Improved Hearing Screening and Intervention Services (IHSIS)
A series of collaborative improvement projects to increase the rate of documented follow-up and intervention services for infants with hearing loss.
The multiple collaborative projects ran from 2010 to 2013.
- Who: Early Hearing Detection and Intervention (EHDI) offices representing 28 states, the District of Columbia, Puerto Rico and the U.S. Virgin Islands, in collaboration with parent partners, audiologists and other healthcare professionals and advocates.
- Funder: This project was funded by the Health Resources and Service Administration’s Maternal and Child Health Bureau.
- Our Role: Facilitated Breakthrough Series learning collaboratives to apply quality improvement methodology to improve the systems of care for children with hearing loss.
What IHSIS Project Participants Say
Working with NICHQ has been a very rewarding experience … A partnership with families has been a hallmark of what the Maternal and Child Health Bureau has done for years, but NICHQ really demonstrated how important those partnerships are.
Being involved with NICHQ has been a career-changing and life-altering experience in many ways. Quality improvement methodology is not additive to my work, it influences how I do my daily work.
At the beginning we thought that it'd be another project or another thing to do in our list of things we're supposed to do. But actually what I've learned is this is a better way to do things—a faster, better and effective way. You have to have a goal and objectives. When you work through the process we've been learning at NICHQ, everything is very efficient.
Prior to the working with NICHQ, we had had some broad areas of focus for our plan for the year, but really had no strategy or mechanism for testing whether a change that we implemented was an improvement. And we’d always implement statewide before knowing if the change was beneficial. I’ve seen other participants in NICHQ projects make a similar shift and now think about how things are possible instead of impossible.
“The Act of Making a Referral is Not Enough”
Universal developmental screenings can help identify children at risk for developmental delays and connect them with needed supports. An effective screening process relies on successful referrals though—if there is no follow-up with the referred child, families can never access the supports the child may need, and that child may ultimately fall through the cracks. Here, Dipesh Navsaria, MPH, MSLIS, MD, Associate Professor of Pediatrics at the University of Wisconsin School of Medicine and Public Health provides five steps to build a referral process that works.
Neonatologist Shares Successful Strategies for Improving Infant Health Outcomes
Babies born in the United States have a higher chance of death than babies born in more than 50 other countries in the world. Harnessing lessons-learned from successful improvement initiatives can help hospitals and state health systems address this alarming statistic. Here, pioneer for improvement Deborah Campbell, MD, FAAP, shares strategies and lessons-learned from three successful improvement efforts: improving nutrition protocols for preterm infants; spreading safe sleep messages to reduce infant deaths; and testing strategies to lower rates of maternal hemorrhage, and related mortality and morbidity.
Eliminating the Consequences of Maternal Depression
Experts from the Brookings Institution, the U.S. Preventive Services Task Force, the Medical University of South Carolina and Postpartum Support Charleston analyze the impact of maternal depression on children and families, and offer strategies health professionals can take to ensure that more mothers are screened and referred to support and resources.
NICHQ Employee Spotlight: Pat Heinrich
In honor or our 20th anniversary, we're sharing insights, memories and goals from the NICHQ team. Here, NICHQ Executive Project Director Pat Heinrich shares her biggest lessons-learned and biggest laughs while working at NICHQ.
Strengthening Parent-Child Relationships Through the Well-Child Visit
Strong parent-child relationships during the early years of life not only foster healthy brain development, but also protect the brain against the harmful effects of toxic stress that might arise from adverse childhood experiences. Here, learn about a program that pediatric health professionals can integrate into their visits to enhance healthy parent-child relationships, and support children’s cognitive and social and emotional development.
Providing Developmental Screenings and Services in Rural Communities
Families in rural communities across the country face unique barriers to supporting their children’s developmental health and well-being. Here, learn how community coalitions in Alaska are connecting families to needed supports and services, so more rural children can start school ready to succeed.