Event Started: 2/24/2016 8:00:00 PM
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 Please stand by for realtime captions.
>> I am going to remind everyone they are on mute to reduce background noise. If you want to speak then press star six press star 6. I will start the recording out.
>> Hello everyone. I want to welcome you guys to the EHDI webinar so hopefully you came to the right  meeting. My name is Megan Cote and for the last year I've been serving as the project  specialist for early education and referral as well as family engagement for NCDB and this is the first in a series of six webinars we've organized related to early identification and referrals where we will focus on EHDI.  The links for previous webinar recordings we done in the series can be found on the group page on the NCDB site so if you missed out on those and want to access them you can find them there. The last remaining webinar we will do in the series after today will be on community programs and that is set to be held on March 9 at 12:00 Pacific Time. And [ Indiscernible ] from California and partnering community agency will be on that webinar to share experience and how they collaborate in their work. The reason for the webinar series is it was created as a result of state project saying they were eager to hear about other states successes and lessons learned. We are thrilled to have with us today Katie Humes from Washington state  and Joanne Whitson from Wyoming  to talk about the work they have done in their individual states with EHDI.  Here how today will roll out. First we will let Katie share her work and then Joanne will take a turn. At the end  there will be an opportunity for question and answers for folks who joined the call. They can ask questions of you ladies or myself or Mark and also share about work they have done in their individual states as well. If there's something you would like to piggyback on and add to the conversation we are happy to have you. I know that Joanne and Katie want  the conversation to be organic in nature. If you have a question hit star 6 to take your phone off mute and ask your question or feel free to type it in the chat pod and while they speak I will monitor the chat pod and let them know there's a question from participants. With that, without further ado we will now introduce Katie Humes and we need to say a huge thanks to. She is on a family vacation now visiting her parents in Florida and also has a cold so we are grateful that despite all the barriers she has still showed up to share her knowledge. Thank you Katie, and thank you Joanne.  80 take it away. 
>> Thank you Megan. Is my audio still good? Okay. The fact that I'm here attests to how near and dear the topic is to my heart. I start in early intervention with deaf and hard of hearing children and moved on there too deaf blindness so over the past 30 years this has been an important topic. I was glad to be invited. If I press this will come in front? Robbin , will you move the others? I have a PowerPoint and not sure if some people are only on audio but I will try not to just read it. I am from Washington state and on the director of the Washington state deaf-blind project. My previous coworker Nancy also has been very involved in the first of three activities for re-identification and referral. We planned this together and if you know her you will see a picture of her the end. My goal is to answer questions and give some very concrete examples of the ways we partner with EHDI in our state. 
>> First I have to admit that we did not do a formal Washington State self-assessment. That was because we were already on the early identification referral was already integrated into what we were doing. That didn't mean it was perfect but it has been ongoing. We are identifying birth-to-three year olds with deaf blindness. Results likely are based on ongoing work we have done in early intervention for birth-to-three year olds to where deaf/hard of hearing and blind/visually impaired. I am declining a voicemail, someone is calling. The question is can connections with the EHDI system enhance early identification referral of deaf-blind babies?  We think that it does.
>> First I want to say it we did partnering with EHDI with the office of deaf and hard of hearing for adults in Washington's  date so we had to explain who Eddie was? They kept saying who is at the? With the deaf and hard of hearing adult programs that was funny. For us the collaborative relationships we started, it was very much a two-way street. There were connections made between our state deaf-blind project and the state EHDI program  although that may sometimes feel like a stretch. We want to point out that collaborative relationships can take years to nurture and develop. What can your state to find project bring to the EHDI table and what training activities  and product development does your state EHDI program fund?  I hope to share what we have learned from our collaboration with the state EHDI program  and what lessons may apply to other states. 
>> One thing we learned that you could try is bring deaf-blind's contents to the other partners of EHDI.  The same awareness deaf-blind 101 that we do with many teens and parents of new children are partners in EHDI  also need to have that. Most of them are not aware of combined vision and hearing loss and what that means for a child or family. Ringing that to EHDI stakeholder meetings and conferences , and also to any EHDI training opportunities about early identification of hearing loss , or best practices for early intervention. Also any products being developed. We developed a best practice is guideline for family resource coordinators and a parent notebook. Be sure to include information on high risk factors, all the syndromes that may include combined hearing and vision loss, and the referral process for infants and toddlers with a dual century loss. -- Dual sensory loss. 
