Loading presentation...

Present Remotely

Send the link below via email or IM

Copy

Present to your audience

Start remote presentation

  • Invited audience members will follow you as you navigate and present
  • People invited to a presentation do not need a Prezi account
  • This link expires 10 minutes after you close the presentation
  • A maximum of 30 users can follow your presentation
  • Learn more about this feature in our knowledge base article

Do you really want to delete this prezi?

Neither you, nor the coeditors you shared it with will be able to recover it again.

DeleteCancel

Louisiana Early Hearing Detection and Intervention Provider survey

Results of an online survey looking at attitudes and knowledge of early hearing detection and intervention in Louisiana
by

Thiravat Choojitarom

on 16 August 2012

Comments (0)

Please log in to add your comment.

Report abuse

Transcript of Louisiana Early Hearing Detection and Intervention Provider survey

Survey Design Patiently wait for results What do Primary Care providers in Louisiana know about EHDI? (cc) image by nuonsolarteam on Flickr What do they want? 10 Pediatricians: 939
Family Practice: 1384 Number of births: 65,108 How would you rate the following on a scale of 1 to 5 (1=least important, 5=most important)? Eating:
Sleeping:
Attending the Medical Staff Meeting: http://www.surveymonkey.com/s/DMLKD2D Doctor's office using OAE to rescreen failed hospital screens. I should report infant hearing re-screenings results to the Department of Health and Hospitals. Diagnostic hearing evaluations should be performed by an audiologist with pediatric expertise Louisiana has an Early Hearing Detection and Prevention Program (LA-EHDI) My staff & I were NOT aware My staff & I were aware Not applicable to my practice 29.3% 53.7% 17.1% 53.7% 29.3% 17.1% 4.9% 85.4% 9.8% 43.9% 53.7% 2.4% Please rate the importance of the following 1=not important, 5=very important Physicians' offices receive hearing results on all newborns in a timely manner Identifying audiologists experienced in working with families with children with hearing loss Identifying specialist experienced in hearing loss in children Knowing the Best Practice Guidelines for identifying and treating hearing loss Repeating hearing testing when speech and language delay is identified Monitoring the hearing of children with risk factors for late onset hearing loss Competency training for the office staff performing hearing screening 1 2 3 4 5 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 19.5% 80.5% 4.9% 26.8% 68.3% 4.9% 26.8% 68.3% 7.3% 9.8% 82.9% 2.4% 14.6% 82.9% 2.0% 32.0% 66.0% 4.9% 22.0% 73.2% I receive hearing screening results from the hospital in a timely fashion I report results to the state for all newborns that I screen after failing the newborn screening in the hospital There are available audiologists experienced in newborn screening in my area I am familiar with the 1, 3, 6 criteria for hearing screening and follow up I am knowledgeable about the risk factors associated with late onset hearing loss in infants and children Please rate the following 1=not at all true, 5=completely true 7.5% 2.5% 17.5% 37.5% 35.0% 51.4% 8.6% 17.1% 8.6% 14.3% 0.0% 0.0% 10.5% 23.7% 65.8% 47.4% 15.8% 10.5% 15.8% 10.5% 7.9% 5.3% 31.6% 31.6% 23.7% 1 2 3 4 5 No local audiologist to perform the test I do not do hearing re-screenings in my office Insurance reasons Reasonable reimbursement Patient convenience It is part of the comprehensive care I provide Why do hearing screenings? 2.4% 24.4% 2.4% 12.2% 24.4% 24.4% Perform OAE hearing re-screening on infants in my office Perform ABR hearing re-screening on infants in my office Perform OAE or ABR hearing screening in my office on infants born at the hospital Perform OAE or ABR hearing screening on toddlers/ children Send newborn hearing re-screening results to the state EHDI Program Refer patients for audiological diagnostic testing when failing hearing screening Refer patients with hearing loss to Early Intervention Refer patients with hearing loss to opthalmology Refer patients with hearing loss for genetics consultation Assist families in making follow up appointments with specialists Forwarded/ mailed from the hospital Hand delivered/ verbal results from parents From electronic database I have to call the hospital and request the results I do not receive results How do you receive results? Newborn Hearing Screening Newborn Metabolic Screen Newborn Vision Screening (cc) photo by medhead on Flickr 100% of respondants gave this a 5 on a scale of importance 85% 95.1% in 2009 we screened over 63,000 infants and discovered over 3000 with hearing abnormalities. But, is there more? 2011 What they knew about the program and infant hearing issues.
Opinions & Attitudes
Practice Environment 0-6 months 7-12 months 1-2 years As soon as hearing loss is identified In your opinion, at what age and hearing aids can be fitted (select all that apply): 39% 19.5% 4.9% 36.6% 92.7% 31.7% 0.0% 24.4% 12.2% Myself Clinical Staff Clerical
(non-medical)
Staff Nobody in my office does this 2.4% 2.4% 2.5% 4.9% 4.9% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 26.8% 73.2% 73.2% 9.8% 7.5% 10.0% 2.5% 90.2% 90.0% 47.5% 73.0% 14.6% 52.5% 17.5% 75.6% 43.9% 75.6% 41.5% 12.2% 46.3% 19.5% 48.8% 70.0% 22.5% 27.5% 40.0% 77.5% 22.5% Tip What they need Provide help with reporting hearing screening results to the state Provide training for myself and my staff on hearing screening techniques Provide best practice guidelines for children with hearing loss Provide information on appropriate follow up resources for families with children with hearing loss Provide information on the risk factors for late-onset hearing loss Provide more information on the LA Early Hearing Detection and Intervention Council 51.2% 46.3% 85.4% 68.3% 70.7% screening rate 97.75% for 2009 rated these as a 5 Not really to scale 1 2 3 4 5 2.4% 12.3% 85.4% How familiar they were with 1,3,6 criteria
1="what is it?" to 5="I know it very well!" number 74% 87.5% 70% 60% 50% No local audiologist to perform the test I do not do hearing re-screenings in my office Insurance reasons Reasonable reimbursement Patient convenience It is part of the comprehensive care I provide Why do hearing screenings? 2.4% 24.4% 2.4% 12.2% 24.4% 24.4% level of knowledge of 1,3,6 criteria Knowledge of late onset hearing loss Thiravat Choojitarom, M.D. FAAP

