• If a child referred from (failed) both the newborn and the EHS screens, then immediate follow-up with a pediatric audiologist who can perform a diagnostic assessment is critical. Work closely with the EHDI Coordinator and the family to ensure that this assessment is completed in a timely way and that everyone is fully informed about the diagnostic results.

• If a child passed the newborn screen, but did not pass the EHS screening, and if subsequent assessment by a pediatric audiologist identifies a permanent hearing loss, be certain to convey that information to the EHDI Coordinator immediately.  Good communication between all partners and providers is likely to result in comprehensive and timely support for the child and family.  

Finally, if you are not already sharing screening information with the EHDI Program on a regular basis,  talk with your state EHDI Coordinator about whether it makes sense to put a process in place to do so.   Consider creating a system that allows your EHS program to obtain children's newborn screening results and that allows the State EHDI Program to benefit from the updated periodic screening results, and the ongoing support to families, that EHS can contribute.