2021 Post-EHDI LEND Workshop for LEND Audiology Trainees - Thursday, March 18, 2021 7:30 - 9:30 pm ET
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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
Dr. Shelby Atwill
Pediatric & Cochlear Implant Audiologist, Co-owner of Sound Start
Page 10Teleaudiology Shelby Atwill, AuD
Access disparities in rural parts of Oregon
Background Satellite location
Supporting familiesAstoria
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
ReimbursementFamily involvement and self-efficacy
Interpreter access
Timeliness
Fewer missed appointments
Successes Childcare
Illness
Transportation
Weather
ReimbursementTotally 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
503-567-2231Dr. Stephanie McVicar
Audiologist, Director of the EHDI Programs in Utah
Page 19Stephanie Browning McVicar, Au.D., CCC-A
Children with Special Healthcare Needs Bureau
HEALTHIEST PEOPLE | OPTIMIZE MEDICAID | A GREAT ORGANIZATIONThe 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 ORGANIZATIONNational 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 ORGANIZATIONUtah 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 ORGANIZATIONPilot 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 ORGANIZATIONPilot 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 ORGANIZATIONTele-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 ORGANIZATIONTele-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 ORGANIZATIONPresent HEALTHIEST PEOPLE | OPTIMIZE MEDICAID | A GREAT ORGANIZATION
Present HEALTHIEST PEOPLE | OPTIMIZE MEDICAID | A GREAT ORGANIZATION
Contact Information
Stephanie McVicar, Au.D., CCC-A
smcvicar@utah.gov
HEALTHIEST PEOPLE | OPTIMIZE MEDICAID | A GREAT ORGANIZATIONAmber Woodcock
Family Advocate, President of Maine Hands & Voices
Page 35Amber Woodcock
Parent of a Deaf child
President, Maine Hands & Voices
GBYS and ASTra Program Coordinator for Maine Hands & VoicesHOW 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 44Small Group Discussions
Page 45Thank You!
• Keynote Speaker
– Dr. Jackie L. Clark
• Panelists
– Dr. Shelby Atwill
– Dr. Stephanie McVicar
– Amber Woodcock
– Dr. Stuart Trembath
• LEND Faculty
• HRSA Staff
Page 46Thank 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.
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