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The Campaign for Healthy Hearing in Kids:a collaborative
partnershipJennifer Rossi, MS
Jenna Voss, MA, CEDtheOmaha Hearing School
Omaha, Nebraska
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Faculty Disclosure Information
In the past 12 months, we have not had a significant financial interest or other relationship with the manufacturers of the products or providers of the service that will be discussed in our presentation.
This presentation will not include discussion of pharmaceuticals or devices that have not been approved by the FDA or unapproved or “off-label” uses of pharmaceuticals or devices.
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Campaign for Healthy Hearing in Kids: What is it?Our Purpose
to identify children with hearing health needs and refer them for medical follow-up
Our Method conduct DPOAE screenings
Our Target Population children in the greater Omaha area birth to age five “at-risk” elementary aged children
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Why do it?
Hearing loss is the most common birth defect.1 1/300 children born in the US is born with hearing loss.
Chronic middle ear infection is one of the most common childhood health issues.2
50% of children will have at least one middle ear infection by one year of age.
Between 1 and 3 years of age, 35% will have had repeated episodes.
Children develop late onset and progressive losses after passing newborn hearing screenings.3
Monitor biannually until age three and annually thereafter.
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Early Identification/Early Intervention
“If hearing impaired children are not identified early, it is difficult, if not impossible, for many of them to acquire the fundamental language, social, and
cognitive skills that provide the foundation for later schooling and success in society.
When early identification and intervention occurs, hearing impaired children make dramatic progress, are more successful in school, and become more
productive members of society. The earlier intervention and habilitation begin, the more
dramatic the benefits.”
United States Department of Health and Human Services4 (1990)
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Nebraska Newborn Hearing Screening2004 Annual Report5 26,485 births25,966 newborns screened at birth918 newborns did not pass158 newborns discharged prior to screening 793 newborns recommended for monitoring,
intervention, and follow-up 506 infants were rescreened; 110 received
diagnostic evaluation
*These statistics are based on the aggregate reports from birthing facilities. There are certainly discrepancies between aggregate and individually-identifiable data.
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Connecting with Collaborative Partners
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Connecting with Our Collaborative Partners
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Connecting with Our Collaborative Partners
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Our Protocol
adapted from Hearing Head Start Early Childhood Hearing Outreach (ECHO) Project National Center for Hearing Assessment and Management, Utah State University
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1 – Step Protocol
Verify Parental Consent
PASS REFER
Give/Send Results to Parent
Perform OAE Screening
Pass Visual Inspection
Give/Send Results to Parent
Refer upon Visual Inspection
Visual Inspection
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2 – Step Protocol
PASS
PASS
Give/Send Results to Parent
REFER
Rescreen (2 Weeks Later)
REFER
Perform OAE Screening
Pass Visual Inspection
Give/Send Results to Parent
Refer Upon Visual Inspection
Visual Inspection
Verify Parental Consent
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Our Equipment
Maico ERO-SCAN Screening Test System DPOAE 4 Frequencies (3 required for a PASS) Remote Probe
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Current Status Report (1.18.06)
0
778
77
200
911
106183200
1689
020040060080010001200140016001800
# Screened # Re-screened # Referred
1-Step Protocol
2-Step Protocol
Total
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Our Challenges
Conveying the importance of timely follow-up!
Funding for equipment and administrative cost
Staffing
Scheduling
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Is this working? Follow-up evaluations Program evaluation developed after one
year 1-5 Rating Scale; Comments 3 Categories: overall experience, site visit, parent
feedback
Initial Distribution of 25 evaluation forms 11 were returned “Excellent” and “Agree” Responses:
professionalism, correspondence, and cost! “Average” and “Neutral” Responses: explanation
of technology, parent interest “Poor” and “Disagree” Responses: none!
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Is this working? Participant Comments
“Wonderful service! It is difficult to obtain
accurate assessment on 3 and 4 year old
students-this eliminates guesswork…
I would highly recommend this
service and truly feel this is the way all
hearing screenings throughout a child’s
school years should be conducted!”
~public school nurse
“This gives a home daycare an
opportunity to give children a service
usually provided by a big daycare.”
~owner of a home daycare
“This is a great service that you provide
for children!”~director of large daycare
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Is this working? Brian’s Story 4 years old
University Childcare Center
REFER, parents notified
Parents took child to Dr.; fluid noted
Received diagnostic testing from school audiologist; bilateral, conductive 50dB loss
Received PE tubes
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Is this working? Matt’s Story 4.5 years old Head Start program REFER, parents notified Mom called to schedule another screening (prior
to Dr. visit); encouraged to contact Dr. and/or school audiologist
Rescreened (per mom’s request), REFER, school nurse notified
Received diagnostic testing from school audiologist; bilateral conductive loss was noted
Visited Dr.; wax removed
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Is this working? Katie’s Story
4 years old
Head Start program
Red Flag: Mom noted, on permission slip, that child referred newborn hearing screening
REFER, parents notified; classroom teacher noted concerns about child’s speech and hearing (child is “a little bit deaf”)
School nurse, District Health Service Coordinator, Family Support Worker acquired consent for “exchange of information”
Reports from NE Newborn Hearing Screening Program and audiology clinic indicate: REFER newborn hearing screening 2 weeks – DPOAEs not present; ABR findings suggest mild to
moderate loss bilaterally 1 y 3 mo – VRA sound field findings indicate moderate loss 1 y 9 mo - Ear mold impressions and hearing aid fitting Child lost to further audiologic management/early intervention.
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Contact us
Jennifer Rossi [email protected]
Jenna Voss [email protected]
theOmaha Hearing School1110 North 66th St.Omaha, NE 68132
402.558.1546http://www.oraldeafed.org/schools/omaha/index.html
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References
1. White, K. R. (October, 1997). The scientific basis for newborn hearing screening: Issues and evidence. Invited keynote address to the Early Hearing Detection and Intervention (EHDI) Workshop sponsored by the Centers for Disease Control and Prevention, Atlanta, Georgia.
2. National Institute on Deafness and Other Communication Disorders. (2002). Otitis media (ear infection) (NIH Publication No. 974216). Bethesda, MD: Author.
3. Joint Committee on Infant Hearing (2000). Principles and guidelines for early hearing detection and intervention programs. Audiology Today, Special Issue, 1-23.
4. U.S. Department of Health and Human Services (HHS). (1990). Healthy People 2000: National Health Promotion and Disease Prevention Objectives. Washington, DC: Public Health Service.
5. Nebraska Health and Human Services System (2004). Nebraska Newborn Screening Annual Report: dried blood spot screening for metabolic & inherited disorders and newborn hearing screening programs. Lincoln, NE.