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

Improvement Strategies


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

Record and report the results accurately to the state EHDI program via the blood specimen card

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

Verify the PCP/Medical Home before discharge (vital to ensure accurate follow-up)

Communicate did not pass results to the PCP/Medical Home as a modified 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

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

Offer a referral to local public health for infants who did not pass

Inpatient 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: Inpatient Screening

Role of Inpatient Screening Staff

Important Steps to Cover

Tips For Improvement

Misconception: Abnormal OAE’s along with flat tympanograms (normal volume) confirms a conductive hearing loss

Clinical Fact: Diagnostic ABR including bone conduction testing is needed in combination with OAE’s and tympanograms for a complete diagnosis of type and degree of hearing loss in each ear


Misconception: Hearing screening is not needed if there is no family history of hearing loss

Clinical Fact: More than 90% of infants with hearing loss have two parents with normal hearing


Misconception: Babies need to be sedated to complete ABR testing

Clinical Fact: Babies younger than 3 months can typically be tested without need for sedation


More Hearing Screening Myths