Documentation Required: See above. Evaluation Question: None MPR 4 Where follow-up treatment is required, the local health department shall assure that a written statement indicating necessary course of action is provided to the parent or guardian of the child. Reference: PA 368 of 1978, 333.9305(1). Indicator 4.1 Documentation exists that written statements indicating the necessary course of action has been provided to parents or guardians of children whenever follow-up examination or treatment is necessary as a result of hearing screening. This indicator may be met by: The local health department maintains on file parent letters indicating confirmation of the process for follow-up of children referred from Stage II screening. Documentation Required: See above. Evaluation Question: None Indicator 4.2 Documentation demonstrates that children referred for examination or treatment have received the recommended services. This indicator may be met by: The local health department maintains on file otology clinic reports, documentation from physicians (-0381 or letter), or confirmation from parents that children have received treatment. Documentation Required: See above.
Documentation Required: See above. Evaluation Question: None MPR 4 Where follow-up treatment is required, the local health department shall assure that a written statement indicating necessary course of action is provided to the parent or guardian of the child. Reference: PA 368 of 1978, 333.9305(1). Indicator 4.1 Documentation exists that written statements indicating the necessary course of action has been provided to parents or guardians of children whenever follow-up examination or treatment is necessary as a result of hearing screening. This indicator may be met by: The local health department maintains on file parent letters indicating confirmation of the process for follow-up of children referred from Stage II screening. Documentation Required: See above. Evaluation Question: None Indicator 4.2 Documentation demonstrates that children referred for examination or treatment have received the recommended services. This indicator may be met by: The local health department maintains on file otology clinic reports, documentation from physicians (-0381 or letter), or confirmation from parents that children have received treatment. Documentation Required: See above.
Hearing-2015.docx