Transcript Q*IAS - National Center for Hearing Assessment and Management

Developing
JCIH Recommendations on
Quality Infant Audiology Services
(Q*IAS)
National EHDI Conference
February 18-21, 2004
Pat Brookhouser, M.D.
Brandt Culpepper, Ph.D., CCC-A
Judith Gravel, Ph.D., CCC-A
The Joint Committee on Infant
Hearing (JCIH) is recognized both
nationally and internationally for its
role in shaping public health policy
with regard to early hearing detection
and intervention (EHDI) programs.
First position statement in 1970 - JCIH
advocated for early detection of hearing loss.
JCIH Year 2000 Position Statement provided principles and guidelines for quality
EHDI programs along with benchmarks and
quality indicators for newborn hearing
screening, assessment and intervention.
JCIH 2000 offered broad
suggestions regarding the
knowledge and skills needed
by audiologists providing
services to
infants and young children.
However, there has been no specific
direction offered by a nationally
recognized professional group that
would assist state EHDI coordinators
or primary care physicians in
identifying qualified providers of
infant audiology services
• Contract from Maternal and Child
Health Bureau (MCHB/HRSA)
– Administered through BTNRH
• Deliverable:
– Develop and ultimately publish strong and
comprehensive recommendations on
Quality Infant Audiology Services (Q*IAS)
JCIH Q*IAS Recommendations
• Five project components: complete by
August 31, 2004
1. Data collection;
2. Identification of existing models of
service delivery;
1. Data Collection
• Survey of State EHDI system
• Web searches for additional resources
• Review of international and national policies,
guidelines, and recommendations
Survey of State EHDI Systems
• One page survey sent to state EHDI
coordinators (email and hardcopy)
• Follow-up email(s) to those not responding
• Phones call to state directors to those not
responding to previous efforts
Copies Requested
• Audiology services survey (when and
results)
• List of infant audiology service providers
• Assessment protocols
• Amplification protocols
• Web site(s), related information
Responses
• N= 56/56
– 50 states, DC, AS, MP, GU, PR, VI
– 43 - Returned by email/fax (2 mailings via
email and snail mail)
– 13 responded to follow-up phone calls
U.S. Territories Responding
Has your state surveyed audiologists?
Yes
8
No
Pending
N=56
1
47
State Survey of Infant Audiology
Services
Yes
Pending
No
American Samoa
Commonwealth N. Mariana Is.
Guam
Puerto Rico
Virgin Islands
List of Infant Audiology Service
Providers
Yes
No
Pending
N=56
2
14
40
List of Infant Audiology Providers
Yes
Pending
No
American Samoa
Commonwealth N. Mariana Is.
Guam
Puerto Rico
Virgin Islands
Written Assessment Guidelines
N=56
Mandatory
Recommended
5
No
Pending
3
9
39
Infant Assessment Guidelines
Mandatory
Recommended
Pending
None
developed
American Samoa
Commonwealth N. Mariana Is.
Guam
Puerto Rico
Virgin Islands
Written Amplification Guidelines
Mandatory
Recommended
Pending
No
N=55
0
19
32
4
Infant Amplification Guidelines
Mandatory
Existing
Pending/Draft
No known
American Samoa
document
Commonwealth N. Mariana Is.
Guam
Puerto Rico
Virgin Islands
Credentials for Pediatric Audiology
N=56
Yes
Pending
American Samoa
Commonwealth N. Mariana Is.
Guam
Puerto Rico
Virgin Islands
No
Summary
Yes
No
Pending
Total
Survey of
Audiologists
Provider List
47
8
1
56
41
14
1
56
Assessment
Guidelines
Amplification
Guidelines
42
9
5
56
19
32
4
55
Credentials for
Pediatric Auds
0
56
0
56
Summary of State-Developed
Infant Assessment Documents
• 38/42 state assessment documents available
for inclusion
• 5 states report documents exist, but not
included in the tally
Assessment Information
Reviewed
• Objective Components
– Click ABR, frequency-specific ABR, middle ear
measures, EOAE, etc.
• Behavioral Components
– BOA, VRA, COR, CPA, etc.
• Programmatic issues
– Report to, minimal requirements
• Related components
– Counseling, referrals, etc.
Summary of State-Developed
Amplification Documents
•
•
•
•
18 * documents available for inclusion
4 states report documents developed
4 states said no, but have info to include
1 draft, but available
*2 center-based approach
Amplification Information
Reviewed
•
•
•
•
•
Candidacy
Preselection considerations
Selection
Objective and Behavioral measures
Instrumentation
Also available . . .
• Examining approaches in other countries:
• Canada
– Ontario Infant Hearing Program (IHP)
• UK
– Newborn Hearing Screening Programme
Workbook
• Australia
JCIH Q*IAS Recommendations
• Five project components: complete by August 31,
2004
1. Data collection;
2. Identification of existing models of service
delivery;
3. Delineation of knowledge, skills, experience, and
instrumentation needed to provide quality infant
audiology services;
4. Development of models for continuing education;
and
5. Recommendations.
Panel Meeting
Development of JCIH Recommendations
on Quality Infant Audiology Services (Q*IAS)
December 12-14, 2003
ASHA National Office
Supported by the
Maternal & Child Health Bureau
Contract #03-MCHB-057B-AB
Panel
Invited Panel
• Michael Gorga
• Patricia Stelmachowicz
• Barbara Cone-Wesson
• Mary Pat Moeller
• Richard Seewald
• Brandt Culpepper
– Judy Widen
– Anne Marie Tharpe
JCIH Panel Members
• Yvonne Sininger
• Christie YoshinagaItano
• Jack Roush
• Linda Pippins
• Patrick Brookhouser
• Judy Gravel
JCIH Q*IAS Recommendations will address:
• availability and use of current assessment
technologies;
• timely and appropriate selection, evaluation and
monitoring of acoustic amplification and, in some
cases, candidacy for cochlear implantation;
• competency in counseling;
• awareness of all communication options open to a
family of an infant with hearing loss or who is deaf; and,
• knowledge regarding public health and education laws
including eligibility, accessibility and covered services.
Overriding aim - to influence decisions/referrals
made by Early Intervention programs at the
state and local levels; thereby,
•
leading states to recognize quality providers of infant
audiologic services;
•
supporting the development of service delivery models
that ensure infants and families receive appropriate
services;
•
facilitating the possible development of specialty
recognition by professional audiology associations;
and,
•
providing guidance to pediatricians who must seek
quality audiologic services as they coordinate care of
an infant with hearing loss through the medical home.
JCIH will seek approval from the professional
organizations represented by the Committee to
publish and disseminate the document
• American Academy of Audiology,
• American Academy of Pediatrics,
• American Speech-Language-Hearing
Association,
• American Academy of Otolaryngology – Head
and Neck Surgery,
• Council on the Education of the Deaf
• Directors of Speech and Hearing Programs in
State Health and Welfare Agencies
www.jcih.org