New Jersey Administrative Code › Title 8 - HEALTH › Chapter 19 - NEWBORN HEARING SCREENING PROGRAM › Subchapter 1 - NEWBORN HEARING SCREENING › Section 8:19-1.1 - Definitions

Current through Register Vol. 56, No. 14, July 15, 2024
The following words and terms, when used in this chapter, have the
				  following meanings unless the context clearly indicates otherwise:
"Act" means
				  P.L.
				  2001, c. 373 (approved
				  January 8, 2002, effective January 1, 2001), codified in part at
				  26:2-103.1
				  et seq.
"Audiologic evaluation" means audiologic evaluation as that term
				  is described in the JCIH Position Statement.
"Auditory Brainstem Response" or "ABR" means a physiologic measure
				  used for detecting unilateral or bilateral hearing loss by measuring the activity of
				  the cochlea, auditory nerve, and auditory brainstem pathways.
"Birth attendant" means a person who attends and assists during
				  the birth of a child.
"Birthing center" means an ambulatory care facility or a distinct
				  part of a facility that is separately licensed as an ambulatory care facility and
				  provides routine prenatal and intrapartal care. These facilities provide care to
				  low-risk maternity patients who are expected to deliver neonates of a weight greater
				  than 2,499 grams and at least 37 weeks gestational age and who require a stay of
				  less than 24 hours after birth.
"Birthing facility" means a health care facility that provides
				  birthing and newborn care services and includes birthing centers.
"Commissioner" means the Commissioner of Health.
"Decibel" or "dB" means a unit of sound intensity, based on a
				  logarithmic relationship of one intensity to a reference intensity.
"Decibels hearing level" or "dBHL" means decibel notation used on
				  the audiogram that is referenced to audiometric zero.
"Decibels normalized hearing level" or "dBnHL" means decibel
				  notation referenced to behavioral thresholds of a sample of normal hearing persons,
				  used most often to describe the intensity level of click stimuli used in evoked
				  potential audiometry.
"Department" means the Department of Health.
"Distortion product otoacoustic emissions" or "DPOAE" means
				  responses generated in response to two continuous pure-tones, referred to as
				  "primaries," and occurring at frequencies that relate mathematically to the
				  frequency of the primaries.
"EBC" means the Electronic Birth Certificate or the Electronic
				  Birth Certificate Registration System.
"EHDI module" means the part of the NJIIS that is enabled to
				  receive results of newborn hearing screening, rescreening and audiologic evaluation
				  and to receive lost to hearing follow-up reports.
"Facility" means a licensed healthcare facility.
"Hearing loss" means a hearing loss of 30dB or greater in the
				  frequency region important for speech recognition and comprehension in one or both
				  ears, which is approximately 500 through 4,000 hertz (Hz).
"Hearing screening" means the application of a physiologic hearing
				  screening measure.
"JCIH Position Statement" means the "Year 2007 Position Statement:
				  Principles and Guidelines for Early Hearing Detection and Intervention Programs," of
				  the Joint Committee on Infant Hearing (JCIH), incorporated herein by reference, as
				  amended and supplemented, published in Pediatrics, Vol. 120, No. 4, pp. 898-921
				  (October 2007), which is available :
1. From the American Academy of Pediatrics, 345 Park Blvd.,
				  Itasca, IL 60143, telephone: (800) 433-9016 and (630) 626-6000, telefacsimile: (847)
				  434-8000, website:
http://www.aap.org
;
2. From the JCIH website at
http://www.jcih.org
; and
3. Upon request to the Division of Family Health Services of the
				  Department.
"Lost to Hearing Follow-up Report" means submission of either the
				  form at N.J.A.C. 8:19 Appendix C, incorporated herein by reference, to the EHDI, or
				  the information required therein by means of the NJIIS.
1. The form is available upon request from the EHDI and can be
				  downloaded from the Department website at
www.nj.gov/health/forms
.
1. The form is available upon request from the EHDI, and can be
				  downloaded from the Department website at
www.nj.gov/health/forms
.
"New Jersey Early Hearing Detection and Intervention Program" or
				  "EHDI" means the program within the Department that implements the Universal Newborn
				  Hearing Screening program pursuant to
				  P.L.
				  2001, c. 373, for which the
				  contact information is Early Hearing Detection and Intervention Program, NJ
				  Department of Health, PO Box 364, Trenton, NJ 08625-0364, telephone (609) 292-5676,
				  TTY (609) 984-1343, telefacsimile (609) 633-7820, website
"New Jersey Immunization Information System" or "NJIIS" means the
				  New Jersey Immunization Information System established pursuant to
				  P.L.
				  2004, c. 138 (26:4-131 et seq.) and
				  N.J.A.C. 8:57-3.
"Otoacoustic emissions" (OAE) means a physiologic measure used for
				  detecting unilateral or bilateral hearing loss by measuring the responses generated
				  within the cochlea by the outer hair cells, by means of either DPOAE or TEOAE. OAE
				  evaluation does not detect neural dysfunction.
"Ototoxic drug monitoring procedures" means the procedures for
				  monitoring patients who are treated with ototoxic medications.
"Ototoxic medication" means a medication that has a toxic action
				  upon the ear resulting in possible hearing loss.
"Parent" means a biological parent, stepparent, adoptive parent,
				  legal guardian or other legal custodian of the child.
"Pass" means, with respect to hearing screening or rescreening,
				  achieve a result that indicates adequate hearing for normal speech and language
				  development using either:
1. DPOAE or TEOAE; or
2. ABR screening at or below an intensity level of 35 dBnHL.
"Physiologic hearing screening measure" means the electrical
				  result of the application of physiologic agents by means of either ABR or OAE, and
				  is also known as electrophysiologic hearing screening measure, as used in
				  26:2-103.2.
"Rescreening" means the application of a physiologic hearing
				  screening measure subsequent to the performance of an initial hearing
				  screening.
"Responsible physician" means the infant's medical home or the
				  physician that will be providing well child care for the infant.
"Special Child Health Services Registration" means Department form
				  number SCH-0 with this title, used for reporting children with special health care
				  needs, which appears at subchapter Appendix B, incorporated herein by reference. The
				  form is available from the Department's forms page at
www.nj.gov/health/forms
and upon
				  request to the EHDI.
"Transient Evoked Otoacoustic Emissions" or "TEOAE" means
				  frequency-specific responses evoked by brief acoustic stimuli, such as clicks or
				  tone bursts, that generally appear up to 20 milliseconds after stimuli are delivered
				  to the ear.