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Need caption for photo of sleeping newborn baby Outpatient Screening: Before 1 Month

Improvement Strategies


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

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

Identify two points of contact for families of infants who did not pass such as a relative or friend

Offer a referral to Guide By Your Side

Schedule the follow-up appointment during the visit

Record the results to the family, the primary care provider and the Arizona Department of Health Services

Outpatient Screening: Introduction

Best Practice Guidelines


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

Tools for Improvement


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

Improvement in Action


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

Closing the Follow-up Gap: Outpatient Screening

Outpatient Screening

Diagnostic Testing

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 Forms

Screening Forms

Discussion Points

  • 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?