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