>> It took for us nurturing state partnership. What that looks like for us was in addition to working with our Washington Department of Health genetic services which is the home of EHDDI in our state . We also collaborated with the new birth to three deaf and hard of hearing state coordinator and we have a new birth to three line BVI state coordinator. Those are new roles and we have nurtured those relationships. We funded some national conferences in September and we have monthly meetings with them. We've been developing a practice guide for our lead Part C agencies and collaborating with the school for the deaf, the school for the blind, Department of services for the blind, and the office of DHH services.
>>  Now while I was share examples how our Washington state deaf-blind project jumps on other bandwagons with EHDI supports. 
>>  What I have off is a photo of 2 large yellow manuals that many of you may know, the SKI-HI  curriculum for deaf and hard of hearing students. This is not the deaf-blind one but it is the deaf and hard-of-hearing one. We have trainings around the state for many years and I will find out how many years. We did three SKI-HI trainings  that were six-day long funded by EHDI and those trainees consisted of  Debby Lively and Paula Pittman who are national trainers for the SKI-HI curriculum  to come and train teachers of the deaf, [ Indiscernible ] audiologist and other team members around the state in what appropriate services looks like for deaf and hard-of-hearing children. We have case studies and those always included at least one birth-to-three year olds which is deaf-blind. Sometime that meant a panel, could be a panel and 2 parents, and sometimes it meant the child coming in the team getting to seem the parent interacting with the child and a provider interacting with the child. It might have been their first experience meeting a child who was deaf-blind. 
>> Another example how we partnered and now I have 2 photos up. One is a photo of a deaf adult who is Japanese-American and a mother with her daughters are from a Chilean tribe in Northeast Washington. They are holding up bright colorful balls and smiling. [ Indiscernible ] the with the sign language instructors for many people over the years in Washington state came and joined the birth to three classroom. At the family weekend for deaf and hard-of-hearing families. Of cash to spring family we can seven going on for years in Ellensburg Washington at the lazy if ranch and people come and stay in cottages. There had always been only three 3 to 21 focus so there were no infants and toddlers coming to that. It's a retreat weekend for families. With funding from the Department of Health we were able to offer scholarships for families to come. The second picture is of a little girl who is deaf-blind humbling in a ball pit and another little girl in there with her. Every year for 15 years now we have had the birth to three part and that continues whether or not there is Department of Health funding. 
>> So we have the spring family weekend and the next slide is also a photo of a little girl and her family who came in 2013. She has her hands on my end and I'm waving to her. She's enjoying the breezes outside it the lazy [ NULL ]  -- Lazy F Camp with her family.
>> One of the other events we created collaborative was at the school for the blind and they had not had a family birth to three event there. We helped pilot what we call the Baby Jamboree for infants who are blind, visually impaired and also several deaf-blind infants as well. The children came, the siblings came, the family game. We had a children's program, a family program, and we invited providers either the teachers of visually impaired you didn't have much explains with birth to three, we invited mentors who did have experienced birth to three, and we invited other providers you might want to learn more about infants who are blind, visually impaired, or deaf-blind. It was multilayered and very well received. I probably don't have time to go into all of these but that is Janet George from the Department of services for the blind who is sitting down. And a man holding an infant and the man is the CEO of the lighthouse for the blind in our state. He was enjoying some baby time.
>> Our birth to three members now include the slide on the right at the recent Albuquerque constant -- conference which was off -- awesome. We have our coordinator for the state and next to her is Chris who was the nude deaf and hard-of-hearing coordinator for the state and those are new positions within the last five years. We didn't have anyone that I partnered closely with them. We also have someone who just does our largest metropolitan area for birth to three for blind and visually impaired and we had another TBI and then a picture of Nancy Hatfield with her birth to three-year-old grandson because he was one of our members. I did not keep track of the chat box but I will take a look. I see that Sherry from North Dakota asks how long the Baby Jamboree was. Families arrived on Friday afternoon or evening and some came from hours away. We greeted them at the driveway sometime between 3:00 and 7:00 PM and they left after lunch Sunday. Does that answer your question? Okay. Any other questions? Is anyone still out there?[ Laughter ] 
>> This is Megan and I am still here. You did a great job. And Robbin says that people want to ask question  can't star 6 to take your phone off mute or type the question in the chat pod.
