reglab/statecodes huggingface dataset:
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 5 - Fluoridation › Chapter 13 - Statewide Fluoridation Program › Section V-1303 - Background and Purpose

Current through Register Vol. 50, No. 6, June 20, 2024
A. The
				  fluoridation of community water supplies is the most effective mechanism for
				  preventing dental caries. It is the only means whereby people of all ages in an
				  area can be reached from birth and at a low cost. This has added significance
				  for the many people who are dentally indigent.
B. The benefits of community fluoridation in
				  maintaining dental health are substantial.
1.
				  Persons drinking water which contains fluoride within the optimal fluoride
				  level/range have teeth which are more caries resistant.
2. The caries rate among children drinking
				  water which contains fluoride within the optimal fluoride level/range can be as
				  much as two-thirds less than among children drinking fluoride deficient
				  water.
3. By the time that children
				  reach their teens, about six times as many residing in communities which have
				  their community water supply meet the optimal fluoride level/range are
				  completely free of caries as their counterparts in fluoride deficient
				  areas.
4. When the optimal fluoride
				  level/range in a community water system is maintained, extractions of permanent
				  teeth caused by premature loss of primary teeth can be prevented. In addition,
				  crooked and overlapping permanent teeth caused by premature loss of primary
				  teeth can be prevented.
5. Adults
				  consuming water which contains fluoride within the optimal fluoride level/range
				  throughout life can expect fewer tooth extractions due to caries and are less
				  likely to become edentulous (lose all their natural teeth) in later
				  years.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 5 - Fluoridation › Chapter 13 - Statewide Fluoridation Program › Section V-1305 - Requirements for Fluoridation of a Public Water System

Current through Register Vol. 50, No. 6, June 20, 2024
A. LAC 51:XII.105 of the Louisiana State
				  Sanitary Code requires approval by the state health officer or his/her duly
				  authorized representative for certain types of changes made in the treatment of
				  water offered the public. The addition of the fluoride ion to water is covered
				  by that regulation.
B. For any
				  public water system desiring to fluoridate its water, a formal request shall be
				  made to the state health officer for approval to install the necessary
				  fluoridation equipment.
C. In
				  accord with
				  R.S.
				  40:5.11(B), each community
				  water supply having at least 5,000 service connections and natural fluoride
				  levels that are outside the optimal fluoride level/range as defined in
				  §1101. B of this Subpart shall acquire, install, operate, and maintain a
				  fluoridation system in order to maintain the optimal fluoride level/range in
				  the water being produced and distributed.
NOTE: Exemptions. Any community water supply to which
					 Subsection C of this Section applies shall be exempt from the requirements of
					 Subsection C of this Section when either of the following is applicable.
1. The Department of Health and Hospitals
				  (DHH) is unable to identify a source of sufficient funds available to the
				  community water supply to cover the capital costs, any associated costs to
				  cover the installation, and the funds necessary to cover the cost of purchasing
				  sufficient fluoride source material required to properly fluoridate the system
				  for a period of six months from the date of initial installation and operation;
				  or,
2. A community water supply has
				  never used fluoridation to adjust fluoride levels in its water and its finished
				  water contains fluoride in amounts outside of the optimal fluoride level/range
				  as defined in §1101. B of this Subpart, and a local election on such
				  exemption has been called and held in accordance with
				  R.S.
				  40:5.11(B), and a majority
				  of the registered voters who cast a vote in said election approve such
				  exemption.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 5 - Fluoridation › Chapter 13 - Statewide Fluoridation Program › Section V-1309 - Monitoring and Compliance-Optimum Fluoride Levels

Current through Register Vol. 50, No. 6, June 20, 2024
A. If a water supply system has a single
				  fluoridation system which treats all the water distributed to system consumers,
				  the supplier shall collect a daily water sample for fluoride analysis either in
				  the distribution system or at the entry point. If a water supply system does
				  not fluoridate all its water and/or has more than one fluoridation system, the
				  supplier shall collect a minimum of one water sample daily in the distribution
				  system and shall rotate the sample site daily in order to obtain representative
				  results of the level of fluoride in the water provided throughout the
				  distribution system. If the water supply system is such that a single daily
				  sample taken in different locations cannot provide a representative level, then
				  multiple samples may be required. The number, location, and frequency of
				  samples shall be in accordance with a monitoring plan developed by the water
				  supply system and approved by the DHH-OPH.
1.
				  If more than 20 percent of the daily fluoride samples collected in a month by a
				  water supply system fall outside the optimal fluoride level/range, the system
				  shall be out of compliance with the optimal fluoride level/range.
2. At least once a month, any water supplier
				  with an operating fluoridation system shall divide one sample and have one
				  portion analyzed for fluoride in a "DHH-OPH Approved Chemical Laboratory/
				  Drinking Water" lab (normally, on-site of the water treatment plant-see LAC
				  51:XII.Chapter 15) and the other portion analyzed for fluoride in a "DHH-OPH
				  Certified Laboratory for Drinking Water Analyses-Chemistry". (A list of such
				  "DHH-OPH Certified Laboratory for Drinking Water Analyses-Chemistry" may be
				  found on the DHH-OPH website at the following url address:
				  "http://www.dhh.louisiana. gov/offices/?ID=204".)
3. Any water supply system with an operating
				  fluoridation system shall sample the raw source water(s) annually and analyze
				  for fluoride.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 5 - Fluoridation › Chapter 13 - Statewide Fluoridation Program › Section V-1311 - Recordkeeping and Reporting

