March 13-15, 2016 • San Diego, CA


  |   -   |  9 - Program Evaluation and Quality Improvement

Improving Hearing Screening Reporting in New York State through Learning Collaboratives

Background Newborn hearing screening reporting is required in NYS public health law, and a statewide information system was created to ensure that hearing screening information could be reported. Yet, in calendar year 2013 only 86% of births had a newborn hearing screening disposition reported. The NYEHDI program needed to improve reporting. Methods The NYEHDI Program identified 28 birthing facilities representing 90% of missing hearing screening dispositions. These facilities were invited to participate in a Quality Improvement Collaborative (QIC) using the Institute for Healthcare Improvement Breakthrough Series methodology. Sixteen facilities, representing 70% of missing information, participated. Three to six members from each facility participated in an in-person learning session where they shared Storyboards about their processes and measurable improvement goals. Immediately following this session, each facility implemented a small change and evaluated the impact by reviewing monthly run charts supplied back to them from their submitted data. This process was repeated in a series of Plan-Do-Study-Act cycles. Each month team members shared successes and challenges with their peers who helped problem solve or themselves used successful strategies. In this model, peers “share seamlessly and steal shamelessly”. Results At baseline the 16 facilities reported hearing screening dispositions for 76% of infants. These facilities have achieved increases (2%-88%) above baseline for all months of the QIC. Overall the QIC hospitals reported 98% of all infants’ hearing screening dispositions, which has had statewide impact resulting in an increase from 86% in calendar year 2013 to 97% from January to August 2015. Conclusions The NYEHDI Program will engage pediatric providers, audiologists, and early intervention officials in a QIC to improve follow-up. The success of this initial learning collaborative will be spread to other birthing facilities that continue to under-report, with the goal of sustaining greater than 95% reporting of newborn hearing screening dispositions statewide.

  • Describe steps used in quality improvement methodology
  • Describe method used to conduct tracking and surveillance for initial hearing screening
  • Describe how increased hearing screening reporting will help to reduce loss to follow-up/documentation

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Michelle Cavanagh (Co-Presenter,Author), NYS DOH , michelle.cavanagh@health.ny.gov;
Michelle Cavanagh, MPH serves as the NY EHDI Follow-Up Coordinator within the Program Evaluation and Evidence-based Practices Unit in the Bureau of Early Intervention. She received her undergraduate degree in Biological Science from the University of Delaware and a Masters of Public Health from the University at Albany.


Financial - No relevant financial relationship exist.

Nonfinancial - No relevant nonfinancial relationship exist.

Lori Iarossi (Co-Presenter,Author), NYS DOH , lori.iarossi@health.ny.gov;
Lori Iarossi serves as the NY EHDI Coordinator within the Program Evaluation and Evidence-based Practices Unit in the Bureau of Early Intervention.She received her Bachelor of Science in Business Management and Economics from Empire State College. She has worked for the New York State Department of Health for 24 years, contributing to the development of many information systems to foster improved health outcomes for a diverse range of health issues including obesity prevention, HIV/AIDS, and worksite wellness.


Financial -

Nonfinancial -