Toolkit for Providers Serving Children with Hearing Loss
Tip #9: Use Fax-Back Form to Share results of Diagnostic Audiology Evaluation between Audiologist and PCP
What We Learned:
• PCPs often reported that they did not receive the results of audiologic evaluations on their patients.
• Without the result, PCPs could not counsel families effectively about next steps.
What We Did:
• Created and tested fax-back forms that audiologists could use to inform PCPs of the results of audiologic evaluations on their patients. Click here for a sample form.
• Followed up with PCP Offices by phone to confirm that the Fax had been received in cases where infant was diagnosed with permanent hearing loss.
Questions for My Practice:
• Are we receiving results of audiologic evaluations?
• Do local audiology offices have a copy of our telephone and fax numbers so that results can be sent directly to us?
Changes to Try in My Practice:
• Work with audiology practices to ensure a process is in place to fax results of audiologic diagnostic evaluations to PCP practice.
• Results should be faxed whether they show normal hearing, evidence of a hearing loss, or an inconclusive result.
• If a shared EMR is available, check there is a place to document results of audiologic evaluations.
When infants “refer” after newborn hearing screening, families don’t know what to expect next in terms of re-screening or diagnostic testing.
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