Current through Register Vol. 50, No. 6, June 20, 2024
A. By the
				  tenth day of each month following the month being reported, each water supplier
				  fluoridating its potable water supply shall send operational reports to the
				  DHH-OPH's District Engineer and the DHH-OPH fluoridation engineer which shall
				  include the following:
1. The fluoride source
				  material used and the calculated fluoride dose in mg/L based on the latest
				  annual raw source water(s) fluoride level.
2. Information on any interruptions in the
				  fluoridation treatment which may have occurred during the month including the
				  duration of the interruptions, an explanation of the cause(s), and what
				  corrective actions were taken to insure that fluoridation treatment was resumed
				  in a timely manner;
3. The results
				  of the daily monitoring for fluoride in the water distribution system reported
				  in terms of daily result, ranges, and the number of samples collected;
				  and,
4. The results of monthly
				  split sample(s) analyzed per §1309. A.2 of this Chapter.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 5 - Fluoridation › Chapter 13 - Statewide Fluoridation Program › Section V-1313 - Funds Allocation

Current through Register Vol. 50, No. 6, June 20, 2024
A. DHH-OPH
				  shall prioritize water supply systems with 5,000 or more service connections
				  that are not fluoridating to optimum fluoride levels for the receipt of funds
				  as they become available. Priority will be based on cost effectiveness as well
				  the level of funds available. The priority list will be periodically
				  reviewed.
B. DHH-OPH shall also
				  consider requests for funds from water supply systems with less than 5,000
				  service connections. Fund allocation will be based on cost
				  effectiveness.
C. Within 90 days of
				  written notification from DHH-OPH to the community water system of the
				  availability of funds, the community water system shall submit an estimate of
				  the cost to acquire and install the needed fluoridation equipment as well as an
				  estimate of the cost of fluoride source material required to fluoridate the
				  system for a period of six months from the date of initial installation and
				  operation.
D. Upon acceptance of
				  the submitted cost estimate by DHH-OPH, a written agreement between the State
				  of Louisiana's DHH-OPH and the governing body of the community water system
				  shall be executed for the commissioning, construction, and the first six months
				  of fluoride source materials for the required fluoridation system. Transfer of
				  funds shall be through reimbursement to the water supply system for paid
				  invoices as they are submitted to the DHH-OPH.
E. All design, procurement, and construction
				  shall be completed in a timely manner consistent with the reimbursement of
				  funds by the DHH-OPH. Upon completion of construction and the receipt of the
				  initial six months supply of fluoride source material, as well as the
				  completion of appropriate operator training and certification, the water supply
				  system shall promptly initiate water fluoridation and shall maintain the
				  optimum fluoride level/range throughout its distribution system.
AUTHORITY NOTE:
					 Promulgated in accordance with
					 R.S.
					 40:5.11(G).
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 5 - Fluoridation › Chapter 13 - Statewide Fluoridation Program › Section V-1315 - Requirement for Continued Operation

Current through Register Vol. 50, No. 6, June 20, 2024
A.
				  Any public water system with over 5,000 service connections that has initiated
				  fluoridation prior to, on, or after July 6, 2008 shall not discontinue
				  fluoridation without the approval of a majority of the registered voters who
				  cast a vote in a local election called and held in accordance with
				  R.S.
				  40:5.11(B).
B. Any public water system with fewer than
				  5,000 service connections that has initiated fluoridation as directed by
				  ordinance or resolution of the appropriate governing body shall not discontinue
				  fluoridation without the approval of that governing body.
AUTHORITY NOTE:
					 Promulgated in accordance with
					 R.S.
					 40:5.11(G).
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 7 - Maternal and Child Health Services › Chapter 17 - Child Health Services › Section V-1701 - General Administration

Current through Register Vol. 50, No. 6, June 20, 2024
A.
				  Administration
1. Child health services are
				  administered in accordance with the statutory requirements of the Social
				  Security Act of 1935-Title V, Sections 501-516; P.L. 97-35, Title V,
				  42 U.S.C. 703,
				  and R.S. 46:971-972.
2. Child
				  Health Services in Louisiana are closely coordinated with the Early and
				  Periodic Screening, Diagnosis, and Treatment (EPSDT) Program administered by
				  the Office of Family Security, Special Supplemental Food Program for Women,
				  Infants, and Children (WIC), Handicapped Children's Services (HCS), Family
				  Planning, and Dental Services programs administered by OPPHS. These services
				  are also coordinated with other related federally and state-funded programs
				  such as Developmental Disabilities and Head Start to ensure non-duplication of
				  effort and coordination, delivery of and access to these services. Child health
				  services are intended to provide the best possible preventive health care in
				  cooperation with other providers and to avoid duplication of services provided
				  to the same patients by the private sector.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 7 - Maternal and Child Health Services › Chapter 17 - Child Health Services › Section V-1703 - Description for Services

