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Health Indicator Report of Newborn Hearing Screening

It is extremely important for hearing loss to be detected early to optimize communication development. The most effective method to implement early identification of hearing loss is to screen all babies before they leave the birthing hospital or by two weeks of age to diagnose permanent hearing loss quickly, and begin intervention as soon as possible.

Newborn Hearing Screening: Number of Children with Diagnosed Hearing Loss by Birth Year, Utah, 2010-2017

Notes

For 2010 data, HiTrack calculations for hearing loss were deemed to be inaccurate and under-represented the true number of children with hearing loss. For 2013 data calculations for hearing loss were deemed to be inaccurate and over-represented the true number of children with hearing loss due to many "undetermined" losses being counted as a permanent hearing loss. Incidence of permanent congenital hearing loss in Utah generally remains at 2 per thousand births.

Data Source

NBHS - HI*TRACK Hearing Screening Tracking and Data Management (C) HI*TRACK, Utah State University

Definition

Screening for hearing loss for newborn infants has been mandated in Utah since 1998. Because half of the children with hearing loss have no family history of deafness or hearing loss, universal screening is conducted to detect children with permanent congenital hearing loss (PCHL) as soon as possible. There is substantial evidence that newborn hearing screening is highly accurate and leads to earlier identification and treatment of infants with hearing loss. Healthy People 2020 Objectives addressed in this report include: * HP 2020 ENT-VSL-1.1 Percentage of newborns who are screened for hearing loss no later than age 1 month. * HP 2020 ENT-VSL-1.2 Percentage of infants who did not pass hearing screening who received audiologic evaluation by age 3 months. * HP 2020 ENT-VSL-1.3 Percentage of infants with confirmed hearing loss enrolled in intervention services no later than age 6 months.

Numerator

ENT-VSL-1.1 Number of newborns screened for hearing loss by one month of age[[br]] ENT-VSL-1.2 Number of newborns who received an audiologic evaluation following failed hearing screening[[br]] ENT-VSL-1.3 Number of infants with confirmed hearing loss enrolled in Early Intervention

Denominator

ENT-VSL-1.1 Number of occurrent births in Utah[[br]] ENT-VSL-1.2 Number of infants referred for audiologic evaluation[[br]] ENT-VSL-1.3 Number of infants with confirmed permanent hearing loss

Healthy People Objective ENT-VSL-1:

Increase the proportion of newborns who are screened for hearing loss by no later than age 1 month, have audiologic evaluation by age 3 months, and are enrolled in appropriate intervention services no later than age 6 months
U.S. Target: Not applicable, see subobjectives in this category

Other Objectives

Healthy People 2020 sub-objectives and targets for ENT-VSL-1: {{style color:#003366 ENT-VSL-1.1:}} Increase the proportion of newborns who are screened for hearing loss no later than age 1 month * '''U.S. Target:''' 90.2 percent * '''Utah Target:''' 98.0 percent*[[br]] [[br]] {{style color:#003366 ENT-VSL-1.2:}} Increase the proportion of newborns who receive audiologic evaluation no later than age 3 months for infants who did not pass the hearing screening * '''U.S. Target:''' 72.6 percent * '''Utah Target:''' 86 percent*[[br]] [[br]] {{style color:#003366 ENT-VSL-1.3:}} Increase the proportion of infants with confirmed hearing loss who are enrolled for intervention services no later than age 6 months * '''U.S. Target:''' 55.0 percent * '''Utah Target:''' 64.0 percent*[[br]] [[br]] ^ ^*Utah Target based on CDC-EHDI Grant goals for 2017-2020.

How Are We Doing?

The Utah Early Hearing Detection and Intervention (EHDI) Program within the Utah Department of Health oversees newborn hearing screening in Utah and documents hearing screening on over 99% of newborns. In 2017, 98.2% of infants with documented screening results were screened by one month of age (as reported to the CDC EHDI Hearing Screening and Follow-up Survey [HSFS]), an increase from 97.4% reported for 2011 births. Many of the infants with screening delayed past one month are NICU (newborn intensive care unit) babies where screening may not be indicated until discharge (often after one month of age), or home births who may not have access to screening before one month. Babies receiving a diagnostic exam prior to three months has steadily increased from 56.7% in 2011 to 79.4% in 2017. Babies in the diagnostic process may receive confirmation of hearing loss after the optimal 3 month "window" although they received one or more diagnostic evaluations before that time. Values reported to the CDC are based on the final or "confirmed" hearing status which can consist of multiple previous diagnostic exams.

How Do We Compare With the U.S.?

