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will be developed to incorporate the names of children with a refer on OAE screening into the EHDI database.  These children will be matched with their newborn hearing screening record to determine if the child had a failed newborn screening or if this is a late or progressive hearing loss.  System issues related to meeting the National 1-3-6 goals may also emerge when this population is entered into the database.  The EHDI Program Manager plans to hold quarter teleconferences with the ECHO screeners to include them in the State EHDI Program and ensure infants/children in EHS have timely diagnosis and early intervention services.

The Yukon-Kuskokwim Delta Region is an underserved rural/remote region of the State whose children are at high risk for hearing loss.  This region has had inconsistent audiology coverage since 2005.  The EHDI Program Manager will work with the audiologist and otolaryngologist at the Alaska Native Tribal Health Consortium (ANTHC) and the Director of the Community Health Aide Program to replicate the ECHO Program in this region.  A pilot program will be developed at a Sub-regional Health Center, located in a remote region of the state not accessible by road, to promote OAE screening for all preschool children who receive their medical care at the Sub-Regional Health Center.  The EHDI Manager will work with the above partners to train the community health aides/practitioners (CHA/P’s) on use of the OAE equipment using the ECHO Project Training Manual and the CHA/P’s will be invited to participate in the ECHO teleconferences.  An MOA will be developed among all parties.  Options for use of telemedicine, between the Sub-regional Health Center and ANTHC located in Anchorage, for consultation and treatment will be explored. Children who do not pass OAE screening will be reported to the State EHDI database and matched to the newborn hearing screening, as well as integrated into the EHDI system.

Goal 5:  To ensure all children born outside of birthing hospitals receive newborn hearing screenings.

5.1By the beginning of 2008, the EHDI Program will update and distribute cards with locations of birth screening facilities to all birthing centers and public health centers through out the State of Alaska.

5.2By the end of 2008, the EHDI Program will educate birthing center midwives and primary care providers who care for newborns, on the modified EHDI protocol.

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