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Kirby Survey

Kirby Survey. Cynthia Kirby, M.A.,CCC-A Surveyed 13 Naval Hospitals conducting UNHS Variability in births 4 with fewer than 500 births 2 with more than 3500 births 3 with NICU care. Kirby Survey. Equipment relatively new—most <3yrs

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Kirby Survey

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  1. Kirby Survey • Cynthia Kirby, M.A.,CCC-A • Surveyed 13 Naval Hospitals conducting UNHS • Variability in births • 4 with fewer than 500 births • 2 with more than 3500 births • 3 with NICU care

  2. Kirby Survey • Equipment relatively new—most <3yrs • Only 3 hospitals have money dedicated to replacement equipment • Variability in who performed screening • 5 sites use audiologists • 4 sites use nurses and corpsmen • 4 sites use hearing technicians or medical assistants

  3. Kirby Survey • Tracking of newborns • Most Naval Hospitals reported using paper logs, reports or an in-house database for tracking infants. • Less than 1 in 4 have professional software for tracking. • All but 3 Naval hospitals within the U.S. (=>25%) indicated that they reported data to the corresponding EHDI program.

  4. Kirby Survey • Kirby noted the following future directions for further consideration • UNHS Navy Instruction • Funding / resources • Centralized Database

  5. Mason Survey • Informally survey CDC EHDI programs • In conjunction with assistance being provided to Guam EHDI program • 12 of 15 respondents indicated at least one military hospital within jurisdiction • 2 reported having two military hospitals • 3 reported having three military hospitals

  6. Mason Survey • Consistent with Kirby survey • Universal Newborn Hearing Screening occurring at most military hospitals • Most EHDI programs indicated receiving information from military hospitals • Approximately… • 30% submitting child-level data • 40% submitting aggregate data • 30% not reporting any data

  7. Mason Survey • Reporting of Data • Variation between states/territories and within state/territories • Two of the states with 3 military hospitals reported only receiving data (in aggregate form) from one of their military hospitals • Reporting changes with changes in the command structure at military hospitals

  8. Mason Survey • Coordination of Follow-Up Services • Many of these military hospitals appeared to send some children to non-military facilities for audiological evaluation • At least some hospitals (3) only re-screened in-house and referred all audiological evaluations to non-military audiologists.

  9. Mason Survey • Coordination of Follow-Up Services • Nearly all of these military hospitals (90%) appeared to refer some children to non-military early intervention programs • 30%+ appeared to refer all or nearly all children with hearing loss to non-military early intervention programs •  Likely under estimate, as some EHDI programs did not know

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