North Carolina Infant Diagnostic Audiologic Evaluation Sites Updated May 12, 2015

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1 North Carolina Infant Diagnostic Audiologic Evaluation Sites NC Location Name of Facility Address Telephone Medical Affiliation Ahoskie 500 S. Academy Street Terry Crudup Roanoke Chowan Ahoskie, NC (919) Asheville Asheville Head, Neck & Ear Surgeons 1065 Hendersonville Rd. Asheville, NC Chapel Hill UNC s G0303 Neuroscience 101 Manning Drive Chapel Hill, NC Carolinas Rehabilitation Eye, Ear, Associates, P.A. CornerStone Ear,, PA Presbyterian Rehabilitation 1100 Blythe Boulevard, NC Fairview Road, NC Providence Road #320, NC Baldwin Avenue Suite 100, NC (828) Mission (919) UNC s (704) Levine Children s (704) None (704) CMC-Union Edgewater Surgery (704) Presbyterian Main Campus, Russian On-site for & sign language; other upon On-site for, Chinese, Vietnamese & Sign Language; phone & video for all

2 NC Location Concord Durham Durham Edenton Elizabeth City Fayetteville Fort Bragg Goldsboro Greensboro Greenville Name of Facility Address Telephone Medical Affiliation CMC Northeast 1090 NE Gateway Court (704) CMC-Northeast Audiology Concord, NC Duke University Medical NC Eye, Ear, Nose and Throat Chowan Albemarle Cape Fear Valley Health System Womack Army Medical (note: Military only) Eastern ENT Sinus & Allergy, P.A. The Women s of Greensboro East Carolina University Speech Language and Hearing Clinic 200 Trent Drive Clinic 1 I Orange Zone Durham, NC Roxboro Street Durham, NC Virginia Road Edenton, NC N Road St Elizabeth City, NC Owen Drive Fayetteville, NC Reilly Road Stop A Fort Bragg, NC Medical Office Place Goldsboro, NC Green Valley Road Greensboro, NC School of Allied Health Services ECU Health Sciences Bldg Room 1310 Greenville, NC (919) Duke Children s (919) NC Specialty Linda Bowen (252) Linda Bowen (252) (910) Cape Fear Valley Health System (910) Womack Army Medical (919) ext. 131 (336) Moses Cone On-site for, French and Arabic; phone and sign language Phone and sign language as secondary to Tri-Care None No English only (252) None On-site through Brody School of Medicine

3 NC Location Greenville Kenansville Laurinburg Pembroke Name of Facility Address Telephone Medical Affiliation Vidant Medical 2100 Stantonsburg Road (252) Vidant Medical Greenville, NC Duplin General Pinehurst Surgical Laurinburg/Scotland County Office Julian T. Pierce Health Robeson Health Care Cooperation 401 N. Main Street Kenansville, NC B Berwick Drive Laurinburg, NC East Wardell Dr. Pembroke, NC Pinehurst Pinehurst Surgical 5 First Village Drive Pinehurst, NC Raleigh Raleigh Capitol Ear, 4600 Lake Boone Trail Suite 201 Raleigh, NC Raleigh Wake Med Andrews, 2 nd Fl New Bern Avenue Raleigh, NC Raleigh Rex ENT Specialists at Wakefield Rockingham First Health of Richmond County/ Pinehurst Surgical Governor Manly Way Suite 301 Raleigh, NC South Long Drive Rockingham, NC Sanford Pinehurst Surgical 1818 Rockingham Drive Sanford, NC Jason Guetgemann (919) (910) None Jason Guetgemann (919) (910) None (919) None (919) Wake Med (919) Rex (910) None (919) None Interpreter services

4 NC Location Name of Facility Address Telephone Medical Affiliation Troy FirstHealth Family 522 Allen Street Care Suite 203 Specialty Care Troy, NC Clinic Wilmington Windsor Winston- Salem Winston- Salem Wilmington Ear, Associates Bertie Memorial Forsyth Medical Dept. of Audiology Wake Forest Baptist Health Dept. of Audiology 2311 Delaney Avenue Wilmington, NC S. King Street Windsor, NC Silas Creek Blvd. Winston-Salem, NC Medical Boulevard Janeway Tower 4 th Floor Winston-Salem, NC None For diagnostics (910) None Terry Crudup (919) (336) Forsyth Medical English only (336) Wake Forest Baptist Health (Brenner Children s ) phone & video for other *Teleaudiology Site: The NC Teleaudiology Project is possible because of a unique partnership among the N.C. Department of Health and Human Services, Division of Public Health, Children and Youth Branch, Early Hearing Detection and Intervention (EHDI) Program, and two departments at East Carolina University (ECU), Department of Communication Sciences and Disorders, and ECU Telemedicine. Funding is provided by the federal Health Resources and Services Administration (HRSA) in an effort to reduce loss to follow-up after failure to pass newborn hearing screening. The primary goals of the project are to provide hearing rescreening and infant audiological evaluations using telemedicine procedures and techniques for children born in rural counties where access to audiologists providing these services is very limited. An audiologist, experienced with infant diagnostic procedures, watches what is being done in the remote site where the child, family and another provider are located while interpreting the results via telemedicine equipment. The audiologist is able to speak with the parents, as well as with the on-site provider, using video conferencing equipment. Services are provided free of charge.

5 North Carolina Infant Diagnostic Audiologic Evaluation Sites Updated April 2013 Infant Audiologic Assessment Early detection and intervention of hearing loss are the keys to successful habilitation of infants and toddlers. Newborn hearing screening has been mandated in North Carolina since October, Based on national averages, it is expected that infants (1-2%) will be referred for infant diagnostic audiologic assessment each year in North Carolina. Infants should be referred for diagnostic audiological evaluation following a refer result on two physiologic hearing screenings (i.e. initial newborn hearing screening and one follow-up re-screening), which should occur before the age of 1 month. Hearing loss should be confirmed by three months of age. The diagnostic audiological evaluation should be completed by a pediatric audiologist. A pediatric audiologist is trained, has the technical expertise, and desire to work with the infant population. The pediatric audiologist is well-versed in developmentally appropriate test techniques, general child development, and parent counseling. The evaluation will consist of a battery of tests including child/family history, documentation of risk indicators for hearing loss, otoscopic inspection, otoacoustic emissions (OAE) assessment, auditory brainstem response (ABR) assessment, middle ear measures, and behavioral response to sound. The North Carolina Early Hearing Detection and Intervention Advisory Board strongly recommends that any audiologist accepting referrals for infant diagnostic audiologic assessment have the equipment and ability to complete the following procedures: Auditory Brainstem Response (ABR, BAER) ABR threshold (click, low and high frequency tone bursts, and bone conduction click) ABR suprathreshold to click stimuli (varied click rate and polarity) Note: If sedation is required, ABR should be conducted in a medical facility where sedation can be administered and monitored. Middle Ear Measures Tympanometry using probe tone of 1000 Hz Acoustic Reflex Threshold Otoacoustic Emissions Behavioral Response (via parent report or direct observation) Otologic Evaluation may occur at a different facility and time The audiologist must report the audiologic evaluation results to the North Carolina Early Hearing Detection and Intervention Program as required by law (10A NCAC 43F.1204). N.C. Department of Health and Human Services Early Hearing Detection and Intervention Program Division of Public Health Approved by EHDI Advisory Board October 2012