remedies to ehdi challenges in the last frontier-alaska margaret lanier kossler, mph,ches ehdi...
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Remedies to EHDI Remedies to EHDI Challenges in the Last Challenges in the Last
Frontier-AlaskaFrontier-AlaskaMargaret Lanier Kossler, MPH,CHESMargaret Lanier Kossler, MPH,CHES
EHDI Program ManagerEHDI Program Manager
2001-20052001-2005
Goals & AccomplishmentsGoals & AccomplishmentsHRSA UNHS Grant 2000-2005HRSA UNHS Grant 2000-2005
Text Goal Year 5
Advisory Committee
Establish Active
Screen by 1 Month
50% App. 80%
Aud. Eval. By 3 Months
All Referrals App. 20%
Enroll into E/I by 6 Months
All Diagnosed App. 40%
GoalsGoalsHRSA UNHS Grant 2005-2008HRSA UNHS Grant 2005-2008
Text Goal
Advisory Committee Active
Screen by 1 Month 100%
Decrease Lost to F/U after Screening
All referrals
Aud. Eval by 3 Months All referrals
Enroll into E/I by 6 Mos. All diagnosed
Family Support Services Enhance
EHDI Surveillance System Established
AK EHDI program sustainability
Establish
““11”-”-3-6- Model 2005-20083-6- Model 2005-2008
• Goal—Screen 100% of newborns by 1 month of age.
• Challenge 1: High staff turnover in remote (hub) community birthing hospitals.
Continue tech. assistance from EHDI program staff
Disseminate “Sound Beginnings” video w/competency checklist for new staff
Form relationships with facilities delivering babies outside of hospitals
Additional ChallengesAdditional Challenges
• Challenge 2: Lack of knowledge regarding universal newborn hearing screening.
Through annual media campaigns, provide continuing education regarding the importance of UNHS to general public and health care providers delivering babies in rural communities.
Additional ChallengesAdditional Challenges
• Challenge 3: Remote communities unable to perform screening due to lack of equipment.
Placement of screeners in public health center.
Placement of OAE screeners in Early Head Start programs through implementation of the ECHO Project.
Barrow (ANMC)
Fairbanks
Juneau
Sitka
Cordova/Valdez/Wasilla/KodiakAnchorage
(Northern Hearing)Soldotna
Dillingham
Bethel
Nome
Kotzebue – (ANMC)
1-”1-”33”-6 Model 2005-2008”-6 Model 2005-2008
• Goal—Ensure all newborns who fail hearing screening receive audiological evaluation by 3 months of age.
• Challenge 1: Limited number of pediatric audiologist and locations where BAERs can be performed.
Placement of screeners in PH centers Adequate reimbursement for audiological
diagnostic services in AK Assist audiologists to establish nationally
recognized CPT code Explore telemedicine option
Additional ChallengesAdditional Challenges
• Challenge 2: Lost to Follow-up
Case reviews at advisory committee meetings
Continual education of pediatric primary care providers and CHA/Ps
Collaborate with hospitals and organizations
EHCO Project implementation statewide
Database implementation statewide
EI/ILP Locations Across the StateEI/ILP Locations Across the State
1-3-”1-3-”66” Model 2005-2008” Model 2005-2008
• Goal-- Children diagnosed with hearing loss are referred and enrolled into appropriate early intervention services, linked to medical homes, and receive treatment services by 6 months of age.
• Challenge 1:Delay in linkage to early intervention services from diagnosis
Case review presentations Provider education ECHO Project implementation Database implementation Parent Navigator Family Workshop
Additional GoalAdditional Goal
• Establish a long-term fiscal and programmatic plan to ensure EHDI program permanence in the Dept of Health & Social Services
• Challenge: No legislation requiring statewide UNHS.
Identify alternative funding sources Establish subcommittee Work with advocacy groups
Alaska EHDI ProgramAlaska EHDI Program
Margaret Lanier Kossler, MPH,CHESMargaret Lanier Kossler, MPH,CHESState of Alaska, DHSS, DPHState of Alaska, DHSS, DPH
4501 Business Park Blvd, Bldg L4501 Business Park Blvd, Bldg LAnchorage, AK 99503Anchorage, AK 99503
907-269-3466907-269-3466Margaret_lanier@[email protected]
Hearing Alaska’s Future through…Hearing Alaska’s Future through…Alaska’s ChildrenAlaska’s Children