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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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