Hearing Screening Prior To Hospital Discharge

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

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.

An increase in the rate.

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.

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

All live births discharged during the measurement time period born at a facility

All live births discharged during the measurement time period born at a facility

Patient deceased prior to discharge and has not received hearing screening.

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.

For every patient evaluated by this measure also identify payer, race, ethnicity and sex.

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

"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)"

"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)"

Early Hearing Detection and Intervention (EHDI)

eMeasure Title	Hearing Screening Prior To Hospital Discharge
eMeasure Identifier (Measure Authoring Tool)	31	eMeasure Version number	3
NQF Number	1354	GUID	0924fbae-3fdb-4d0a-aab7-9f354e699fde
Measurement Period	January 1, 20xx through December 31, 20xx
Measure Steward	CDC National Center on Birth Defects and Developmental Disabilities
Measure Developer	CDC Early Hearing Detection and Intervention Program
Endorsed By	National Quality Forum
Description	This measure assesses the proportion of births that have been screened for hearing loss before hospital discharge.
Copyright	None
Disclaimer	None
Measure Scoring	Proportion
Measure Type	Process
Stratification	None
Risk Adjustment	None
Rate Aggregation	None
Rationale	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.
Clinical Recommendation Statement	None
Improvement Notation	An increase in the rate.
Reference	HRSA Title V Block Grant MCHB Performance Measure: Percentage of newborns who have been screened for hearing before hospital discharge.
Reference	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)
Reference	HRSA Title V Block Grant MCHB Performance Measure: Percentage of newborns who have been screened for hearing before hospital discharge.
Definition	None
Guidance	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.

Table of Contents

Population criteria

Data criteria (QDM Data Elements)

Reporting Stratification

Supplemental Data Elements