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DISTRICT OF COLUMBIA/DEPARTMENT OF HEALTH

  1. Project Identifier Information

    1. Project Title: DISTRICT OF COLUMBIA/DEPARTMENT OF HEALTH
    2. Project Number: H61MC00060
    3. Email address: joyce.brooks@dc.gov

  2. Budget

    1. MCHB Grant Award Amount: (Line 1, Form 1)$150,000
    2. Unobligated Balance: (Line 2, Form 1)$0
    3. Matching Funds: (if applicable) (Line 3, Form 1)$0
    4. Other Project Funds: (Line 4, Form 1)$0
    5. Total Project Funds: (Line 5, Form 1)$150,000

    The MCHB Grant Award Amount may differ from the total budget amount displayed on the Snapshots page due to grant actions that occurred after this report was submitted. These grant actions would include supplemental funding such as carryovers and extensions.

  3. Type(s) of Service Provided

    • Enabling Service
    • Population-Based Service
    • Infrastructure Building Service

  4. Project Description on Experience to Date

    1. Project Description

      1. Problem:

        DC Hears Program is to ensure that infants with hearing loss have access to services that will allow them to develop communication skills equivalent to those of their hearing peers. DC Hears has implemented universal screening for all newborns, many are lost to follow-up.

      2. Goals and Objectives: List up to 5 major goals and time-framed objectives per goal for the project.

        Goal 1: Reduce the number of infants who do not pass the hearing screening who fail to return for complete audiometric assessment.
        Objective 1: Information on infant hearing, hearing loss, and the follow up process for families of all infants who do not pass the initial hearing screening.
        Objective 2: Reporting. Results of the hearing screening will be provided to the infant’s parents, medical home, and DC Hears (or the parallel program for the family’s state of residence).
        Objective 3: Linkage and referral to audiologic follow-up. Hospitals and sites performing rescreenings will have a system to ensure that all infants needing diagnostic evaluations receive appropriate referrals and that families are provided written information regarding sites.
         
        Goal 2: Increase the number of infants with confirmed hearing loss enrolled in appropriate, family-centered early intervention services.
        Objective 1: Linkage to appropriate follow-up. DC Hears will ensure that families of infants with identified with hearing loss have appropriate referrals to medical, audiologic, and early intervention services.
        Objective 2: Education and Training for service providers. DC Hears will develop an education/training plan for medical care providers, and Healthy Start personnel.
        Objective 3: Early Intervention Services. DC Hears will ensure that all infants and children with documented hearing loss will receive appropriate early intervention services. Service coordination will be provided for eligible children.
         
        Goal 3: Expand the availability of appropriate, family-centered follow-up services for infants and their families.
        Objective 1: Evaluate existing follow-up services. Survey of existing (and developing) programs that provide services for infants and young children with hearing loss and their families to ensure that options are available.
        Objective 2: Education and Training for service providers. DC Hears will provide education and training opportunities to personnel involved in all follow-up early for infants with hearing loss and their families.
        Objective 3: Quality Intervention systems. DC Hears will ensure that high quality early intervention systems are available, including those that meet the needs of diverse populations and children with additional disabilities.
         
        Goal 4: Expand the involvement of community service providers, constituents, and families in the DC Hears Program.
        Objective 1: Replicate BEGINNINGS. DC Hears will work with BEGINNINGS to develop a family support program that prepares families and the professionals working with them to allow the parents of a child with hearing loss to be the primary decision makers regarding communication mode and educational goals
        Objective 2: Parent participation and input. DC Hears will ensure families of children with hearing loss have the opportunity to become active participants in DC Hears.
        Objective 3: Community service providers. DC Hears will ensure community service providers for children with hearing loss have the opportunity to become active participants in DC Hears.
         
        Goal 5: Expand the availability of and culturally responsive and linguistically appropriate materials and services.
        Objective 1: Referral for Follow-up. Documents, materials and services for families of all babies who do not pass the hearing screening will be available in manners that are culturally responsive and linguistically appropriate.
        Objective 2: Referral for Audiologic Evaluation. Documents, materials and services for families of all babies that are referred for audiologic evaluation will be available in manners that are culturally responsive and linguistically appropriate.
        Objective 3: Referral for Early Intervention. Documents, materials and services for families of all babies identified with heaing loss and referred for early intervention will be available in manners that are culturally responsive and linguistically appropriate.
         
      3. Activities/Methodology undertaken to meet project goals:

        In addition to continuing to improve and enhance the quality and availability of services through the ongoing activities of DC Hears, additional activities planned for the coming year may be grouped into four categories. The first of these is the expansion of hearing screening activities to provide ongoing surveillance of the hearing status of infants and young children through the ECHO program. The second broad category is the improvement of the early intervention compotent of DC Hears system. Two critical compotents that are targeted are the expansion of early intervention service options available to families of infants and young children with hearing loss through Mazique and the replication and adaptation of the BEGINNINGS family support program. The third category focuses on the development of brochures, policies, materials, and so forth that are used to support communications with and education of families, service providers, service agencies, and other related to DC Hears. The final category targets documentation of ongoing program activities and program evaluation. Through routine monitoring of data and conducting surveys of families, participants, and services providers, a better perspective can be obtained regarding the services that are available in the DC area for infants and young children with hearing loss and their families.

      4. The first three Healthy People 2010 objectives which this project addresses are listed below.

        1. Related to Goal 1: Improve access to comprehensive, high-quality health care services (Objectives 1.1- 1.16).
        2. Related to Objective 16.23. Increase the proportion of Territories and States that have service systems for Children with Special Health Care Needs to 100 percent.
        3. Related to Objective 16.23: Increase the proportion of States and jurisdictions that have service systems for children with or at risk for chronic and disabling conditions as required by Public Law 101-239.

      5. Coordination: List the State, local health agencies or other organizations involved project and their roles.

        District of Columbia Early Intervention Program(DCEIP) Part C. State agency for providing services to infants and families. BEGINNINGS – family support model based on the premise that parents should be the primary decision makers about communication mode and educational goals for their children. National Center for Hearing Assistance and Management (NCHAM). Non-profit organization providing technical assistance, continuing education, and training focused on improving statewide EHDI programs.

      6. Evaluation : briefly describe the methods which will be used to determine whether process and outcome objectives are met.

        The planned program evaluation is integrated into ongoing activites as well as those that are proposed. Progress towards meeting the goals, objectives, and timelines of the program will be monitored monthly. Feedback from families, audiologists, medical care providers, early intervention providers and others will be used to target areas of need and further refine DC Hears, to guide the topics of training and education that are being offered.

    2. Continuing Grants ONLY

      1. Experience to Date :



      2. Website URL and annual number of hits:

        URL:

        Number of hits:

  5. Key Words

    • Audiology
    • Cultural competence
    • Early intervention
    • Hearing disorders
    • Hearing screening
    • Medical home

  6. Annotation:

    DC Hears proposes to reduce the number of newborns lost to follow-up through improving communication with families, increasing the involvement of professionals in the community, and expanding the availability and accessibility of follow-up services. Follow-up services are available for infants who do not pass the hearing screening, but sometimes are not readily accessible or appropriate in meeting the cultural and linguistic needs of the families, and family-to-family support services are limited. A new parent support program and a public parent-infant program for children with hearing loss are proposed. Loss to follow-up issues will be addressed through improved communication.

Are the Data Reported on this Form Provisional or Final?

Provisional

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