Online Program

Quality Improvement in State Early Hearing Detection and Intervention (EHDI) Programs: Small Changes that Make a Big Difference

Tuesday, November 3, 2015

Alyson Ward, MS, CHES, IA, National Center for Hearing Assessment and Management, Utah State University, Logan, UT
Karl White, PhD, Psychology Department, National Center for Hearing Assessment and Management, Logan, UT
Since April 2006, the federal Maternal and Child Health Bureau (MCHB) has provided support for all state Early Hearing Detection and Intervention (EHDI) programs in their implementation of quality improvement (QI) principles in an effort to reduce loss to follow-up in newborn hearing screening programs. The essence of QI is to use an iterative process to make system improvements.

Although QI has been encouraged by MCHB for several years, many states still struggle with its application. The National Center for Hearing Assessment and Management (NCHAM) is assisting EHDI programs in their implementation of QI principles by assessing each state’s knowledge of QI and providing ongoing technical assistance (TA) that matches the need of each state.

Participants in this session will learn how incorporate “health in all policies” by learning how three states were able to turn MCH QI policies into ambitious yet achievable improvements in their EHDI programs. Specifically, case studies will be presented on how QI TA has provided direction for three different state EHDI programs. Case Study One will cover concrete strategies a state tested to increase newborn hearing screening and reduce loss to follow up for out of hospital births by working with one midwifery center. Case Study Two will focus on a state’s efforts that involved texting parents reminding them of their baby’s appointment for a hearing rescreen. Case Study Three will cover strategies a state is testing to improve communication with its largest hospital with audiology services about babies who are seen for diagnostic services.

Learning Areas:

Conduct evaluation related to programs, research, and other areas of practice
Program planning
Public health or related research
Systems thinking models (conceptual and theoretical models), applications related to public health

Learning Objectives:
Describe the Model for Improvement Identify ways quality improvement can be used in other MCH programs Describe three examples of how small tests of change can lead to program improvements

Keyword(s): Data Collection and Surveillance, Maternal and Child Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Alyson Ward has a M.S. in Health Education and a CHES certification. Alyson completed the Institute for Healthcare Improvement’s Improvement Advisor program. She has been involved in various public health programs and currently directs the National Center for Hearing Assessment and Management’s quality improvement (QI) technical assistance, which includes overseeing Improvement Advisors, managing an online QI learning collaborative, and serving as an Improvement Advisor to multiple Early Hearing Detection and Intervention programs.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.