Current through Register Vol. 50, No. 6, June 20, 2024
A. Child health
				  clinics are scheduled in the parish health units on a regular basis utilizing
				  an appointment system. Three follow-up contacts by telephone, mail and/or home
				  visit are generally made on missed appointments. After three unsuccessful
				  attempted contacts, the medical record on the patient is closed unless a
				  serious medical problem exists which necessitates additional follow-up efforts
				  by OPPHS.
B. Preventive health care
				  for the well preschool age child generally follows a periodic schedule of the
				  ideal minimum of services adopted from the Standards of Child Health Care, 3rd
				  Edition, American Academy of Pediatrics, 1977. Services for the preschool age
				  child are usually scheduled at ages 1 month, 2-3, 4-5, 6-7, 8-12, 13-15, 16-19,
				  23-25, 27-36 months, and 5-6 years. This schedule is also consistent with a
				  continuing interagency contractual agreement with the Office of Family Security
				  for services provided to EPSDT-eligible children and the WIC federal and state
				  requirements.
2. Child health services for
				  the preschool age child generally consist of a comprehensive assessment of the
				  child's health status including:
a. medical
				  history on the child and family;
b.
				  unclothed physical inspection including listening to the chest;
c. height, weight determination, and head
				  circumference measurement at specified age;
d. monitoring of physical and psycho-social
				  development for physical handicaps and developmental delays;
e. dental screening;
f. screening for vision, hearing, speech, and
				  language problems;
g.
				  immunizations;
h. anticipatory
				  guidance for parents and children;
i. nutritional counseling and health
				  education;
j. screening and
				  follow-up for anemia, lead poisoning and hypertension;
k. newborn screening for metabolic disorders
				  including Phenylketonuria (PKU) and congenital hypothyroidism; and
l. screening for sickle cell disease on black
				  children.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 7 - Maternal and Child Health Services › Chapter 17 - Child Health Services › Section V-1705 - Referrals to Other Programs

Current through Register Vol. 50, No. 6, June 20, 2024
A.
				  Eligible children are routinely referred to the WIC Program. The WIC services
				  are provided at the parish health units. Children whose screening results
				  indicate potential handicaps or genetic disorders are referred to the regularly
				  scheduled regional Handicapped Children's Services (HCS) clinics and regional
				  genetics clinics for diagnosis, treatment, and other appropriate services.
				  Children with vision, or hearing, speech or language problems are referred to
				  the Eye Anomalies or Communicative Disorders Program for diagnostic work-ups.
				  Referrals are made to OPPHS medical social services staff, state supported
				  hospitals, and other health and social service providers for diagnosis,
				  follow-up and/or treatment services. These referrals are made in accordance
				  with OPPHS protocol, guidelines and/or professional judgment.
B. Suspected child abuse and/or neglect is
				  reported promptly to Children's Protective Services by professional staff in
				  child health clinics. These referra ls are made in accordance with
				  R.S.
				  14:403 and OPPHS protocol. Medical
				  information is released to other providers in accordance with DHHR
				  regulations.
AUTHORITY NOTE:
					 Promulgated in accordance with
					 R.S.
					 14:403. HISTORICAL NOTE: Promulgated by the
					 Department of Health and Human Resources, Office of Preventive and Public
					 Health Services, LR 13:246 (April 1987).
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 7 - Maternal and Child Health Services › Chapter 17 - Child Health Services › Section V-1707 - Collection of Fees

Current through Register Vol. 50, No. 6, June 20, 2024
A. Patients are not
				  charged for services, except that reimbursement is received from Office of
				  Family Security (OFS) for EPSDT eligible patients. This reimbursement rate is
				  governed by a continuing interagency contractual agreement between OPPHS and
				  OFS for EPSDT-eligible children according to the fee schedule below.
Description of Services
Fee Charged to Medicaid
Periodic screening by a physician
72.81
Initial screening by a nurse
72.81
Periodic screening by a nurse
72.81
Initial screening by a physician
72.81
Diagnosis and treatment by physician at same visit
								with nurse screening
33.71
Lead poison screening
33.71
Diagnosis and treatment by physician
33.71
Treatment
33.71
Special evaluation
33.71
Nurse counseling
33.71
Counseling by nutritionist
33.71
Social worker counseling
33.71
AUTHORITY NOTE:
					 Promulgated in accordance with Social Security Act of 1935, Title V, Sections
					 501-516; P.L. 97-35, Title V,
					 42 U.S.C. 703;
					 R.S. 46:971-972.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 7 - Maternal and Child Health Services › Chapter 19 - Maternity Services › Section V-1901 - General Administration

