2021 Post-EHDI LEND Workshop for LEND Audiology Trainees - Thursday, March 18, 2021 7:30 - 9:30 pm ET
Page content transcription
If your browser does not render page correctly, please read the page content below
2021 Post-EHDI LEND Workshop for LEND Audiology Trainees Thursday, March 18, 2021 7:30 – 9:30 pm ET Page 1
Logistics § Ensure your name is displayed correctly in the participant list. You may also include program/org and preferred pronouns. § Example: Jackie Czyzia, AUCD, she/her § Hover over your name in the “Participants” box and select “More” → “Rename” § Remain muted unless speaking § State your name prior to speaking § Captioning and ASL is available § Use chat box to introduce yourself! Page 2
Learning Objectives role of audiologists in providing equitable telehealth Describe services role of audiologists in supporting auditory access in tele- Describe education and tele-intervention logistical requirements and limitations of providing Discuss audiological services via telehealth Page 3
Learning Objectives List at least two emerging challenges using telehealth at least two practical tools and strategies for responding List to emerging challenges using telehealth the importance of providing ethical telehealth services in Discuss varied models of audiologic management Page 4
Keynote Speaker Dr. Jackie L. Clark Audiologist and Clinical Professor at the University of Texas at Dallas Immediate Past President of the American Academy of Audiology Page 5
Overview of Workshop § MCHB Welcome - Lauren Ramos § Moderated Panel: Telehealth § Dr. Shelby Atwill § Dr. Stephanie McVicar § Amber Woodcock § Dr. Stuart Trembath § Small Group Discussions § 5 Breakout Rooms Page 6
Thank You to Our Workshop Planning Committee! LEND Audiology Faculty LEND Audiology Trainees • Robert (Bob) Fifer • Sarah Bernacki • Kristin (Kristy) Knight • Savanah Dipasquantonio • Lisa Mancl • Marisa Fassnacht • Dorothy Shiffler • Jessica Huddleston • Amy Szarkowski • Nicole Nichols • Shannon Nichols • Brianna Ralston Page 7
MCHB Welcome Lauren Ramos Director, Division of MCH Workforce Development Maternal and Child Health Bureau, HRSA Page 8
Panel Moderators Nicole Nichols – LEND Audiology Extern, Oregon Health and Science University LEND Program Savanah Dipasquantonio – LEND Audiology Extern, Kennedy Krieger Institute Page 9
Teleaudiology Shelby Atwill, AuD
Access disparities in rural parts of Oregon Background Satellite location Supporting families
Astoria Audiologists Portland (full eval for infants) Pendleton La Grande Salem Eugene Bend Ontario Medford
Pre-COVID: Working parent joining appointment virtually Technical assistance for newborn hearing screeners Device troubleshooting with families What have I Piloting infant hearing (ABR/OAE) testing done? Post-COVID: Same as above PLUS Hearing aid consult, fitting and follow-up Cochlear implant programming Infant hearing testing
Logistics: Scheduling Getting equipment to the family Getting equipment back (timely) Challenges Internet access/speed Tech-savviness Reimbursement
Family involvement and self-efficacy Interpreter access Timeliness Fewer missed appointments Successes Childcare Illness Transportation Weather Reimbursement
Totally possible! Just go for it! Think outside the booth! J Teleaudiology services will continue, especially for families served at my rural location Conclusion Next: More spoke sites for infant hearing testing? CI programming w/ VRA? Aided speech perception testing?
Happy to brainstorm and support those who want to try this! Questions & Shelby Atwill, AuD Contact Shelby@soundstartpdx.org 503-567-2231
Dr. Stephanie McVicar Audiologist, Director of the EHDI Programs in Utah Page 19
Stephanie Browning McVicar, Au.D., CCC-A Children with Special Healthcare Needs Bureau HEALTHIEST PEOPLE | OPTIMIZE MEDICAID | A GREAT ORGANIZATION
The Utah EHDI Programs Early Hearing Congenital Children’s Detection and Cytomegalovirus Hearing Aid Intervention (CMV) Public Program (CHAP) (EHDI) Education & Testing HEALTHIEST PEOPLE | OPTIMIZE MEDICAID | A GREAT ORGANIZATION
National EHDI Milestones Early Hearing Detection & Intervention CDC 1-3-6: • Hearing screening before 1 month • Diagnostic evaluation before 3 months • Early intervention before 6 months HEALTHIEST PEOPLE | OPTIMIZE MEDICAID | A GREAT ORGANIZATION
Utah HEALTHIEST PEOPLE | OPTIMIZE MEDICAID | A GREAT ORGANIZATION
Utah THE NEED: • Meeting the CDC EHDI goal of “Confirmation of hearing loss before 3 months of age” • Improving LTF-U THE PLAN: • Central Area in need (Mt Pleasant) • Remote site host/ess • Gather information from research and experts • Pilot project / Proof of concept • Goal: 10 babies HEALTHIEST PEOPLE | OPTIMIZE MEDICAID | A GREAT ORGANIZATION
