CE Credit

Newborn Hearing Screening

Welcome to the training on Newborn Hearing Screening provided by the Texas Health and Human Services Commission (HHSC) and the Texas Department of State Health Services (DSHS).

Credit hours: 1.25 CE

Goal

The goal of this module is to equip Texas Health Steps providers and other interested health-care professionals to support the state’s newborn hearing screening program, provide follow-up and referrals for infants suspected of or identified as deaf or hard of hearing, and counsel families to help ensure that infants receive appropriate services.

Target Audience

Texas Health Steps providers and other interested health-care professionals.

Specific Learning Objectives

After completing the activities of this module, you will be able to:

  1. Summarize the implications of being deaf or hard of hearing and the benefits of early detection and intervention through newborn hearing screening and follow-up testing.
  2. Specify recommended, culturally sensitive methods for communicating with parents and caregivers about their infants’ hearing screening results.
  3. Assess best practices for promoting parental participation in hearing status identification and early intervention services for infants who are deaf or hard of hearing.

Note: In this course, the term "parent" also refers to guardians and other caregivers.

Please note this module expires on 7/31/2023.

This module was released on 7/31/2020.

Accreditation Statement

Disclosures

Browser Requirements

American Academy of Pediatrics. (2016). Textbook of Pediatric Care, 2nd edition.

American Academy of Pediatrics and the Centers for Disease Control and Prevention. (2014). Algorithm: Reducing Loss to Follow-Up/Documentation in Newborn Hearing Screening: Guidelines for Medical Home Providers.

Boys Town National Research Hospital

Centers for Disease Control and Prevention. (2019). Risk of Bacterial Meningitis in Children with Cochlear Implants. (Includes CDC and FDA recommendations.

Centers for Disease Control and Prevention. (2019). Congenital CMV and Hearing Loss.

Centers for Disease Control and Prevention. (2019). https://www.cdc.gov/cmv/clinical/index.htmlhtmlhtmlCytomegalovirus (CMV) and Congenital CMV Infection: For Healthcare Providers.

Culturally sensitive health care:

Joint Committee on Infant Hearing’s Year 2019 Position Statement. Principles and Guidelines for Early Hearing Detection and Intervention Programs.

LanguageLine Solutions. Professional interpreters.

National Center for Hearing Assessment and Management. 2016 E-Book: A Resource Guide for Early Hearing Detection and Intervention. 

National Institute on Deafness and Other Communication Disorders.

Texas Department of State Health Services. (2020). Screened Disorders fact sheets, including biotinidase deficiency and SCID.

Texas Department of State Health Services, Texas Early Hearing Detection and Intervention (TEHDI). 1-3-6 Month Practitioner's Guide and other Educational Materials for Health Professionals.

Texas Department of State Health Services, Texas Early Hearing Detection and Intervention (TEHDI). TEHDI and Early Childhood Intervention: Connecting Families with Services and other educational materials for health professionals.

Texas Department of State Health Services, Texas Early Hearing Detection and Intervention (TEHDI). 

TEHDI Management Information System (TEHDI MIS).

Texas Department of State Health Services, Texas Early Hearing Detection and Intervention (TEHDI). Parental consent form for sharing information on the TEHDI MIS.

Texas Department of State Health Services, Texas Early Hearing Detection and Intervention (TEHDI). Resources for Parents.

Texas Department of State Health Services, Texas Health Steps. (n.d.). Hearing Checklist for Parents.

Texas Department of State Health Services, Texas Health Steps. (2018). Texas Health Steps Periodicity Schedule.

Texas Department of State Health Services, Texas Health Steps Online Resource Catalog. (Click on “Browse,” then “View Catalog Items,” then “Newborn Hearing Screening Program,” and then “Outreach Clients.”)

Texas Health and Human Services Commission. Early Childhood Intervention (ECI) information and referral form for physicians.

Texas Health and Human Services Commission. Early Childhood Intervention (ECI). Find your nearest ECI program.

Texas Health and Human Services Commission. Texas Health Steps. Child Health Clinical Record Forms.

Texas Medicaid & Healthcare Partnership. Texas Medicaid Provider Procedures Manual (TMPPM). Medicaid Managed Care Handbook, Section 2.5: Cultural Competency and Sensitivity, limited English proficiency.

Texas Medicaid & Healthcare Partnership. Texas Medicaid Providers Procedure Manual. (2014). Evaluation using Texas Pediatric Protocol for Audiology.

Texas Medicaid & Healthcare Partnership. Texas Medicaid Provider Procedures Manual (TMPPM). Online provider lookup.

Texas School for the Deaf. Statewide Outreach Center.

University of Texas at Dallas Callier Center for Communication Disorders.

U.S. Department of Health and Human Services, National Institute on Deafness and Other Communication Disorders (NIDCD). Fact Sheet about hearing aids.

U.S. Department of Health and Human Services, National Institute on Deafness and Other Communication Disorders (NIDCD). Fact Sheet about cochlear implants.

