SlideShare a Scribd company logo
Early Hearing Detection and
       Intervention:
     Opportunities for
  Collaboration to Impact
         Outcomes
Why Do Newborn Hearing
Screening……
 Hearing loss is the most frequent occurring birth
  defect     Incidence Per 10,000 Births

      30
      25
      20
      15
      10
       5
       0
Why Do Newborn Hearing
Screening……
 Hearing loss is the most frequent occurring birth
  defect
 Undetected hearing loss in children has serious
  negative consequences
   Poorer academic achievement
   Reduced educational and social opportunities
   Increased cost in special education
   Miss the “critical window” for language acquisition
      Birth – 2 y.o.
Why Do Newborn Hearing
                        Screening……
Boys Town National Research Hospital Study of Earlier vs. Later
                        6

                        5         Identified <6 mos (n = 25)
   Language Age (yrs)




                                  Identified >6 mos (n = 104)
                        4

                        3

                        2

                        1

                        0
                            0.8      1.2        1.8       2.2       2.8       3.2       3.8    4.2   4.8
                                                             Age (yrs)
                            Moeller, M.P. (1997).Personal communication moeller@boystown.org
                                                                      ,
Why Do Newborn Hearing Screening……
                        Vocabulary Size for Hearing Impaired Children
                          Identified Before and After 6 Months of Age
                  300
                        Identified BEFORE 6 Months
                  250
Vocabulary Size




                        Identified AFTER 6 Months
                  200

                  150

                  100

                  50

                   0
                        13-18 mos        19-24 mos     25-30 mos     31-36 mos
                        (n = 15/8)       (n = 12/16)   (n = 11/20)   (n = 8/19)
                                     Chronological Age in Months
SC Legislation – 1976 Code Section 44-37-40
"Universal Newborn Hearing Screening and Intervention Act"

   Effective June 30, 2001
      All hospitals required to screen newborns during
       birth admission for hearing loss
        Exception: Hospitals with less than average of 100 births
         annually
      All hospitals required to give parents educational
       information regarding the importance of hearing
       screening regardless of number of births (April
       1, 2001)
SC Legislation – 1976 Code Section 44-37-40
"Universal Newborn Hearing Screening and Intervention Act"

   Follow Up                             Reporting &
      All babies referred by hospital
       screening are to receive:          Monitoring
         Audiologic Evaluation by          NBHS reporting
          Audiologist, or
                                             procedures must be
         Medical Evaluation by
          Physician or                       followed by:
          Otolaryngologist, or                Hospitals
         Both if indicated
                                              Audiologists
      Confirmed HL:
        Medical Intervention                 Early Interventionists
        Audiologic Habilitation
        Early Intervention services
        Augmentative Hearing Devices
SC Legislation – 1976 Code Section 44-37-40
"Universal Newborn Hearing Screening and Intervention Act"

    Miscellaneous
       Establish Advisory Council to include reps from:
           Agencies
           Professional Disciplines
           Hospitals
           Consumers
       DHHS shall provide reimbursement
       DHEC shall provide reimbursement
First Sound Process
                                                                           Refer to
                                                                           BabyNet

Hospital             Referred to             Audiology
 Hearing     Fail   Audiologist for   Fail   Diagnostic   CHL             Habilitation
Screening             Re-Screen              Evaluation                      Recs



  Pass                                                                      Hearing
                         Pass                 Normal                         Aids
                                                                              CI
                                                                             Sign
Literature                                                                   Lang
                      Literature             Literature


                                                                 Parent
                                                                Support
DATA COLLECTION

 HOSPITALS                       AUDIOLOGISTS
  Started with paper data          Started with paper data
   collection                        collection
  ~ 2003 began electronic          ~ 2003 began electronic
   data collection                   data collection
  April 1, 2008 data               Report results of any
   collection process                newborn referred by
   integrated with Vital             hospital for follow up
   Records
  Report screening results on
   every baby
How Do We Test Babies?




            ?????
How Do We Test Babies?
How Do We Test Babies?

Two types of tests can be done on newborns:
 Auditory Brainstem Response (ABR)
      Tests the infant’s ability to hear soft sound
       through miniature earphones
      Sensors measure baby’s brainwaves to determine
       if the sounds are heard normally
   Otoacoustic Emissions (OAE)
      Measured directly with a miniature microphone

      Measures response coming from inner hair cells
Goals of EHDI
  1–3-6
     Screen by 1 month old

     Confirmed diagnosis by 3 months old

     In Early Intervention by 6 months old
How Are We Doing?

                          Screening Rate
100%                                 99%
                               98%
98%                97%   97%               97%   97%   97%
                                                             96% 96%
96%    95%

94%          93%

92%

90%
       AAP 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
How Are We Doing?

                      Confirmed HL
120
           106
100
                 85                       82
      74                     77      75
80                      68
                                               62   58
60
                                                         40
40

20

 0
      2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
How Are We Doing?

                           EI by 6 mos old
120%
       100%
100%                      88%
80%
                    63%                           60%
                                      58%
60%           51%                           49%         53%
                                                              43%
                                38%
40%

 20%

 0%
       AAP 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
How Are We Doing?

               Lost to Follow-Up/Documentation
50%
                    43%
40%          38%                                       37%
                                                32%           33%
      29%
30%
                           21%    23%    23%
20%

10%

 0%
      2003   2004   2005   2006   2007   2008   2009   2010   2011
Things to Celebrate
   100% labor and delivery hospitals conduct screenings



   More than 55,000 babies are screened each year prior to
    discharge



   Data reporting system linked to vital records
Things to Improve

   Follow up rates for failed screen



   Data reporting



   Parent support
Collaboration Opportunities
   Home Visitation & ECHO Programs

                                  Report
                                 Screening
                                  Results



            Verification
            of Screening                                Report
               Results                                Diagnostic
                                                       Results




                                             Report Need
                     Audiology
                                              for Further
                     Resource
                                               Follow Up
FIRST SOUND


               Questions?


