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An Overview of the Texas Early An Overview of the Texas Early Hearing Detection and Hearing Detection and Intervention Program TEHDIIntervention Program TEHDI
Newborn Hearing Screening
• 76th Legislature in 1999, established the Texas Newborn Hearing Screening Program (NBHS) by adding Texas Health and Safety Code, Chapter 47.– Texas Early Hearing Detection and Intervention
(TEHDI) Program.
• Certain birth facilities must offer newborn hearing screening (NBHS) to all families of newborns during the birth admission.
Newborn Hearing Screening Law
Facilities that must offer NBHS
• Hospitals licensed under Chapter 241 of the Texas Health and Safety Code – Offer obstetrical services– Are located in counties with populations greater than
50,000.
• Birthing Centers licensed under Chapter 244 of the Texas Health and Safety Code– Are located in counties with populations greater than
50,000 and that have 100 or more births per year.
Facilities Required to Offer NBHS
Mandate
• Texas law mandates that parents must be offered a hearing screening.
• Parents must give written permission before the hearing screening is performed and reported to TEHDI.
Mandate
Over 400,000 babies are born in Texas each year.
The incidence of hearing loss is 2 - 3 per 1,000 births.
Screening for Hearing Loss
13,373 (3.5%)Need Follow Up (Missed + Did not Pass)
9,099 (2.4%)Did not Pass
371,607 (97.6%)Passed
Birth Screen Outcome
4,274 (1.1%)Missed
380,706 (98.4%)Completed
1,887 (.5%)In Process
Birth Screens Status
386,859Infants Requiring Screening Excludes: deceased, parent refusal, terminally ill
389,248Total Births Reported to the TEHDI System
412,100*Total Births Reported to Vital Statistics
* Provisional Data
Summary Screening Data FY2009
TEHDI Outpatient ReportingReporting
Required reporting of outpatient hearing results into the TEHDI system or via fax by the following providers: (rule change in 2007)
• Those who perform outpatient screenings and diagnostic testing
-Examples: - Qualified hearing screening providers
- Intervention specialists
- Educators
• TEHDI providers can input hearing results directly into the online TEHDI system.
Diagnostic Evaluation
• Infants who do not pass the outpatient screen are referred for diagnostic assessment, either to confirm or rule out permanent hearing loss.
Diagnostic Assessment
TEHDI Outpatient Reporting
Audiologists provided with a workflow designed to facilitate the entry of diagnostic data and online referral to ECI.
TEHDI Audiologist Reporting
TEHDI Outpatient Reporting
• Physicians have access to a module called Provider Access.
TEHDI Physician Reporting
Funding
• Medicaid• Children with Special Health Care Needs (CSHCN)• Maternal and Child Health/Title V funds.
Funding
Over 50% of the Infants/Children needing follow-up Over 50% of the Infants/Children needing follow-up are believed to be lostare believed to be lost
• One of the highest priorities in the administration of a state EHDI program is to reduce the loss to follow-up rate.
• What was once thought to be a loss to follow-up in services may in actuality be loss to documentation or reporting.
Loss to Follow-up/Documentation
Centers for Disease Control (CDC Grant)
• Awarded to the TEHDI program in 2008 – In alignment with the CDC national goal of reducing loss
to follow-up through…• Reporting• Data integration • Use of the TEHDI system data
Centers for Disease Control and Prevention (CDC)
• 3-year grant
• Purpose is the reduction in the loss to follow-up rate accomplished through – Outreach – Education
Health Resources and Services Administration (HRSA)
Activities Involving the HRSA Grant
To Be DevelopedHospitals/ClinicsENTs
To Be DevelopedEI/ECI SitesEarly Intervention Providers
In DevelopmentHospitals/ClinicsAudiologists
In DevelopmentHospitals/ClinicsOut Patient Screeners, PCPs, and audiologist
Near CompletionMedical HomePrimary Care Physicians
CompletedBirth HospitalsNewborn Program Managers/Screeners
CompletedOB/GYN clinicsNurse Practitioners, Midwives
StatusTarget SiteTarget Audience
HRSA Outreach Educator Project
HRSA Funded Activities
Insert Headline
TEH D ITEH D IUniversal Newborn Hearing Screening
Outreach Education
Te x a s E a r ly H e a r in g D e t e c t io n
a n d In t e r v e n t io n
© Department of State Health Services 2009-2010
Insert Headline
TEHDITEHDITexas Early Hearing Detection and InterventionTexas Early Hearing Detection and Intervention
Medical Home Outreach EducationMedical Home Outreach Education
Texas Early Hearing Detection and Intervention
© Department of State Health Services 2010
Provider Educational Materials
Information Health Professionals Need to Know
• Reduce the loss to follow-up or loss-to-documentation.- Increase the number of providers, especially
audiologists, utilizing the TEHDI data system.
• Educate on the TEHDI Program and the TEHDI Continuum.
Challenges and Opportunities
Contacts
Mary Gwyn Allen, TEHDI Program CoordinatorMary Gwyn Allen, TEHDI Program Coordinator(512) 458 – [email protected]
TEHDI Contacts
Sarah Shaw, TEHDI Program SpecialistSarah Shaw, TEHDI Program Specialist(512) 458 – 7111 ext. [email protected]