>> I want to acknowledge that some of these pieces, Nancy Hatfield who use CDER, her job 20 years ago with the coordination of referrals for blind and hard-of-hearing kids before she came in the deaf/hard of hearing project. We acknowledge that a lot of our relationships were key to conduct out when we wanted to reach out more to Part C as a deaf-blind project. Everybody comes to this work from it different experience and some come from a different age group and the learning would be different. We hope pieces we shared our helpful but in no way is this a cookie-cutter or something people can just do when we know that. I hope you can take pieces from it or there are inspiring things. So Julie says great to hear of the great connections you are making. 
>> Thank you Julie.
>> That was really helpful. Thank you Katie. Joanne  if we move on and you also have additional questions for KDE you can still put them in the chat pod or ask them at the end. We can move to Joanne and she could tell you a little bit about her work  in her state. What has worked and what has not worked. I encouraged these ladies to be candidly honest in their presentations but you might regret asking me after it's all over. Clearly we will not because we can't wait to hear what you have to say. So Joanne you are up . 
>> KDE you did a great job and it's a hard act to follow. I don't have a PowerPoint.  I've been working with EHDI for about the same amount of time if not a little longer . We started our relationship just feeling each other out about different projects we are doing and determined that one way we could help each other was through collaboration on workshops were families. I thought that was great. We did 2 wonderful workshops. We had great participation. The only caveat I had and it happened both times is because of the way EHDI is set up , there was no way for me to get copies of the evaluations. We had great workshops but I had no data from it. That's always sad especially in our field where we have to report everything. All we could go by was anecdotal information. That's one thing I would make sure of when working with them, that you have who will do what, how they will share it, how the collaboration will work so everyone can get the pieces they need. We also tried a pilot project with EHDI  on early intervention of visually impaired children and deaf-blind children. We spent months on this and work it all out, got funding for it, it went through EHDI  and Department of Health because that is where EHDI is located in our state . Everyone was on board and everything was working and the program was up and running but the same thing happen. It was never shared. The data wasn't shared from the pilot project so we didn't have any way to infuse it with additional funding if that was what they needed because there was no data that came out of it. It's sort of got dropped in the end as well. But it was a great idea. I thought this would be wonderful to tag on each other for early identification and locate these children. Like I said, for the pilot, it worked but because there was no data and no sharing of information at that point we could not infuse it with any additional work. The other thing I worked with EHDI on  his the Western regional early administrators dual sensory conference. The different states, the EHDI from different states  in Wyoming, Colorado, Utah, Nevada, New Mexico, Arizona and I think I'm forgetting somebody, but for the Western regional conferences the early childhood EHDI group  in the state seven wonderful. They are reporting the deaf/hard of hearing side. They are making sure all the breakout speakers are available. They are working well with others.  The Wyoming representative for EHDI  is [ Indiscernible ] funding, out of EHDI for it from Wyoming.  And when we had the conference and -- in Wyoming,  EHDI is there but not doing much with us.  We collaborate at times and then at other times we work together to the same and sort of thing. I would just make sure when you work with an agency that is set up different from the deaf-blind projects, that you make sure you have exactly what you will need at the end of that activity so we don't build the [ Indiscernible ] that we built over the years. Like Katie, we also work with the vision outreach and deaf/hard of hearing in our state. That has become, we work with them well and they are good about referring. Division side is more apt to provide information for us than the deaf outreach side. I'm not really sure why that is. We've been working with EHDI  for years and it's just a end -- and odd relationship so I want to let you know you can build a great relationship with them but make sure you know who is doing what and when. That's it. 
>> That's really valuable. Does anyone have any questions for Joanne? 
>> Sherri agrees it's the same in North Dakota but better information on the vision side.'s  EMAC this is Katie.
>> This is Katie. Same in Washington state. More collaboration. 
>> I'm not sure why. For years the deaf-blind project in Wyoming has done a transdisciplinary assessment and we call it a clinic because we also have a medical component to it. We been doing the clinic and expanding it for years to allow families and school districts to come to one place. In Wyoming we don't have very many doctors in each community. We don't have eye doctors everywhere or audiologist everywhere. They can come to this clinic and the audiologist, the optometrist, the low vision specialist, a nutritionist, and they can meet with TBI, O&Ms specialist and languages the teachers of the deaf. It's great. EHDI  went ahead and also developed a roping clinic -- Roving clinic  but these schedule on the same time line as our schedule. I don't understand the component that if a child is deaf-blind, then the deafness seems to take precedent as far as EHDI is considered  versus the deaf-blind piece. That's just my thought.
>> Joanne, this is Megan. Do you find you get many referrals from them? 