Current through Register Vol. 50, No. 6, June 20, 2024
A.
				  Administration
1. Maternity Services are
				  administered in accordance with the Social Security Act of 1935-Title V,
				  Sections 501-516; P. L. 97-35, Title V,  42 U. S. C. 703, and R. S.
				  46:971-972.
2. The state's
				  Maternity Services Program is coordinated with the Medicaid Program of the
				  Office of Family Security, Special Supplemental Food Program for Women,
				  Infants, and Children (WIC), the Family Planning Program, and other related
				  federal and state programs. Maternity services offered in OPPHS clinics are
				  closely coordinated with prenatal, delivery and post-partal services provided
				  by state supported and private hospitals and private physicians to ensure
				  nonduplication of effort. OPPHS maternity services are intended to provide a
				  minimum standard of prenatal care to pregnant women in Louisiana in cooperation
				  with other public and private providers.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 7 - Maternal and Child Health Services › Chapter 19 - Maternity Services › Section V-1903 - Description of Services

Current through Register Vol. 50, No. 6, June 20, 2024
A. Maternity
				  services consist of prenatal services as well as postpartal WIC nutritional
				  services to eligible women. The WIC Program is governed by departmental
				  regulations appearing elsewhere. Maternity clinics are scheduled in the parish
				  health units on a regular basis utilizing an appointment system. The maternity
				  services offered by OPPHS generally follow the recommendations of the American
				  College of Obstetricians and Gynecologists as described in the sixth edition of
				  Standards for Obstetric-Gynecologic Services 1985. Continuous risk assessments
				  are made, utilizing referrals to state supported hospitals for more specialized
				  care of high risk pregnant women. Maternity patients are referred to the
				  regional high risk facility, because of the obvious risk that they represent
				  for a poor pregnancy outcome under the following conditions:
1. taking antihypertensive
				  medications;
2.
				  Rhisoimmunized;
3. use of hard
				  drugs (cocaine, heroin, and methadone);
4. forty years of age or older;
5. last baby weighed between one and four
				  pounds at birth;
6. diabetes
				  mellitus present;
7. sickle cell
				  disease present;
8. current
				  multiple pregnancy; and 9. previous caesarian section.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 7 - Maternal and Child Health Services › Chapter 19 - Maternity Services › Section V-1905 - Referrals to Other Programs

Current through Register Vol. 50, No. 6, June 20, 2024
A.
				  Eligible prenatal and postpartal patients are routinely referred to the WIC
				  Program. WIC services are generally provided at the parish health units.
				  Maternity patients are referred to the state supported hospital in the region
				  for delivery services, specialized prenatal care for high risk pregnancies and
				  other maternity services according to agency protocol and interagency
				  agreements with the regional state supported hospitals. Referrals are also made
				  to OPPHS medical social services staff, family planning staff and other health
				  care and social services providers for follow-up and other services.
B. Medical information is released to other
				  providers in accordance with DHHR regulations on disclosure of medical
				  information.
AUTHORITY NOTE:
					 Promulgated in accordance with the Social Security Act of 1935, Title V.,
					 Sections 501-516; P.L. 97-35, Title V;
					 42 U.S.C. 703;
					 R.S. 46:971972.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 7 - Maternal and Child Health Services › Chapter 19 - Maternity Services › Section V-1907 - Collection of Fees

Current through Register Vol. 50, No. 6, June 20, 2024
A. There are no
				  patient fees for maternity care services provided at the health units except
				  for women under 21 years of age who are eligible for Title XIX (Medicaid) in
				  the EPSDT Program. Charges to EPSDT for services rendered to eligible women
				  will be based on the fee schedule listed above under child health
				  services.
AUTHORITY NOTE:
					 Promulgated in accordance with the Social Security Act of 1935, Title V,
					 Sections 501-516; P.L. 97-35, Title V.;
					 42 U.S.C. 703;
					 R.S. 46:971972.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 7 - Maternal and Child Health Services › Chapter 21 - Communicative Disorders › Section V-2101 - General Administration

Current through Register Vol. 50, No. 6, June 20, 2024
A.
				  Administration
1. Communicative disorders
				  services are administered in accordance with R.S.40:5, 17:2111,46:261-263, and
				  46:971-972.
2. These services
				  include speech, language, and hearing screening and follow-up testing necessary
				  for presumptive diagnosis and appropriate referral for rehabilitation. Services
				  provided are planned to ensure coordination with other associated federal,
				  state, and local programs such as EPSDT, Handicapped Children's Services,
				  Developmental Disabilities, Department of Education, Head Start, and local
				  community service centers for the purpose of:
a. eliminating duplication of services
				  resulting in cost effective operations;
b. maintain effective communications between
				  disciplines working in respective agencies and programs for the benefit of
				  clients served; and
c. ensure easy
				  access to services provided across agencies and programs and expedite referrals
				  for timely and comprehensive follow-up care.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 7 - Maternal and Child Health Services › Chapter 21 - Communicative Disorders › Section V-2103 - Description of Services

