Hospitals, Birthing Centers, and Audiology Providers

Hearing

Health Care Providers Are Essential

Health Care Providers and Hearing Professionals are an essential part of the Florida EHDI team. This page will provide easy access to the eReports system in order to report screening and diagnostic results, as well as making relevant resources available to the medical professionals around the state. The objective of the EHDI program is to encourage early diagnosis of hearing loss and provide the opportunity for early intervention. Florida Statute requires that all babies are screened for hearing loss at birth, unless a parent objects. EHDI staff tracks all newborns that do not pass their initial hearing screening to encourage rescreening and diagnostic testing, if needed. This data is reported annually to the Centers for Disease Control and Prevention.

Reporting Hearing Screening Results

How to Report Screening Results

There are three methods to report results: 1. Hearing screening results are preferred to be entered through eReports, no later than 10 days after the hearing screening is completed.

2. Enter results on the newborn screening blood specimen card. Please use the link below for instructions on how to complete the hearing section of the card. How to Complete the Hearing Section of the Blood Card (link to new version of card with annotations or interactive hints for completion).

3. Enter results through the Newborn Screening Web Order Application (if your facility participates in this system).

Hearing Screening Methods

    • Otoacoustic Emissions (OAE) – A miniature earphone and microphone are placed in the ear, sounds are played and a response is measured.
    • Auditory Brainstem Response (ABR) – The best test available for newborns and infants up to 6 months of age that can provide information about the softest level of sound the ear can hear. Sounds are played to the baby’s ears and band-aid like electrodes are placed on the baby’s head to detect responses. Sounds are presented to the ears using small earphones. The electrodes pick up responses from the hearing nerve and a computer measures the responses to identify babies who have a hearing loss.
    • Hospitals may use AABR and OAE equipment for screenings.

Best Practices

  • Hearing Screenings must be reported via eReports as soon as possible, but no later than 10 days.
  • Newborns may be screened by either AABR or OAE equipment. 
  • Babies who received NICU care > 5 days should be screened using an AABR.
  • A child who does not pass the initial screening but is still at the hospital should be retested prior to discharge. 
  • Rescreening should be completed on both ears. even when one ear passed the initial hearing screening.
  • Hospitals are cautioned not to allow excessive rescreening to try to obtain a passing result.  
  • If a baby does not pass two hearing screenings, referral for diagnostic testing is necessary. Ask baby’s PCP for a referral to a pediatric audiologist by three months of age.
  • For babies born outside of Florida, utilize the following form for reporting:  Hearing Screen Results Form. These forms may be faxed to 850-245-4049.
  • For more information or questions about Hearing Screenings, please contact Margaret (Peggy) Waterman at Waterman@flhealth.gov or 850-408-0669.

Reporting Diagnostic Results

Who should be reporting:

  • Audiologists performing diagnostic hearing testing on children 0-3 years of age must report results to EDHI program via eReports

What should be reported:

  • All diagnostic hearing test results, for every appointment until confirmed diagnosis is reached for each ear, including normal hearing
  • Follow-up appointment date (must contain 8 digits, xx/xx/xxxx) 
  • Diagnosis entered for each appointment; this includes reporting for no show and cancelled appointments

When should these results be reported:

  • Evaluation testing results must be reported to the EHDI Program with two business days of the evaluation via eReports
  • Reporting diagnostic results timely is critical to ensure infants receive timely referrals to Early Steps, as well as to reduce or eliminate unnecessary follow-up.
  • The EHDI Program refers all infants reported with hearing loss directly to the Early Steps Program, which will assist families with purchasing hearing aids, as well as providing access to speech therapy, and other hearing-related services. 
  • EHDI staff also sends each family of children diagnosed with hearing loss a packet of information about hearing loss, as well as resources within the state that may be helpful for parent-to-parent support and deaf mentorship. Timely reporting is critical to ensure these families receive the information they need, right when they need it most. 

How should diagnostic results be reported to EHDI?

  • Register for eReports Diagnostic Module (Contact eReports@flhealth.gov)
  • Once your account is activated, you will receive an email confirmation with your username and temporary password (you will be prompted to change the password when at initial log in)

Diagnostic testing included for reporting: 

Each year, the EHDI program tracks over 9,000 babies needing follow-up hearing screenings and diagnostic testing in the state of Florida.  In partnership with our hearing providers, the EHDI program strives to meet the 1-3-6 benchmarks, according to recommendations set forth by the Joint Committee on Infant Hearing (JCIH), 2019:

  • Hearing screening by 1 month of age;
  • Hearing loss diagnosed by 3 months of age; and
  • Early intervention by 6 months of age

 

Pediatric audiologists are essential members of the EHDI team by providing critical hearing screenings and diagnostic testing for newborns.  Follow up hearing testing is the next step in the early identification of children who are deaf or hard of hearing before 3 months of age.

    • Reporting diagnostic test results is now available online and will be submitted electronically via (eReports).
    • Electronic reporting saves time and significantly reduces the need for manual entry of hearing screening results.
    • Accurate and timely reporting helps to ensure babies who are diagnosed with hearing loss are referred as quickly as possible to Early Steps for intervention services.
    • Current eReports diagnostic module accepts:
      • Auditory brainstem response (ABR) evoked potentials using click and frequency-specific stimuli.
        • Diagnostic ABR Right/Left: Click ABR
        • C. ABR Right/Left: Bone conduction
        • B. ABR 500 Right/ Left: 500 Hz toneburst
        • B. ABR 1000 Right/Left: 1000 Hz toneburst
      • Either transient-evoked otoacoustic emissions (TEOAE)or distortion-product otoacoustic emissions (DPOAE)
        • Diagnostic OAE Right/Left
      • High Frequency Right/Left: Tympanometry:
        • 1000 Hz probe tone (up to age 9 months);
        • 226 Hz probe tone (> 9 months of age)
      • VRA Right/Left: Visual Reinforcement Audiometry
      • Degree and type of hearing loss:
        • Report confirmed type and degree of hearing loss
      • Diagnosis:
        • Report confirmed hearing loss
        • Report No show or cancelled appointments
      • Follow up testing date
      • Comments: additional test results and other information relevant to follow-up care
    • The audiologist presents sounds at the lowest level (threshold) to find out how your baby can detect sound at different frequencies (or pitch levels).

For questions about diagnostic reporting, please contact Teryl Camus, AuD at Teryl.Camus@flhealth.gov or 850-404-4204.

If you still have questions or concerns, please don’t hesitate to contact the EHDI staff.
Address: Division of Children’s Medical Services | Florida Department of Health | 4052 Bald Cypress Way, Bin A-06 | Tallahassee, FL. 32399-1707
Phone: 866-289-2037
Email: CMS.NBSHearing@flhealth.gov