>>  From EHDI I've never gotten a single one.  Even when we were working on the early identification piece together. I never got a single referral. Even when they prompted to were visually impaired or deaf-blind. They kept it within their pilot and I'm assuming produced results for their stakeholders and whoever their agency but none of the information was ever shared. None of the referrals were ever made.
>> That's disappointing. 
>> It was. It was very disappointing. You spend all that time working on something and you get so excited about it. You think this is so awesome!  You are static over the relationship and then, nothing happens. I think EHDI does a great job of what they are doing  but I wish they would be more open and share things and be more collaborative about the whole team and not just when they want funding. That sort of how I look at it. When they want funding they will help collaborate.
>> I saw that route and was typing. Do you have a question? -- Ruth Ann  was typing. Do you have a question? 
>> I was typing to say thanks and that I need to run to another meeting but I didn't want to just pop off. 
>> Good luck at your next meeting and thank you.
>> Katie as mentioning that there is more information. Do you want to tell folks about it? 
>> I will but I just started a coughing fit. The stakeholders I just mentioned that were around the table developed a practice guide for providers in birth to 3. We will have a webinar next week and it's very expensive going in to services and deaf and hard-of-hearing services and who are appropriate providers because larger urban areas especially Seattle have had programs for deaf and hard of hearing children but a lot of the [ Indiscernible ] across the state it's a slow process of building. It was an opportunity for us all to create a practice guide that will include the three coordinators and information about deaf/hard of hearing blind the eye and deaf-blind. We got a lot of feedback from stakeholders and it should roll out soon. Once we have the recorded webinar we will post it on our WSDS website and make sure it gets out there.  I think it's pretty well crafted and should be useful to other states as a model. I didn't work on it so I'm not talking about my own work. But I am very impressed so I think it will be useful.
>> Katie, this is Megan. Fourfold -- for folks from other states will the webinar be recorded live and then you will give the link? Do you understand what I'm asking? If I want to listen in can I or are you recording it and sending out a link? 
>> I think it's just a link. I will ask about it. It's next week but I don't think it's in our hands. Department of early learning and we offer to post the link to it but I can find out. 
>> That's great. Julie, I see you mentioned in the chat that you have a similar family camp this summer with early intervention vision agency. Did you want to tell everyone about that? You can hit Star 6 to take your phone off mute.  Or [ Indiscernible ] 
>> Can you hear me now? I think Maurice is presenting with early intervention providers in a few weeks right? 
>> Yes he is. 
>> One of them is one of the people who helps coordinate the camp so they can fill you in more. It's a weekend camp and they always ask us to come and we always bring sandwiches for state in terms that are specializing in deaf blindness and it's a good way to network and connect with families that may or may not know about us and our services. Maybe they will talk more about it. You could prompt them and I will try and mention it to Maurice. 
>> That's great. And related to your work, with other EHDI staff would OCU working on in California? 
>> Again  Maurice does more than me  but I would have to say I concur with what everyone saying in terms of referrals coming in. For some reason and I don't know if it has to do with the training that some of these early intervention is get specializing in vision, if they are given content of tells them to connect with other services more. We get most referrals from vision agencies. We do have one local agency here in the Bay Area in Berkeley that's an early intervention program, a toddler program and preschool on deafness. It's call CEID at the Center for early intervention on deafness. They collaborate with us quite a bit and the circuits with hearing  impairments or are deaf with additional disabilities including some with vision. They reach out and always contact us when one of those kids shows up. We do playgroups. We meet twice a month with families of students who are deaf-blind it that the school with our parents. They do a lot of outreach with presentations to families and invite the whole family even if it's just related to hearing and deafness. There will -- those family seem very happy with the program and services they are getting there. That's the one agency I can think of in terms of hearing and deaf identification that really cannot with us. 
>> This is Megan. When they refer families to you, is there a state project you've given those folks to pass on to parents with information about your project? I'm interested in hearing from folks about when you were making outreach attempts with other organizations and with EHDI, is there something you give them  that says if you meet a family that has a child with a suspected combined vision and hearing loss, make sure they get this. Some sort of packet of information about the project and services you provide, do any of you have something assembled wax no --? No. 
>> We just have a brochure about our services. We don't have a big packet and we elect people to our website that has the resources. The other cool thing about the team at CEID  is many of their staff have participated in the training modules so they are interested in increasing their skill set and knowledge.
>> What was the question?
>> Do you have information you give to them to pass on? 
