Source: http://register.dls.virginia.gov/details.aspx?id=3995
Timestamp: 2019-08-26 02:55:32
Document Index: 3302249

Matched Legal Cases: ['§ 54', '§ 1431', '§ 32', '§ 32', '§ 2', '§ 1431', 'art 303', '§ 2']

Vol. 30 Iss. 5 (Final Regulation) 12VAC5-80, Regulations For Administration Of The Virginia Hearing Impairment Identification And Monitoring System November 04, 2013
Effective Date: December 6, 2013.
The proposed amendments conform the regulation to changes in national standards and incorporate amendments suggested by a 2007 periodic review. Substantive changes include (i) moving risk factor criteria to identify infants at risk for hearing loss from the definitions section to a new section and placing detailed criteria for each category of risk under a guidance document; (ii) requiring infants who receive neonatal intensive care services for longer than five days to be tested with ABR screening technology; and (iii) further defining reporting requirements that include provisions for confirming negative results. Since publication of the proposed amendments, additional changes (i) add new sections to address responsibilities of other birthing places or centers; (ii) stipulate reporting responsibilities to primary health care providers and clarify the program relationship to the Part C system; and (iii) remove language that might go beyond the scope of the authority of the State Board of Health.
"Audiologist" means [ a person licensed to engage in the practice of audiology an audiologist ] as defined in § 54.1-2600 of the Code of Virginia.
[ "Birthing center" means a facility outside of a hospital that provides maternity services. ]
[ "Chief medical officer" means the highest position of authority on the medical staff of the hospital or other birthing place or center as defined in the organization's bylaws or applicable governance structure. ]
"Neonatal intensive care services" means those services provided by a hospital's newborn services that are designated as both either specialty level and or subspecialty level as defined in subdivision D 2 of 12VAC5-410-440 12VAC5-410-443 B 3 and B 4 of the [ Rules and ] Regulations for the Licensure of Hospitals [ in Virginia ].
"Newborn services" means care for infants in one or more of the service levels designated in 12VAC5-410-443 B of the [ Rules and ] Regulations for the Licensure of Hospitals [ in Virginia ].
[ "Other birthing place or center" means a place or facility outside of a hospital that provides maternity services. ]
"Part C" means the state early intervention [ services ] program that provides medically necessary speech and language therapy, occupational therapy, physical therapy, and assistive technology services and devices for [ dependents children ] from birth to age three who are [ certified by the Department of Behavioral Health and Developmental Services as ] eligible for services under Part C of the Individuals with Disabilities Education Act [ of 2004 ] (20 USC §§ 1431-1444) [ and Virginia law ].
"Risk factor indicator" means a factor known to place an infant at increased risk for being born with or developing a hearing loss, including, but not limited to, any one of the following:.
[ "Title V" means the U.S. Department of Health and Human Services, Health Resources and Services Administration, Maternal and Child Health Services Block Grant (Title V of the Social Security Act). ]
C. The list of specific risk indicators shall be maintained [ in ] a guidance document, which shall be reviewed at a minimum biennially. The list of specific risk indicators may be changed or amended more frequently as needed to reflect changes in standards of care or updates to Joint Committee on Infant Hearing recommendations.
1. Cause all infants to be given a hearing screening test prior to discharge after birth as appropriate for the level of newborn services provided as defined in 12VAC5-410-443 B of the [ Rules and ] Regulations for the Licensure of Hospitals [ in Virginia ];
a. Infants in general or intermediate newborn services shall have both ears screened [ at the same time ] for hearing using either ABR or OAE testing prior to discharge after birth, but no later than one month of age.
b. Infants in neonatal intensive care services who receive this level of newborn service care for more than five days shall have both ears screened [ at the same time ] using ABR testing prior to discharge after birth or transfer to a lower level of newborn services. Infants should receive newborn hearing screening as early as development or medical stability will permit such screening. The hearing screening performed for infants requiring neonatal intensive care services for more than five days using ABR testing shall be reported as the initial hearing screen regardless of whether the infant is transferred to another lower level of newborn services within the same facility or to another facility.
c. Infants in neonatal intensive care services who receive this level of newborn service care for five days or less shall have both ears screened [ at the same time ] for hearing using either ABR or OAE testing prior to discharge after birth, but no later than one month of age.
a. For infants who did not receive a hearing screening test due to transfer to another facility, written notification shall be made upon transfer to the [ healthcare health care ] provider in charge of the infant's care that testing was not completed. The hospital discharging the infant after birth is responsible for conducting an appropriate hearing screening test, except for infants who have been transferred to a lower level of newborn service care from another facility providing neonatal intensive care services to that infant for more than five days.
