Newborn and Infant Hearing
Screening Activities
Hearing
loss is the most common congenital condition in the United
States. Every day, 33 infants are born with some degree
of hearing loss.
Through the National Center, universal newborn hearing
screening is promoted through activities of the Task Force
on Newborn and Infant Hearing and the Joint Committee on
Infant Hearing. In addition, the National Center received
a grant
addendum to work with the AAP Department of Community,
Chapter and State Affairs to promote early hearing detection
and intervention at the chapter level; identifying one pediatrician
in each chapter to "champion" the cause.
Chapter Champion "Hot Topics in EHDI" Teleconferences
Several teleconference calls were coordinated for the AAP EHDI Chapter Champions
on various hot topics in the field of early hearing detection and intervention. Others
interested in this issue may also find the information included in the presentations
of value.
 EDHI
template articles
These articles may be customized to be specific to your state in order to educate
pediatrics and other colleagues. This may/should involve connecting with state
EHDI coordinators to determine how to relate the article to your state program. State
EHDI program contact information can be found at: http://www.cdc.gov/ncbddd/ehdi/stateprofile.htm (Click
on State and Territory EHDI Contacts on the right side of this web page.
Congenital Cytomegalovirus (CMV)
Infection & Hearing
Loss by Dr Karen Fowler at the University of Alabama.
Auditory
Neuropathy/Dys-Synchrony by Ryan McCreery of Boys
Town National Research Hospital
Medical
Care of Children with SNHL by Susan Wiley, MD, FAAP
Beyond
Newborn Hearing Screening: Recognizing the Signs
of Late Onset Hearing Loss in Infants and Children
This article responds to some basic questions about late-onset hearing loss in
infancy and childhood.
Mild
and Unilateral Hearing Loss in Children
This article provides an overview of mild and unilateral
hearing loss.
Genetics
of Early Childhood Hearing Loss- The Facts
The past decade has seen a continued increase in
the utilization of newborn screening for hearing loss.
This article provides fact on the genetics of hearing loss.
Childhood
Hearing: A Sound Foundation in the Medical Home
Now available on www.PediaLink.org
for registration. The module content was developed by nationally
and internationally renowned pediatricians and audiologists,
and is presented in an interactive and informative manner,
including engaging vignettes, multimedia, and resources
you can personalize and download for your own office. You
can participate in this module from the convenience of your
own office or home. Promotional
Flyer
Learn about: Different
types of hearing loss | Screening methods for hearing loss
| Medical and genetic risk factors | The importance of early
recognition and ongoing surveillance | The role of the medical
home in hearing screening
Earn a maximum of 5 AMA PRA Category 1 credits.
AAP Member: $75 registration fee
Non-member: $100 registration fee
Fact
Sheets
The federal Maternal Child Health Bureau, Health
Resources and Services Administration and health literacy
researchers at Louisiana State University developed the
following materials to help health care professionals provide
parents with easy to understand newborn hearing screening
information.
Early
Hearing Detection & Intervention (EHDI) Programs
State EHDI programs promote
universal newborn hearing screening, develop effective tracking
and follow-up as a part of the public health system, promote
appropriate and timely diagnosis of hearing loss, prompt
enrollment in appropriate Early Intervention, ensure a medical
home for all newborns and strive to eliminate geographic
and financial barriers to service access. Early Intervention
(Part C of IDEA) is a federal grant program that assists
states in operating a comprehensive statewide program of
early intervention services for infants and toddlers with
disabilities, ages birth through age 2 years, and their
families. To learn more about the EHDI Program in your state
click here.
EHDI Conferences and Meetings
2009 EHDI Conference
The 2009 Early Hearing Detection & Intervention
Conference will be held at
the InterContinental Hotel, Dallas, TX on March 9-10, 2009.
For more information please click
here
AAP EHDI Chapter Champions
Contact Roster
Each AAP Chapter has identified at least one individual
to serve as the EHDI Chapter Champion. This individual is
responsible for leading and responding to health care provider
concerns regarding newborn hearing screening in the state.
