newborn hearing screenings in the latino population in utah urlend leadership project 2012 vance...
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Newborn Hearing Screenings in the Latino Population in Utah
URLEND Leadership Project 2012Vance GunnellBlake HansenKaylyn HumKrish SilvaVanesa WebbFaculty Member: Rich Harward
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Purpose
Determine if there is a problem with lost to follow up for newborn hearing screenings in the Latino population in Utah
If a problem does exist, what are the reasons for the lost to follow up?
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Newborn Hearing Screening 1011. Before a newborn is discharged, a hearing screening with at least an Otoacoustic Emission (OAE) is obtainedWhich results in either a pass or fail2. When an infant fails, they are asked to return for a second screening3. If the infant fails the second screening, a diagnostic Auditory Brainstem Response is then scheduled.- any of the gold font items are times that the family can be “lost-to-follow-up”
http://www.cdc.gov/Features/NewbornHearing/
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BackgroundJoint Committee on Infant Hearing (JCIH) recommended goal of 1, 3, 6
by 1 month of age: identification of hearing loss
by 3 months of age: diagnosis of hearing loss
by 6 months of age: implementation of intervention for hearing loss
Early Hearing Detection and Intervention also works towards these goals, nationally and by individual states
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Methods55 Audiologists and Newborn Hearing Screening Coordinators contact information was obtained
These were divided among group members
Generated a letter for the contacts
6 questions were developed to collect anecdotal information
http://www.surveymonkey.com/s/BRSFK9N
Group members sent the letter, including the survey link, to the Audiologists and Coordinators via e-mail
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What is your role in the screening
process?
Results What percentage of the Latino
population do you serve?
Role Percentage
Screening Coordinator
60.0%
Audiologists
26.7%
Other 13.3%
Pediatrician 0%
Range Percentage
>15% 33.3%
16-30% 46.7%
31-45% 13.3%
46-60% 6.7%
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What is the most common reason
patients don’t return, listed?
Previous experience with families who
didn’t return
Range Percentage
Lack of Transportation
25.0%
The family is uneducated on importance of
screening
15.6%
The family has moved
18.8%
Lost contact with the family
18.8%
Family is apathetic
15.6%
Family is resistant to screening
6.3%
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Share any ideas that may help the
problem
What is the most common reason patients don’t return,
not listed?
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Future Directions
Coincide outpatient screening appointment with another appointment
Providing education sessions for screeners at the Community Health Clinics
Educating professionals on the cultural differences to “meet-in-the-middle” and working together for a common cause
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Special Thanks...
Dr. Karen Muñoz
Steven Jensen, AuD
Elizabeth Preston, AuD
Teresa Shaffer
Rich Harward, AuD
Faculty Mentors
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Feedback: Kaylyn
Enjoyed:
opportunities to attend conferences
clinical observations and PDC to apply family-centered care
Suggestions for improvements:
Earlier start with orientation
Clarification of hours- what counts as didactic vs clinical vs leadership/research
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Feedback: VanesaWhat I liked:
Clinic opportunities
SM, Refugee
Seminars
PDCs
opportunities
Suggested Changes:
more information about clinics
specific goals and objectives
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Feedback: Vance
Liked:
Clinical observations
Working with other disciplines
Seminars
Suggestions:
A calendar that shows available clinical opportunities
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Feedback: KrishWhat I enjoyed:
I really enjoyed attending the various clinics
Getting to know how multidisciplinary teams work and the benefits
Family centered services
The Leadership skills and
The knowledge from the seminars
What I would like in the future
Possibility of adding sites from developing countries to have more opportunities for those trainees
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Feedback: BlakeWhat I liked:
Clinic visits were great
Forced out of my comfort zone:
research project
present to families on topics requiring background research
For the future:
consider informing guest presenters on their audience
branch out to other universities in Utah and other states