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Indiana Newborn Indiana Newborn Hearing ScreeningHearing Screening
Children and Family Health Services Commission
Indiana State Department of Health
Weilin Long, M.A., M.P.ADirector of Newborn Screening Programs
Why Newborn Why Newborn Hearing ScreeningHearing Screening
Significant hearing loss in newborns
is present in approximately 250
babies per year in Indiana.
Indiana Newborn Hearing Indiana Newborn Hearing Screening LawScreening Law
Legislative mandated program
IC 16-41-17-2
“… every infant shall be given a physiologic hearing screening examination at the earliest feasible time for the detection of hearing impairments.”
Mission StatementMission Statement Ensure that all newborns receive state-mandated
physiologic hearing screening. Collaborate with FIRST STEPS, FSSA to ensure that infants
who test positive for hearing loss receive appropriate intervention/ treatment and that their parents receive appropriate support/counseling.
To collect information on the incidence of hearing loss. Promote public awareness and education concerning
hearing conditions.
Program GoalsProgram Goals Physically screen all infants born in Indiana
prior to discharge; Perform diagnostic evaluation by three
months of age; and Enroll in early intervention by six months of
age.
Indiana’s ProgressIndiana’s Progress
Less than 18% hospitals with UNHS program in 1994
42% hospitals with UNHS in 1996
Indiana’s ProgressIndiana’s Progress
Law was passed in May 1999 Program was fully implemented in
July 2000 94% of the hospitals participated
in 2000 100% participated in 2001
Indiana’s ProgressIndiana’s Progress
“EXCELLENT”National Campaign for Hearing
Health for the State’s Infant Hearing Screening Program
Program StatusProgram Status
100% of the Hospitals/Birthing Institutions reported. 97% of infants born in IN were screened. 10% did not pass initial screening. 98% of those who did not pass initial screening
received repeat screening. 1.7% did not pass repeat screening. 1,966 referrals were made – 1,142 to the First Steps,
535 to PCP, and 289 to specialists.
Program StatusProgram Status1,142 infants were referred to the First Steps 24% of them were identified with hearing loss 51% of infants identified with hearing loss
were enrolled in early intervention programs by six months of age.
Indiana Indiana Newborn Hearing ScreeningNewborn Hearing Screening
Collaboration is the key to ensure enrolling children with hearing loss to early intervention programs by six months of age.
Indiana Indiana Newborn Hearing ScreeningNewborn Hearing Screening
Screening prior to discharge
Timely referral and reporting to First Steps
early intervention services
Accurate and timely tracking and follow- up
First Steps 45 calendar days time line
Linkage to medical homes
Key PlayersKey Players
Professional sensibility/concerns
Parent/consumer advocacy
IPN’s subcommittee
Advisory Committee appointed by the Governor
ISDH in collaboration with First Steps, Indiana School for the Deaf, hospitals, local health department Regional consultants
– funded through MCHS grant
Indiana Newborn Hearing Indiana Newborn Hearing Screening ProgramScreening Program
MCHB Grant awarded allows Indianato expand current hospital-centered
hearingscreening program to a statewide
familycentered, culturally sensitive,
communitybased program.
