describe the steps used in the QI pilot


The New York Early Hearing Detection and Intervention (NYEHDI) program was established as a result of Public Health Law in 2001 and is responsible for hearing screening surveillance for almost 250,000 births per year. In 2011, Public Health Law was amended to allow for collection of individual, identifiable hearing screening results. The initial screening results are reported through New York’s vital record system. In 2013, the web-based information system, called NYEHDI-IS, was launched in New York State. The system integrates initial hearing screening results with follow-up screening, diagnostic information, and referral to Early Intervention. The NYEHDI program is using NYEDHI-IS to support a Quality Improvement (QI) initiative in order to reduce loss to follow-up/documentation (LTF/D). In 2013, reports were generated to assess the degree to which birthing facilities reported all initial hearing screening results. Twenty facilities, whose reporting was less than 80% complete, were identified and invited to participate in QI activities. Eleven facilities participated in this pilot. The QI activities included identifying data and producing meaningful and timely reports, identifying facility contacts who could affect change, providing intensive technical assistance, and documenting the QI process. Nine facilities improved their reporting completeness by a range of 10% to 100%, while two facilities had a decline in reporting completeness by a range of 2% to 36%. This pilot will serve as the foundation for a larger, statewide quality improvement initiative to reduce LTF/D by 5% each year through 2017.
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Regina Bryde - Primary Presenter,Co-Presenter,POC
     Credentials: M.A., M.P.A.
      Regina Bryde received her undergraduate degree in Speech Pathology from Ithaca College and a Masters in Clinical Audiology from the University of Buffalo. She also received a Masters of Public Administration from the Maxwell School of Citizenship at Syracuse University. She has worked as a clinical audiologist at Upstate Medical Center and in private practice. She has also worked in health communications and administration at the UAlbany School of Public Health. She is employed in the Early Hearing Detection and Intervention program at the New York State Department of Health, Division of Family Health, Bureau of Early Intervention as the Early Hearing Detection and Intervention (EHDI) Coordinator for New York. She is also the Principal Investigator for HRSA Universal Newborn Hearing Screening and Intervention Grant and CDC Early Hearing Detection and Intervention Grant.

Financial - No relevant financial relationship exist.

Nonfinancial - No relevant nonfinancial relationship exist.
Michelle Cavanagh - Co-Presenter
     Credentials: M.P.H.
      Michelle Cavanagh received her undergraduate degree in Biological Science from the University of Delaware and a Masters in Public Health from the University at Albany. She is employed as the Follow-up Coordinator for the NYEHDI program.

Financial -

Nonfinancial -