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
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?
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/
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
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
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%
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%
Share any ideas that may help the
problem
What is the most common reason patients don’t return,
not listed?
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
Special Thanks...
Dr. Karen Muñoz
Steven Jensen, AuD
Elizabeth Preston, AuD
Teresa Shaffer
Rich Harward, AuD
Faculty Mentors
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
Feedback: VanesaWhat I liked:
Clinic opportunities
SM, Refugee
Seminars
PDCs
opportunities
Suggested Changes:
more information about clinics
specific goals and objectives
Feedback: Vance
Liked:
Clinical observations
Working with other disciplines
Seminars
Suggestions:
A calendar that shows available clinical opportunities
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
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