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

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

;/

Newborn Hearing Screening Newborn Hearing Screening LawLaw

Contractual ServicesContractual Services

TEHDI ProcessTEHDI Process

TEHDI ReportingTEHDI Reporting

FundingFunding

CDC GrantCDC Grant

HRSA GrantHRSA Grant

ChallengesChallenges

Contents

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

;/

Newborn Hearing Screening Newborn Hearing Screening LawLaw

Contractual ServicesContractual Services

TEHDI ProcessTEHDI Process

TEHDI ReportingTEHDI Reporting

FundingFunding

CDC GrantCDC Grant

HRSA GrantHRSA Grant

ChallengesChallenges

Contents

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

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

;/

Newborn Hearing Screening Newborn Hearing Screening LawLaw

Contractual ServicesContractual Services

TEHDI ProcessTEHDI Process

TEHDI ReportingTEHDI Reporting

FundingFunding

CDC GrantCDC Grant

HRSA GrantHRSA Grant

ChallengesChallenges

Contents

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

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

;/

Newborn Hearing Screening Newborn Hearing Screening LawLaw

Contractual ServicesContractual Services

TEHDI ProcessTEHDI Process

TEHDI ReportingTEHDI Reporting

FundingFunding

CDC GrantCDC Grant

HRSA GrantHRSA Grant

ChallengesChallenges

Contents

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

Total Births Reported to Vital Statistics 412,100*

Total Births Reported to the TEHDI System 389,248

Infants Requiring Screening Excludes: deceased, parent refusal, terminally ill

386,859

Birth Screens Status

In Process 1,887 (.5%)

Completed 380,706 (98.4%)

Missed 4,274 (1.1%)

Birth Screen Outcome

Passed 371,607 (97.6%)

Did not Pass 9,099 (2.4%)

Need Follow Up (Missed + Did not Pass) 13,373 (3.5%)

* Provisional Data

Summary Screening Data FY2009

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

;/

Newborn Hearing Screening Newborn Hearing Screening LawLaw

Contractual ServicesContractual Services

TEHDI ProcessTEHDI Process

TEHDI ReportingTEHDI Reporting

FundingFunding

CDC GrantCDC Grant

HRSA GrantHRSA Grant

ChallengesChallenges

Contents

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

Total Births Reported to Vital Statistics 412,100*

Total Births Reported to the TEHDI System 389,248

Infants Requiring Screening Excludes: deceased, parent refusal, terminally ill

386,859

Birth Screens Status

In Process 1,887 (.5%)

Completed 380,706 (98.4%)

Missed 4,274 (1.1%)

Birth Screen Outcome

Passed 371,607 (97.6%)

Did not Pass 9,099 (2.4%)

Need Follow Up (Missed + Did not Pass) 13,373 (3.5%)

* Provisional Data

Summary Screening Data FY2009

Otoacoustic Emissions (OAE)Otoacoustic Emissions (OAE)

•A small earphone emits a series of soft sounds into the ear.

•The inner ear responds to sounds by creating echoes (otoacoustic emissions), which are analyzed by the screening equipment.

Newborn Hearing Screening Technology

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

;/

Newborn Hearing Screening Newborn Hearing Screening LawLaw

Contractual ServicesContractual Services

TEHDI ProcessTEHDI Process

TEHDI ReportingTEHDI Reporting

FundingFunding

CDC GrantCDC Grant

HRSA GrantHRSA Grant

ChallengesChallenges

Contents

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

Total Births Reported to Vital Statistics 412,100*

Total Births Reported to the TEHDI System 389,248

Infants Requiring Screening Excludes: deceased, parent refusal, terminally ill

386,859

Birth Screens Status

In Process 1,887 (.5%)

Completed 380,706 (98.4%)

Missed 4,274 (1.1%)

Birth Screen Outcome

Passed 371,607 (97.6%)

Did not Pass 9,099 (2.4%)

Need Follow Up (Missed + Did not Pass) 13,373 (3.5%)

* Provisional Data

Summary Screening Data FY2009

Otoacoustic Emissions (OAE)Otoacoustic Emissions (OAE)

•A small earphone emits a series of soft sounds into the ear.

•The inner ear responds to sounds by creating echoes (otoacoustic emissions), which are analyzed by the screening equipment.

Newborn Hearing Screening Technology

Automated Auditory Brainstem Response (AABR)Automated Auditory Brainstem Response (AABR)

Newborn Hearing Screening Technology (continued)

•A response from a baby’s brain along the auditory pathway.

•The response is recorded by placing electrodes on the baby’s head.

•The response is not generally present when there is hearing loss.

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

;/

Newborn Hearing Screening Newborn Hearing Screening LawLaw

Contractual ServicesContractual Services

TEHDI ProcessTEHDI Process

TEHDI ReportingTEHDI Reporting

FundingFunding

CDC GrantCDC Grant

HRSA GrantHRSA Grant

ChallengesChallenges

Contents

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

Total Births Reported to Vital Statistics 412,100*

Total Births Reported to the TEHDI System 389,248

Infants Requiring Screening Excludes: deceased, parent refusal, terminally ill

386,859

Birth Screens Status

In Process 1,887 (.5%)

Completed 380,706 (98.4%)

Missed 4,274 (1.1%)

Birth Screen Outcome

Passed 371,607 (97.6%)

Did not Pass 9,099 (2.4%)

Need Follow Up (Missed + Did not Pass) 13,373 (3.5%)

* Provisional Data

Summary Screening Data FY2009

Otoacoustic Emissions (OAE)Otoacoustic Emissions (OAE)

•A small earphone emits a series of soft sounds into the ear.

•The inner ear responds to sounds by creating echoes (otoacoustic emissions), which are analyzed by the screening equipment.

Newborn Hearing Screening Technology

Automated Auditory Brainstem Response (AABR)Automated Auditory Brainstem Response (AABR)

Newborn Hearing Screening Technology (continued)

•A response from a baby’s brain along the auditory pathway.

•The response is recorded by placing electrodes on the baby’s head.

•The response is not generally present when there is hearing loss.

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