Hearing Screening Prior To Hospital Discharge This measure assesses the proportion of births that have been screened for hearing loss before hospital discharge. CDC Early Hearing Detection and Intervention Program CDC National Center on Birth Defects and Developmental Disabilities National Quality Forum Finalized Date/Time None None None None Birthing facility staff should review the effectiveness and timeliness of screening relative to nursery discharge. Benchmarks set within the EHCP may trigger hospital or jurisdictional compliance activities, such as re-writing of procedural guidelines or re-training of screening staff. None An increase in the rate. NQF ID Number Disclaimer None eMeasure Identifier 31 measureStartDate measureEndDate HRSA Title V Block Grant MCHB Performance Measure: Percentage of newborns who have been screened for hearing before hospital discharge. U.S. Preventive Services Task Force (www.ahrq.gov/clinic/uspstf/uspsnbhr.htm) Year 2007 Position Statement: Principles and Guidelines for Early Hearing Detection and Intervention Programs. Joint Committee on Infant Hearing. Pediatrics 2007;120;898-921 (http://pediatrics.aappublications.org/cgi/content/full/120/4/898?ijkey=oj9BAleq21OlA&keytype=ref&siteid=aapjournals) HRSA Title V Block Grant MCHB Performance Measure: Percentage of newborns who have been screened for hearing before hospital discharge. None The measurement period is one calendar year but the reporting period is jurisdictionally defined. Transmission Format None Initial Patient Population All live births discharged during the measurement time period born at a facility Denominator All live births discharged during the measurement time period born at a facility Denominator Exclusions Patient deceased prior to discharge and has not received hearing screening. Numerator All live births during the measurement time period born at a facility and screened for hearing loss prior to discharge, or not being screened due to medical reasons or medical exclusions. Numerator Exclusions Not applicable Denominator Exceptions None Measure Population Not applicable Measure Observations Not applicable Supplemental Data Elements For every patient evaluated by this measure also identify payer, race, ethnicity and sex. Early Hearing Detection and Intervention (EHDI)
Population criteria Initial Patient Population = AND: "Occurrence A of Encounter, Performed: Encounter Inpatient" ends during "Measurement Period" AND: OR: "Diagnosis, Active: Liveborn Newborn Born in Hospital" starts during "Occurrence A of Encounter, Performed: Encounter Inpatient" OR: "Diagnosis, Active: Livebirth" starts during "Occurrence A of Encounter, Performed: Encounter Inpatient" Denominator = AND: "Initial Patient Population" Denominator Exclusions = AND: AND: "Patient Characteristic Expired: Patient Expired" AND NOT: OR: "Diagnostic Study, Result: Newborn Hearing Screen Left" OR: "Diagnostic Study, Result: Newborn Hearing Screen Right" during "Occurrence A of Encounter, Performed: Encounter Inpatient" Numerator = AND: AND: OR: "Diagnostic Study, Result: Newborn Hearing Screen Left (result: 'Pass Or Refer')" OR: "Diagnostic Study, Result not done: Medical Reasons" for "Newborn Hearing Screen Left " AND: OR: "Diagnostic Study, Result: Newborn Hearing Screen Right (result: 'Pass Or Refer')" OR: "Diagnostic Study, Result not done: Medical Reasons" for "Newborn Hearing Screen Right " during "Occurrence A of Encounter, Performed: Encounter Inpatient" Denominator Exceptions = None Occurrence A of Encounter, Performed: Encounter Inpatient Measurement Period Diagnosis, Active: Liveborn Newborn Born in Hospital Occurrence A of Encounter, Performed: Encounter Inpatient Diagnosis, Active: Livebirth Occurrence A of Encounter, Performed: Encounter Inpatient Initial Patient Population Initial Patient Population Patient Characteristic Expired: Patient Expired Diagnostic Study, Result: Newborn Hearing Screen Left Diagnostic Study, Result: Newborn Hearing Screen Right Occurrence A of Encounter, Performed: Encounter Inpatient Denominator Diagnostic Study, Result: Newborn Hearing Screen Left (result: 'Pass Or Refer') Diagnostic Study, Result not done: Medical Reasons Diagnostic Study, Result: Newborn Hearing Screen Right (result: 'Pass Or Refer') Diagnostic Study, Result not done: Medical Reasons Occurrence A of Encounter, Performed: Encounter Inpatient
Data criteria (QDM Data Elements) "Diagnosis, Active: Livebirth" using "Livebirth SNOMEDCT Value Set (2.16.840.1.114222.4.1.214079.1.1.1)" "Diagnosis, Active: Liveborn Newborn Born in Hospital" using "Liveborn Newborn Born in Hospital Grouping Value Set (2.16.840.1.113762.1.4.1046.6)" "Diagnostic Study, Result not done: Medical Reasons" using "Medical Reasons SNOMEDCT Value Set (2.16.840.1.114222.4.1.214079.1.1.7)" "Diagnostic Study, Result not done: Medical Reasons" using "Medical Reasons SNOMEDCT Value Set (2.16.840.1.114222.4.1.214079.1.1.7)" "Diagnostic Study, Result: Newborn Hearing Screen Left" using "Newborn Hearing Screen Left LOINC Value Set (2.16.840.1.114222.4.1.214079.1.1.3)" "Diagnostic Study, Result: Newborn Hearing Screen Right" using "Newborn Hearing Screen Right LOINC Value Set (2.16.840.1.114222.4.1.214079.1.1.4)" "Encounter, Performed: Encounter Inpatient" using "Encounter Inpatient SNOMEDCT Value Set (2.16.840.1.113883.3.666.5.307)" "Patient Characteristic Expired: Patient Expired" using "Patient Expired SNOMEDCT Value Set (2.16.840.1.113883.3.117.1.7.1.309)" Attribute: "Result: Pass Or Refer" using "Pass Or Refer SNOMEDCT Value Set (2.16.840.1.114222.4.1.214079.1.1.6)" Encounter Inpatient Diagnosis, Active: Livebirth Diagnosis, Active: Liveborn Newborn Born in Hospital Diagnostic Study, Result: Newborn Hearing Screen Left Diagnostic Study, Result not done: Medical Reasons Diagnostic Study, Result: Newborn Hearing Screen Right Diagnostic Study, Result not done: Medical Reasons Patient Characteristic Expired: Patient Expired Encounter, Performed: Encounter Inpatient
Reporting Stratification None
Supplemental Data Elements "Patient Characteristic Ethnicity: Ethnicity" using "Ethnicity CDCREC Value Set (2.16.840.1.114222.4.11.837)" "Patient Characteristic Payer: Payer" using "Payer SOP Value Set (2.16.840.1.114222.4.11.3591)" "Patient Characteristic Race: Race" using "Race CDCREC Value Set (2.16.840.1.114222.4.11.836)" "Patient Characteristic Sex: ONC Administrative Sex" using "ONC Administrative Sex AdministrativeSex Value Set (2.16.840.1.113762.1.4.1)" Patient Characteristic Sex: ONC Administrative Sex Patient Characteristic Race: Race Patient Characteristic Ethnicity: Ethnicity Patient Characteristic Payer: Payer