18th ANNUAL EARLY HEARING DETECTION & INTERVENTION MEETING
March 3-5, 2019 • Chicago, IL
3/09/2015 | 2:30 PM - 3:00 PM | Mandated Congenital Cytomegalovirus Testing: The Utah EHDI Experience ONE YEAR LATER | French | 1
Mandated Congenital Cytomegalovirus Testing: The Utah EHDI Experience ONE YEAR LATER
Congenital cytomegalovirus (CMV) is the most common non-hereditary etiology of hearing loss in children, accounting for approximately 33% of pediatric hearing loss in Utah. On July 1, 2013, Utah became the first state in the nation to mandate a cytomegalovirus (CMV) public health initiative. This law included a mandate for testing all babies who fail two newborn hearing screenings for congenital cytomegalovirus prior to 21 days of age. This mandate necessitated a shift in state newborn hearing screening protocols making the “1” in the national 1-3-6 EHDI guidelines no longer the goal in Utah. In order to meet the new CMV testing law, state protocols were revised so that all infants are screened and then re-screened (for those who fail the first screening) by 14 days of age to allow for CMV testing, if needed, to occur within the critical 21-day time window. Data gathered from the first 18 months of the mandate will be shared. This data will show how the focus on even timelier hearing screening and follow-up necessitated by the CMV testing mandate has increased EHDI milestone attainment in Utah. This positive effect is being seen in infants who received CMV testing whether or not the virus was detected. Lessons learned to date will be discussed so that other EHDI programs may benefit from Utah’s experience.
- Name positive consequences to EHDI milestones as a result of early congenital CMV testing.
- Discuss lessons learned by Utah EHDI during the first 18 months of their CMV mandate.
- Apply Utah’s revised newborn hearing screening protocols to their own state’s program to make accommodations for congenital CMV testing
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Presenters/Authors
Stephanie Browning McVicar
(Primary Presenter,Author,POC), Utah Department of Health and Human Services, smcvicar@utah.gov;
Dr. Stephanie Browning McVicar is the Director of the Early Hearing Detection and Intervention Program, the Children’s Hearing Aid Program, and the Cytomegalovirus (CMV) Public Health Initiative in Utah. She works for the Utah Department of Health and Human Services' Children with Special Health Care Needs Office in Salt Lake City. Dr. McVicar is a pediatric audiologist, an advocate for CMV testing in newborns, and passionate about the prevention of congenital CMV infection. She was instrumental in the creation of the Utah EHDI tele-audiology program. She is originally from Western New York and has extensive experience and knowledge in Audiology and the management of health care programs in both the public and private sectors.
ASHA DISCLOSURE:
Financial -
No relevant financial relationship exist.
Nonfinancial -
No relevant nonfinancial relationship exist.