NCHAM www.infanthearing.org  
2004 State EHDI Survey > Screening
 

SCREENING RESULTS

 1. What percentage of all babies born in your state during the last quarter of 2003 were screened for hearing loss prior to hospital discharge?

Weighted percentages:

  • 89.72% of all babies being screened
  • 91.62% excluding states ≤ 80% (CA, IA, & OH)

 2. How many birthing facilities are in your state?

  • Total: 3602
  • Minimum: 7 (RI)
  • Maximum: 350 (CA)

 3. How many of these birthing facilities were doing universal newborn hearing screening (i.e., > 90% of all births) at the end of December 2003?

Total: 3120

Range: 6 – 263

Weighted percentages:

  • 86.62% of all birthing facilities doing UNHS
  • 90.88% excluding states ≤ 80% (CA, KS, NY, TN, & WA)

100% birthing facilities doing UNHS (30 states):

  • AL, CT, DE, HI, ID, IL, IN, KY, MA, MD, MO, MS, MT, NC, ND, NE, NJ, NM, OK, PA, RI, SC, SD, TX, UT, VA, VT, WI, WV, & WY

≤ 5 facilities out of all birthing facilities NOT doing UNHS (12 states):

  • AK – 22/23, AR – 50/51, AZ – 43/45, CO – 50/55, GA – 94/96, IA – 89/90, ME – 32/33, MI – 98/99, NH – 23/24, NV – 18/19, OR – 44/49, & DC – 6/7

> 5 facilities out of all birthing facilities NOT doing UNHS: 9 states

  • CA – 170/350, FL – 114/130, KS – 53/89, LA – 55/68, MN – 105/111, NY – 117/161, OH – 43/124, TN – 66/89, & WA – 48/68

 4. Do hospitals report to the state EHDI program the screening protocol they are using?

Table 4.
Response Number
of States
Yes 32
No 16
 

a. Please estimate the percentage of hospitals for whom the screening protocol consists of:


Table 4a.
  YES over 0% All reported %s†
Inpatient screening only:

2 states reporting 100%
8 states reporting 0%

 59.00% 44.70%
Inpatient and Outpatient screening:

8 states reporting 100%
3 states reporting 0%

 59.23%
n = 30		 53.84%
n=33
Outpatient screening only:

5 states reporting: 1%, 2%, 3%, 10%, & 32%
28 states reporting 0%

 9.6%
N=5		 1.45%
n=33
† One state reporting % even though answering "No" to original question.
 

 5. Of newborns screened for hearing loss during October - December, 2003, estimate the percentage who DID NOT PASS prior to hospital discharge.

  • 4.77% - 48 states
  • 3.38% - Excluding outliers (12 states screening < 95% [Range: 5.1% - 30%])

 6. Do hospitals in your state systematically collect data for newborns about the presence of HEARING LOSS RISK INDICATORS (such as the JCIH indicators)?

  • 14 -- All or most hospitals
  • 17 -- Some hospitals
  • 20 -- No

a. Estimate the percentage of newborns for whom risk indicator data were collected during the last quarter of 2003. (No response: 5 states)

  • 44.62% (26 states)
 
 

b. Do hospitals submit risk indicator data to the state EHDI program?

  • 2 -- Yes, but only aggregate data
  • 23 -- Yes, for individual babies
  • 4 -- No
 

c. For babies who had risk indicators, estimate the percentage for which each of the following were done (percentages may sum to more than 100%).

  • 78.05% The baby's physician was notified of the need for monitoring. (19 states responding)
  • 86.11% The baby's parents were notified of the need for monitoring. (18 states responding)
  • 57.12% The hospital or the state EHDI program attempted to do audiologic monitoring: (16 states responding)
Table 6.
Every ____ months for ____ years Number
of States
3 3 1

3-4

 3 1
6 1 1
6 3 8
6 5 1
6 6 1
 
 

d. Estimate the percentage of babies with risk indicators who received at least one audiologic monitoring during the first year of life.

  • 40% -- 10 states responding > 0%
  • Unknown or N/A: 10 states
  • No response: 31 states
 

 7. Does your state EHDI program have procedures/activities to ensure that babies born at home are screened for hearing loss?
 
  • 30 -- No
  • 21 -- Yes

If "Yes", estimate the % of home births during the last quarter of 2003 that were screened:

  • 41.15%
  • 13 states provided estimates (includes some states answering 'No')
  • 10 states did not provide estimates
Describe briefly: (All states responding provided a description of the procedures/activities)
  • Midwives receive training and information on hearing screening, perform hearing screenings, or provide information and follow-up to homebirth parents (10 states)
  • Parents' request made to DOH, at hospital or other screening facility (4 states)
  • Pediatrician/PCP/home visiting nurse provide (or are encouraged to provide) referral to screening facility and expected to follow-up (6 states)
  • Information about hearing screening sent or given to the homebirth parents (8 states)
  • Information obtained about the home birth from other programs such as Birth Certificate registration, WIC, Early Intervention, blood card/heelstick, etc. (4 states)
  • Outreach programs or relying on existing programs (5 states)
  Comments by Respondents:
  • The CNM also provides education to family on EHDI.
  • Educate birthing centers
  • This is an area we are focusing on this year with midwives
  • Midwives given information & invited to trainings.
  • Except midwives have received information & screening facility lists

 8. Is your state EHDI program responsible to ensure that hearing screening occurs for:
 
Table 8.
  Number of States
  Yes No
Preschool aged children? 2 49
Children in grades 1-3? 0 51