The EHDI Chapter Champions are involved in working with
state's department of human services/ department of public
health staff and other in state government agencies as well
as other pediatric health care providers in the state on
EHDI programs and activities.
Chapter Champions seek opportunities for educating members
of their respective chapters and other in the state on EHDI
activities and are also involved in collaborating with their
peers to influence state-level policy and programs related
to children who are identified with hearing loss.
When the AAP EHDI program began in 2001, its primary
focus was on ensuring that all newborns were screened
for hearing loss prior to hospital discharge. Screening
is the first step, but there is much more to the process.
The network of AAP EHDI "chapter champions,"
who serve as the point persons within their states on
EHDI issues, know all too well that audiological evaluation
for infants who do not pass hospital screening is essential.
In addition, the enrollment of infants identified with
hearing loss in early intervention programs by 6 months
of age can improve communication outcomes dramatically.
This article is featured in the May edition of AAP News
but you can access it by
clicking here
Joint Committee
on Infant Hearing
The AAP has 2 official representatives on the Joint
Committee on Infant Hearing (JCIH). The JCIH is a multidisciplinary
group of representatives from 6 organizations: the American
Academy of Pediatrics, the American Speech-Hearing-Language
Association, the American Academy of Audiology, the American
Academy of Otolaryngology-Head and Neck Surgery, the Directors
of Speech and Hearing Programs in State Health and Welfare
Agencies, and the Council on Education for the Deaf.
Task Force on Improving the Effectiveness
of Newborn Hearing Screening, Diagnosis and Intervention
In addition to developing the Academy's
policy statement on hearing screening, the Task Force on
Newborn and Infant Hearing has developed educational materials
for both professional and public audiences. These brochures
will be coming soon!
Resources
and Tools
Hearing
Screening Coding Fact Sheet for Primary Care Providers
While coding for hearing screening is relatively
straightforward, ensuring that appropriate payment is received
for such services is a more complicated matter. This coding
fact sheet will provide you with a guide to coding
for pediatric hearing screening. While the fact sheet provides
you with some suggested codes, it should be noted that payer
recognition of codes might vary.
Denial Management and Contract Negotiation for Hearing Screening Services
Strategies and a template letter for pediatric practices to handle payer denials and contractual issues are provided in Denial Management and Contract Negotiation for Hearing Screening Services. In addition to providing diagnosis and procedure codes, the fact sheet includes Healthcare Common Procedural Coding System (HCPCS) Level II Procedure and Supply Codes and vignettes of common scenarios encountered by primary care providers related to hearing.
- Universal Newborn Hearing Screening
Brochure
for Physicians
- Universal Newborn Hearing Screening
Public
Education Brochure
- Universal Newborn Hearing
Screening, Diagnosis, and Intervention-Guidelines for
Pediatric Medical Home Providers
Guidelines
Page 1 | Guidelines
Page 2
This easy-to-follow flowchart can serve as guidelines
for pediatric primary care providers and others involved
in the medical care of infants and young children and
their hearing health. This resource provides a step-by-step
guide on hearing screening, diagnosis and management
from birth through 6 months of age and beyond. The resource
also provides detailed information about ongoing hearing,
speech and language related care for all infants, as
well as a template for use by physicians' offices to
easily customize patient referral information. A listing
of national resources on early hearing detection and
intervention is also included.
These guidelines are a handy practice resource that
can be printed from the AAP Web site, reproduced, and
kept in office examining rooms for convenient reference.
They were developed in collaboration with the National
Center on Hearing Assessment and Management (NCHAM)
with funding from an educational grant from the Maternal
and Child Health Bureau, Health Resources and Services
Administration, US Department of Health and Human Services.
