Ehdi summit ppt

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  • Welcome to TEHDI – Universal Newborn Hearing Screening (UNHS) Outreach Education training!
  • Welcome to the Texas Early Hearing Detection and Intervention – Medical Home Outreach Education Module.
  • Ehdi summit ppt

    1. 1. An Overview of the Texas Early Hearing Detection and Intervention Program TEHDI Newborn Hearing Screening
    2. 2. <ul><li>76th Legislature in 1999, established the Texas Newborn Hearing Screening Program (NBHS) by adding Texas Health and Safety Code, Chapter 47. </li></ul><ul><ul><li>Texas Early Hearing Detection and Intervention (TEHDI) Program. </li></ul></ul><ul><li>Certain birth facilities must offer newborn hearing screening (NBHS) to all families of newborns during the birth admission. </li></ul>Newborn Hearing Screening Law
    3. 3. Facilities that must offer NBHS <ul><li>Hospitals licensed under Chapter 241 of the Texas Health and Safety Code </li></ul><ul><ul><li>Offer obstetrical services </li></ul></ul><ul><ul><li>Are located in counties with populations greater than 50,000. </li></ul></ul><ul><li>Birthing Centers licensed under Chapter 244 of the Texas Health and Safety Code </li></ul><ul><ul><li>Are located in counties with populations greater than 50,000 and that have 100 or more births per year. </li></ul></ul>Facilities Required to Offer NBHS
    4. 4. Mandate <ul><li>Texas law mandates that parents must be offered a hearing screening. </li></ul><ul><li>Parents must give written permission before the hearing screening is performed and reported to TEHDI. </li></ul>Mandate
    5. 5. <ul><li>Over 400,000 babies are born in Texas each year. </li></ul>The incidence of hearing loss is 2 - 3 per 1,000 births . Screening for Hearing Loss
    6. 6. * Provisional Data Summary Screening Data FY2009 13,373 (3.5%) Need Follow Up (Missed + Did not Pass) 9,099 (2.4%) Did not Pass 371,607 (97.6%) Passed Birth Screen Outcome 4,274 (1.1%) Missed 380,706 (98.4%) Completed 1,887 (.5%) In Process Birth Screens Status 386,859 Infants Requiring Screening Excludes: deceased, parent refusal, terminally ill 389,248 Total Births Reported to the TEHDI System 412,100* Total Births Reported to Vital Statistics
    7. 8. TEHDI Outpatient Reporting Reporting <ul><ul><li>Required reporting of outpatient hearing results into the TEHDI system or via fax by the following providers: (rule change in 2007) </li></ul></ul><ul><ul><ul><ul><li>Those who perform outpatient screenings </li></ul></ul></ul></ul><ul><ul><ul><ul><li>and diagnostic testing </li></ul></ul></ul></ul><ul><ul><li>- Examples : </li></ul></ul><ul><ul><ul><ul><ul><li>- Qualified hearing screening providers </li></ul></ul></ul></ul></ul><ul><ul><ul><li>- Intervention specialists </li></ul></ul></ul><ul><ul><ul><li>- Educators </li></ul></ul></ul><ul><ul><ul><li>TEHDI providers can input hearing results directly into the online TEHDI system. </li></ul></ul></ul>
    8. 9. Diagnostic Evaluation <ul><li>Infants who do not pass the outpatient screen are referred for diagnostic assessment, either to confirm or rule out permanent hearing loss. </li></ul>Diagnostic Assessment
    9. 10. TEHDI Outpatient Reporting Audiologists provided with a workflow designed to facilitate the entry of diagnostic data and online referral to ECI. TEHDI Audiologist Reporting
    10. 11. TEHDI Outpatient Reporting <ul><li>Physicians have access to a module called Provider Access. </li></ul>TEHDI Physician Reporting
    11. 12. Funding <ul><li>Medicaid </li></ul><ul><li>Children with Special Health Care Needs (CSHCN) </li></ul><ul><li>Maternal and Child Health/Title V funds. </li></ul>Funding
    12. 13. <ul><li>Over 50% of the Infants/Children needing follow-up are believed to be lost </li></ul><ul><li>One of the highest priorities in the administration of a state EHDI program is to reduce the loss to follow-up rate. </li></ul><ul><li>What was once thought to be a loss to follow-up in services may in actuality be loss to documentation or reporting. </li></ul>Loss to Follow-up/Documentation
    13. 14. Centers for Disease Control (CDC Grant) <ul><li>Awarded to the TEHDI program in 2008 </li></ul><ul><ul><li>In alignment with the CDC national goal of reducing loss to follow-up through… </li></ul></ul><ul><ul><ul><li>Reporting </li></ul></ul></ul><ul><ul><ul><li>Data integration </li></ul></ul></ul><ul><ul><ul><li>Use of the TEHDI system data </li></ul></ul></ul>Centers for Disease Control and Prevention (CDC)
    14. 15. <ul><li>3-year grant </li></ul><ul><li>Purpose is the reduction in the loss to follow-up rate accomplished through </li></ul><ul><ul><li>Outreach </li></ul></ul><ul><ul><li>Education </li></ul></ul>Health Resources and Services Administration (HRSA)
    15. 16. Activities Involving the HRSA Grant HRSA Outreach Educator Project HRSA Funded Activities To Be Developed Hospitals/Clinics ENTs To Be Developed EI/ECI Sites Early Intervention Providers In Development Hospitals/Clinics Audiologists In Development Hospitals/Clinics Out Patient Screeners, PCPs, and audiologist Near Completion Medical Home Primary Care Physicians Completed Birth Hospitals Newborn Program Managers/Screeners Completed OB/GYN clinics Nurse Practitioners, Midwives Status Target Site Target Audience
    16. 17. Insert Headline TEHDI Universal Newborn Hearing Screening Outreach Education Texas Early Hearing Detection and Intervention © Department of State Health Services 2009-2010
    17. 18. Insert Headline TEHDI Texas Early Hearing Detection and Intervention Medical Home Outreach Education Texas Early Hearing Detection and Intervention © Department of State Health Services 2010
    18. 19. Provider Educational Materials Information Health Professionals Need to Know
    19. 20. <ul><li>Reduce the loss to follow-up or loss-to-documentation. </li></ul><ul><ul><li>- Increase the number of providers, especially audiologists, utilizing the TEHDI data system. </li></ul></ul><ul><li>Educate on the TEHDI Program and the TEHDI Continuum. </li></ul>Challenges and Opportunities
    20. 21. Contacts <ul><li>Mary Gwyn Allen, TEHDI Program Coordinator </li></ul><ul><ul><li>(512) 458 – 7726 </li></ul></ul><ul><ul><li>[email_address] </li></ul></ul>TEHDI Contacts <ul><li>Sarah Shaw, TEHDI Program Specialist </li></ul><ul><ul><li>(512) 458 – 7111 ext. 2128 </li></ul></ul><ul><ul><li>[email_address] </li></ul></ul>

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