Duties and Responsibilities

(a)UOG CEDDERS: It will be the duty and responsibility of the Director of UOG CEDDERS to work in collaboration with DPH&SS, Department of Education (DOE), ICC Subcommittee, and the health care facilities to implement universal hearing screening and intervention programs through a four

(4)year Federal grant under the United States Department of Health & Human Services, Health Resources and Services Administration, Maternal Child Health Bureau (H61 MC 00094-03-00). It will also be the duty and responsibility for UOG CEDDERS to develop the tracking and surveillance database monitoring system through a 2-year Cooperative Agreement with the Center of Disease Control in Atlanta, Georgia (UR3/CCU923118-02). UOG CEDDERS shall develop a plan for the collection of data and evaluation of the program in relation to the duties and responsibilities of the departments and the health care facilities with guidelines for the screening, identification, diagnosis, and monitoring of infants hearing impairment and infants at risk for delayed onset of hearing impairment. At the conclusion of this initial development and COL 110609 CH. 4 UNIVERSAL NEWBORN H EARING SCREENING AND INTERVENTION ACT (UNHSIA) OF 2004 implementation, UOG CEDDERS will transition all information, materials, and data on infant hearing screening and intervention to the DPH&SS.

(b)DPH&SS: It is the duty and responsibility of the Director of DPH&SS to collaborate with UOG CEDDERS, DOE, ICC Subcommittee, and the health care facilities during this developmental phase to establish Guam==s universal newborn hearing screening programs to ensure a smooth transition from UOG CEDDERS and the DPH&SS. Once the transition is completed, DPH&SS shall be responsible for maintaining universal newborn hearing screening programs, tracking and surveillance systems and the evaluation of an island-wide program for early identification of and intervention for infants with hearing impairments. The DPH&SS shall conduct a community outreach and awareness campaign to inform medical providers, pregnant women, and families of newborns and infants of the availability of newborn hearing screening programs and the value of early hearing testing.

(c)Health Care Facilities: It is the duty and responsibility of the Administrator, Director, or whomever is in charge of the health care facility to collaborate with UOG CEDDERS, DPH&SS, ICC Subcommittee, and DOE to insure that one hundred percent (100%) of all hearing screening of all newborns on Guam is part of the standard of care. Health care facilities shall maintain hearing screening data and shall report hearing results to the UOG CEDDERS and/or DPH&SS on an annual basis. Health care facilities shall work in collaboration with the DPH&SS to continue training of health care providers in conducting infant hearing screening, including cutting edge techniques, updated technical advances in early hearing screening and detection, and ongoing personnel training on the importance of early identification of hearing loss.

(d)ICC Subcommittee: It is the duty and responsibility of the Chairperson of the ICC Subcommittee to collaborate with UOG CEDDERS, DPH&SS, health care facilities, and DOE to monitor service delivery of all infants with hearing loss, assuring that state of the art hearing screening and diagnostic equipment are being used by health care facilities to identify children with hearing impairments. In addition, the ICC Subcommittee shall submit annual reports of Guam=s hearing screening efforts to the Guam Interagency Coordinating Council.

(e)DOE: It is the duty and responsibility of the Superintendent of the Department of Education to collaborate with UOG CEDDERS, DPH&SS, COL 110609 CH. 4 UNIVERSAL NEWBORN H EARING SCREENING AND INTERVENTION ACT (UNHSIA) OF 2004 ICC Subcommittee, and the health care facilities to insure that all infants identified with hearing impairments, and those at risk, receive appropriate early intervention services, which includes transdisciplinary diagnostic assessments, development of an Individualized Family Service Plan, and follow-up with the appropriate medical home. DOE will work in collaboration with UOG CEDDERS, DPH&SS, ICC Subcommittee, and the health care facilities in planning future data system linkages so that no infant born on Guam is lost to follow-up and intervention services.