4. Give written information to 6. Notify the infant's primary medical health care provider, within two weeks of discharge after birth, [ of ] the status of the hearing screening including if the infant was not tested, that includes procedures used for hearing screening, the limitations of screening procedures identified risk indicators associated with hearing loss as defined in 12VAC5-80-75, the results of the hearing screening, and the recommendations for further testing in writing or through an electronically secure method that meets all applicable state and federal privacy laws;
b. Primary contact information including address, telephone [ number ], and relationship type;
c. Primary [ healthcare health care ] provider name, address [ , ] and telephone [ number ];
10. [ Assure Ensure ] that training of staff on newborn hearing screening test procedures, follow up, and reporting requirements is implemented in a way that an adequately trained and knowledgeable workforce is maintained to conduct hearing screening program requirements.
3. Notify the infant's primary [ healthcare health care ] provider, within two weeks after birth, of the status of the hearing screening including if the infant was not tested, identified risk indicators associated with hearing loss as defined in 12VAC5-80-75, and the recommendations for testing in writing or through an electronically secure method that meets all applicable state and federal privacy laws; and
4. Provide the department with information, as required by the board pursuant to § 32.1-64.1 F of the Code of Virginia and in a manner devised by the department on the hearing screening and risk indicator status of infants born at [ their the other ] birthing [ place or ] center. This information shall be provided within two weeks after birth unless otherwise stated and includes, but may not be limited to:
1. Provide hospitals and [ other ] birthing [ places or ] centers with a secure reporting system, which may be electronic, that meets all applicable federal and state privacy [ statutes laws ]. This electronic system may include existing demographic data captured by other department population-based systems and the commissioner may authorize hospitals required to report to view existing data to facilitate accurate reporting and increase the department's ability to conduct successful follow up and identify infants at risk for hearing loss pursuant to § 32.1-127.1:04 of the Code of Virginia;
b. Receiving Communicating with audiologists, hospitals, [ other ] birthing [ places or ] centers, primary health care providers, and others as needed to ascertain follow up status and receive results of both the audiological evaluations and the intervention referrals, and adding the information to the database; and including Part C services;
4. Provide training and technical assistance on this program to hospitals and [ other ] birthing [ places or ] centers; and
5. Develop and disseminate protocols for hospitals, audiologists, and primary [ healthcare health care ] providers;
9. Communicate critical performance data to hospitals and [ other ] birthing [ places or ] centers [ , ] on a yearly quarterly basis.; and
C. Title V national performance measures and the CDC national EHDI goals, as required by the Government Performance and Results Act (GPRA; Public Law 103-62), shall be used to establish newborn hearing screening goals. [ The following goals shall change as needed to be consistent with federally required performance measures The goals are ]:
[ The goals shall change as needed to be consistent with federally required performance measures. ]
3. Advise Provide information to the parent [ or guardian ] about and offer referral for the child to local early intervention or education programs, including the Part C program; and
4. Give resource information to the parent [ or guardian ] of any child who is found to have a hearing loss, including but not limited to the degrees and effects of hearing loss, communication options, amplification options, the importance of medical follow up, and agencies and organizations, including the Part C program, that provide services to children with hearing loss and their families.
12VAC5-80-130. [ Responsibilities of Reporting responsibilities to ] primary health care providers.
[ Persons who provide primary healthcare services to infants shall:
E. Reporting hearing screening and audiological evaluation results to primary health care providers may be done through an electronically secure system that meets all applicable federal and state privacy laws. ]
[ A. ] The department is a participating agency in the state Part C system as defined in § 2.2-5300 of the Code of Virginia. The Virginia Hearing Impairment Identification and Monitoring System is a component of this statewide system to identify infants and children who may be eligible for Part C early intervention services. The Virginia EHDI program shall develop policies and operating procedures that are consistent with the Individuals with Disabilities Education Act [ of 2004 ] (20 USC §§ 1431-1444); 34 CFR Part 303; § 2.2-5303 of the Code of Virginia; and the most recent state interagency agreement.
[ B. The state interagency agreement shall contain policies and procedures related to identification of resources, coordination of services, resolution of interagency disputes, and data exchange activities necessary for the department and the Virginia EHDI program to fulfill responsibilities and implementation activities required as part of the state early intervention system. ]
FORMS (12VAC5-80)
DOCUMENTS INCORPORATED BY REFERENCE (12VAC5-80)
VA.R. Doc. No. R08-1334; Filed October 15, 2013, 10:15 a.m.