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Need caption for photo of sleeping newborn baby Pediatric Audiology: Before 3 Months

Improvement Strategies

NCIH

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 ORL, ENT, and genetics 

Offer and provide referral to Minnesota Hands & Voices

Refer to Help Me Grow / Early Intervention

Obtain a consent for release of information at first contact

Report data to the Minnesota Department of Health via Audiologist Amplification Report form and Audiology Report for the Newborn Screening Program

Pediatric Audiology: Introduction

Best Practice Guidelines

JCIH

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

Tools for Improvement

WE-TRAC

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

Improvement in Action

filler

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.

 

Audiological Habilitation:

  • 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

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%)

Benchmark Target: 

28.0% by December 31, 2010 (Actual: 23.4%)

36.0% by December 31, 2011

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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%)

Benchmark Target:

22.0% by December 31, 2010 (Actual: 44.0%)

30.0% by December 31, 2011