National EHDI Goals 3, EHDI, NCBDDD, CDC

National Goals, Program Objectives, and Performance Measures for
the Early Hearing Detection and Intervention (EHDI) Tracking
and Surveillance System

Goal 3. All infants identified with hearing loss will receive appropriate early intervention services before 6 months of age (medical, audiologic, and early intervention).

Program Objectives	Performance Indicators**
3.1 Medical services. All infants identified with hearing loss will receive appropriate medical services, such as primary care, visual screening, genetic services, and counseling before 6 months of age.	a. Number and percent of infants with hearing loss who received appropriate medical services before 6 months of age from: primary care, otolaryngologists, ophthalmologists, and geneticists/genetic counselors.
3.2 Early intervention services. Each state will ensure that all infants and children with documented hearing loss will receive appropriate early intervention services from Part C or other state approved intervention services. Service coordination will be provided to eligible children.	a. Number and percent of infants with hearing loss who were enrolled in an intervention program before 6 months of age b. Number and percent of infants and children with hearing loss who received family support information about early intervention services. c. Number and percent of eligible infants and children categorized by hearing loss who have a signed IFSP or an equivalent intervention plan. d. Number and percent of infants who are lost to follow-up after identification. e. Number and percent of infants with hearing loss eligible for Part C services with mild hearing loss, moderate hearing loss; moderately-severe hearing loss, severe hearing loss, or profound hearing loss.
3.3 Audiologic services. All infants identified with hearing loss will receive appropriate audiologic services before 6 months of age.	a. Documentation that confirms that families of children with hearing loss received information on communication and amplification options. b. Documentation of plan for management of each infant's and child's assistive technology that includes, at a minimum, use of probe microphone measures and recommendations for frequency of evaluation. c. Documentation of protocols and guidelines for managing the aural habilitation or rehabilitation of each infant or child. d. Number and percent of infants fitted with personal amplification before 6 months of age.

**Some states may need to differentiate between Part C eligible and non-eligible infants.

Date: March 19, 2009
Content source: National Center on Birth Defects and Developmental Disabilities