16th ANNUAL EARLY HEARING DETECTION & INTERVENTION MEETING
February 26-28, 2017 • Atlanta, GA

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2/28/2017  |   3:00 PM - 3:30 PM   |  CANCELLED: Lowering the Threshold: Implications of Switching from the DSHPSHWA to ASHA Classification of Hearing Loss.   |  Learning Center

CANCELLED: Lowering the Threshold: Implications of Switching from the DSHPSHWA to ASHA Classification of Hearing Loss.

In 2017, Mississippi will switch from the Directors of Speech and Hearing Programs in State Health and Welfare Agencies (DSHPSHWA) classification system to the American Speech and Hearing Association (ASHA) classification system for severity of hearing loss. This change will impact: (1) the number of children who are considered to have hearing in the normal range or with slight hearing loss and (2) the label of severity assigned to children with hearing impairments. In addition, these changes will impact the management of historical data and the interpretation of trend analyses. To prepare for this conversion, a retrospective study was conducted with data on 653 infants born in 2014 who referred on the Universal Newborn Hearing Screening (UNHS) to predict the impact on the identification rate of infants with hearing loss. Records were reviewed to determine changes in classification of these infants if the ASHA classification system had been used. Given the lower threshold for hearing loss, i.e., the lowering of the normal range from 20dBs to 15dBs, more infants would have been identified with hearing loss infants. In addition, children would have a different label for the severity of their hearing loss, e.g., changing from moderate to moderately severe. This presentation will discuss the impact on early intervention service provision, database management, and program evaluation of this change in policy.

  • Participants will gain knowledge of the challenges in switching classification systems.
  • Participants will gain knowledge of about management of historical data about challenges across database systems
  • Participants will gain knowledge of techniques for predicting the impact of policy changes on program outcomes.

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Transcripts:
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Presenters/Authors

Xiaojian Liu (), Mississippi State Department of Health, Xiaojian.Liu@msdh.ms.gov;
Dr. Xiaojian (Jack) Liu is the Data Manager for the Early Hearing Detection and Intervention (EHDI) Program with the Mississippi State Department of Health (MSDH). His duties and research interests include data management, data linkage, statistical analysis and modeling. Jack is currently in the process of linking data among the Maternal Child Health (MCH) programs within MSDH to improve EHDI data quality.

ASHA DISCLOSURE:

Financial - No relevant financial relationship exist.

Nonfinancial - No relevant nonfinancial relationship exist.


Stacy Callender (), Mississippi State Department of Health, stacy.callender@msdh.ms.gov;
Ms. Callender serves as the State Part C Coordinator for the MS First Steps Early Intervention Program and oversees the EHDI Program in Mississippi. She holds a BA in Psychology from the University of Southern Mississippi and a MA in Educational Psychology and Specialist Certificate in Education and School Psychological Services from the University of Minnesota-Twin Cities. Before joining the MSDH, she served as the State 619 Coordinator for Early Childhood Special Education with the Mississippi Department of Education (MDE). She was the first Executive Director of the State Early Childhood Advisory Council (SECAC) to Governor Barbour. In addition, she has been a Research Associate with the Early Childhood Institute and a lecturer in the Department of Counseling, Educational Psychology, and Special Education at Mississippi State University (MSU), an assessor for the National Head Start CARES Study, a member of an Early Intervention evaluation team with the T. K. Martin Center for Technology and Disability, and a school-based mental health therapist and a preschool day-treatment behavioral specialist with Region 8 Community Mental Health services. During graduate school, she was a graduate researcher with the National Center on Educational Outcomes (NCEO), a policy research center focusing on students with disabilities. Ms. Callender has served in her role with EHDI-M since 2014.

ASHA DISCLOSURE:

Financial - No relevant financial relationship exist.

Nonfinancial - No relevant nonfinancial relationship exist.


Diamond Whitker (), Mississippi State Department of Health, Diamond.Whitker@msdh.ms.gov;
Ms. Whitker serves as the Director of the EHDI Program in Mississippi. She provides direct oversight of all EHDI activities and functions. She holds a BS in Social Work from Jackson State University, a MS in Educational from Ashford University, and a MS in Educational Leadership from Concordia University. Before joining the MSDH, she served as the Transition and IEP Coordinator with the Mississippi School for the Deaf, a Special Education Monitoring Coordinator in the Mississippi Department of Education (MDE), and Transition Specialist/Sign Language Teacher. She has over 20 years of experience in working with children who are Deaf/Hard of Hearing and is proficient in American Sign Language (ASL). Ms. Whitker has served in her role with EHDI-M since June 2016.

ASHA DISCLOSURE:

Financial -

Nonfinancial -


Chelsy Ables (), Mississippi State Department of Health , Chelsy.Ables@msdh.ms.gov;
Ms. Ables serves as the Diagnostic Follow-Up Coordinator working with Audiologists, Otolaryngologists, and families to ensure timely evaluations, maintain all diagnostic records for EHDI-M, communicates with families to prevent loss to follow-up (LTFU), supports families’ access to medical homes, and makes referrals to the MSFSEIP for coordinates with early intervention providers. She also serves as a state resource to the professional health community and public at large. She implements quality assurance and quality improvement efforts, including the development and/or revision of EHDI tools, policies and procedures, and other guidance documents. She also serves as a representative on stakeholder teams. Ms. Ables has a BA in Business Administration and Graphic Design from Belhaven College and is currently pursuing a degree in Nursing from Hinds Community College–Raymond Campus. She has served in her role with EHDI-M since 2014.

ASHA DISCLOSURE:

Financial -

Nonfinancial -