An Overview of the Texas An Overview of the Texas Early Hearing Detection Early Hearing Detection and Intervention Program and Intervention Program TEHDI TEHDI Newborn Hearing Screening
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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
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