          Tara Carroll, MCD, CCC/A
    First Sound Program Manager/Audiologist
                 803-898-0708
             carroltp@dhec.sc.gov

More Related Content

What's hot

Audiometric masking
Audiometric maskingAudiometric masking
Audiometric masking
bethfernandezaud
 
Hearing Screening in Newborns.. Dr.Padmesh
Hearing Screening in Newborns.. Dr.PadmeshHearing Screening in Newborns.. Dr.Padmesh
Hearing Screening in Newborns.. Dr.Padmesh
Dr Padmesh Vadakepat
 
universal newborn hearing screening.pptx
universal newborn hearing screening.pptxuniversal newborn hearing screening.pptx
universal newborn hearing screening.pptx
bais7
 
Introduction to Basic Audiology
Introduction to Basic AudiologyIntroduction to Basic Audiology
Introduction to Basic Audiology
Dr.Mahmoud Abbas
 
2 audiological evaluation
2 audiological evaluation2 audiological evaluation
2 audiological evaluation
Dr_Mo3ath
 
Acoustic Immittance Measurements
Acoustic Immittance MeasurementsAcoustic Immittance Measurements
Acoustic Immittance Measurements
bethfernandezaud
 
Auditory Verbal TherapyTraning 2017
Auditory Verbal TherapyTraning  2017Auditory Verbal TherapyTraning  2017
Auditory Verbal TherapyTraning 2017
Amit kumar
 
Behavioural test in pediatric audiology
Behavioural test in pediatric audiologyBehavioural test in pediatric audiology
Behavioural test in pediatric audiology
Sakshigupta487491
 
Auditory neuropathy
Auditory neuropathy Auditory neuropathy
Auditory neuropathy
Ashutosh singh
 
Auditory & Developmental Neurophysiology: Cochlear Implants seminar
Auditory & Developmental Neurophysiology: Cochlear Implants seminarAuditory & Developmental Neurophysiology: Cochlear Implants seminar
Auditory & Developmental Neurophysiology: Cochlear Implants seminar
Dan Ofer
 
Procedure of hearing assessment
Procedure of hearing assessmentProcedure of hearing assessment
Procedure of hearing assessment
Fozia Waqar
 
Hearing Tests for Children
Hearing Tests for ChildrenHearing Tests for Children
Hearing Tests for Children
CSN Vittal
 
Ear molds
Ear moldsEar molds
Childhood Apraxia of Speech
Childhood Apraxia of SpeechChildhood Apraxia of Speech
Childhood Apraxia of Speech
KaitlinKnutson
 
Recent Advances in Cochlear Implant Candidacy
Recent Advances in Cochlear Implant Candidacy Recent Advances in Cochlear Implant Candidacy
Recent Advances in Cochlear Implant Candidacy
Dr.Mahmoud Abbas
 
Otoacoustic emission
Otoacoustic emissionOtoacoustic emission
Otoacoustic emission
Dr. Pruthvi Raj S
 
Amplification device
Amplification deviceAmplification device
Amplification device
karnal
 
Assessment of Hearing
Assessment of HearingAssessment of Hearing
Assessment of Hearing
Shiksha Choytoo
 
Immittance audiometry
Immittance audiometryImmittance audiometry
Immittance audiometry
sarita pandey
 
Auditory processing disorders 2
Auditory processing disorders 2Auditory processing disorders 2
Auditory processing disorders 2
Karl Daniel, M.D.
 

What's hot (20)

Audiometric masking
Audiometric maskingAudiometric masking
Audiometric masking
 
Hearing Screening in Newborns.. Dr.Padmesh
Hearing Screening in Newborns.. Dr.PadmeshHearing Screening in Newborns.. Dr.Padmesh
Hearing Screening in Newborns.. Dr.Padmesh
 
universal newborn hearing screening.pptx
universal newborn hearing screening.pptxuniversal newborn hearing screening.pptx
universal newborn hearing screening.pptx
 
Introduction to Basic Audiology
Introduction to Basic AudiologyIntroduction to Basic Audiology
Introduction to Basic Audiology
 
2 audiological evaluation
2 audiological evaluation2 audiological evaluation
2 audiological evaluation
 
Acoustic Immittance Measurements
Acoustic Immittance MeasurementsAcoustic Immittance Measurements
Acoustic Immittance Measurements
 
Auditory Verbal TherapyTraning 2017
Auditory Verbal TherapyTraning  2017Auditory Verbal TherapyTraning  2017
Auditory Verbal TherapyTraning 2017
 
Behavioural test in pediatric audiology
Behavioural test in pediatric audiologyBehavioural test in pediatric audiology
Behavioural test in pediatric audiology
 
Auditory neuropathy
Auditory neuropathy Auditory neuropathy
Auditory neuropathy
 
Auditory & Developmental Neurophysiology: Cochlear Implants seminar
Auditory & Developmental Neurophysiology: Cochlear Implants seminarAuditory & Developmental Neurophysiology: Cochlear Implants seminar
Auditory & Developmental Neurophysiology: Cochlear Implants seminar
 
Procedure of hearing assessment
Procedure of hearing assessmentProcedure of hearing assessment
Procedure of hearing assessment
 
Hearing Tests for Children
Hearing Tests for ChildrenHearing Tests for Children
Hearing Tests for Children
 
Ear molds
Ear moldsEar molds
Ear molds
 
Childhood Apraxia of Speech
Childhood Apraxia of SpeechChildhood Apraxia of Speech
Childhood Apraxia of Speech
 
