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Newborn Hearing Screenings in the Latino Population in Utah. URLEND Leadership Project 2012 Vance Gunnell Blake Hansen Kaylyn Hum Krish Silva Vanesa Webb Faculty Member: Rich Harward. Purpose.
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Newborn Hearing Screenings in the Latino Population in Utah • URLEND Leadership Project 2012 • Vance Gunnell • Blake Hansen • Kaylyn Hum • Krish Silva • Vanesa Webb • Faculty 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 101 • 1. Before a newborn is discharged, a hearing screening with at least an Otoacoustic Emission (OAE) is obtained • Which results in either a pass or fail • 2. When an infant fails, they are asked to return for a second screening • 3. 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/
Background • Joint 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
Methods • 55 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
Results What percentage of the Latino population do you serve? What is your role in the screening process?
What is the most common reason patients don’t return, listed? Previous experience with families who didn’t return
What is the most common reason patients don’t return, not listed? Share any ideas that may help the problem
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: Vanesa • What 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: Krish • What 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: Blake • What 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