Early Hearing Detection and Intervention by Telepractice Early hearing detection and intervention (EHDI) refers to a system of care to ensure that infants who are deaf or hard of hearing receive early diagnosis and intervention. Components of this system include newborn hearing screening (NBS), follow-up diagnostic audiological evaluation (DAE), medical/otological assessment and treatment, audiological habilitation such as ... Article
Article  |   September 01, 2015
Early Hearing Detection and Intervention by Telepractice
Author Affiliations & Notes
  • Deborah Hayes
    Physical Medicine and Rehabilitation, University of Colorado School of Medicine, Aurora, CO
    Audiology, Speech Pathology, and Learning Services, Children's Hospital Colorado, Aurora, CO
  • Katheryn Boada
    Audiology, Speech Pathology, and Learning Services, Children's Hospital Colorado, Aurora, CO
  • Stephanie Coe
    Audiology, Speech Pathology, and Learning Services, Children's Hospital Colorado, Aurora, CO
  • Financial Disclosure: Deborah Hayes is professor of Physical Medicine and Rehabilitation at the University of Colorado School of Medicine and chair of Audiology, Speech Pathology, and Learning Services at Children's Hospital Colorado. Katheryn Boada is director of Audiology, Speech Pathology and Learning Services at Children's Hospital Colorado. Stephanie Coe is a clinical coordinator of Audiology, Speech Pathology and Learning Services at Children's Hospital Colorado.
    Financial Disclosure: Deborah Hayes is professor of Physical Medicine and Rehabilitation at the University of Colorado School of Medicine and chair of Audiology, Speech Pathology, and Learning Services at Children's Hospital Colorado. Katheryn Boada is director of Audiology, Speech Pathology and Learning Services at Children's Hospital Colorado. Stephanie Coe is a clinical coordinator of Audiology, Speech Pathology and Learning Services at Children's Hospital Colorado.×
  • Nonfinancial Disclosure: Deborah Hayes has previously published in the subject area. Katheryn Boada has no nonfinancial interests related to the content of this article. Stephanie Coe has no nonfinancial interests related to the content of this article.
    Nonfinancial Disclosure: Deborah Hayes has previously published in the subject area. Katheryn Boada has no nonfinancial interests related to the content of this article. Stephanie Coe has no nonfinancial interests related to the content of this article.×
Article Information
Hearing Disorders / Special Populations / Early Identification & Intervention / Telepractice & Computer-Based Approaches / Articles
Article   |   September 01, 2015
Early Hearing Detection and Intervention by Telepractice
SIG 18 Perspectives on Telepractice, September 2015, Vol. 5, 38-47. doi:10.1044/tele5.2.38
History: Received April 1, 2015 , Revised April 21, 2015 , Accepted April 22, 2015
SIG 18 Perspectives on Telepractice, September 2015, Vol. 5, 38-47. doi:10.1044/tele5.2.38
History: Received April 1, 2015; Revised April 21, 2015; Accepted April 22, 2015

Early hearing detection and intervention (EHDI) refers to a system of care to ensure that infants who are deaf or hard of hearing receive early diagnosis and intervention. Components of this system include newborn hearing screening (NBS), follow-up diagnostic audiological evaluation (DAE), medical/otological assessment and treatment, audiological habilitation such as hearing aid fitting, and enrollment in early intervention services (EI). A significant barrier to achieving prompt diagnosis of and EI for every baby is lack of access to audiologists and speech-language pathologists (SLPs) with specific expertise in diagnosis, (re)habilitation, and intervention for infants who are deaf or hard of hearing. To improve access to services, clinicians are exploring the use of telepractice for specific components of the EHDI system. At Children's Hospital Colorado, we developed telepractice services that include two components of EHDI, DAE, and speech-language EI services. We discuss the development, implementation, outcomes, and advantages and disadvantages of telepractice for these components of an EHDI system.

Acknowledgements
The infant diagnostic audiology telepractice project was supported in part by a grant from the Daniels Fund to Children's Hospital Colorado to establish the Bill Daniels Center for Children's Hearing. Significant support for this project has been provided by Sue Dreith, Ericka Schicke, and Bereket Habte in Colorado, and Vickie Ritter, David Zeiber, Bobbie Maguadog, Laurie Soto, Ron Nochefranca, J. J. Mendiola, and Sean Lizama on Guam.
Early intervention (EI)/direct intervention speech-language telepractice services are supported in part with financial assistance from the Scottish Rite Foundation of Colorado. Billy Patterson and Courtney Chavez at Children's Hospital Colorado and Kellie Willis and Lara Blair at The Piñon Project in Cortez Colorado provided important technical and logistical support for this program.
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