Recent Advances in Cochlear Implant Candidacy
Recent Advances in Cochlear Implant Candidacy Recent Advances in Cochlear Implant Candidacy
Recent Advances in Cochlear Implant Candidacy
 
Otoacoustic emission
Otoacoustic emissionOtoacoustic emission
Otoacoustic emission
 
Amplification device
Amplification deviceAmplification device
Amplification device
 
Assessment of Hearing
Assessment of HearingAssessment of Hearing
Assessment of Hearing
 
Immittance audiometry
Immittance audiometryImmittance audiometry
Immittance audiometry
 
Auditory processing disorders 2
Auditory processing disorders 2Auditory processing disorders 2
Auditory processing disorders 2
 

Similar to Early Hearing Detection: Collaboration and Outcomes

Cochlea implant candidacy
Cochlea implant candidacyCochlea implant candidacy
Cochlea implant candidacy
UditSaxena19
 
Effectiveness of Early Intervention in Improving Child Outcomes – current res...
Effectiveness of Early Intervention in Improving Child Outcomes – current res...Effectiveness of Early Intervention in Improving Child Outcomes – current res...
Effectiveness of Early Intervention in Improving Child Outcomes – current res...
HEARnet _
 
人工電子耳 台科大 1
人工電子耳 台科大 1人工電子耳 台科大 1
人工電子耳 台科大 1
doc30845
 
Role of institutions in early detection and intervention
Role of institutions in early detection and interventionRole of institutions in early detection and intervention
Role of institutions in early detection and intervention
ent_bangalore
 
Are We on Target with our Pediatric Hearing Aid Fittings? 
Are We on Target with our Pediatric Hearing Aid Fittings? Are We on Target with our Pediatric Hearing Aid Fittings? 
Are We on Target with our Pediatric Hearing Aid Fittings? 
Phonak
 
The deaf child
The deaf childThe deaf child
The deaf child
Ramesh Parajuli
 
What is an Audiologist
What is an AudiologistWhat is an Audiologist
What is an Audiologist
Fidelity Hearing Center
 
the-deaf modified.pptx
the-deaf modified.pptxthe-deaf modified.pptx
the-deaf modified.pptx
Shafiq38
 
Cost Effectiveness Ci220509
Cost Effectiveness Ci220509Cost Effectiveness Ci220509
Cost Effectiveness Ci220509
similei
 
Neonatal hearing screening
Neonatal hearing screeningNeonatal hearing screening
Neonatal hearing screening
Magdy Shafik M. Ramadan
 
JC f
JC fJC f
Overview of Behavioural and Objective Techniques in Screening.pptx
Overview of Behavioural and Objective Techniques in Screening.pptxOverview of Behavioural and Objective Techniques in Screening.pptx
Overview of Behavioural and Objective Techniques in Screening.pptx
Ambuj Kushawaha
 
Assessing Hearing Loss in Infants and Young Children
Assessing Hearing Loss in Infants and Young ChildrenAssessing Hearing Loss in Infants and Young Children
Assessing Hearing Loss in Infants and Young Children
Value Hearing
 
Hearing test
Hearing testHearing test
Hearing test
neeraj maurya
 
CI: Non est miraculum - Dr. Dr. h. c. Monika Lehnhardt
CI: Non est miraculum - Dr. Dr. h. c. Monika LehnhardtCI: Non est miraculum - Dr. Dr. h. c. Monika Lehnhardt
CI: Non est miraculum - Dr. Dr. h. c. Monika Lehnhardt
Monika Lehnhardt
 
2004 05-29-ci non miraculum est
2004 05-29-ci non miraculum est2004 05-29-ci non miraculum est
2004 05-29-ci non miraculum est
MonikaLehnhardt
 
KurmanGravel_EHDI2006.pptx
KurmanGravel_EHDI2006.pptxKurmanGravel_EHDI2006.pptx
KurmanGravel_EHDI2006.pptx
AtishHaldar
 
3. Aud Screening Factsheet B&W
3. Aud Screening Factsheet B&W3. Aud Screening Factsheet B&W
3. Aud Screening Factsheet B&W
Toni Barrient
 
HearingCoach brochure (English)
HearingCoach brochure (English)HearingCoach brochure (English)
HearingCoach brochure (English)
HearingCoach
 
Cochlear ltd tour presentation from an
Cochlear ltd tour presentation from anCochlear ltd tour presentation from an
Cochlear ltd tour presentation from an
terryjones49
 

Similar to Early Hearing Detection: Collaboration and Outcomes (20)

Cochlea implant candidacy
Cochlea implant candidacyCochlea implant candidacy
Cochlea implant candidacy
 
Effectiveness of Early Intervention in Improving Child Outcomes – current res...
Effectiveness of Early Intervention in Improving Child Outcomes – current res...Effectiveness of Early Intervention in Improving Child Outcomes – current res...
Effectiveness of Early Intervention in Improving Child Outcomes – current res...
 
人工電子耳 台科大 1
人工電子耳 台科大 1人工電子耳 台科大 1
人工電子耳 台科大 1
 
Role of institutions in early detection and intervention
Role of institutions in early detection and interventionRole of institutions in early detection and intervention
Role of institutions in early detection and intervention
 
Are We on Target with our Pediatric Hearing Aid Fittings? 
Are We on Target with our Pediatric Hearing Aid Fittings? Are We on Target with our Pediatric Hearing Aid Fittings? 
Are We on Target with our Pediatric Hearing Aid Fittings? 
 