>> The same. We definitely give a brochure. I think what's been most helpful to us is our state education agency has gotten behind us more to assist with marketing. It's not something we have an hour deaf-blind grant. The money to reach some of the particular audiences we might need to reach, so that's been helpful. I think more people know about it. Definitely offering something free [ Indiscernible ] trainings because Kathy and I our host on that and we say if you want technical assistance you can contact the deaf-blind project. That's a means for people finding us in getting to us. Even though it's not designed for birth to three teams we've had some birth to three teams participate and benefit from it. There was one other point. I was looking at the questions and how do you know when you've done enough? I don't think you do because when you think you accomplish these things something changes in the landscape and either there is a new head of an agency or a new facet that employ services somewhere and then you make new inroads in that.
>> I think that's a valuable point. We always used to have that discussion back when we would be serving children with TA on school teams. Whether or not you've given them enough knowledge and as you think they are coming along, they moved to a different teacher or building. It tends to be a mysterious question that all of us struggle with with all the work we do I believe on our deaf-blind projects. When do you stop giving a lot of love one place and move it to the next spot? There are several other states on the call. Is there anyone else that would like to's -- like to hit Star 6 and talk about work  in their state or ask questions of Kate and Joanne? 
>>  This is Suzy from New York.
>> Hello Suzy. 
>> Hello everybody. We thought it was fascinating because New York is such a conglomerate and looking at systems for us is so challenging because it's so fractured and privatized. When you say you have a statewide coordinator it makes my heart turned because we don't have one direct person we can go to. As much as we tried to reach out, it often ends up in someone's inbox somewhere. That's one of our constant struggle so I would love to hear ideas. We have to think more creatively about actually participating in larger scale statewide stuff that we probably hadn't in the past for general EI services. We have to think differently so thank you for that. In terms of a packet, Megan I think we talked in the past. We have been doing a referral or intake packet in a more formal way and that seems to be helping. To have it at the ready, a brochure about us and we put a fresh look on the eligibility chart that people have used a different way is. We try to use that and in a more user-friendly way. The work we've been doing in the medical community that hits the little guys from zero to go three and we see major impact in terms of referral from that. I'm still looking for that statewide magic wand to pull all these crazy systems together and collectively maybe we will create one. Thank you for your time. 
>> Thank you Susie.  I want to say I think because Part C in our state it goes County by County and it's a completely different system than education. The regions are different, the leaders are different, and some of it is privatized in hours and they are usually nonprofit private agency but some are not. It does seem overwhelming to us too. Also we only develop our state coordinator deaf/hard of hearing laying within the last five years. Up until that Nancy Hatfield did it with 4 hours a week of her time and I don't know how. She just pressed forward. You always find you knock on the door and if they say they're you are not interested we find another door and knocked on that one. It's something about letting people know how hard we are willing to work to understand what the work of the birth to three providers is so we can allay their fears about working with their teams and that we won't take over. We will listen to the families. We are going to work with the team and the same things we want when people come to the families we are working with. I think birth to three providers are very protective of their families and are afraid we will come in and tell everyone what to do. That's part of the hard work I agree of collaborating and getting real about who does what worked and what the roles are as Joanne  was saying. You really have to be clear what will we do, what do we bring to the table, how can we help you? Can we help you write a grant? Give us a grant and we will review it and hope you write it. You reminded me of some of where the rubber meets the road about this part of the work.
>> It's all tricky. Also depending on where you are housed because some grants aren't good or not so good part of being a state education department is their automatic benefits to what. Us not having any connection there also gives us challenges. It is what it is. And I know that question was into me but says how do you reach out to the medical community for referrals and something we do was adjust all the major hospital and hospital systems in New York State who have the ONADE of intensive units and pick use -- PICUs . That's what we started and was knocking on doors and got informational sessions with people and got our foot in the door and I'm telling you it's made a significant difference. 
>>  This is Joanne.  One of the things we've done is contacted all the doctors within Wyoming, Utah, a few in Colorado, and some in Montana about our program. They will refer direct to us. It's usually the vision doctors that will do this. So if a kid shows up with a vision concerned they will refer to them and we will take a look and see if the kid has other issues besides the vision.
>> That's -- this is Megan. That's probably helpful. Even if they don't qualify the end you were still probably able to refer them on to the next person. I'm sure that ends up happening. Thank you Susie  for jumping in and sharing. Is there someone else or Susie do you want to add more? 
>> I think that's all. I just love the continuous conversation because as you are talking I'm already looking at places where we haven't directly reached out because I think in some ways we know we have to diversify and reach out to so many stakeholders. We still forget who some of those players are so it's a great constant reminder so thank you. 
