Improving the Process: Rochester’s Refugee Deaf and nd Hard-of of-Hear Hearin ing g Patien ients ts Sara Saghir BSN, RN Rochester Primary Care Network, Inc. Rochester, New York
Introduction • Deaf and Hard-of-Hearing Refugees • Visual Aid: Importance • Intervention: • Referral Card
Background • Rochester, NY Health Care System • Rochester, NY Deaf and Hard-of-Hearing population statistics • South Asia: Nepal • Research studies in Rochester • Patient Stories
Methodology • Research Design: • Case study • Three phases • Study Participants • Data Collection • Data Analysis
Results • Objective 1: Create and replicate an audiology referral card system that is specialized for deaf and hard-of-hearing refugee patients. Provider Survey Results Access Associates Survey Results 3 2 Strongly Agree 2 Participants Strongly Agree Paticipants Agree Agree 1 Neither Agree or Neither Agree or Disagree Disagree 1 Disagree Disagree Strongly Disagree Strongly Disagree 0 0 1 2 3 4 5 1 2 3 4 5 Questions Questions
Results Continued • Objective 2: Bridge the gap between providers at the FQHC and the audiology specialty providers. • Objective 3: Bridge the gap between the deaf or hard-of- hearing refugee patients and the person providing them transportation to the audiology appointment. Audiology Staff Survey Patient Survey Results 5 4 4 Strongly Agree Strongly Agree 3 Participants Paticipants Agree 3 Agree 2 Neither Agree or Neither Agree or 2 Disagree Disagree Disagree 1 Disagree 1 Strongly Disagree 0 Strongly Disagree 1 2 3 4 5 0 Questions 1 2 3 4 5 Questions
Discussion Front of referral card: ________________________________________ • Interpretation has an appointment on • Strengths and Weakness Date: ___________________ at _____________ • Significance Doctor: Please remember to come 15 minutes early and bring: o Insurance card and picture ID o Referral sheet Patients: If you need to reschedule or cancel, please call- (585) 758- 5700 Providers: Referred by Center for Refugee Health. Please call (585) 922-8070 if you have any questions and fax all medical documents to (585) 922-8078.
Recommendations Back of referral card: • This pilot case study shows that a referral system is beneficial for deaf and hard-of-hearing patients. • Complete referral card system URMC Audiology 2365 South Clinton Ave.- Suite 200 Rochester, NY 14618 • Referral card modification (585) 758-5700 – Phone (585) 758-1297 – Fax Clinic
Conclusion • Ultimate Goals: • Referral Card System • Bridge the Gap • Questions?
Acknowledgements • GE Foundation and National Medical Fellowships • Dr. Mary Dahl Maher & James Sutton, RPA-C • Jennifer Pincus • Fellow PCLP Scholars: Claudia Lam, Abdullah Faiq, Marius Chukwurah • Tony Petruso, Lisa Lyle, Jessica Spears • Hemanta Adhikari, Kaif Ali, Karan Thapa
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