Newborn Hearing Screening Tools for Providers

Help reduce or eliminate delays and loss of follow up for infants with hearing loss.

The HRSA-MCHB-funded NICHQ Learning Collaborative “Improving Follow-Up to Newborn Hearing Screening by Working Through the Medical Home," conducted in collaboration with the National Center for Hearing Assessment and Management (NCHAM), led to the creation of a series of tools and materials designed to improve the system of care for all newborns with possible hearing loss. Included here are several tools that the teams participating in the learning collaborative developed to enhance communication between providers and to build reliability into care processes.  

Provider Guidelines

Screening Communication and Forms

Parent Notification of Hearing Screen Results

Audiologic Diagnostic Forms

Early Intervention (EI) Form

The "Improving Follow-Up to Newborn Hearing Screening by Working Through the Medical Home" project was conducted by the National Initiative for Children’s Healthcare Quality (NICHQ) in collaboration with Maternal Child Health Bureau (MCHB) and National Center for Hearing Assessment and Management (NCHAM). The project focused on strengthening relationships between all stakeholders in the continuum of care for infants who did not pass the newborn hearing screening and their families.

Source: NICHQ, Learning Collaborative Teams

Published Date: 2012

Newborn Hearing Screening Tools for Providers