Pilot Project 2012 THE LOGISTICS: • Test equipment: Vivosonic ABR • Computers: 2 laptops (for home base and remote site) • Cameras (2 attachable) • Headset for home base • Remote desktop control • Real-time video connection HEALTHIEST PEOPLE | OPTIMIZE MEDICAID | A GREAT ORGANIZATION
Pilot Project 5/9/12 HEALTHIEST PEOPLE | OPTIMIZE MEDICAID | A GREAT ORGANIZATION
Pilot Project 5/31/12 HEALTHIEST PEOPLE | OPTIMIZE MEDICAID | A GREAT ORGANIZATION
Pilot Project 6/14/2012 HEALTHIEST PEOPLE | OPTIMIZE MEDICAID | A GREAT ORGANIZATION
Tele-ABR February 11, 2013 HEALTHIEST PEOPLE HEALTHIEST | OPTIMIZE PEOPLE MEDICAID | OPTIMIZE | A GREAT MEDICAID ORGANIZATION | A GREAT ORGANIZATION
Tele-ABR Lessons Learned • Remote diagnostic ABR testing is indeed possible!! • Wired connection is essential • Key to success is held by the internet connection • Infant/child needs to be asleep if at all possible • Test environment needs to be free from electrical interference • Waveforms need to be available for review at a later date • Stipends help with alleviating frustration on the parts of the remote host and the family HEALTHIEST PEOPLE | OPTIMIZE MEDICAID | A GREAT ORGANIZATION
Tele-ABR Next Steps? Formalization of our Tele-Audiology program: • Written protocols for remote and host sites • Pre-instructions for families • Post-testing surveys • Data tracking • Additional remote sites • Reimbursement?? HEALTHIEST PEOPLE | OPTIMIZE MEDICAID | A GREAT ORGANIZATION
Present HEALTHIEST PEOPLE | OPTIMIZE MEDICAID | A GREAT ORGANIZATION
Present HEALTHIEST PEOPLE | OPTIMIZE MEDICAID | A GREAT ORGANIZATION
Contact Information Stephanie McVicar, Au.D., CCC-A email@example.com HEALTHIEST PEOPLE | OPTIMIZE MEDICAID | A GREAT ORGANIZATION
Amber Woodcock Family Advocate, President of Maine Hands & Voices Page 35
Amber Woodcock Parent of a Deaf child President, Maine Hands & Voices GBYS and ASTra Program Coordinator for Maine Hands & Voices
HOW IT ALL BEGAN: • Raiden, my middle child, referred on the Newborn Hearing Screening. • After three different follow up appointments he was diagnosed with bilateral mild (R) to moderate (L) hearing levels. • Raiden has Incomplete Partition Type II and EVA, which led to his hearing levels progressing to a profound loss.
2013 • Raiden was three months old when he got his first set of hearing aids.
2017 • Raiden was bilaterally implanted with Cochlear America’s implants when he was 4 (R) and 4 ½ (L) • He started with the N6 processors and eventually upgraded to the N7 processors, which he currently wears.
NOW • Raiden was the first child with Cochlear America’s CI’s to be remotely mapped. • Boston Children’s Hospital sent the equipment to our home and we used Bluetooth and WiFi technology to re-map his CI devices. • His Audiologist was with us via ZOOM.
Maine Hands & Voices • Is a chapter of the nationwide non- profit Hands & Voices • Motto: What works for your child is what makes the choice right. • We support families of D/HH children, no matter what mode/method of communication that they choice to use with their child. • We host online and in person events and gatherings for families.
GBYS Program • Guide By Your Side • Parent to parent support during the journey of parenting a D/HH child. • Can be phone calls, ZOOM meetings, text messages, emails, or in person meetings. What works for the family and makes them feel comfortable. • Every family is different – some need a lot of support and some do not. Some need a shoulder to cry on and some just want the facts.
ASTra Program • ASTra - Advocacy, Support, Training • We help families learn to advocate for themselves and their D/HH children. • We help them learn what their children are legally allowed to ask for during the IFSP (Individual Family Support Plan) and IEP (Individual Education Plan) Process.
Dr. Stuart Trembath Audiologist, Owner of Hearing Associates Page 44
Small Group Discussions Page 45
Thank You! • Keynote Speaker – Dr. Jackie L. Clark • Panelists – Dr. Shelby Atwill – Dr. Stephanie McVicar – Amber Woodcock – Dr. Stuart Trembath • LEND Faculty • HRSA Staff Page 46
Thank You! • Please complete the evaluation survey: https://www.surveymonkey.com/r/2021EHDILENDWorkshop • Recording, workshop resources, and PowerPoint slides will be available within one week of workshop THIS MEETING IS PROVIDED IN PARTIAL FULFILLMENT OF TASKS OUTLINED IN A COOPERATIVE AGREEMENT (#UA5MC11068) BETWEEN AUCD AND THE MATERNAL AND CHILD HEALTH BUREAU (MCHB). THE CONTENTS DO NOT NECESSARILY REFLECT THE VIEWS OR POLICIES OF MCHB, THE HEALTH RESOURCES SERVICES ADMINISTRATION, U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, OR THE U.S. GOVERNMENT. Page 47
You can also read