New Hampshire EHDI Program Funded april 2000 No legislative mandate Present status 20 out of 25 hospitals universally screening represents over 85% of 15,000 births efforts to ensure quality programs ongoing follow-up identified as weakest link physicians concerned about access variable services for refers

Follow-up Plan Survey of audiologists Results supported: few pediatric audiologists variable protocols poor access untimely appts Goal: establish 4-5 approved centers

Training and Funding NCHAM course offered RFP sent to interested audiologists Proposals submitted for equipment and training. 3 centers funded ($15,000) 2 other programs will submit for approval but not funded

General Provisions for Funding Acceptance of 3rd party payments including medicaid Culturally and linguistically appropriate standards of care Policies and guidelines met Equipment requirements ( OAE,ABR,High Frequency Tympanometry,VRA,Real-Ear) Scheduling requirements

Required test protocol Reporting Parent information Amplification Follow-up standards Staffing provisions Coordination of services Notification of changes

Meeting/ training requirements Data reporting Patient satisfaction summaries Onsite reviews

Challenges How to certify centers without legislation Educating medical community, gaining support Reimbursement for services i.e. Medicaid Audiologists support Tracking