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Need caption for photo of sleeping newborn baby Inpatient Screening: At Birth

Improvement Strategies

NCIH

Standardize the process for documenting all newborn screening results in the hospital records

Record and report the results accurately to the Arizona EHDI program on the back of the immunization card

Standardize communications (written and verbal) with parents about newborn screening results

Verify the PCP/Medical Home before discharge

Communicate did not pass results to the PCP/Medical Home as a critical value requiring confirmation

Identify two points of contact for families of infants who did not pass (i.e. a relative or friend)

Provide clear communication about next steps using the Arizona EHDI Care Checklist (English)  (Spanish)

Schedule the follow-up appointment prior to discharge, stressing importance with families

Offer a referral to Arizona Early Intervention Program (AzEIP) and Guide by Your Side

Inpatient Screening: Introduction

Best Practice Guidelines

JCIH

Review sample policies, procedures and competency guidelines that align with JCIH Guidelines.

Tools for Improvement

WE-TRAC

Assure follow-up with a few key data-collection and communication tools.

Improvement in Action

filler

See how the collaboratives used improvement tools to test steps of change within their organizations.

Closing the Follow-up Gap: Inpatient Screening

Inpatient Screening

Screening

If infants do not pass their newborn hearing screen in the hospital, it is important that the babies are screened again as soon as possible (no later than 1 month of age). Most can return to the birthing hospital for an outpatient re-screen within the first week or two after discharge. If it is not possible or convenient (or for insurance coverage), the provider can refer the infant to another screening location.  If the infant was screened with the AABR, it is best if AABR is used for the rescreening.

NICU graduates (more than a 5-day stay) or infants with risk indicators for hearing loss:

  • Do not rescreen
  • Refer to a pediatric audiologist for diagnostic testing
  • Older infants may need sedation/anesthesia

Please be advised, results from each screening or diagnostic test performed must be sent to the Office of Newborn Screening. The fax number is 602-364-1495.

Mandatory Reporting

  • Results of all hearing screening and subsequent tests for hearing loss performed on newborns and infants must be reported to the Office of Newborn Screening, along with identifying information for the baby and the facility performing the test.
  • Results from each hearing screening or diagnostic test performed must be sent to the Office of Newborn Screening within one week of the test date.
  • All tests, even if normal, should be reported. Normal results help the Newborn Screening Follow-up team know when the child no longer needs active follow-up.

Discussion Points

  • How does the care align with screening guidelines and best practices?
  • How is the family engaged?
  • How is care coordinated and communicated?
  • How do you find resources appropriate to this family's needs?
  • What staff training is needed?
  • How can you help families identify a PCP prior to discharge?
  • How can you assure that your hospital is recording the PCP for every baby?
  • How would this infant be handled if transferred to the NICU?