Hearing Screening Prior To Hospital Discharge

Last updated: May 3, 2018

CMS Measure ID: CMS31v4
Version: 4
NQF Number: 1354
Measure Description:

This measure assesses the proportion of births that have been screened for hearing loss before hospital discharge.

Initial Patient Population:

Live birth encounters at a hospital or birthing facility where the newborn was discharged during the measurement period.

Measure Population:

Not applicable

Measure Observations:

Not applicable

Denominator Statement:

Denominator is equal to the Initial Population.

Denominator Exclusions:

Live birth encounters where the patient expires prior to discharge and has not received hearing screening for the left or right ear.

Numerator Statement:

Live birth encounters during the measurement period where a patient born at the facility is screened for hearing loss prior to discharge or not screened due to medical reasons.

Numerator Exclusions:

Not applicable

Denominator Exceptions:


Measure Steward: CDC National Center on Birth Defects and Developmental Disabilities
Domain: Effective Clinical Care
Short Name: EHDI_1a
Next Version:
Previous Version:
Measure Score: Proportion
Improvement Notation:

Improvement noted as an increase in rate.


The measurement period is one calendar year but the reporting period is jurisdictionally defined.


Release Notes


  • Copyright updated.
  • Disclaimer updated.
  • eMeasure version number incremented.
  • Updated criteria in the Denominator Exclusions representing when a patient expires to harmonize across measures.
  • Updated the Denominator header statement to be consistent across hospital measures.
  • Updated the Numerator header statement to better align with measure logic.


  • Added 'during Occurrence A of Encounter, Performed: Encounter Inpatient' for each 'AND:' statement in the Denominator Exclusions to clarify the logic in the left-hand side or right-hand side of a timing clause.
  • Changed data type of 'Result' or 'Finding' to 'Performed'.
  • For consistency across all measures, Discharge Status: Patient Expired is used as the criteria to determine if a patient expired during an encounter.
  • Introduced the 'Intersection of' operator to specify the selection of the data sets common to all individual statements underneath the 'Intersection of'.
  • Introduced variable $EncounterInpatient to allow re-use of logical expressions and reduce redundancy/complexity.
  • Replaced 'ORs' with 'Union of' operator to provide a mechanism for specifying that qualifying event(s) must be a member of at least one of the data elements being unioned (if appropriate for measure intent).
  • The top level logical operator for the Numerator Exclusions, Denominator Exclusions, Denominator Exceptions, and Measure Population Exclusions defaults to 'OR'.

Value Sets

No changes

External Resources