Title: 'Important Considerations When Re-screening Newborns with Otoacoustic Emissions (OAEs) in Primary Care'
Track: 5 - Medical Home
Keyword(s): Primary Care, Re-Screening, OAE's
Learning Objectives:
  1. Discuss how technology impacts the standard of care for newborn hearing screening at birth
  2. Identify infants that should not be rescreened at birth using OAEs
  3. With respect to management and follow-up, discuss the responsibility of primary care when screening with OAEs


With the expansion of OAE rescreening in primary care, there are pro’s and con’s as well as a variety of considerations that should be taken into account. Providers that conduct in-office OAE screening for newborn follow-up and ongoing surveillance need to be aware of a variety of important considerations, such as: how many rescreen attempts should be conducted, the JCIH 2007 guidelines regarding conducting OAEs on babies that refer on ABR screening, populations that OAE screening may not be appropriate for, risk factors for late onset and progressive hearing loss and babies that should be referred to a pediatric audiologist for ongoing surveillance versus getting an in-office OAE screen. Other important considerations include knowing about the state EHDI program, understanding state reporting requirements and resources for families such as early intervention and parent to parent support programs. This presentation will discuss considerations and highlight a provider practice’s use of an in-office OAE screening program.
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Handouts: Handout is not Available
Randi Winston - POC,Co-Presenter,Author
NCHAM, The EAR Foundation of Arizona, The Arizona Department of Health Services
     Credentials: Au.D, CCC-A
     Other Affiliations: Member ASHA, AAA, ArSHA
      Randi Winston has been a consulting audiologist for The EAR Foundation of Arizona (EFAZ), the Arizona Department of Health Services and Arizona's State EHDI Program since 1998. Her role has primarily involved working with hospital based newborn hearing screening, early childhood hearing screening programs statewide. She continues to provide ongoing training and technical assistance with an emphasis on program quality. She serves on the National Center for Hearing Assessment and Management (NCHAM) Technical Assistance Network, assisting states in Region X in their EHDI efforts.

Financial - No relevant financial relationship exist.

Nonfinancial - No relevant nonfinancial relationship exist.
Brad Golner - Co-Presenter
Phoenix Pediatrics
     Credentials: M.D . F.A.A.P
      To be updated

Financial - No relevant financial relationship exist.

Nonfinancial - No relevant nonfinancial relationship exist.