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Program
Objectives
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Performance
Indicators
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1.1 Universal screening.
All birthing facilities will have a universal newborn and
infant hearing screening (UNHS) program that screens all newborns. Small hospitals that do not screen newborns will refer
infants to a screening program.
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a. Number and
percent of birthing hospitals in the state that screen at least 98%
of infants before discharge.
b.
Number and percent of small hospitals that do not screen but have
plans for referral of infants to a screening program, including
designation of responsible staff positions(s) and timeline.
c.
Number and percent of infants screened before hospital discharge.
d.
Number and percent of infants screened before 1 month of age.
e.
Number and percent of infants whose families refuse screening.
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1.2 Information
on newborn hearing and the screening process. All birthing
facilities will have linguistically appropriate and culturally
sensitive brochures or other materials to inform parent(s) or
guardians of newborns about the newborn hearing and screening
process before the infant is screened.
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a. Number and
percent of pregnant women that received EHDI information before
delivery.
b.
Number and percent of new parents that receive EHDI information in
the hospital at the time of delivery.
c.
Number and percent of hospitals that provide information packets in
Spanish, or other languages spoken by at least 5% of the population.
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1.3 Demographic
data. All hospitals
will collect demographic data such as race/ethnicity, educational
level of the mother, and type of insurance covered before hospital
discharge.
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a. Number and percent of
infants in each racial/ethnic group.
b. Percent of infants whose mothers are in each category of level of
education.
c.
Number and percent of mothers in each insurance category.
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1.4 Out of
hospital births. States will have a mechanism to ensure that
infants not born in birthing hospitals will receive a hearing
screening.
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a. Number and
percent of infants born out of hospital.
b.
Number and percent of infants born out of the hospital that received
a hearing screening before one month of age.
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1.5 Financial
barriers. Each state will develop a system to reduce/eliminate
financial barriers to newborn hearing screening.
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a. Published guidelines to
reduce financial barriers that include information for parents on
how to receive financial help or free screening and/or diagnostic
services.
b.
Number of hospitals or other relevant organizations to which the
guidelines were distributed, including designation of responsible
staff and timelines.
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1.6 Reporting.
Results of the hearing screening will be provided to the infant’s
parents and primary
care provider (PCP).
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a. Forms and stated
protocol for providing screening results to parents and PCP are
available.
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1.7 Linkage and
referral to audiologic follow-up. Each state will identify a
linkage system to ensure that all infants who do not pass the
hearing screening will have appropriate referral for diagnostic
evaluation.
Referral rates will be 4 percent or less. |
a. Number and
percent of infants that do not pass the initial inpatient or
outpatient screening and are referred for diagnostic audiologic
evaluation.
b.
Number and percent of infants
who were referred for diagnostic evaluation. |
1.8 Education and
training. Hospitals
or EHDI program will have a training plan for all service providers,
including screeners (inpatient and outpatient), nurses, and
physicians.
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a. Yearly or
semiannual list of training sessions completed (or planned) for
screeners, nurses, and physicians.
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1.9 Screening protocols.
Hospitals will have written hearing screening protocols that include
standard policies, procedures for screening, and appropriate forms.
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a.
Copy of hearing
screening protocols.
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