Current through Register Vol. 50, No. 6, June 20, 2024
A. Screening
				  Services
1. Screening may be performed by
				  trained volunteers, school nurses, health unit personnel, and/or OPPHS
				  personnel depending upon the availability of staff. Communicative Disorders
				  Program personnel provide training in screening activities in accordance with
				  nationally accepted professional standards for audiological screening.
				  Screening equipment provided by the program conform to 1969 American National
				  Standards Institute of calibration. Infant screening is primarily performed
				  through identification of high risk factors, medical history, behavioral
				  observations, and assessment of developmental milestones.
2. The parent or guardian is notified by mail
				  as to the child's failure to pass screening. They are urged either in person or
				  by letter to seek follow-up testing depending upon the availability of the
				  parent or guardian at the time of screening. A child who does not receive
				  follow-up testing from private sector providers may be referred to a OPPHS
				  communicative disorders clinic in the parish health unit. Follow-up testing is
				  provided by masters-level professional audiologists and/or speech pathologists.
				  These professionals are certified by the American Speech-Language-Hearing
				  Association and licensed by the state of Louisiana.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 7 - Maternal and Child Health Services › Chapter 21 - Communicative Disorders › Section V-2105 - Fee Collections

Current through Register Vol. 50, No. 6, June 20, 2024
A. There
				  are no fees collected for Communicative Disorders Program services with the
				  exception of Head Start. Reimbursement to OPPHS is provided by Head Start for
				  each child screened at Head Start centers in accordance with interagency
				  agreements with Head Start centers throughout the state. A reasonable fee per
				  child is collected under this agreement.
AUTHORITY NOTE:
					 Promulgated in accordance with
					 R.S.
					 40:5.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 7 - Maternal and Child Health Services › Chapter 22 - Identification of Hearing Impairment in Infants › Section V-2201 - Definitions

Current through Register Vol. 50, No. 6, June 20, 2024
Advisory Council
- the 14 member council
					 created pursuant to
					 R.S.
					 46:2265.
Audiologist
- an individual licensed to
					 practice audiology by the Louisiana Board of Examiners for Speech Pathology and
					 Audiology.
Auditory Brainstem Response
(ABR)- the
					 synchronous electrical response elicited from the auditory nervous system
					 within 20 msec after stimulation and its measurement as used for the detection
					 of hearing loss.
Department
- the Department of Health and
					 Hospitals.
Discharge
- release from the premises of a
					 medical care facility.
Evoked Otoacoustics Emissions
(EOAE)-
					 acoustic echoes, evoked in response to acoustic stimuli, produced by the inner
					 ear and measured by a microphone in the ear canal for the detection of hearing
					 loss.
Hearing Screening
- using procedures
					 approved by the office to identify infants in need of diagnostic audiological
					 assessment.
Infants at Risk
- those infants who are at
					 risk for hearing loss because they have one or more risk factors as indicated
					 in
					 R.S.
					 46:2263.
Office
- the Office of Public Health
					 within the department.
Other Birthing Site
- any site of birth
					 other than a hospital.
Other Risk Factors
- any other
					 condition(s) in addition to the factors cited in
					 R.S.
					 46:2263 added by the office upon
					 recommendation of the advisory council.
Other Screening Device
- a device
					 preapproved in writing by the office, comparable to or better than auditory
					 brainstem response testing.
Program
-the Hearing, Speech and Vision
					 Program within the office.
Risk Registry
- will be the data base kept
					 by the office of all infants identified as high risk for hearing
					 loss.
AUTHORITY NOTE:
					 Promulgated in accordance with R.S.
					 46:2261-2267.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 7 - Maternal and Child Health Services › Chapter 22 - Identification of Hearing Impairment in Infants › Section V-2203 - Program for Identification of Hearing Loss in Infants

Current through Register Vol. 50, No. 6, June 20, 2024
A. The program will include the following.
1. The office will require a newborn hearing
				  screening report to be used by the hospitals to report hearing screening
				  results and risk status on all newborns to the risk registry. This form will
				  include written material regarding hearing loss and a toll-free hotline phone
				  number (V/TDD).
2. The office will
				  maintain a risk registry to include information reported on the newborn hearing
				  screening report.
3. The office
				  will notify parents of infants at risk of available follow up
				  services.
4. The risk registry will
				  include periodic notification to parents of recommended procedures for infants
				  and children at risk for progressive hearing loss.
5. The risk registry will include information
				  on infants diagnosed with hearing loss.
6. The office will provide for a toll-free
				  hotline service for parents and professionals to utilize to obtain information
				  about the program and related services. This hotline will be accessible by
				  voice or TDD.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 7 - Maternal and Child Health Services › Chapter 22 - Identification of Hearing Impairment in Infants › Section V-2205 - Procedures for Hospitals