The deaf child
The deaf childThe deaf child
The deaf child
 
What is an Audiologist
What is an AudiologistWhat is an Audiologist
What is an Audiologist
 
the-deaf modified.pptx
the-deaf modified.pptxthe-deaf modified.pptx
the-deaf modified.pptx
 
Cost Effectiveness Ci220509
Cost Effectiveness Ci220509Cost Effectiveness Ci220509
Cost Effectiveness Ci220509
 
Neonatal hearing screening
Neonatal hearing screeningNeonatal hearing screening
Neonatal hearing screening
 
JC f
JC fJC f
JC f
 
Overview of Behavioural and Objective Techniques in Screening.pptx
Overview of Behavioural and Objective Techniques in Screening.pptxOverview of Behavioural and Objective Techniques in Screening.pptx
Overview of Behavioural and Objective Techniques in Screening.pptx
 
Assessing Hearing Loss in Infants and Young Children
Assessing Hearing Loss in Infants and Young ChildrenAssessing Hearing Loss in Infants and Young Children
Assessing Hearing Loss in Infants and Young Children
 
Hearing test
Hearing testHearing test
Hearing test
 
CI: Non est miraculum - Dr. Dr. h. c. Monika Lehnhardt
CI: Non est miraculum - Dr. Dr. h. c. Monika LehnhardtCI: Non est miraculum - Dr. Dr. h. c. Monika Lehnhardt
CI: Non est miraculum - Dr. Dr. h. c. Monika Lehnhardt
 
2004 05-29-ci non miraculum est
2004 05-29-ci non miraculum est2004 05-29-ci non miraculum est
2004 05-29-ci non miraculum est
 
KurmanGravel_EHDI2006.pptx
KurmanGravel_EHDI2006.pptxKurmanGravel_EHDI2006.pptx
KurmanGravel_EHDI2006.pptx
 
3. Aud Screening Factsheet B&W
3. Aud Screening Factsheet B&W3. Aud Screening Factsheet B&W
3. Aud Screening Factsheet B&W
 
HearingCoach brochure (English)
HearingCoach brochure (English)HearingCoach brochure (English)
HearingCoach brochure (English)
 
Cochlear ltd tour presentation from an
Cochlear ltd tour presentation from anCochlear ltd tour presentation from an
Cochlear ltd tour presentation from an
 

More from Children’s Trust of South Carolina

Understanding the spectrum of prenatal alcohol exposure part 2
Understanding the spectrum of prenatal alcohol exposure part 2Understanding the spectrum of prenatal alcohol exposure part 2
Understanding the spectrum of prenatal alcohol exposure part 2
Children’s Trust of South Carolina
 
Understanding the Spectrum of Prenatal Alcohol Exposure part 1
Understanding the Spectrum of Prenatal Alcohol Exposure part 1Understanding the Spectrum of Prenatal Alcohol Exposure part 1
Understanding the Spectrum of Prenatal Alcohol Exposure part 1
Children’s Trust of South Carolina
 
Working with Adults with FASD to Prevent FASD
Working with Adults with FASD to Prevent FASDWorking with Adults with FASD to Prevent FASD
Working with Adults with FASD to Prevent FASD
Children’s Trust of South Carolina
 
Adaptive Learning for Collective Impact and Applied Systems THINKING
Adaptive Learning for Collective Impact and Applied Systems THINKINGAdaptive Learning for Collective Impact and Applied Systems THINKING
Adaptive Learning for Collective Impact and Applied Systems THINKING
Children’s Trust of South Carolina
 
Let's Get UnBusy
Let's Get UnBusyLet's Get UnBusy
Creating a Soft Place to Land: Supporting Families of the Opioid Epidemic
Creating a Soft Place to Land: Supporting Families of the Opioid EpidemicCreating a Soft Place to Land: Supporting Families of the Opioid Epidemic
Creating a Soft Place to Land: Supporting Families of the Opioid Epidemic
Children’s Trust of South Carolina
 
The Struggle is Real: Working with Fathers
The Struggle is Real: Working with FathersThe Struggle is Real: Working with Fathers
The Struggle is Real: Working with Fathers
Children’s Trust of South Carolina
 
Promoting Adolescent Mental Health Wellness Through Mindfulness and Positive ...
Promoting Adolescent Mental Health Wellness Through Mindfulness and Positive ...Promoting Adolescent Mental Health Wellness Through Mindfulness and Positive ...
Promoting Adolescent Mental Health Wellness Through Mindfulness and Positive ...
Children’s Trust of South Carolina
 
ReSource Solutions - Inclusion: The Critical Dance of Racial Equity
ReSource Solutions - Inclusion: The Critical Dance of Racial EquityReSource Solutions - Inclusion: The Critical Dance of Racial Equity
ReSource Solutions - Inclusion: The Critical Dance of Racial Equity
Children’s Trust of South Carolina
 
Cultivating a Mindset of Resiliency
Cultivating a Mindset of ResiliencyCultivating a Mindset of Resiliency
Cultivating a Mindset of Resiliency
Children’s Trust of South Carolina
 
Aunt Bertha - Connection Families to Social Service Resources
Aunt Bertha - Connection Families to Social Service ResourcesAunt Bertha - Connection Families to Social Service Resources
Aunt Bertha - Connection Families to Social Service Resources
Children’s Trust of South Carolina
 
StatChat: Using Data as a Non Data User
StatChat: Using Data as a Non Data UserStatChat: Using Data as a Non Data User
StatChat: Using Data as a Non Data User
Children’s Trust of South Carolina
 
Cultural Humility, Racial Equity, and the Protective Factors
Cultural Humility, Racial Equity, and the Protective FactorsCultural Humility, Racial Equity, and the Protective Factors
Cultural Humility, Racial Equity, and the Protective Factors
Children’s Trust of South Carolina
 
Healing Communities: Hero's Journey
Healing Communities: Hero's JourneyHealing Communities: Hero's Journey
Healing Communities: Hero's Journey
Children’s Trust of South Carolina
 