>> Megan this is Sherri in North Dakota. 
>>  I want to piggyback on a couple things. Kate, you mentioned Nancy Hatfield having a connection with early intervention and I believe myself also, I work in early intervention for 10 years and it has a significant advantage in that I was aware of how the system worked as far as Part C and many of the providers are still there. That definitely is an advantage. But staff turnover is an ongoing need and there have been a number of staff in the last two years that have shifted. We try and make it a goal every year to get out to all the programs. Myself, talking about deaf-blind is, staff members in the region from the school for the deaf, and staff from the school for the blind we go out together so they could see our faces to gather. I think that improves our referral in that they know will we are, we been out there, and that's been a good thing. We have had a number of people that have anticipated in the [ Indiscernible ] modules and the birth to three staff have really enjoyed the information. We have probably had I'm guessing about 25 staff members take anywhere from 30 through 60 hours. I think that's been a real plus for the early interventionists in our state. I just wanted to mention that. 
>> Thank you and that's remarkable. Have you made arrangements so people can get credit for taking the modules? Or did I confuse you with someone else? 
>> Yes. 
>> That's also great as well. 
>> [ Indiscernible ] from South Dakota have been working to gather and we offer the RAD continuing education and the University of South Dakota gives 500 level graduate credits. Almost all the staff members in North Dakota that take the modules go for the credit because the teachers have steps within their system where they have a be a +6, BA +10, BA +15 and it relates to their salary so that's a big plus for teachers in North Dakota.
>> That's awesome. Thank you for letting everybody know that.
>> One more thing. Just presenting at conferences, we have presented at some of the EHDI conferences in our  state and one example of one coming up this year and spring is identifying babies at risk for combined hearing loss and vision impairment. Or talking about when a child has complex needs,  it's difficult for parents or team members to save vision is the least of his worries or we don't need to worry about hearing out. I think would EHDI  people are more on target knowing about hearing and how they need to be on target from a newborn age. Bringing deaf-blind is content to those EHDI trainings, people are interested because a lot of the kids of complex medical needs and they want to know what to do . That's just another way we've gotten our name out there and had people get to know the information is available.
>> That's a valuable piece. Does anyone else that is on the call want to say something? You don't have to. We are not trying to force you. [ Laughter ] We're happy to have you share if you would like or ask questions. I will wait a minute or two and see if anyone has any. It seems like some folks are typing. Multiple attendees are typing. Let me share a few quick things which are if anyone would like follow-up TA we will help you get through the self-assessment guide and action planning and beginning to look at one of the systems, Mark and I are here and ready to help you guys so just reach out and let us know you would like help. I always say there are no silly questions and no question too small so feel free to reach out to us. We'd be happy to help. One other thing we want to mention is there is going to be a hosted drop in call on Friday, March 4 at 10 AM Pacific time to continue this conversation. If you feel like you leave this webinar it and have another thing you want to ask about or something comes to you and you want to join, you are welcome to attend. Mark and I don't want to just offer it to offer it so we have polling questions to put up. First of all we want to ask you if we go forward with the meeting would it be helpful for you? As it something you would like to cool -- to have us coordinate because my assumption is the ones on the call today would be coming to the drop in so if it's not needed we don't want to have the meeting just to have it. And we also want to know if it helpful to you and your feedback would be appreciated. The next webinar we want to make you aware about one more time will be the last in the series of these six Eric it is Wednesday, March 9 -- Wednesday, March 6 -- March 9 and Maurice will be there with community partners to present the work they've done with their agency. We hope you will be able to join for that. I will wait another second and make sure nobody wants star 6 to ask additional questions. It looks like there are a few people that would want to do a drop in call so we will go ahead and have that. We look forward to seeing whoever would like to get on and continue to talk about best to conquer EHDI . It seems like all the questions have been asked at this time. I want to say a huge thank you to Kate for taking time away from her vacation with her parents to join us especially with having a cold and for Joanne too . With all the changes going on with her life and she was able and willing to come and share honestly. We appreciate both of you for your time, feedback, and insight and it really does help our state that line projects -- deaf-blind projects.  I want to thank the captioner and Robbin  for running all these pods because my head it might go off my shoulders if I had to do it so thank you Robbin for your help  and thanks always to Mark too for helping and sharing the initiative at NCDB. With that we will quit and thank you again everyone. I hope you have a great rest of your Wednesday. Be well everyone and thanks.
>> It by. 
>> Thank you. -- Good by.
>> Thank you.
>> [ Event concluded ]