March 13-15, 2016 • San Diego, CA


3/15/2016  |   11:00 AM - 11:30 AM   |  Topical Session 5   |  Pacific Salon 3   |  9 - Program Evaluation and Quality Improvement

A Quality Improvement Study: Reducing LTFU through Systematic Outreach &WIC Collaboration

For the last four years, WSB has been employing a multi-pronged, targeted strategy to reduce Wisconsin’s LTFU rate for babies who did not pass their inpatient screening. This strategy involves 1-Medical Outreach, 2-Family Outreach and 3-Regional In-Home or In-Community Screening. It also involves collaboration with Wisconsin’s WIC program and their data system ROSIE. In 2011, WSB and WIC signed an MOU giving WSB staff access to WIC’s statewide data system and enabling child-specific care coordination for babies who are at risk for EHDI LTFU and are also WIC participants. WSB has used ongoing, strategic data analysis and quality improvement processes to evaluate the effectiveness of each outreach strategy. Based on this data analysis and quality improvement, WSB has created programmatic changes to its processes. Since 2010, WSB has cut its LTFU rate in half. In 2013, WSB was awarded a grant to analyze the specific impact of the partnership with WIC on LTFU. We will discuss how the quality improvement process and data documentation was utilized as a key component of programmatic and policy decision making.

  • 1. Participants will be able to identify key strategies WSB employed to reduce LTFU
  • 2. Participants will be able to identify ways in which WSB and WIC collaboration impacted Wisconsin’s LTFU or specific cases
  • 3. Participants will be able to identify how WSB used data analysis and quality improvement strategies to create effective programmatic changes.

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Elizabeth Seeliger (Primary Presenter), Department of Health Services, elizabeth.seeliger@wi.gov;
Elizabeth Seeliger, AuD, is the Wisconsin Sound Beginnings Program Director and has worked as a clinical audiologist in a variety of settings, helping guide children and families through the process of hearing loss diagnosis and intervention. Elizabeth has been a leader in developing a data, tracking and referral system; educational resources for hospitals and providers; and an interactive notebook for parents. Elizabeth spearheaded the initiative to enable Wisconsin homebirth midwives to provide UNHS. Elizabeth has also provided technical assistance and consultation locally and internationally on quality improvement in EHDI systems. Elizabeth currently sits on the board of directors for the WI Chapter of Families for Hands & Voices and Hands & Voices HQ. She is a graduate of UW-Madison’s Infant, Early Childhood and Family Mental Health Advanced Clinical Practice Certificate Program.


Financial - Receives In kind,Grants for Other activities from Waisman Center.  

Nonfinancial - No relevant nonfinancial relationship exist.