An Innovative Planning Framework: Building Collective Impact
An Innovative Planning Framework: Building Collective ImpactAn Innovative Planning Framework: Building Collective Impact
An Innovative Planning Framework: Building Collective Impact
Children’s Trust of South Carolina
 
Building Community Resilience and Well-Being Using ACE Data
Building Community Resilience and Well-Being Using ACE DataBuilding Community Resilience and Well-Being Using ACE Data
Building Community Resilience and Well-Being Using ACE Data
Children’s Trust of South Carolina
 
Parent Group Facilitation
Parent Group FacilitationParent Group Facilitation
Parent Group Facilitation
Children’s Trust of South Carolina
 
Essentials of Working with Latino Families
Essentials of Working with Latino FamiliesEssentials of Working with Latino Families
Essentials of Working with Latino Families
Children’s Trust of South Carolina
 
Session 1.4 building community resources (kristen&amp;virginia)
Session 1.4 building community resources (kristen&amp;virginia)Session 1.4 building community resources (kristen&amp;virginia)
Session 1.4 building community resources (kristen&amp;virginia)
Children’s Trust of South Carolina
 
Reflective Practice
Reflective PracticeReflective Practice

More from Children’s Trust of South Carolina (20)

Understanding the spectrum of prenatal alcohol exposure part 2
Understanding the spectrum of prenatal alcohol exposure part 2Understanding the spectrum of prenatal alcohol exposure part 2
Understanding the spectrum of prenatal alcohol exposure part 2
 
Understanding the Spectrum of Prenatal Alcohol Exposure part 1
Understanding the Spectrum of Prenatal Alcohol Exposure part 1Understanding the Spectrum of Prenatal Alcohol Exposure part 1
Understanding the Spectrum of Prenatal Alcohol Exposure part 1
 
Working with Adults with FASD to Prevent FASD
Working with Adults with FASD to Prevent FASDWorking with Adults with FASD to Prevent FASD
Working with Adults with FASD to Prevent FASD
 
Adaptive Learning for Collective Impact and Applied Systems THINKING
Adaptive Learning for Collective Impact and Applied Systems THINKINGAdaptive Learning for Collective Impact and Applied Systems THINKING
Adaptive Learning for Collective Impact and Applied Systems THINKING
 
Let's Get UnBusy
Let's Get UnBusyLet's Get UnBusy
Let's Get UnBusy
 
Creating a Soft Place to Land: Supporting Families of the Opioid Epidemic
Creating a Soft Place to Land: Supporting Families of the Opioid EpidemicCreating a Soft Place to Land: Supporting Families of the Opioid Epidemic
Creating a Soft Place to Land: Supporting Families of the Opioid Epidemic
 
The Struggle is Real: Working with Fathers
The Struggle is Real: Working with FathersThe Struggle is Real: Working with Fathers
The Struggle is Real: Working with Fathers
 
Promoting Adolescent Mental Health Wellness Through Mindfulness and Positive ...
Promoting Adolescent Mental Health Wellness Through Mindfulness and Positive ...Promoting Adolescent Mental Health Wellness Through Mindfulness and Positive ...
Promoting Adolescent Mental Health Wellness Through Mindfulness and Positive ...
 
ReSource Solutions - Inclusion: The Critical Dance of Racial Equity
ReSource Solutions - Inclusion: The Critical Dance of Racial EquityReSource Solutions - Inclusion: The Critical Dance of Racial Equity
ReSource Solutions - Inclusion: The Critical Dance of Racial Equity
 
Cultivating a Mindset of Resiliency
Cultivating a Mindset of ResiliencyCultivating a Mindset of Resiliency
Cultivating a Mindset of Resiliency
 
Aunt Bertha - Connection Families to Social Service Resources
Aunt Bertha - Connection Families to Social Service ResourcesAunt Bertha - Connection Families to Social Service Resources
Aunt Bertha - Connection Families to Social Service Resources
 
StatChat: Using Data as a Non Data User
StatChat: Using Data as a Non Data UserStatChat: Using Data as a Non Data User
StatChat: Using Data as a Non Data User
 
Cultural Humility, Racial Equity, and the Protective Factors
Cultural Humility, Racial Equity, and the Protective FactorsCultural Humility, Racial Equity, and the Protective Factors
Cultural Humility, Racial Equity, and the Protective Factors
 
Healing Communities: Hero's Journey
Healing Communities: Hero's JourneyHealing Communities: Hero's Journey
Healing Communities: Hero's Journey
 
An Innovative Planning Framework: Building Collective Impact
An Innovative Planning Framework: Building Collective ImpactAn Innovative Planning Framework: Building Collective Impact
An Innovative Planning Framework: Building Collective Impact
 
Building Community Resilience and Well-Being Using ACE Data
Building Community Resilience and Well-Being Using ACE DataBuilding Community Resilience and Well-Being Using ACE Data
Building Community Resilience and Well-Being Using ACE Data
 
Parent Group Facilitation
Parent Group FacilitationParent Group Facilitation
Parent Group Facilitation
 
Essentials of Working with Latino Families
Essentials of Working with Latino FamiliesEssentials of Working with Latino Families
Essentials of Working with Latino Families
 
Session 1.4 building community resources (kristen&amp;virginia)
Session 1.4 building community resources (kristen&amp;virginia)Session 1.4 building community resources (kristen&amp;virginia)
Session 1.4 building community resources (kristen&amp;virginia)
 
Reflective Practice
Reflective PracticeReflective Practice
Reflective Practice
 

Recently uploaded

A beginner’s guide to project reviews - everything you wanted to know but wer...
A beginner’s guide to project reviews - everything you wanted to know but wer...A beginner’s guide to project reviews - everything you wanted to know but wer...
A beginner’s guide to project reviews - everything you wanted to know but wer...
Association for Project Management
 
