1. Newborn Hearing Screening and Pediatric Audiology in Utah Tom Mahoney, Ph.D. Hearing, Speech and Vision Services Utah Department Of Health 2 nd Annual National EHDI Meeting Atlanta Georgia February 25, 2003

8. ENHANCING PEDIATRIC AUDIOLOGY IN UTAH Strategies: Develop and Disseminate Practice Protocols (completed) Survey Utah Licensed Audiologists (completed) Develop Pediatric Audiologists Referral List (completed) Provide Ongoing Educational Opportunities (ongoing) Develop an active Internet List Serve (UCOPA) (completed)

9. Utah Department of Health and the Newborn Hearing Screening Committee AUDIOLOGIST QUESTIONNAIRE. 1.Please check each of the following that are applicable for you ___A. I currently provide diagnostic hearing evaluations for infants 0-6 months of age, including otoacoustic emissions (OAE) and auditory brainstem response (ABR).testing. I would like my name included on a referral list for parents whose infants need diagnostic hearing evaluations. ___B. I currently provide diagnostic hearing evaluations for infants 6-30 months of age, including OAE, ABR, and sound field visual reinforcement audiometry. I would like my name included on a referral list for parents whose children need diagnostic hearing evaluations. ___C I currently provide hearing aid evaluations and fittings for infants. I would like my name included on a referral list for parents whose children need hearing aids. ___D I am interested in providing infant hearing diagnostic evaluations in the future, and would like information on how I can obtain the necessary skills and/or equipment. ___E I am interested in providing hearing aids for infants in the future, and would like information on how I can obtain the necessary skills and/or equipment. ___F I am not interested in providing infant hearing diagnostic evaluations or hearing aids at this time, and do not wish to be included on a parent referral list. 2.If you are interested in being included on a parent referral list, please check the following tests/services you provide for infants. ____ Click evoked ABR ____ AABR _____Visual reinforcement audiometry ____ Tone pip evoked ABR ____ Play audiometry ____ Bone conductions ABR ____ Tympanometry ____ Transient Evoked otoacoustic emissions ____ Real ear measurements ____ Distortion Products otoacoustic emissions ____ Facilities to sedate infants when necessary 3.Comments ___________________________________________________________________________________________________________________________ Signature_________________________________________________________Date____________________________________________________ Print Name_______________________________________________________Agency__________________________________________________ Business Address______________________________________________________________________ Business Phone______________________________

10. Hearing, Speech & Vision Services Box 144620 Salt Lake City, UT 84114-4620 HEARING, SPEECH & VISION SERVICES BOX 144620 SALT LAKE CITY, UT 84114-4620

11. 1. Please check each of the following that are applicable for you. ___ A. I currently provide diagnostic hearing evaluations for infants 0-6 months of age, including otoacoustic emissions (OAE) and auditory brainstem response (ABR) testing. I would like my name included on a referral list for parents whose infants need diagnostic hearing evaluations. ___B. I currently provide diagnostic hearing evaluations for infants 6-30 months of age, including OAE, ABR, and soundfield visual reinforcement audiometry. I would like my name included on a referral list for parents whose children need diagnostic hearing evaluations. ___C. I currently provide hearing aid evaluations and fittings for infants. I would like my name included on a referral list for parents whose children need hearing aids. ___D. I am interested in providing infant hearing diagnostic evaluations in the future, and would like information on how I can obtain the necessary skills and/or equipment. ___E. I am interested in providing hearing aids for infants in the future, and would like information on how I can obtain the necessary skills and/or equipment. ___F. I am not interested in providing infant hearing diagnostic evaluations or hearing aids at this time, and do not wish to be included on a parent referral list.