LaGrangeLaGrange Hosp
SteubenCameron Mem Hosp
DeKalb•DeKalb Mem Hosp
NobleParkview Noble Hosp
WhitleyWhitley Mem Hosp
AllenLutheran HospParkview MemSt Joe Med Cen – Ft Wayne
Wab
ash
W
abas
h C
o H
osp
Hu
nt-
ingt
on P
arkv
iew
H
ealth
C
ente
r
Ad
ams
• Ada
ms
Co
Mem
H
osp
Wells
WellsBluffton Med CenterCaylor-Nickel Hosp
Grant Marion Gen Hosp
Blackford
BlackfordBlackford Co Hosp
ElkhartElkhart Gen HospGoshen Gen Hosp
KosciuskoKosciusko Comm Hosp
St. JosephLaPorteLaPorte HospSt Anthony Hosp Mich City
PorterPortage Comm HospPorter Mem Hosp
Lake
Lake
Comm Hosp of MunsterMethodist Hosp GaryMethodist Hosp MerrillvilleSaint Anthony Med Cen of Crown PointSaint Catherine Hosp of East ChicagoSaint Margaret Mercy –HammondSaint Margaret Mercy –DyerSaint Mary's Med Cen - Hobart
St. JosephAncilla Health CareMem Hosp – South BendSt Joseph Med Cen – South Bend
MarshallCommHos St Joe Hos Marshall Co
StarkeStarke Mem Hosp
FultonWoodlawn Hosp
PulaskiPulaski Mem Hosp
JasperJasper Co Hosp
New
ton
Benton
JayJay Co Hosp
RandolphSt Vincent Randolph Hosp
Delaware
Ball Mem Hosp
Madison
HancockHancock Mem Hosp
WayneReid Hosp & Health Care Ctr
HenryHenry Co Mem Hosp
MadisonCommunity Hosp of AndersonSt John Med CenterSt Vincent Mercy Hosp – Elwood
UnionFayetteFayette
Mem Hosp
RushShelby•Major Hosp Franklin
Decatur
Decatur Mem Hosp Dearborn
Ohio
Switzerland
RipleyMargaret Mary Comm HospJennings
JeffersonKing’s Daughters Hosp
B
arth
ol
om
ew C
olum
bus
Reg
Hos
pBrown
JacksonMemorial Hosp Seymour
WashingtonWash. Co Mem Hosp
Scott
ClarkClark Mem Hosp
Floyd
Dearborn
Dearborn Hosp
JohnsonJohnson Mem Hosp
MarionMarion
Columbia Women's Hosp of IndplsCommunity Hosp of Indpls 1-East, 2-North, 3-SouthMethodist Hosp IndplsNurse Midwives Riley Hosp - Data Management Off.St Francis Hosp. CenterSt Vincent Hosp & Health Care CenterWishard Mem HospUniversity Hospital
Floyd
Floyd Mem Hosp
Scott
Scott Co Mem Hosp
HarrisonHarrison Co Hosp
Crawford
PerryPerry Co Mem Hosp
Spencer
Warrick
OrangeBloomington Hosp of Orange Co
Posey Vanderburgh
GibsonGibson Gen Hosp
PikeDubois
Vanderburgh
Deaconess HospSt Mary’s Med Center EvansvilleSt Mary’s Riverside Hosp
Dubois
Memorial Hosp & Health Care – JasperSt Joseph Hosp – Deaconess – Huntingburg
K
nox
G
ood
Sam
arit
an
Hos
p
DaviessDaviess Co Hosp
Martin
LawrenceBedford Medical CtrDunn Mem Hosp
Monroe
Bloom ington Hosp
Sullivan
Sullivan Co Comm Hosp
GreeneGreene Co Gen Hosp
Vigo ClaySt Vincent Clay Co Owen
Putnam
Putnam Co Hosp
ParkeV e r m i ll i o n HendricksHendricks Comm Hosp
Morgan
MontgomerySt Clares Med Center Boone
HamiltonRiverview Hosp
TiptonTipton Co Mem Hosp
ClintonSt Vincent Franklin Hos
TippecanoeLafayette Home Hosp
Fountain
Warren
Carroll
Howard
WhiteWhite Co Mem Hosp
CassLogansport Mem Hosp
Mia
mi
Duk
es
Mem
H
osp
Vigo
Columbia Terre HauteUnion Hosp – Terre Haute
Morgan
Morgan Co Mem HospSt Francis Hosp Mooresville
Vermillion
West Central Community Hosp
Howard
Howard Comm HospSt Joe Hosp/Health Care Ctr - Kokomo
Map of
Indiana -
Outreach
Regional Outreach ProgramRegional Outreach Program
Refine Indiana’s UNHS through outreach activities
Involve community /family Ensure locally available technical assistance
to providers and consumers Promote timely diagnostic evaluation and
early intervention services.
ChallengesChallenges
Integrated data system Reporting/referring to First Steps Education and training Follow-up with children who pass hearing
screening but are at high risk of on set delay Program evaluation
Indiana Newborn Indiana Newborn Hearing ScreeningHearing Screening
ParticipationTeam work
CoordinationCooperation