15th ANNUAL EARLY HEARING DETECTION & INTERVENTION MEETING
March 13-15, 2016 • San Diego, CA
| - | 1 - EHDI Program Enhancement
When Is Repeat Hearing Screening of Transferred Infants Appropriate?
The Children’s Hospital of Philadelphia (CHOP) is the nation’s first hospital devoted exclusively to the care of children. As a large secondary and tertiary hospital, the majority of our newborn patients are transfers from outside facilities, including other Pennsylvania hospitals and hospitals in bordering states. These transfers include approximately 200 per year from hospitals located in New Jersey. While many infants receive a hearing screening at their birth hospital prior to transfer, the Audiology Department has educated the inpatient teams that NICU babies should automatically receive an audiology consult upon admission. If the baby has already passed a hearing screening at an outside hospital, a physician may uncheck the order. For 2013 births transferred from New Jersey, approximately one-third had screening performed before transfer. Many of the diagnoses and treatments that occur during the transfer admission can put a child at risk for hearing loss. These may include the development of sepsis or exposure to ototoxic medications. The New Jersey Early Hearing Detection and Intervention (NJ-EHDI) program and CHOP have a long-established and well-developed working relationship to track cross-border transfers. Both institutions identified instances where babies do not receive additional screening during their CHOP stay. For 2013 transfers, approximately half of the previously screened infants did not have a re-screening done.
As a quality assurance project, the NJ-EHDI and CHOP staff performed a retrospective review of transferred cases born from January 2014 to June 2015 to evaluate if current procedures were sufficient to ensure re-screening when appropriate. For all patients not receiving a repeat screening, a chart review was conducted. Inpatient procedures and diagnoses were reviewed. Those patients that should have received additional audiologic testing were identified. An analysis of the data from this review as well as conclusions regarding suggested procedural modifications for appropriate follow-up will be presented.
- Compare clinical diagnoses and treatments for infants that receive repeat hearing screening during a transfer admission to those of infants that do not receive a repeat hearing screening.
- Propose guidelines to indicate when re-screening of transferred infants is appropriate.
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Presenters/Authors
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Erin Cipriano
(Primary Presenter), The Children's Hospital of Philadelphia, Cipriano@email.chop.edu;
Erin Cipriano, AuD, CCC-A is a clinical audiologist at The Center for Childhood Communication at The Children’s Hospital of Philadelphia (CHOP). She received her Doctorate of Audiology (AuD) from The University of Florida. Erin has been a practicing audiologist at CHOP for 13 years. Her area of clinical interest is newborn hearing screening and she serves as a clinical leader for the Center's Newborn Hearing Screening Program.
ASHA DISCLOSURE:
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No relevant financial relationship exist.
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No relevant nonfinancial relationship exist.
Nancy Schneider
(Co-Presenter), New Jersey Department of Health, Nancy.Schneider@doh.state.nj.us;
Nancy G. Schneider, M.A., CCC-A, FAAA has served as the audiologist at NJ EHDI since 2003. She received her M.A. degree in Audiology (University of Maryland); her B.A. degree in Communication Sciences and Disorders (Montclair State College) and completed a Certificate Program in ASL Studies at Union County College where she later served as an Instructor. Miss Schneider is a licensed audiologist and hearing aid dispenser in NJ and received a gubernatorial appointment (2004) to the Audiology and Speech Language Pathology Advisory Committee at the NJ Division of Consumer Affairs where she continues to serve. Prior to joining NJ EHDI, she was the Senior Clinical Audiologist at The University Hospital - The University of Medicine and Dentistry of NJ; served as Clinical Coordinator of the University Craniofacial Center and was awarded the Excellence in Teaching Award from The Department of Otolaryngology - Head & Neck Surgery, NJ Medical School.
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Kathryn Aveni
(Co-Presenter), New Jersey Department of Health, Kathryn.Aveni@doh.state.nj.us;
Kathryn Aveni received her Masters in Public Health from Columbia University and BS in Nursing from the University of Virginia. She is a Research Scientist and Early Hearing Detection and Intervention Coordinator for the New Jersey Department of Health where she has worked since 2002. She also serves as a Regional EHDI Technical Assistant Network Consultant for the National Center for Hearing Assessment and Management.
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Receives Consulting fee for Consulting from National Center for Hearing Assessment and Management.
Nonfinancial -
No relevant nonfinancial relationship exist.