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Published byPatrick Cooke Modified over 11 years ago
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Success in Minimizing Loss-to-Follow-up Hallie W. Morrow, M.D., M.P.H.
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Challenges in California Size Diversity Mobility
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Size Population of California 34,000,000 Population of Los Angeles County 9,500,000 Population of Alpine County 1,200
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Size 540,000 Births per year 320 Birthing hospitals Largest – 7300 deliveries Smallest – 60 deliveries
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Diversity Geographic Race/ethnic Linguistic
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Geographic Diversity Large metropolitan areas
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Geographic Diversity Large metropolitan areas Agricultural areas
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Geographic Diversity Large metropolitan areas Agricultural areas Mountains
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Geographic Diversity Large metropolitan areas Agricultural areas Mountains Desert
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Geographic Diversity Large metropolitan areas Agricultural areas Mountains Desert Coastal
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Race/Ethnic Diversity 47% Non-Hispanic White 32% Hispanic 11% Asian/Pacific Islander 6% African American 1% American Indian 3% Other
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Linguistic Diversity 33% of Californians speak a language other than English in the home 20% of Californians have Limited- English-Proficiency 50% of low-income Californians have a primary language other than English.
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Linguistic Diversity 1,570,000 students speak a language other than English in the home 105 languages are spoken in Fresno County schools
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Mobility Urban Migrant workers Mexican border
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Infrastructure
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Interwoven with the Title V CSHCN and the EPSDT programs Inpatient and outpatient provider standards Hearing Coordination Centers Single point of referral to IDEA Part C
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Hearing Coordination Centers Serve specific geographic areas Certify and re-certify hospitals as meeting standards Collect data Track appointments for individual infants
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Hearing Coordination Centers Contact providers if no results are received Refer to local EPSDT program if infant no shows appointments or provider cannot contact the family
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Hearing Coordination Centers Generate correspondence to infants PCP Contact all families of infants identified with hearing loss
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Hearing Coordination Centers Assure referral to EI has been made Quality assurance monitoring
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Referral to Early Intervention Created single point of referral for all California children 0-3 years of age with a hearing loss
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Data Management No statewide data management system Each HCC developed Access database All infant information and results reported on paper reporting forms
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California Program Data 2004 (Preliminary) 175 Hospitals participating
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California Program Data 2004 (Preliminary)
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Summary Infrastructure! Receive and review individual infant data in real time Take action if not getting appropriate services
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