1. Insert Headline TEHDI Texas Early Hearing Detection and Intervention TEHDI Program and Continuum of Care Texas Early Hearing Detection and Intervention
2. Early Hearing Detection and Intervention as a Coordinated System of Care Texas Early Hearing Detection and Intervention
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5. It’s A Fact! Every day, 33 babies (or 12,000 each year) are born in the United States with permanent hearing loss. With 3 out of every 1,000 newborns having a hearing loss, it is the most frequently occurring birth defect. In Texas, it is estimated 3,600 babies , birth to three, have a permanent hearing loss, yet state records show only a fraction of those are identified and receive timely, appropriate early intervention services.
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14. State Legislation Texas House Bill 714 – Newborn Hearing Screening, Tracking, and Intervention Program (TEHDI Program – DSHS)
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20. The Early Hearing Detection and Intervention Process in Texas Early Intervention – (developmental/educational) services provided by DARS-ECI and school district AI Programs Medical Home Monitoring – pediatric/primary care provider to facilitate medical and developmental intervention Audiology – amplification recommendations, fitting and monitoring
23. TEHDI Birth Screen (UNHS) Newborn Hearing Screening In Hospital PASS DID NOT PASS x 2
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26. TEHDI Outpatient Screen Outpatient Screening (birth hospital, PCP or audiologist) No-Pass Outpatient Hearing Screen Pass Outpatient Hearing Screen An estimated 95% of those babies who do not pass the outpatient screening will have a hearing loss. These babies need a diagnostic audiological evaluation, and referral to ECI.
36. The importance of EHDI providers’ response to promote early childhood developmental milestones cannot be underscored… Texas Early Hearing Detection and Intervention
37. TWO DAY RULE FOR REFERRAL TO PART C (DARS-ECI) Federal Regulations 34 CFR (Code of Federal Regulations) Sec. 303.321 State Regulations 40 TAC (Texas Administrative Code) §108.61
Reflected also in the JCIH Position Statement Principles
Executive Summary provided. Includes neural hearing loss in infants admitted to NICU. Separate protocols for well-baby v/s NICU. Also, for rescreen both ears even if only 1 ear referred. Genetic counseling for all infants with CHL. Single entry point for early intervention. Integrated child-health info system
Rule Change in April 2007 All hospitals which do not perform hearing screenings and refer parents to other facilities for a hearing screening, must now report births and place of referral to the TEHDI data system. Births in referring hospitals are less than 500 per year.
2007 – 160 CHL reported in TEHDI data system with 90 additional from PACT
Designed for all health professionals. Reflects the entire Texas EHDI continuum. Back shows process across agencies.
Audiologists, qualified hearing screening providers, intervention specialists, educators, and others who perform outpatient screenings and diagnostic testing are to report results. Language in the rule was clarified in April 2006. Prior to that, reporting was not clearly required.
These tasks are the responsibility of the TEHDI Case Manager from OZ systems. DSHS letter contains form which allows parents the reporting of outpatient hearing screening results. Parents can also report results via phone.
Texas has one of the highest rates of loss-to-follow-up (loss-to-documentation). Over 60% from 2007 CDC data report.