Boys Town National Research Hospital. (n.d.). Baby Hearing. Parenting a Child Who Is Deaf or Hard of Hearing, in English and Spanish.

National Institute on Deafness and Other Communication Disorders (NIDCD).

Parent Companion First Five Years, a bilingual website focusing on young children with disabilities. It was created to comfort, inspire and connect parents to helpful disability resources. http://www.parentcompanion.org/

  • Relay Texas (7-1-1). Assistance with phone calls for people who have difficulty speaking or hearing. 
  • Texas Education Agency. Lists services for children who have difficulty seeing or hearing.
  • Texas Education Agency (TEA). The TEA fulfills a requirement for a comprehensive statewide plan for educational services for students who are deaf or hard of hearing (DHH) through a State DHH Plan.
  • TEA works in collaboration with:
  • Its 20 Education Service Centers (ESC) around the state.
  • ESC in Region 11 and its Deaf and Hard of Hearing State Leadership consultant.  
  • The Statewide Outreach Center (SOC) at the Texas School for the Deaf.

Responsibilities are divided:

  • ESC Region 11 provides statewide leadership, professional development, consultation, and technical assistance to assist Regional Day School Programs for the Deaf (RDSPD), local school districts, charter schools and the Texas School for the Deaf (TSD) to address the unique needs of students who are deaf or hard of hearing. Visit the region’s website at: https://www.esc11.net/site/default.aspx?pageid=2372 functional 6/15/20
  • SOC provides outreach support to schools and families. The SOC also provides information in Spanish on its website at

Legislation concerning “children with disabilities” in Texas can be found here:

Texas Department of State Health Services. School Vision and Hearing Screening Program. Hearing and vision screening are mandated for children in child care, kindergarten, and 1st, 3rd, 5th and 7th grades. Children having difficulty with seeing or hearing will be identified early and linked to appropriate services. Results are reported to DSHS. Call DSHS at 800-252-8023, extension 7420.

  • Texas Hands & Voices, a parent-driven organization that provides support to families with a child who is deaf or hard of hearing.
  • Texas Health and Human Services Commission (HHSC) Services and Technical Assistance. HHSC’s Services for Persons who are Deaf or Hard of Hearing provides a variety of services to individuals and their families. It connects individuals who are deaf or hard of hearing to services and resources, including education, training, access to interpreters, information and demonstrations on assistive technology and much more. The goal is to eliminate societal and communication barriers and improve equal access to services for those who are deaf or hard of hearing. 

Resource specialists also provide technical assistance to birth facilities, audiologists, and ear-nose-and-throat (ENT) providers to ensure reporting of hearing screening and evaluation results. Referrals to DSHS specialists can also be made by telephone at 512-438-4880.

Find more information on the HHSC web page for Services for Persons who are Deaf or Hard of Hearing.

  • Texas Health and Human Services Commission. Deaf Blind with Multiple Disabilities Program. Applicable age: All ages. The DBMD program provides home and community-based services to people who are deaf-blind with multiple disabilities as a cost-effective alternative to institutional placement. The program focuses on increasing opportunities for consumers to communicate with others and interact in their environment. Call 877-438-5658 (use relay option of your choice to call, if needed).
  • Texas Health and Human Services Commission. Early Childhood Intervention (ECI) services. Ages: Birth through 36 months of age. ECI is a statewide program that provides family-centered services, often in the home, based on the needs and concerns of the family. Service coordinators help families access and receive services and resource that support the child's development, including assisting with the transition to special education services or for children exiting ECI at age 3. ECI offers a web page with information for parents about available services.
  • ECI Program Search.
  • Texas Health and Human Services Commission. Programs for Children and Families, information for families about Medicaid and CHIP benefits and pediatric health-care services.
  • Texas Health and Human Services Commission. Texas Health Steps, information about services. 
  • Texas Parent to Parent
  • Texas School for the Deaf. Ages: Birth through 21 years. Provides a continuum of direct educational services. Children birth through 35 months are provided services jointly with ECI. The school, residences and transportation are free to residents of Texas. 512-462-5353 (use relay option of your choice to call, if needed)
  • Statewide Outreach Center (SOC) at Texas School for the Deaf (TSD). Provides services to deaf or hard of hearing individuals, from birth through 21 years of age, as well as their families. Works collaboratively with a variety of agencies, programs and schools across Texas to create a network of information, services and support designed to meet the needs of deaf and hard of hearing students, their families, and the professionals who serve them. Offers evaluation and assessment, referrals, consultation, in-service training, a lending library, and workshop and enrichment opportunities for families and students. 800-332-3873 (use relay option of your choice to call, if needed)
  • UT-Dallas Callier Center for Communication Disorders

The medical definitions in this module were adapted from the federal Centers for Medicare and Medicaid Services, Mayo Clinic, the National Institute on Deafness and Other Communications Disorders, the U.S. National Library of Medicine and WebMD.