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  3. Preventive Health Care for Children, Teens and Young Adults
  4. Early Hearing Detection And Intervention: A Roadmap To Success
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Early Hearing Detection and Intervention (EHDI)

  • EHDI Home
  • Roadmap for Success
  • Find a Minnesota Provider
  • Resource Binder for Families - What you Need to Know (PDF)
  • Resources for Families
  • Contact Us

Parts of EHDI

  • Medical Home
  • Inpatient Screening
  • Outpatient Screening
  • Out of Hospital Births
  • Pediatric Audiology
  • Specialty Care
  • Early Intervention
  • State EHDI Program

Related Programs

  • Newborn Screening
  • Children and Youth with Special Health Needs

Early Hearing Detection and Intervention (EHDI)

  • EHDI Home
  • Roadmap for Success
  • Find a Minnesota Provider
  • Resource Binder for Families - What you Need to Know (PDF)
  • Resources for Families
  • Contact Us

Parts of EHDI

  • Medical Home
  • Inpatient Screening
  • Outpatient Screening
  • Out of Hospital Births
  • Pediatric Audiology
  • Specialty Care
  • Early Intervention
  • State EHDI Program

Related Programs

  • Newborn Screening
  • Children and Youth with Special Health Needs
Contact Info
Early Hearing Detection & Intervention (EHDI)
651-201-5466
800-664-7772
ehdi@state.mn.us
health.newbornhearing@state.mn.us

Contact Info

Early Hearing Detection & Intervention (EHDI)
651-201-5466
800-664-7772
ehdi@state.mn.us
health.newbornhearing@state.mn.us

Pediatric Audiology: before 3 months

Infant

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Introduction

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:

  • 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
  • Ongoing validation of amplification fitting is mandatory to ensure that the purpose of hearing aids (i.e., development of spoken language, auditory awareness, or other) is being fulfilled by the amplification (2019 Joint Committee on Infant Hearing)
  • Insurance Coverage for Pediatric Hearing Aids - Minnesota Statute 62Q.675
  • Hearing Aid Law - 18 Years or Younger
  • Information about purchasing hearing aids for children (MNCDHH)
  • Hearing Aid Financial Resources (DHS)
  • State of Minnesota Pediatric Hearing Device Loaner Program
  • Hearing Aid Appeals: Information For Parents (if denied insurance coverage) (DHS)

Minnesota EHDI Goals, Indicators, and Benchmarks

Goal: All infants who screen positive will have a diagnostic audiologic evaluation before 3 months of age.

Percentage of infants who had a REFER on final newborn hearing screen and received a comprehensive audiological evaluation by 3 months of age

Annual Percentages:

2016 - 54%
2017 - 48%
2018 - 54%
2019 - 57%

---------------

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

Annual Percentages:

2016 - 29%
2017 - 37%
2018 - 23%
2019 - 15%
2020 - 24%

Best Practice Guidelines

Resources

National

Baby and Pediatrician2019 Joint Committee on Infant Hearing Position Statement

Supplement to the JCIH 2007 Position Statement: Principles and Guidelines for Early Intervention After Confirmation That a Child Is Deaf or Hard of Hearing

Roles, Knowledge, and Skills: Audiologists Providing Clinical Services to Infants and Young Children Birth to 5 Years of Age (ASHA)

ASHA Guidelines for Audiologists Providing Informational and Adjustment Counseling to Families of Infants and Young Children With Hearing Loss Birth to 5 Years of Age

American Academy of Audiology Childhood Hearing Screening Guidelines

American Academy of Audiology Assessment of Hearing in Infants and Young Children

Clinical Practice Guideline: Otitis Media with Effusion (Update) 2016

Minnesota

Guidelines for Infant Audiologic Assessment

Audiology Guidelines for Infants with Congenital Cytomegalovirus (PDF)

Guidelines for Audiologist Referral to Early Intervention, Medical Specialties and Connection to Parent-to-Parent and Family Support

Guidelines for Pediatric Amplification

Tools for Improvement

Strengthen Care Coordination

First steps after identifying a child who is deaf, deafblind or hard of hearing: A quick guide of Clinical Audiologists (YouTube)

EHDI Information Packet for Clinical Audiologists (MN Low Incidence Projects)

MN EHDI Patient Checklist for Primary Care Providers

Initial Identification of Hearing Loss Checklist

Enhancing Collaboration Between Primary and Subspecialty Care Providers for Children and Youth with Special Health Care Needs

Report data to the Minnesota Department of Health:

  • Newborn Hearing Screening Outpatient Follow-up Report Form
  • Newborn Hearing Screening Audiology Follow-up Report Form
  • Audiology Amplification Report Form

Partnering with your Doctor The Medical Home Approach: A guide for families of children with special health care needs- Region 4 Midwest Genetics Network Partnering with your Doctor: English Spanish Arabic

American Speech-Language-Hearing Association, Degree of Hearing Loss

Engage Families as Partners

EHDI Parent Resource Binder features the Parent Roadmap and offers more in depth information about hearing loss. Any child living in Minnesota that is newly identified with a hearing loss will receive a printed copy of this resource binder.

Questions to ask your Audiologist

Decision Guide to Communication Choices

Submit an order form for EHDI Materials

  • Beginnings Book - available in English and Spanish
  • Parent Roadmap (English, Hmong, Somali, Spanish)
  • Transient Follow-up Postcard

Questions families often ask

Exploring Communication Opportunities for Children with Hearing Differences: An Overview (MN Low Incidence Projects)

Demonstrations:

Simulated listening with hearing loss and devices (Boys Town National Research Hospital)

Hearing aids and FM system simulation in classroom (Vermont Center for the Deaf & Hard-of-Hearing, Inc.)

Hearing Loss Simulator with Music (Ear Science Institute Australia)

Connect to Community Resources

Man holding a child with a band around it's head holding a bone conduction deviceMinnesota Department of Human Services: Deaf and Hard of Hearing Services

Minnesota Hands & Voices

Minnesota Hands & Voices: Resource Directory

Help Me Grow / Early Intervention

State of Minnesota Pediatric Hearing Device Loaner Program

Insurance Coverage for Pediatric Hearing Aids - Minnesota Statute 62Q.675

Hearing Aid Law - 18 Years or Younger

Information about purchasing hearing aids for children (MNCDHH)

Hearing Aid Financial Resources (DHS)

Hearing Aid Appeals: Information For Parents (if denied insurance coverage) (DHS)

Quarterly Audiology Newsletters

2020 Newsletters:

  • Sound Matters Newsletter - 2020 Issue 4
  • Sound Matters Newsletter - 2020 Issue 3
  • Sound Matters Newsletter - 2020 Issue 2
  • Sound Matters Newsletter - 2020 Issue 1

2019 Newsletters:

  • Sound Matters Newsletter - 2019 Issue 4
  • Sound Matters Newsletter - 2019 Issue 3
  • Sound Matters Newsletter - 2019 Issue 2
  • Sound Matters Newsletter - 2019 Issue 1
Improvement in Action

Hearing Aid "Magic" (YouTube 01:11)

  • Hearing Aid Magic transcript (PDF)

Jonathan's Cochlear Implant Activation (YouTube 00:50)

  • Jonathan's Cochlear Implant Activation (PDF)
National Initiatives for Children's Healthcare Quality Logo

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

Report data to the Minnesota Department of Health via report forms: 1) Outpatient Screening Results, 2) Diagnostic Audiology Results, 3) Amplification Report

Report, Refer, Connect Poster for Audiologists (print and post on your wall for easy reference)

Tags
  • children youth
Last Updated: 03/10/2023

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