1. Importance_of_reducing_postharvest_loss.pptx
1. Importance_of_reducing_postharvest_loss.pptx1. Importance_of_reducing_postharvest_loss.pptx
1. Importance_of_reducing_postharvest_loss.pptx
UmeshTimilsina1
 
Demonstration module in Odoo 17 - Odoo 17 Slides
Demonstration module in Odoo 17 - Odoo 17 SlidesDemonstration module in Odoo 17 - Odoo 17 Slides
Demonstration module in Odoo 17 - Odoo 17 Slides
Celine George
 
Odoo 17 Events - Attendees List Scanning
Odoo 17 Events - Attendees List ScanningOdoo 17 Events - Attendees List Scanning
Odoo 17 Events - Attendees List Scanning
Celine George
 
2 Post harvest Physiology of Horticulture produce.pptx
2 Post harvest Physiology of Horticulture  produce.pptx2 Post harvest Physiology of Horticulture  produce.pptx
2 Post harvest Physiology of Horticulture produce.pptx
UmeshTimilsina1
 
Mail Server Configuration Using App passwords in Odoo 17
Mail Server Configuration Using App passwords in Odoo 17Mail Server Configuration Using App passwords in Odoo 17
Mail Server Configuration Using App passwords in Odoo 17
Celine George
 
Open and Critical Perspectives on AI in Education
Open and Critical Perspectives on AI in EducationOpen and Critical Perspectives on AI in Education
Open and Critical Perspectives on AI in Education
Robert Farrow
 
ASP.NET Core Interview Questions PDF By ScholarHat.pdf
ASP.NET Core Interview Questions PDF By ScholarHat.pdfASP.NET Core Interview Questions PDF By ScholarHat.pdf
ASP.NET Core Interview Questions PDF By ScholarHat.pdf
Scholarhat
 
BỘ ĐỀ THI HỌC SINH GIỎI CÁC TỈNH MÔN TIẾNG ANH LỚP 9 NĂM HỌC 2023-2024 (CÓ FI...
BỘ ĐỀ THI HỌC SINH GIỎI CÁC TỈNH MÔN TIẾNG ANH LỚP 9 NĂM HỌC 2023-2024 (CÓ FI...BỘ ĐỀ THI HỌC SINH GIỎI CÁC TỈNH MÔN TIẾNG ANH LỚP 9 NĂM HỌC 2023-2024 (CÓ FI...
BỘ ĐỀ THI HỌC SINH GIỎI CÁC TỈNH MÔN TIẾNG ANH LỚP 9 NĂM HỌC 2023-2024 (CÓ FI...
Nguyen Thanh Tu Collection
 
Benchmarking Sustainability: Neurosciences and AI Tech Research in Macau - Ke...
Benchmarking Sustainability: Neurosciences and AI Tech Research in Macau - Ke...Benchmarking Sustainability: Neurosciences and AI Tech Research in Macau - Ke...
Benchmarking Sustainability: Neurosciences and AI Tech Research in Macau - Ke...
Alvaro Barbosa
 
Lecture Notes Unit4 Chapter13 users , roles and privileges
Lecture Notes Unit4 Chapter13 users , roles and privilegesLecture Notes Unit4 Chapter13 users , roles and privileges
Lecture Notes Unit4 Chapter13 users , roles and privileges
Murugan146644
 
SQL Server Interview Questions PDF By ScholarHat
SQL Server Interview Questions PDF By ScholarHatSQL Server Interview Questions PDF By ScholarHat
SQL Server Interview Questions PDF By ScholarHat
Scholarhat
 
7. Post Harvest Entomology and their control.pptx
7. Post Harvest Entomology and their control.pptx7. Post Harvest Entomology and their control.pptx
7. Post Harvest Entomology and their control.pptx
UmeshTimilsina1
 
INSIDE OUT - PowerPoint Presentation.pptx
INSIDE OUT - PowerPoint Presentation.pptxINSIDE OUT - PowerPoint Presentation.pptx
INSIDE OUT - PowerPoint Presentation.pptx
RODELAZARES3
 
11. Post harvest quality, Quality criteria and Judgement.pptx
11. Post harvest quality, Quality criteria and Judgement.pptx11. Post harvest quality, Quality criteria and Judgement.pptx
11. Post harvest quality, Quality criteria and Judgement.pptx
UmeshTimilsina1
 
QCE – Unpacking the syllabus Implications for Senior School practices and ass...
QCE – Unpacking the syllabus Implications for Senior School practices and ass...QCE – Unpacking the syllabus Implications for Senior School practices and ass...
QCE – Unpacking the syllabus Implications for Senior School practices and ass...
mansk2
 
PRESS RELEASE - UNIVERSITY OF GHANA, JULY 16, 2024.pdf
PRESS RELEASE - UNIVERSITY OF GHANA, JULY 16, 2024.pdfPRESS RELEASE - UNIVERSITY OF GHANA, JULY 16, 2024.pdf
PRESS RELEASE - UNIVERSITY OF GHANA, JULY 16, 2024.pdf
nservice241
 
E-learning Odoo 17 New features - Odoo 17 Slides
E-learning Odoo 17  New features - Odoo 17 SlidesE-learning Odoo 17  New features - Odoo 17 Slides
E-learning Odoo 17 New features - Odoo 17 Slides
Celine George
 
MATATAG CURRICULUM sample lesson exemplar.docx
MATATAG CURRICULUM sample lesson exemplar.docxMATATAG CURRICULUM sample lesson exemplar.docx
MATATAG CURRICULUM sample lesson exemplar.docx
yardenmendoza
 
Parkinson Disease & Anti-Parkinsonian Drugs.pptx
Parkinson Disease & Anti-Parkinsonian Drugs.pptxParkinson Disease & Anti-Parkinsonian Drugs.pptx
Parkinson Disease & Anti-Parkinsonian Drugs.pptx
AnujVishwakarma34
 

Recently uploaded (20)

A beginner’s guide to project reviews - everything you wanted to know but wer...
A beginner’s guide to project reviews - everything you wanted to know but wer...A beginner’s guide to project reviews - everything you wanted to know but wer...
A beginner’s guide to project reviews - everything you wanted to know but wer...
 