In 2016, data from the Centers for Disease Control and Prevention (CDC) EHDI showed that 98% of newborns in the United States (49 states, 7 territories) were screened for hearing loss, with 94.8% screened by one month of age. Of those babies not passing the hearing screening, 62.7% had a diagnostic evaluation; 75.9% were diagnosed as either having or not having a hearing loss before three months of age. While 2017 Utah data has been submitted to the CDC, it has not yet been published. ''* For data tracking and reporting purposes, those "referred for evaluation" include all infants who did not pass their final hearing screening. While Utah is a 2-stage screening state, this number includes all infants who did not pass both inpatient and outpatient screens and were referred for diagnostic audiology, as well as those infants who did not pass inpatient screening and did not return for outpatient screening.''[[br]] Of infants "referred for evaluation"* in 2016: * % with no loss ** U.S.: 52.9% ** Utah: 55.7% [[br]] *% with hearing loss ** U.S.: 9.7% ** Utah: 23.4%* [[br]] *% overall loss to follow-up ** U.S.: 25.4% ** Utah: 14.5% [[br]] *% loss to follow-up due to "unable to contact/unknown" ** U.S.: 18.1% ** Utah: 2.0%[[br]] [[br]] *% loss to follow-up due to "contacted unresponsive" ** U.S.: 7.2% ** Utah: 12.5%[[br]] [[br]] National Early Hearing Detection and Intervention (EHDI) data shows that 67.3% of infants born in 2016 with hearing loss who are receiving EI (Early Intervention) services were enrolled prior to six months of age; Utah showed a 81.6% enrollment success rate by six months of age for 2016 and 80.1% in 2017.[[br]] [[br]] ---- Data source: [https://www.cdc.gov/ncbddd/hearingloss/2016-data/01-2016-HSFS-Data-Summary-h.pdf] Published May 2018.

What Is Being Done?

State legislation requires that ALL newborns, including those born at home, must have their hearing screened by one month of age and results reported to the Utah Department of Health. Increased efforts have been focused on providing screening equipment, support, and training for local midwives who collectively birth over 1,000 babies per year. The Utah Newborn Hearing Screening/EHDI Program supports tracking efforts and provides resource information to hospitals, midwives, medical providers, local programs, and families. Improvements in the EHDI tracking surveillance system and decreasing loss to follow-up/documentation has been a priority, as well as matching EHDI data across other state programs (Utah Birth Defects Network, CCHD, Vital Records, etc.). Implementation of the Birth Certificate Alert Program, in collaboration with local health departments, began statewide in 2014. Twenty-six of 29 local health departments are now participating. Alerts to parents applying for their child's birth certificate are generated if their infant has not yet completed the newborn hearing screening process. The Newborn Hearing Screening Committee endorses Healthy People 2020 goals and assesses progress quarterly. The Utah EHDI Program has been working extensively with the Office of Vital Records both to clean and match data, as well as by updating the Birth Certificate Application so that midwives can now enter (November 2019) newborn hearing screening results as they apply for the child's birth certificate. Beginning in 2017 the Utah EHDI Program partnered with Utah Family Voices/Utah Parent Center to employ a Parent Consultant to provide support to families who have a child who is deaf or hard of hearing. This has been a valuable partnership and contact has been made with all families who had a child diagnosed with a hearing loss in 2018.

Available Services

Resources for families and providers on deafness and hearing loss, state requirements, intervention services, and related handouts are available at [https://health.utah.gov/cshcn/programs/ehdi.html]. Statewide hearing screening and audiology diagnostic providers can be found at [https://health.utah.gov/cshcn/programs/map.html]. Families of infants identified with permanent hearing loss are offered targeted services for deaf and hard of hearing children birth through 3 years of age through the UDOH Baby Watch Early Intervention Program ([https://health.utah.gov/cshcn/programs/babywatch.html BWEI]) and the Utah School for the Deaf Parent Infant Program ([https://www.usdb.org/programs/deaf-and-hard-of-hearing/ USDB]). Families in need of parent-to-parent support upon initial diagnosis or at any point throughout the EHDI process may contact EHDIparents@utah.gov. For up-to-date resources and community happenings, interested parties can follow the Utah EHDI Family Support and Information Facebook page (@UtahEHDI). Topics of interest to deaf and hard of hearing families are presented live monthly through the Utah EHDI WebinEARS series and are recorded and available on the Facebook page. The Utah Parent Center helps all families no matter their child's diagnosis. For more information, visit [https://utahparentcenter.org]. The Utah Children's Hearing Aid Program (CHAP) provides access to hearing aids to children under 6 years of age for financially eligible families. For more information and/or to apply, visit [https://health.utah.gov/cshcn/programs/chap.html].
Page Content Updated On 10/22/2019, Published on 11/06/2019
The information provided above is from the Department of Health's Center for Health Data IBIS-PH web site (http://ibis.health.state.gov). The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Sun, 17 November 2019 8:39:48 from Department of Health, Center for Health Data, Indicator-Based Information System for Public Health Web site: http://ibis.health.state.gov ".

Content updated: Wed, 6 Nov 2019 12:58:07 MST