- Universal Newborn Hearing Screening, Diagnosis,
and Intervention Patient Checklist for Pediatric Medical
Home Providers
The American Academy of Pediatrics has developed
a patient
chart checklist for medical home providers that allows
health care professionals to track hospital-based inpatient
hearing screening results, outpatient hearing screening
results, information from the pediatric audiologic evaluation,
ongoing audiologic services, enrollment in early intervention
services, and medical evaluation results in one place
in their patient’s chart. The checklist includes
an easy-to-use guide to ensure that the child is linked
with appropriate services and that the necessary evaluations
are coordinated. It also provides space for you to record
relevant service provider contact information.
The checklist is available in both color and black and
white formats and multiple copies can be ordered by contacting
Rachel Poulin at rpoulin@aap.org
Please include the following information with your request:
how many copies you are requesting (maximum 500); your
name and mailing/shipping information; and brief details
on how you plan to disseminate the checklist.
- Pediatric Resource Guide to Infant and Childhood
Hearing Loss
The Center for Early Intervention on Deafness
(CEID) is a non profit organization dedicated to the early
identification and education of babies who are deaf and
hard of hearing and their families.
The newly available 2nd edition of the CEID “Pediatric
Resource Guide to Infant and Childhood Hearing Loss”
is a comprehensive resource for pediatric providers working
in all settings who need quick and accurate information
regarding newborn hearing screening laws, screening and
diagnostic evaluations, referrals procedures and timelines,
amplification and cochlear options, Early Start and educational
services, recent findings on genetic syndromes and environmental
etiologies and special considerations for the child who
has a unilateral or mild hearing loss. The CEID resource
guide will help providers remain current on issues related
to hearing loss in infants and young children.
To order the resource guide, call (510) 848-4800, extension
319. You can also download information about the GUIDE
or CEID from the following web site, www.ceid.org.
Checks and credit card orders are accepted.
- "Just in Time" Early Hearing Detection
and Intervention Educational Kit
This FREE educational kit is a handy practice
resource that helps provide hearing health care for the
infant and children. "Just in Time" materials
can assist practices in meeting the goals of Early Hearing
Detection and Intervention (EHDI).
For more information, or a copy of the "Just in Time"
materials, please email the CDC at: ehdi@cdc.gov
or visit the CDC Web site at: www.cdc.gov/ncbddd/ehdi
- Video Scrapbook from NCHAM
NCHAM took the opportunity during the 2003 EHDI
Conference to interview and videotape a number of dedicated
parents and professionals sharing a variety of perspectives
on the status of EHDI efforts and the ongoing challenges
and opportunities we face. NCHAM has distilled these interviews
into a series of short clips, which is offered here in
this video
scrapbook
of powerful statements on the importance of EHDI.
- Newborn Hearing Screening Video
NCHAM introduces a Newborn Hearing Screening Video entitled
"Giving Your Baby a Sound Beginning," developed
in collaboration with the AAP. This 6-minute video introduces
parents to the importance of having their newborns screened
for hearing loss. This video is ideal for educating parents
in prenatal classes, birthing hospitals, and other health
care and educational settings. Promotional
Postcard
Download
"Giving Your Baby a Sound Beginning" free
of charge or order your own VHS copy for $15 from NCHAM
by email or phone at: nchamhelp@usu.edu
or 435/797-3584. Video is Available in English and
Spanish.
- EHDI PowerPoint Presentations
(Sample Presentation)
The intent of the video clips provided above is to provide
you with a "library" of viewpoints and statements
that you can then use when making national, state, and
local EHDI presentations. A sample presentation is provided
here that you can download and reformat to meet your individual
needs. Download
Here
- 2004 CME Teleconference Series- Early Hearing
Detection and Intervention – Role of the Primary
Care Physician
The CME teleconference series was held in 2 parts:
October 6th and November 17th
Faculty included nationally and internationally renowned
pediatricians and audiologists. The course content was
presented in an interactive and informative manner allowing
time for question-and-answer.
Click on the appropriate date below to view the PowerPoint
from either teleconference 10/6/04
or 11/17/04.
Last Updated
August 6, 2008
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