Missouri Code of State Regulations › Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES › Division 40 - Division of Maternal, Child and Family Health › Chapter 9 - Universal Newborn Hearing Screening Program › Section 19 CSR 40-9.010 - Definitions

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This section defines the terms used in this
				  chapter.
(1) Acceptable refer
				rates means the department has determined the facility's percentage of newborns
				referred for rescreening or diagnostic evaluation is acceptable, based on
				factors including but not limited to type of equipment; methodology; population
				screened; and facility staff.
(2)
				Audiologist is a person who is licensed in the state of Missouri according to
				Chapter 345, RSMo to provide audiological services.
(3) Automated screening equipment is
				equipment used for newborn hearing screening which automatically provides a
				pass/refer outcome.
(4) Automated
				pass/refer criteria is the interpretive criteria incorporated into hearing
				screening equipment that automatically provides a pass/refer outcome.
(5) Birth admission is the hospitalization
				during which the newborn is delivered.
(6) Diagnostic audiological assessment is the
				required audiometric testing used to determine the presence, type and severity
				of hearing loss.
(7) Department is
				the Missouri Department of Health.
(8) Department-designee is a person acting on
				behalf of the department in assessing, tracking and/or surveillance of hearing
				screening information.
(9) Facility
				is a hospital or ambulatory surgical center licensed by the state of Missouri,
				Department of Health.
(10) Food and
				Drug Administration (FDA)-approved equipment is hearing screening equipment
				that is designed specifically for use with newborns, and has met approved
				standards of operation set forth by the U.S. Food and Drug
				Administration.
(11) Hearing loss
				is a dysfunction of the auditory system of any type or degree that is
				sufficient to interfere with the acquisition and development of speech and
				language skills.
(12) Hearing
				screening is the completion of an objective, physiological test or battery of
				tests using recommended guidelines to identify newborns that need further
				audiological assessment.
(13)
				Infant is any child at least thirty (30) days of age, and less than twelve (12)
				months of age.
(14) Initial hearing
				screening is the first hearing screening performed on a newborn preferably
				prior to discharge from the facility where the birth occurred.
(15) Lost to follow-up is a newborn who
				cannot be located through tracking, and who may not have completed the
				screening and/or referral process.
(16) Missed is any newborn that did not have
				a hearing screening prior to discharge from the birthing facility.
(17) Newborn is any child twenty-nine (29)
				days of age or less.
(18)
				Non-audiologic personnel means any person that is not licensed as an
				audiologist in the state of Missouri according to Chapter 345, RSMo.
(19) One-stage newborn hearing screening
				program is designed so that newborns who do not pass the initial hearing
				screening are referred for diagnostic audiological assessment.
(20) Parent is a biological parent,
				stepparent, adoptive parent, legal guardian or other legal custodian of a
				newborn.
(21) Pass is the result
				obtained by automated hearing screening equipment, with preset interpretive
				criteria based upon a specific scientific rationale, which requires no further
				screening or testing.
(22) Primary
				care provider is a physician or person who professionally undertakes the
				pediatric care of the newborn, and is licensed in the state of Missouri as
				appropriate.
(23) Program manager
				is the person designated as being responsible for the newborn hearing screening
				program at a facility.
(24)
				Reasonable effort is demonstrated when the department has documentation of at
				least two (2) attempts to contact the newborn/infant's parent(s) by mail or
				phone, and at least one (1) attempt to contact the newborn/infant's primary
				care provider.
(25) Refer is the
				result obtained by hearing screening equipment, with preset interpretive
				criteria based upon a specific scientific rationale, that requires further
				screening or confirmatory testing.
(26) Referral is the process of sending a
				newborn that receives a "refer" screening result for additional audiological,
				educational, medical, or social assessment or evaluation.
(27) Rescreening is a repeat hearing
				screening performed on a newborn or infant, typically in an outpatient setting
				and preferably within thirty (30) days of the initial hearing
				screening.
(28) Third party payer
				is any person, corporation, trust, association, the state of Missouri, any
				governmental subdivision or agency or any other legal entity which pays
				directly or indirectly for health care services provided to another person or
				reimburses or pays a benefit to or on behalf of another person for health care
				services in conformance to a contract, plan, employee benefit or member
				benefit.
(29) Tracking is the
				process of reviewing information concerning the newborn's hearing screening
				status, to ensure the hearing screening and referral process is completed in a
				timely manner.
(30) Two-stage
				newborn hearing screening program is designed so that newborns who do not pass
				the initial hearing screening are referred for a rescreening exam. If the
				newborn does not pass the rescreening exam, the newborn/infant is referred for
				diagnostic audiological assessment.
*Original authority: 191.937, RSMo
					 1999.