1. Importance_of_reducing_postharvest_loss.pptx
1. Importance_of_reducing_postharvest_loss.pptx1. Importance_of_reducing_postharvest_loss.pptx
1. Importance_of_reducing_postharvest_loss.pptx
 
Demonstration module in Odoo 17 - Odoo 17 Slides
Demonstration module in Odoo 17 - Odoo 17 SlidesDemonstration module in Odoo 17 - Odoo 17 Slides
Demonstration module in Odoo 17 - Odoo 17 Slides
 
Odoo 17 Events - Attendees List Scanning
Odoo 17 Events - Attendees List ScanningOdoo 17 Events - Attendees List Scanning
Odoo 17 Events - Attendees List Scanning
 
2 Post harvest Physiology of Horticulture produce.pptx
2 Post harvest Physiology of Horticulture  produce.pptx2 Post harvest Physiology of Horticulture  produce.pptx
2 Post harvest Physiology of Horticulture produce.pptx
 
Mail Server Configuration Using App passwords in Odoo 17
Mail Server Configuration Using App passwords in Odoo 17Mail Server Configuration Using App passwords in Odoo 17
Mail Server Configuration Using App passwords in Odoo 17
 
Open and Critical Perspectives on AI in Education
Open and Critical Perspectives on AI in EducationOpen and Critical Perspectives on AI in Education
Open and Critical Perspectives on AI in Education
 
ASP.NET Core Interview Questions PDF By ScholarHat.pdf
ASP.NET Core Interview Questions PDF By ScholarHat.pdfASP.NET Core Interview Questions PDF By ScholarHat.pdf
ASP.NET Core Interview Questions PDF By ScholarHat.pdf
 
BỘ ĐỀ THI HỌC SINH GIỎI CÁC TỈNH MÔN TIẾNG ANH LỚP 9 NĂM HỌC 2023-2024 (CÓ FI...
BỘ ĐỀ THI HỌC SINH GIỎI CÁC TỈNH MÔN TIẾNG ANH LỚP 9 NĂM HỌC 2023-2024 (CÓ FI...BỘ ĐỀ THI HỌC SINH GIỎI CÁC TỈNH MÔN TIẾNG ANH LỚP 9 NĂM HỌC 2023-2024 (CÓ FI...
BỘ ĐỀ THI HỌC SINH GIỎI CÁC TỈNH MÔN TIẾNG ANH LỚP 9 NĂM HỌC 2023-2024 (CÓ FI...
 
Benchmarking Sustainability: Neurosciences and AI Tech Research in Macau - Ke...
Benchmarking Sustainability: Neurosciences and AI Tech Research in Macau - Ke...Benchmarking Sustainability: Neurosciences and AI Tech Research in Macau - Ke...
Benchmarking Sustainability: Neurosciences and AI Tech Research in Macau - Ke...
 
Lecture Notes Unit4 Chapter13 users , roles and privileges
Lecture Notes Unit4 Chapter13 users , roles and privilegesLecture Notes Unit4 Chapter13 users , roles and privileges
Lecture Notes Unit4 Chapter13 users , roles and privileges
 
SQL Server Interview Questions PDF By ScholarHat
SQL Server Interview Questions PDF By ScholarHatSQL Server Interview Questions PDF By ScholarHat
SQL Server Interview Questions PDF By ScholarHat
 
7. Post Harvest Entomology and their control.pptx
7. Post Harvest Entomology and their control.pptx7. Post Harvest Entomology and their control.pptx
7. Post Harvest Entomology and their control.pptx
 
INSIDE OUT - PowerPoint Presentation.pptx
INSIDE OUT - PowerPoint Presentation.pptxINSIDE OUT - PowerPoint Presentation.pptx
INSIDE OUT - PowerPoint Presentation.pptx
 
11. Post harvest quality, Quality criteria and Judgement.pptx
11. Post harvest quality, Quality criteria and Judgement.pptx11. Post harvest quality, Quality criteria and Judgement.pptx
11. Post harvest quality, Quality criteria and Judgement.pptx
 
QCE – Unpacking the syllabus Implications for Senior School practices and ass...
QCE – Unpacking the syllabus Implications for Senior School practices and ass...QCE – Unpacking the syllabus Implications for Senior School practices and ass...
QCE – Unpacking the syllabus Implications for Senior School practices and ass...
 
PRESS RELEASE - UNIVERSITY OF GHANA, JULY 16, 2024.pdf
PRESS RELEASE - UNIVERSITY OF GHANA, JULY 16, 2024.pdfPRESS RELEASE - UNIVERSITY OF GHANA, JULY 16, 2024.pdf
PRESS RELEASE - UNIVERSITY OF GHANA, JULY 16, 2024.pdf
 
E-learning Odoo 17 New features - Odoo 17 Slides
E-learning Odoo 17  New features - Odoo 17 SlidesE-learning Odoo 17  New features - Odoo 17 Slides
E-learning Odoo 17 New features - Odoo 17 Slides
 
MATATAG CURRICULUM sample lesson exemplar.docx
MATATAG CURRICULUM sample lesson exemplar.docxMATATAG CURRICULUM sample lesson exemplar.docx
MATATAG CURRICULUM sample lesson exemplar.docx
 