Current through Register Vol. 50, No. 6, June 20, 2024
A. Hospitals
				  shall complete the newborn screening report on all live births.
B. Hospitals shall conduct hearing screening
				  on all newborn infants before discharge.
C. Hospitals shall record the results of the
				  hearing screening on the newborn hearing screening report.
D. Hospitals shall disseminate copies of the
				  newborn hearing screening report to the parent, the office (within 14 calendar
				  days of discharge), and the infant's primary health care provider.
E. If an infant is born in one hospital and
				  transferred to one or more hospital(s), the last hospital to which the infant
				  is transferred before being discharged into the care of a parent, or guardian
				  for purposes other than transport, must complete the newborn infant hearing
				  report and perform the hearing screening.
F. If an infant is to be placed for adoption
				  and is to be transferred to another hospital for adoption, the hospital at
				  which the infant is born is to complete the newborn hearing screening report
				  and perform the hearing screening (unless §2205. E above applies). The
				  parent copy of the newborn hearing screening report shall be sent to the
				  guardian.
G. Referrals for infants
				  failing the hospital screening process must be made within seven days of
				  discharge to the infant's primary health care provider and a licensed
				  audiologist.
AUTHORITY NOTE:
					 Promulgated in accordance with R.S.
					 46:2261-2267.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 7 - Maternal and Child Health Services › Chapter 22 - Identification of Hearing Impairment in Infants › Section V-2207 - Procedures for Other (Alternative) Birthing Sites

Current through Register Vol. 50, No. 6, June 20, 2024
A. When the infant is born outside the
				  hospital, the person filling out the birth certificate shall complete the
				  newborn hearing screening report.
B. Hearing screening shall be performed at
				  the alternative birthing site before discharge. The results of the screening
				  shall be recorded on the newborn hearing screening report.
C. The person completing the newborn hearing
				  screening report shall disseminate the copies to the parent, primary health
				  care provider, and the office (within 14 calendar days).
D. Referrals for infants failing the
				  alternative birthing site screening process must be made within seven days of
				  discharge to the infant's primary health care provider and a licensed
				  audiologist.
AUTHORITY NOTE:
					 Promulgated in accordance with R.S.
					 46:2261-2267.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 7 - Maternal and Child Health Services › Chapter 22 - Identification of Hearing Impairment in Infants › Section V-2209 - Hearing Screening Procedures

Current through Register Vol. 50, No. 6, June 20, 2024
A.
				  Personnel. Hearing screening will only be performed by:
1. board eligible or board certified
				  physicians with special training in auditory brainstem response testing and/or
				  otoacoustic emissions and in infant hearing testing. Evidence of training must
				  be submitted to the office;
2.
				  audiologists licensed by the Louisiana Board of Examiners for Speech Pathology
				  and Audiology with special training in auditory brainstem response testing
				  and/or otoacoustic emissions testing and in infant hearing testing. Evidence of
				  training must besubmitted to the office;
3. persons trained and supervised by
				  personnel meeting requirements for §2209. A.1 above.
a. A board-certified or board-eligible
				  physician or licensed audiologist who is supervising another individual
				  performing hearing screening must at least be accessible by telephone while the
				  screenings are being performed, review a percentage of the screening
				  documentation and copies of the newborn hearing screening report and perform
				  periodic direct observation of each individual at least once per month as they
				  perform hearing screenings. After an individual supervised by an audiologist or
				  physician has performed hearing screening under the above supervision for one
				  year, direct observation every three months is required.
Note: To minimize liability it is recommended that the
					 standard for special training be by an accredited medical or educational
					 institution and include sufficient practicum for proficiency. Any deviation
					 from this recommended standard may increase liability.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 7 - Maternal and Child Health Services › Chapter 22 - Identification of Hearing Impairment in Infants › Section V-2210 - Referral and Follow-Up

Current through Register Vol. 50, No. 6, June 20, 2024
A. Referrals
				  for infants failing screening must be made to the infants primary care
				  physician and a licensed audiologist within seven days of discharge by the
				  birthing center.
B. Appropriate
				  protocols and standards for diagnostic evaluations to determine hearing loss
				  shall be established by the office, upon recommendations of the State Advisory
				  Council.
AUTHORITY NOTE:
					 Promulgated in accordance with R.S.
					 46:2261-2267.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 7 - Maternal and Child Health Services › Chapter 22 - Identification of Hearing Impairment in Infants › Section V-2211 - Confidentiality of Information

Current through Register Vol. 50, No. 6, June 20, 2024
A. All
				  information on the newborn hearing screening report is considered confidential
				  and cannot be released by the office, the hospital or the primary health care
				  facility without the parent or guardian's written informed consent.
AUTHORITY NOTE:
					 Promulgated in accordance with R.S.
					 46:2261-2267.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 7 - Maternal and Child Health Services › Chapter 22 - Identification of Hearing Impairment in Infants › Section V-2213 - Risk Registry and Tracking

