Evaluate both ears
Complete definitive diagnosis BEFORE 3 MONTHS of age
Complete Parent Roadmap for families with a child identified with hearing loss
Complete the Patient Checklist for Primary Care Providers with families who need further screening for hearing loss
Streamline authorizations to eliminate delay to specialty providers such as Ophthalmology, ENT, and genetics
Offer and provide referral to Minnesota Hands & Voices
Refer to Early Intervention through Help Me Grow
Obtain a consent for release of information at first contact
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.
2015 Parent Hearing Aid Management Survey Results for Minnesota
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
Hearing Aid Law - 18 Years or Younger
Goal: All infants who screen positive will have a diagnostic audiologic evaluation before 3 months of age.
Indicator 2.2: Percentage of infants who have a REFER on rescreen and received a comprehensive audiological evaluation by 3 months of age, excluding infants <1800 grams
2011 - 23.0%
2012 - 31.7%
2013 - 37.6%
2014 - 40.5%
Goal: All infants with hearing loss will receive appropriate early intervention services before 6 months of age (medical, audiologic, and Early Intervention).
Indicator 3.4: Percentage of infants with bilateral permanent confirmed hearing loss whose parent(s) chose personal amplification and who were fitted with personal amplification within 1 month of diagnosis
2011 - 34.5%
2012 - 35.3%
2013 - 32.7%
2014 - 34.2%
2015 - 39.4%
Create and maintain a care map outlining expected care through the first year of life.
Timely referrals to appropriate providers are critical for reducing loss to follow-up.