Our Lady of the Lake Regional Medical Center

Louisiana EHDI Chapter Champion

CATCH Facilitator, Louisiana

THI10300@ololrmc.com Outer-ear causes
Congenital microtia or atresia
External otitis
Trauma
Squamous cell carcinoma
Exostosis
Osteoma
Psoriasis
Cerumen
Middle-ear causes
Congenital atresia or ossicular chain malformation
Otitis media
Cholesteatoma
Otosclerosis
Tympanic membrane perforation
Temporal bone trauma
Glomus tumors Inner-ear causes
Hereditary hearing loss
Congenital viral infections
Congenital malformations
Presbycusis
Meningitis
Thyrotoxicosis
Viral cochleitis
Ototoxic drugs
Otologic surgery
Meniere's disease
Noise exposure
Barotrauma
Penetrating trauma
Acoustic neuroma
Meningioma
Autoimmune disease
Multiple sclerosis
Cerebrovascular ischemia Conductive Sensorineural Mixed & Central A1555G mutation in the mitochondrial 12S ribosomal RNA gene What about those who develop hearing loss later on? Acquired Infections Trauma Syndromic Non-syndromic Pendred's
Branchio-Oto-Renal Syndrome
Alports
Stickler's
Ushers
an many more just check Smith's malformation
Connexin-26 other CMV - 1/3 of hearing loss in children NIDCD INformation Clearinghouse:NIH Publication No. 98-4291
Updated February 2008 Diagrams courtesy of MED-EL, Cochlear and Advanced Bionics Degree of hearing loss
Normal
Slight
Mild
Moderate
Moderately severe
Severe
Profound
Source: Clark, J. G. (1981). Uses and abuses of hearing loss classification. Asha, 23, 493–500. Hearing loss range (dB HL)
-10 to 15
16 to 25
26 to 40
41 to 55
56 to 70
71 to 90
91+ http://sonographydegree.net/2011/05/midwifery-rubella/
Full transcript