Parkinson Disease & Anti-Parkinsonian Drugs.pptx
Parkinson Disease & Anti-Parkinsonian Drugs.pptxParkinson Disease & Anti-Parkinsonian Drugs.pptx
Parkinson Disease & Anti-Parkinsonian Drugs.pptx
 

Early Hearing Detection: Collaboration and Outcomes

  • 1. Early Hearing Detection and Intervention: Opportunities for Collaboration to Impact Outcomes
  • 2. Why Do Newborn Hearing Screening……  Hearing loss is the most frequent occurring birth defect Incidence Per 10,000 Births 30 25 20 15 10 5 0
  • 3. Why Do Newborn Hearing Screening……  Hearing loss is the most frequent occurring birth defect  Undetected hearing loss in children has serious negative consequences  Poorer academic achievement  Reduced educational and social opportunities  Increased cost in special education  Miss the “critical window” for language acquisition  Birth – 2 y.o.
  • 4. Why Do Newborn Hearing Screening…… Boys Town National Research Hospital Study of Earlier vs. Later 6 5 Identified <6 mos (n = 25) Language Age (yrs) Identified >6 mos (n = 104) 4 3 2 1 0 0.8 1.2 1.8 2.2 2.8 3.2 3.8 4.2 4.8 Age (yrs) Moeller, M.P. (1997).Personal communication moeller@boystown.org ,
  • 5. Why Do Newborn Hearing Screening…… Vocabulary Size for Hearing Impaired Children Identified Before and After 6 Months of Age 300 Identified BEFORE 6 Months 250 Vocabulary Size Identified AFTER 6 Months 200 150 100 50 0 13-18 mos 19-24 mos 25-30 mos 31-36 mos (n = 15/8) (n = 12/16) (n = 11/20) (n = 8/19) Chronological Age in Months
  • 6. SC Legislation – 1976 Code Section 44-37-40 "Universal Newborn Hearing Screening and Intervention Act"  Effective June 30, 2001  All hospitals required to screen newborns during birth admission for hearing loss  Exception: Hospitals with less than average of 100 births annually  All hospitals required to give parents educational information regarding the importance of hearing screening regardless of number of births (April 1, 2001)
  • 7. SC Legislation – 1976 Code Section 44-37-40 "Universal Newborn Hearing Screening and Intervention Act"  Follow Up  Reporting &  All babies referred by hospital screening are to receive: Monitoring  Audiologic Evaluation by  NBHS reporting Audiologist, or procedures must be  Medical Evaluation by Physician or followed by: Otolaryngologist, or  Hospitals  Both if indicated  Audiologists  Confirmed HL:  Medical Intervention  Early Interventionists  Audiologic Habilitation  Early Intervention services  Augmentative Hearing Devices
  • 8. SC Legislation – 1976 Code Section 44-37-40 "Universal Newborn Hearing Screening and Intervention Act"  Miscellaneous  Establish Advisory Council to include reps from:  Agencies  Professional Disciplines  Hospitals  Consumers  DHHS shall provide reimbursement  DHEC shall provide reimbursement
  • 9. First Sound Process Refer to BabyNet Hospital Referred to Audiology Hearing Fail Audiologist for Fail Diagnostic CHL Habilitation Screening Re-Screen Evaluation Recs Pass Hearing Pass Normal Aids CI Sign Literature Lang Literature Literature Parent Support
  • 10. DATA COLLECTION  HOSPITALS  AUDIOLOGISTS  Started with paper data  Started with paper data collection collection  ~ 2003 began electronic  ~ 2003 began electronic data collection data collection  April 1, 2008 data  Report results of any collection process newborn referred by integrated with Vital hospital for follow up Records  Report screening results on every baby
  • 11. How Do We Test Babies? ?????
  • 12. How Do We Test Babies?
  • 13. How Do We Test Babies? Two types of tests can be done on newborns:  Auditory Brainstem Response (ABR)  Tests the infant’s ability to hear soft sound through miniature earphones  Sensors measure baby’s brainwaves to determine if the sounds are heard normally  Otoacoustic Emissions (OAE)  Measured directly with a miniature microphone  Measures response coming from inner hair cells
  • 14. Goals of EHDI 1–3-6  Screen by 1 month old  Confirmed diagnosis by 3 months old  In Early Intervention by 6 months old
  • 15. How Are We Doing? Screening Rate 100% 99% 98% 98% 97% 97% 97% 97% 97% 96% 96% 96% 95% 94% 93% 92% 90% AAP 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
  • 16. How Are We Doing? Confirmed HL 120 106 100 85 82 74 77 75 80 68 62 58 60 40 40 20 0 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
  • 17. How Are We Doing? EI by 6 mos old 120% 100% 100% 88% 80% 63% 60% 58% 60% 51% 49% 53% 43% 38% 40% 20% 0% AAP 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
  • 18. How Are We Doing? Lost to Follow-Up/Documentation 50% 43% 40% 38% 37% 32% 33% 29% 30% 21% 23% 23% 20% 10% 0% 2003 2004 2005 2006 2007 2008 2009 2010 2011
  • 19. Things to Celebrate  100% labor and delivery hospitals conduct screenings  More than 55,000 babies are screened each year prior to discharge  Data reporting system linked to vital records
  • 20. Things to Improve  Follow up rates for failed screen  Data reporting  Parent support
  • 21. Collaboration Opportunities  Home Visitation & ECHO Programs Report Screening Results Verification of Screening Report Results Diagnostic Results Report Need Audiology for Further Resource Follow Up
  • 22. FIRST SOUND Questions? Tara Carroll, MCD, CCC/A First Sound Program Manager/Audiologist 803-898-0708 carroltp@dhec.sc.gov