Disaggregation: The data will be presented by the following stratifications: Jurisdiction Sex Remoteness Socio-economic status Aboriginal and Torres Strait Islander status CALD Preterm birth Age completed screen disaggregated as <1 month, 1–3 months, 3–6 months, >6 – months corrected age Issues for consideration: Infants who do not enter the screening pathway before being discharged from hospital may be at a higher risk of not completing a hearing screen. To ensure equitable access for all infants, those who do not enter the screening pathway by receiving at least their first screen prior to discharge should be followed-up to ensure they complete their hearing screen. It is noted that this is a jurisdictional issue best monitored at the jurisdictional level. The denominator should be the number of live births. The National Perinatal Data Collection (NPDC) provides a comprehensive validated dataset of all live births in Australia, but is only is available a two-year delay. State/territory neonatal screening programs are able to provide a suitable and timely alternative. While the aim of neonatal hearing screening is for all infants to be screened for congenital PCHI by 4 weeks of (corrected) age, the Draft National Framework (NHSWG 2010) restricts this to eligible infants. Infants who are not eligible for screening include infants deemed to be medically unfit for screening. It is anticipated that this subgroup of infants will be very small and best monitored at the jurisdictional level. Indicator 2 Screening Indicator 2.1 Positivity rate of the screening test Definition: The proportion of infants who are screened and test positive for potential permanent childhood hearing impairment National Framework Objective 2.7: To ensure that the number of infants referred for assessment and subsequently diagnosed with the target condition is appropriate for the population and is consistent with international standards
Disaggregation: The data will be presented by the following stratifications: Jurisdiction Sex Remoteness Socio-economic status Aboriginal and Torres Strait Islander status CALD Preterm birth Age completed screen – disaggregated as <1 month, 1–3 months, 3–6 months, >6 months corrected age Issues for consideration: Infants who do not enter the screening pathway before being discharged from hospital may be at a higher risk of not completing a hearing screen. To ensure equitable access for all infants, those who do not enter the screening pathway by receiving at least their first screen prior to discharge should be followed-up to ensure they complete their hearing screen. It is noted that this is a jurisdictional issue best monitored at the jurisdictional level. The denominator should be the number of live births. The National Perinatal Data Collection (NPDC) provides a comprehensive validated dataset of all live births in Australia, but is only is available a two-year delay. State/territory neonatal screening programs are able to provide a suitable and timely alternative. While the aim of neonatal hearing screening is for all infants to be screened for congenital PCHI by 4 weeks of (corrected) age, the Draft National Framework (NHSWG 2010) restricts this to eligible infants. Infants who are not eligible for screening include infants deemed to be medically unfit for screening. It is anticipated that this subgroup of infants will be very small and best monitored at the jurisdictional level. Indicator 2 Screening Indicator 2.1 Positivity rate of the screening test Definition: The proportion of infants who are screened and test positive for potential permanent childhood hearing impairment National Framework Objective 2.7: To ensure that the number of infants referred for assessment and subsequently diagnosed with the target condition is appropriate for the population and is consistent with international standards
Neonatal%20hearing%20screening%20framework-August%202013.docx