12. 2. If you are interested in being included on a parent referral list, please check the following tests/services you provide for infants. ___ Click evoked ABR ___AABR ___ Visual reinforcement audiometry ___ Tone pip evoked ABR ___ Play audiometry ___ Bone conduction ABR ___ Tympanometry ___ Transient Evoked otoacoustic emissions ___ Real ear measurements ___ Distortion Products otoacoustic emissions ___ Facilities to sedate infants when necessary

13. 3.Comments__________________________________________________ _______________________________________________________________ Signature________________________ Date_________________________ Print Name______________________ Agency______________________ Business Address____________________________ Business Phone_______

14. AUDIOLOGIST SURVEY SUMMARY 4/1999 INDIVIDUAL RESULTS 128 SURVEYS MAILED MARCH 5, 1999 Names obtained from State of Utah Professional Licensing, USHA membership, ASHA membership. 89(70%) RESPONSES, 39(30%) NO RESPONSE. A cover letter informed audiologists that a lack of response would be interpreted as a wish not to be included on the referral list. 24(19%) returned marked “I am not interested in providing infant hearing diagnostic evaluations or hearing aids at this time, and do not wish to be included on a parent referral list”.

15. Resources that can provide complete screening, diagnostic and hearing aid services for newborns, infants and toddlers, 0-30 months of age, requiring additional testing following newborn infant hearing screening. (Resources designated complete are those that can provide diagnostic ABR, OAE, VRA, tympanometry and hearing aid services, +designates sedation capability) Resources that can provide some, but not all, screening and diagnostic services for newborns, infants and toddlers, 0-30 months of age, requiring additional testing following newborn hearing screening. (*designates availability of hearing aid services,) Resources that can provide some, but not all, screening and diagnostic services for infants and toddlers, 6-30 months of age. (*designates availability of hearing aid services, also) Resources that only provide hearing aids. RESPONSE CATAGORIES

16. 7/996/02 Agencies on COMPLETE listing1116 Agencies could test 0-36 months but did not have all equip/services 1215 Agencies could test 6-36 months – NO ABR or OAE 1210 Agencies were listed as HEARING AID SERVICES ONLY 84 AGENCY RESULTS