Current through Register Vol. 50, No. 6, June 20, 2024
A. The
				  office will maintain a risk registry to include information on all live births
				  and infants identified as at risk for hearing loss.
B. The office will track at risk infants who
				  fail or do not receive hearing screening prior to hospital discharge.
				  Assistance will be provided for service referrals when necessary.
C. The office will track and notify parents
				  of infants and children at risk for progressive hearing loss of appropriate
				  procedures for follow-up testing and monitoring of their child's hearing until
				  age five.
D. The office will
				  develop a system for reporting diagnosis of hearing loss by primary health care
				  providers, audiologists and parents for children up to age 5.
E. The office will disseminate statistical
				  reports regarding the number of infants tested and the number with diagnosed
				  hearing loss to the Louisiana Commission for the Deaf, the Louisiana School for
				  the Deaf, the Department of Education and other interested parties on an annual
				  basis.
F. Infants and children with
				  diagnosed hearing loss shall be referred to appropriate agencies for
				  rehabilitation and education services with parental/caregiver consent. For
				  infants and toddlers up to age three with diagnosed hearing loss, referral to
				  Childnet shall be made for early intervention services.
G. Non-Compliance and Penalties
1. The State Advisory Council shall recommend
				  to the office methods of monitoring hospitals, physicians and audiologists for
				  compliance with all sections of this statute.
2. The State Advisory Council shall report
				  any hospital, physician or audiologist found to be non-compliant to the
				  appropriate licensing, regulatory or other appropriate agency.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 7 - Maternal and Child Health Services › Chapter 23 - Eye Anomalies Services › Section V-2301 - General Administration

Current through Register Vol. 50, No. 6, June 20, 2024
A.
				  Administration. The Eye Anomalies Program is administered in accordance with
				  R.S.
				  40:5,
				  R.S. 17:2111,
				  R.S. 46:261-263 and R.S. 46:971-972.
B. Eligibility Criteria. Individuals birth to
				  21 years of age who reside in Louisiana are eligible for services provided by
				  the Eye Anomalies Program.
C.
				  Requests for Services. The program receives referrals from parents or
				  guardians, public, parochial, and private school systems, day care centers,
				  Head Start programs, interagency programs within OPPHS, private sector
				  pediatricians, the Office of Family Security, the Department of Education,
				  various state institutions, neonatal facilities in hospitals, and other state
				  and private programs.
AUTHORITY NOTE:
					 Promulgated in accordance with
					 R.S.
					 40:5, R.S. 17:211, R.S. 46:261-263 and R.S.
					 46:971-972.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 7 - Maternal and Child Health Services › Chapter 23 - Eye Anomalies Services › Section V-2303 - Program Procedures

Current through Register Vol. 50, No. 6, June 20, 2024
A. Training
				  workshops are conducted each year by the regional Eye Anomalies Program
				  consultants in each parish throughout the state. Training is provided to school
				  nurses, public health nurses, teachers, parents, volunteers, and others. These
				  individuals are trained to conduct the basic initial screening procedures with
				  school age children in public, parochial, and private schools.
B. Initial screening is performed by
				  certified Eye Anomalies Program technicians on infants, preschoolers,
				  kindergarten children, mentally retarded children, hearing impaired children,
				  and children referred from the Department of Education, since more complex
				  clinical skills and/or equipment are required for these individuals.
C. The eye anomalies staff employs more
				  definitive test procedures to screen school age children in public, parochial,
				  and private schools when these children are referred. If the results of this
				  rescreening are positive, this indicates the need for an ophthalmic
				  examination. These children are then referred into medical diagnostic clinics.
				  Individuals initially tested by Eye Anomalies Program staff are referred
				  directly into medical diagnostic clinics without rescreening
				  procedures.
D. Medical diagnostic
				  screening clinics are scheduled as needed at parish health units throughout the
				  state. All individuals failing the initial or rescreening procedures conducted
				  by Eye Anomalies Program staff are invited into a clinic where they are
				  examined by an ophthalmologist. These ophthalmic examinations assist in
				  determining whether a particular ocular problem requires medical or non medical
				  treatment. Counseling services are provided focusing on communicating the
				  child's needs to parents, to educators, and to health personnel. The Ophthalmic
				  Advisory Committee (see Section 2307) assists in the recruitment of
				  ophthalmologists for these clinics.
E. School nurses are asked to follow-up on
				  public school children who fail to attend clinics. OPPHS Eye Anomalies Program
				  staff and public health nurses conduct a follow-up of preschool, parochial, and
				  private school children who do not attend clinics in order to determine if they
				  have sought private care services.
F. Post clinic conferences attended by the
				  parents or guardians and a public health nurse or Eye Anomalies Program staff
				  member are utilized to initiate needed follow-up for those attending the
				  medical diagnostic clinic. Follow-up services are also provided by other
				  agencies.
AUTHORITY NOTE:
					 Promulgated in accordance with
					 R.S.
					 40:5;
					 R.S. 17:2111;
					 R. S. 46:261-263 and R. S. 46:971-972.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 7 - Maternal and Child Health Services › Chapter 23 - Eye Anomalies Services › Section V-2305 - Referrals from the Program

