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