17. AUDIOLOGY REFERRAL LIST FOR NEWBORN HEARING SCREENING PROGRAMS

18. The following resources have indicated that they can provide complete screening, diagnostic and hearing aid services for newborns, infants and toddlers, 0-30 months of age, requiring additional testing following newborn infant hearing screening. (+designates sedation capability) Resource agencies designated complete are those that can provide diagnostic ABR, OAE, VRA, tympanometry, and hearing aid services. Alta View Audiology+L&S Hearing Health CareBYU Audiology ClinicJordan Valley Audiology 9690 S 1300 E #200630 S 400 E #1031190 N 900 E3590 W 9000 S Sandy, UT 84094St. George, UT 84770Provo, UT 84604West Jordan, UT 84088 (801) 576-4305(435) 688-8866(801) 378-7747(801) 566-8304 Logan Regional Hospital+Mountain West Hearing Cntr+Ogden Clinic AudiologyOgden Audiology Services+ 1400 N 500 E4000 S 700 E Ste 104650 Harrison Blvd.425 E 5350 S #120 Logan, UT 84341Salt Lake City, UT 84107Ogden, UT 84403Ogden, UT 84405 (435) 716-5325(801) 268-4141(801) 476-2213(801) 479-3346 U of U Hospital Audiology+Pediatric AudiologyPrimary Children’s Med.Cntr+Tanner Clinic Audiology 50 N Medical Dr, 2 NorthMcKay Dee Hospital100 N Medical Drive2121 N 1700 W Salt Lake City, UT 841324401 Harrison BlvdSalt Lake City, UT 84113Layton, UT 84041 (801) 585-3494Ogden, UT 84401(801) 588-3950(801) 773-4840 (no hearing aid services)(801) 398-2869 USU Comm.Disorders Utah Valley Reg. Med Wasatch Audiology+Wasatch Audiology+ 1000 Old Main Hill1034 N 500 W2545 N Canyon Rd, Ste 1001660 W Antelope Dr., Ste 315 Logan, UT 84322-1000Provo, UT 84605Provo, UT 84604Layton, UT 84041 (435) 797-1375(801) 357-7448(801) 373-1108(801) 776-2180 The following resources have indicated they provide some, but not all, screening and diagnostic services for newborns, infants and toddlers, 0-30 months of age, requiring additional testing following newborn hearing screening. (* designates availability of hearing aid services, also.) American Fork Hosp. ENT Clinic*Jordan School Dist. Ogden Speech & Hearing Center 170 N 1100 ECastleview Prof. Bldg.(residents only)3435 Harrison Blvd. #4 American Fork, UT 84003945 W Hospital Dr., Ste 17501 S 1000 EOgden, UT 84403 (801) 763-3372Price, UT 84501Midvale, UT 84047(801) 399-5601 (435) 637-4327(801) 412-2530 PCMC Audiology North*PCMC Audiology South*PCMC Audiology West*Utah Dept. of Health (HSVS) 545 W 500 S870 E 9400 S3845 W 4700 S44 N Medical Drive Bountiful, UT 84010Sandy, UT 84094Kearns, UT 84118Salt Lake City, UT 84113 (801) 292-8665(801) 571-1223(801) 964-4000(801) 584-8215 Utah Dept. of Health (HSVS)Utah Dept. of Health (HSVS)Utah Dept. of Health (HSVS) 2390 W Hwy 56, Ste 22540 Washington Blvd.28 S 100 E Cedar City, UT 84720Ogden, UTPrice, UT 84501 (435) 865-5887(801) 626-3645(435) 636-0430 (outreach in Richfield, Delta, Filmore, Beryl(outreach in Vernal, Roosevelt, Green River, Panguitch, Hildale, Kanab, Hurricane)Moab, Monticello, Blanding, Montezuma Creek) University of Utah*Utah Schools for the Deaf*Utah Schools for the Deaf*David K. Palmer, MD* Communicative Disorders742 Harrison Blvd.2870 S Connor Street255 South 100 East 390 S 1530 E, Rm 1201Ogden, UT 84404Salt Lake City, UT 84109Tooele, UT 84074 Salt Lake City, UT 84112(801) 629-4700(801) 464-0840(435) 882-2003 (801) 581-3506(loaner hearing aid program)(loaner hearing aid program)(Wednesdays only) Additional hearing aid resources for infants and toddlers: Granger Med Clinic Hearing Aids for KidsHearing ZoneWeber Audiology 3725 W 4100 SHealth South Rehab. HospitalCottonwood Mall381-A Ogden Mall West Valley, UT 8412010720 Dimple Dell Dr4835 S Highland DriveOgden, UT 84401 (801) 965-3456Sandy, UT 84092Salt Lake City, UT 84117(801) 627-3001 (801) 572-5437(801) 274-0101

19. The following resources have indicated they provide some, but not all, screening and diagnostic services for infants and toddlers, 6-30 months of age. (* designates availability of hearing aid services, also.) Ear Technology, Inc.*Family AudiologyIntermountain AudiologyIntermountain Audiology * 3955 Harrison Blvd.39 Professional Way, Ste 1 and Hearing Clinics*Beaver Valley Hospital Ogden, UT 84403Payson, UT 846511870 N Main St, Suite 2011109 N 100 W (801) 394-4399(801) 465-4805Cedar City, UT 84720Beaver, UT 84713 (435) 867-0714(435) 438-7100 Intermountain Audiology *Intermountain Audiology *Intermountain Audiology *Intermountain Audiology * Garfield Memorial HospitalDelta Medical CenterFillmore Medical CenterMilford Hospital 224 N 400 E126 S White Sage Drive674 S Hwy 99451 N Main Panguitch, UT 84759Delta, UT 84624Fillmore, UT 84631Milford, UT 84751 (435) 676-8842(435) 864-5591(435) 743-5591(435) 387-2471 Intermountain Audiology *Provo School District Kane County Hospital(residents only) 355 N Main280 W 940 N Kanab, UT 84741Provo, UT 84604 (435) 644-4100(801) 374-4895 Newborn Hearing Screening Committee Utah Department of Health/ Hearing, Speech and Vision Services Box 144620 Salt Lake City, UT 84114-4620 (801) 584-8215 This list was compiled from statewide audiologist survey data as of 6/2000, as a resource to families and newborn hearing screening programs. It should not be viewed as a complete resource directory or as an endorsement of any specific agency. Agency billing policies apply to all services. AUDIOLOGY REFERRAL LIST FOR NEWBORN HEARING SCREENING PROGRAMS