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Identifying Qualified Audiologists for Assessment of Babies

Identifying Qualified Audiologists for Assessment of Babies. National EHDI Conference Atlanta, Georgia Faye P. McCollister, EdD Consulting Audiologist, Professor Emeritus, University of Alabama Fmc901@earthlink.net. Need for Audiologists With Very Specific Skills. Pediatric audiology

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Identifying Qualified Audiologists for Assessment of Babies

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  1. Identifying Qualified Audiologists for Assessment of Babies National EHDI Conference Atlanta, Georgia Faye P. McCollister, EdD Consulting Audiologist, Professor Emeritus, University of Alabama Fmc901@earthlink.net

  2. Need for Audiologists With Very Specific Skills • Pediatric audiology • Counseling • Team management • Intervention with very young children with hearing loss

  3. Qualified Audiology Provider • Appropriate state, national credentials • Appropriate pediatric experience, with children less than 6 months of age • Appropriate diagnostic equipment • Interest in providing family-centered audiological management

  4. Status of EHDI Programs :Audiological Diagnosis • Equipment and techniques for diagnosis of hearing loss in infants continues to improve • State coordinators estimate only 56.1% “receive diagnostic evaluations by 3 months of age

  5. Changes in Population Characteristics • Population Served Includes Very Young Children • The Population Served has Increased • Consumers of Early Intervention Services are Knowledgeable Regarding their Rights and Options Available

  6. Changes in Population Characteristics • Delayed Onset Hearing Loss • Fluctuating Hearing Loss • Progressive Hearing Loss • Mild and Unilateral Hearing Loss Identified Early

  7. Multiple Disabilities • About 30% of children with hearing loss have multiple disabilities (CADS, Gallaudet) • Will require interdisciplinary team management

  8. Change in Use of Risk Indicators: Still Important • JCIH risk indicators known to miss 50 % • JCIH risk indicators not always evaluated (congenital infections, Conexin 26 gene) • Parent report, medical record review can not give complete results • However, knowledge of indicators gives opportunity to define etiology, provide better hearing loss management

  9. Congenital CMV Infection • Most frequently occurring congenital viral infection in man, herpes virus, 60–80 % adults infected • 40,000 babies infected annually • 90-95 % asymptomatic; 10 % symptomatic • Symp 40.7% have HI = 1,628 • Asymp. 7.4 % Have HI = 2,664 • Total HI = 4,292 About 35 % of pediatric HI results from CMV

  10. Connexin 26 • Protein responsible for intracellular communication (transfer of ions between the hair cells in the cochlea and their support cells) • Responsible for 20-30% of congenital hearing loss

  11. Connexin 26 • Several different mutations • Usually recessive, occasionally dominant • Almost always results in hearing loss that is: • Congenital • Severe-profound • Non-progressive • Non-syndromic

  12. Vigilant Surveillance Required • Estimated that about 16 % of Hearing Loss is Delayed in Onset • Educate Parents • Educate Primary Care Providers • Provide Information on Normal Auditory Development • Provide Information of Signs and Symptoms of Hearing Loss

  13. Collaboration • AAA • ASHA • State Licensure Boards • State Audiology Associations • State Speech and Hearing Organizations

  14. Benefits of Identifying Qualified Audiologists • Faster, more accurate diagnosis • Decrease number of children lost to follow-up • Decrease parental anxiety

  15. Program Evaluation Instruments • Audiology Survey Instruments • Colorado • Wisconsin • Utah • Arizona • Generic • Ohio Infanthearing.org

  16. www.infanthearing.org

  17. Survey Development • Demographic Information • Individual or facility, confidentiality • Interest • Want to be included • Do not have skills, need training • Equipment • Sufficient to perform rec. protocols • Experience • Numbers, ages, sedation, hearing aids ….. • Protocols Documented

  18. Survey Development • Efficiency/Timeliness • Intervals between diagnosis/hearing aid fitting • Referral to intervention • Tracking/Reporting • Referrals made • Statistical information • Team Management • Medical • Intervention • Parental Support • Materials provided

  19. National EHDI Technical Assistance System • EHDI Network members located in each of the MCHB regions • Information dissemination and training • Web site (www.infanthearing.org) • Collaboration with other groups and agencies

  20. NCHAM Network Activities • Workshops on Pediatric Diagnostic Audiology • 6 weeks of on-line preparation • 2 day face-to-face workshop • 3 month follow-up practicum

  21. Brings Better Opportunities To Babies and Young Children With Hearing Loss Efficient Hearing Screening and Diagnostic Audiological Services….

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