New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter II - Administrative Rules and Regulations › Subchapter H - Family Health › Part 69 - Family Health › Subpart 69-8 - Newborn Hearing Screening › Section 69-8.1 - Definitions

Current through Register Vol. 46, No. 28, July 10, 2024
(a)
Administrative officer
means the chief executive officer of
					 the hospital, as defined in section
					 405.3  of this Title.
(b)
Audiologic evaluation
means the use of physiologic and behavioral procedures to evaluate and diagnose
					 hearing loss.
(c)
Hearing
					 problems (hearing loss)
shall mean a permanent unilateral or bilateral
					 hearing loss of mild (30 to 40 dB HL) or greater degree in the frequency region
					 (500-4000 Hz) important for speech recognition and comprehension.
(d)
Institution caring for infants
					 (facility)
means all general hospitals having maternity and infant
					 services or premature infant services as defined in section
					 405.21  of this Title, primary care
					 hospitals and critical access hospitals as defined in section
					 407.1  of this Title, birthing
					 centers as defined in section
					 754.1  of this Title, and midwifery
					 birth centers as defined in section
					 795.1  of this Title.
(e)
Newborn infant (infant)
means a minor child who is less than 90 days of age.
(f)
Newborn infant hearing screening
					 (infant hearing screening)
means the use of an objective
					 electrophysiologic or otoacoustic measurement of the auditory system using
					 equipment approved by the United States department of Health and Human
					 Services, Food and Drug Administration (FDA), to identify infants at risk for
					 hearing loss.
(g)
Two-tier
					 infant hearing screening
is defined as the use of otoacoustic
					 emissions (OAE) screening or auditory brainstem response (ABR) screening
					 followed by auditory brainstem response (ABR) screening if the patient does not
					 pass the initial OAE or ABR screening.
(h)
Parent
means a parent by
					 birth or adoption, legal guardian, or any other person legally authorized to
					 consent to medical services for the infant.
(i)
Article 28 Facility
or
Facility
shall mean a health care facility established under
					 Article 28 of the Public Health Law.
(j)
Early Intervention
					 Program
means the New York State Early Intervention Program for
					 infants and toddlers with disabilities and their families, established under
					 Title II-A of Article 25 of Public Health Law, including state-approved Program
					 offices at the county level.
(k)
Referral to the municipal Early Intervention Program
means
					 referral to the designated early intervention official in the municipality
					 where the child resides, as is required of primary referral sources. Such
					 referral shall occur within two working days of identifying an infant or
					 toddler who is less than three years of age and suspected of having a
					 disability or is at risk of having a disability.
(l)
Early intervention
					 official
means the official designated by the municipality as
					 responsible for the administration of referrals of children suspected of having
					 or are at risk for developmental delays or disabilities.
(m)
Early Intervention Program
					 evaluator
means an individual approved by the Early Intervention
					 Program to evaluate children from birth to three years old with standardized
					 assessments and criterion-referenced assessments to determine eligibility for
					 early intervention services.
(n)
Primary referral sources
are defined as all individuals who
					 are Early Intervention Program qualified personnel; all approved evaluators,
					 service coordinators, and providers of early intervention services; Article 28
					 facility hospitals and clinics; child health care providers; day care programs;
					 local health units; local school districts; local social service districts
					 including public agencies and staff in the child welfare system; public health
					 facilities; early childhood direction centers; domestic violence shelters and
					 agencies; homeless family shelters; and, operators of any clinic approved
					 pursuant to Article 16 of the Mental Hygiene Law, or Article 31 of the Mental
					 Hygiene Law.
(o) An
at
					 risk
referral to the Early Intervention Program means referral of an
					 infant who has failed newborn hearing screening prior to discharge from
					 neonatal care with no documented follow-up results reported by the birth
					 facility at 60 days post-discharge. Upon such referral, the county Early
					 Intervention Program shall facilitate newborn hearing screening
					 follow-up.
(p) A
suspected
					 of hearing loss referral to the Early Intervention Program
means
					 referral of an infant who has failed a two-tier inpatient hearing screening and
					 any follow-up out-patient re-screening. Upon such referral, the Early
					 Intervention Program evaluator may first provide a confirmatory audiological
					 evaluation to determine whether a hearing loss exists, pursuant to section
					 69-4.8  of this Part.
(q) A
prescription
shall
					 mean a written order issued by the facility for an infant to obtain a follow-up
					 screening or diagnostic audiological evaluation, as appropriate, from an
					 article 28 licensed facility or a provider authorized to perform audiological
					 evaluations under title eight of the education law.