Current through Register Vol. 50, No. 6, June 20, 2024
A. After
				  clients have been examined by an ophthalmologist in a medical diagnostic clinic
				  and found in need of treatment services, a determination is made whether
				  medical or non medical treatment is necessary. Referrals may be made to
				  handicapped children's services, state supported hospitals, other state
				  agencies, including but not limited to Division of Blind Services, Department
				  of Special Education, and to provide sector ophthalmologists or optometrists of
				  the parent's choice. Medical information is released to other providers in
				  accordance with DHHR regulations.
AUTHORITY NOTE:
					 Promulgated in accordance with
					 R.S.
					 40:5;
					 R.S. 17:2111;
					 R.S. 46:261-263 and R.S. 46:971-972.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 7 - Maternal and Child Health Services › Chapter 23 - Eye Anomalies Services › Section V-2307 - Ophthalmic Advisory Committee to DHHR

Current through Register Vol. 50, No. 6, June 20, 2024
A. The Ophthalmic Advisory Committee of DHHR
				  shall be composed
1. of no more than 18
				  members made up of ophthalmologists and optometrists appointed to the committee
				  by the state health officer. The state health officer and the director of Eye
				  Anomalies Program shall serve as
2.
				  ex-officio members of the committee. The director of OPPHS Eye Anomalies shall
				  act as secretary of the committee and as liaison between the committee and the
				  various offices of DHHR and other state agencies. The chairman of the committee
				  shall be appointed by the state health officer.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 7 - Maternal and Child Health Services › Chapter 23 - Eye Anomalies Services › Section V-2309 - Fee Collections

Current through Register Vol. 50, No. 6, June 20, 2024
A. There
				  are no fees collected for the Eye Anomalies Program services except under
				  written agreements with Head Start centers.
AUTHORITY NOTE:
					 Promulgated in accordance with
					 R.S.
					 40:5;
					 R.S. 17:2111,
					 R.S. 46:261-263 and R.S. 46:971-972.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 7 - Maternal and Child Health Services › Chapter 25 - Sudden Infant Death Syndrome (SIDS) › Section V-2501 - General Administration

Current through Register Vol. 50, No. 6, June 20, 2024
A.
				  Administration
1. This program exists
				  primarily to monitor compliance with
				  R.S.33:1561, R.S.
				  33:1561.3, and
				  R.S. 40:56
				  which mandate the following:
a. coroners must
				  clearly state cause of death as "Sudden Infant Death Syndrome" where the
				  findings so warrant and within 48 hours of such findings notify the director of
				  the local parish health unit of this provisional diagnosis;
b. the director of the parish health unit or
				  his agent, after consultation with the infant's physician, shall, within 48
				  hours contact the person or persons who had custody and control of the infant
				  and explain the nature and cause of SIDS to the extent current knowledge
				  permits; and
c. to ensure that the
				  provisional cause of death as SIDS is verified, autopsies shall be performed
				  whenever the cause of death of an infant is unexpected and without
				  explanation.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part V - Preventive Health Services › Subpart 7 - Maternal and Child Health Services › Chapter 25 - Sudden Infant Death Syndrome (SIDS) › Section V-2503 - Program Services

Current through Register Vol. 50, No. 6, June 20, 2024
A. The
				  following procedures have been established to accomplish these goals.
1. Within 48 hours of notification by the
				  Coroner's Office (or any concerned individual) that a SIDS death has occurred,
				  the health unit; i.e., public health nurse, contacts the family to arrange a
				  home visit; when notification is by any individual other than the coroner or
				  his/her representative, confirmation of diagnosis is made by the public health
				  nurse from the coroner's office.
2.
				  Within 10 days a visit is made by the public health nurse. Information as
				  described on the "Initial Case Report" form is obtained while clarifying to the
				  parent's the current knowledge about SIDS. Written materials in this regard are
				  also supplied to the parents. Referrals are made as need is detected;
3. This completed report is sent to medical
				  social services in OPPHS central registry on SIDS cases.
4. A copy of this report is sent to the
				  regional medical social worker who visits the family four weeks later to
				  provide professional assessment of the psychosocial status of the family, and
				  counseling and/or referral that is needed. Subsequent visits may be
				  arranged.
5. A written report of
				  this activity is completed and sent to OPPHS central office for
				  files.
6. Death certificates are
				  matched with these reports; autopsy reports
or death certificates are requested whenever they have not
					 been previously received.