Pediatric Audiology: 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: Pediatric Audiology
Role of the Pediatric Audiologist
Comprehensive Audiological Diagnostic Assessments:
Confirm the existence of a hearing loss*
- Assess the integrity of the auditory system in each ear
- Estimate hearing sensitivity across the speech frequency range
- Determine the type of hearing loss
- Establish a baseline for further monitoring
- Provide information needed to initiate amplification-device fitting
- Ensure that parents understand the significance of the hearing loss
- Evaluate the infant for candidacy for amplification and other sensory devices including assistive technology
- Ensure prompt referral to early intervention programs
*A comprehensive assessment should be performed on both ears even if only 1 ear failed the screening test.
- If the family chooses personal amplification for the infant, hearing-aid selection and fitting should occur within 1 month of initial confirmation of hearing loss even when additional audiological assessment is ongoing
- Amplification device selection should be based on a prescriptive procedure that incorporates individual real-ear measures that account for each infant's ear-canal acoustics and hearing loss
- Validation of the benefits of amplification, particularly for speech perception, should be examined in the clinical setting as well as in the child's typical listening environments. Joint Committee on Infant Hearing, 2007
- Insurance Coverage for Pediatric Amplification - Minnesota Statute 62Q.675
Minnesota EHDI Goals, Indicators, and Benchmarks
Goal: All infants who screen positive will have a diagnostic audiologic evaluation before 3 months of age.
Indicator: Number and percent of infants who have a REFER on rescreen and received a comprehensive audiological evaluation by 3 months of age, excluding infants <1800 grams. (Baseline: 20.1%)
28.0% by December 31, 2010 (Actual: 23.4%)
36.0% by December 31, 2011
Goal: All infants with hearing loss will receive appropriate early intervention services before 6 months of age (medical, audiologic, and Early Intervention).
Indicator: Percent of infants fitted with personal amplification within 1 month of diagnosis (Baseline: 15.3%)
22.0% by December 31, 2010 (Actual: 44.0%)
30.0% by December 31, 2011