Outpatient Screening: Introduction
Review sample policies, procedures and competency guidelines that align with JCIH Guidelines.
Assure follow-up with a few key data-collection and communication tools.
See how the collaboratives used improvement tools to test steps of change within their organizations.
Closing the Follow-up Gap: Outpatient Screening
Refer to a pediatric audiologist if the infant fails an outpatient screen or is a NICU graduate that failed the inpatient screen. Infants may need a referral from the primary care provider.
- Diagnostic Testing Locations for Infants (English and Spanish)
Diagnostic Testing Forms
- Use the referral forms customized by region (Phoenix, Flagstaff, Tucson and Yuma) when referring a baby for a diagnostic test.
- Refer a child who has been diagnosed with bilateral permanent hearing loss to Early Intervention Services
- Report diagnostic test results to the state Office of Newborn Screening.
Results to be reported include:
- Unilateral hearing loss
- Transient hearing loss
- Hearing loss in children older than three years and
- NORMAL results ruling out a hearing loss
- Notification to Arizona Audiologist & Community Health Centers
- To report any out-patient hearing screening, please submit the following:
- Use for reporting screening only (not diagnostic results)
- Multiple infants can be reported on the same form
- Include the mother's identifying information
- Report the results of either the Otoacoustic Emissions (OAE) screening or the Automated Auditory Brainstem Response (AABR) screening
- What additional improvement strategies could the outpatient facility have used that would help the family follow-up?
Why is rescreening both ears important?
This baby was screened with ABR equipment as an inpatient. How does this impact the outpatient re-screening process?
How did the communication practices of this clinic assist or fail to assist the familiy in getting appropriate follow-up care?
How could the GBYS Program have been utilized in this scenario? What would the benefit have been? Who might have benefited?
How could this clinic have prepared the family better for the next step in the process?
How do you predict that the time between this visit and follow-up care could impact this family's EHDI experience?
If this family's follow-up visit had gone exactly as it should have, what would have been different?