Ehdi cda pilot project
Download
1 / 15

EHDI CDA Pilot Project - PowerPoint PPT Presentation


  • 123 Views
  • Uploaded on

EHDI CDA Pilot Project. John Eichwald, Team Lead Early Hearing Detection and Intervention (EHDI) National Center on Birth Defects and Developmental Disabilities Centers for Disease Control and Prevention (CDC). Public Health Data Standards Consortium 2012 Annual Business Meeting

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about ' EHDI CDA Pilot Project' - penny


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
Ehdi cda pilot project
EHDI CDA Pilot Project

John Eichwald, Team Lead

Early Hearing Detection and Intervention (EHDI)

National Center on Birth Defects and Developmental Disabilities

Centers for Disease Control and Prevention (CDC)

Public Health Data Standards Consortium

2012 Annual Business Meeting

November 9, 2012

Hyattsville MD


Newborn hearing screening
Newborn Hearing Screening

U.S. Preventive Services Task Force (USPSTF) recommends screening for hearing loss in all newborn infants (Grade B - July 2008)

Hearing loss is one of the core newborn conditions on the Recommended Uniform Screening Panel (RUSP) of the Secretary’s Advisory Committee on Heritable Disorders in Newborns and Children (SACHDNC)


Conditions screened in the newborn
Conditions Screened in the Newborn

CDC Grand Rounds - Newborn Screening and Improved Outcomes

Morbidity and Mortality Weekly Report (MMWR) June 1, 2012

About 12,500 infants are diagnosed with the core conditions each year with the current RUSP

  • Estimated annual numbers (the most common)

    • Hearing Loss: 5,064

    • Primary Congenital Hypothyroidism: 2,156

    • Sickle Cell Disease: 1,775

    • Cystic Fibrosis: 1,248

    • MCADD : 239


1 3 6 ehdi foundation
“1 – 3 – 6” EHDI Foundation

1

3

6

Screen no later than 1 month

Diagnose no later than 3 months

Intervene no later than 6 months

Healthy People 2020Hearing and Other Sensory or Communication Disorders


Screening
Screening

Two types of screening technologies

  • Otoacoustic Emissions (OAE)

  • Auditory Brainstem Response (ABR)

Photographs courtesy of the National Center for Hearing Assessment and Management (NCHAM)


Ehdi clinical quality measure
EHDI Clinical Quality Measure

CMS Electronic Health Record (EHR) Incentive Program: Stage 2

Final Rule published August 23, 2012


Hl7 messaging screening results
HL7 Messaging Screening Results

OBR|17|128993^ST ELSEWHERE HOSPITAL^9999999999^NPI|999555^TNSPHLAB^77D7777777^CLIA |54111-0 ^Newborn hearing loss panel^LN|||201010141853|||^VH||||201010151121||1111111111^Smiles^Minnie^^^Dr^^^NPI&2.16.840.1.113883.4.6&ISO^L^^^NPI^^^^^^^^MD||||||201010160918|||F

OBX|1|TX|57700-7^Hearing loss newborn screening comment/discussion^LN||Any baby with clinical features suggestive of hearing loss requires clinical and diagnostic follow-up regardless of whether the NMS result is normal or abnormal.|||N|||F

OBX|2|CE|54109-4^Newborn hearing screen – right ^LN||LA103921^Pass^LN|||N|||F

OBX|3|CE|54108-6^Newborn hearing screen – left ^LN||LA103921^Pass^LN|||N|||F

OBX|4|CE|54106-0^Newborn hearing screen method

^LN||LA10388-9^Auditory brain stem response^LN|||N|||F

  • Implementation Guide for Laboratory Results, U.S. Realm, HL7 Version 2.5.1


Ehdi cda pilot project1
EHDI CDA Pilot Project


Ehdi cda pilot project2
EHDI CDA Pilot Project

  • The HIT Standards Federal Advisory Committee has recommended the use of the HL7 CDA standard as a future direction for electronic data exchanges between clinical and public health information systems for public health reporting

  • The Public Health Data Standards Consortium (PHDSC) is demonstrating electronic data exchange between clinical EHR Systems and public health EHDI using the HL7 Clinical Document Architecture (CDA) standard


Ehdi cda pilot project3
EHDI CDA Pilot Project

Goal: demonstrate the ability to receive a CDA-based EHDI Report by a Public Health Information System in two jurisdictions

will focus on reporting of:

  • Newborn hearing screening results and basic patient demographics from the birthing facility’s EHR to the State EHDI Program

    or

    • Early Hearing Care Plan (EHCP) - based on jurisdictional plans


CDA EHDI Pilot Project Design

Proposed Public Health Reporting Schema: Screening Report

Health Information Exchange (HIE)

Or

Public Health Gateway

Screening Results

Document

Screening Results

Document

Birthing Facility

EHR

State EHDI

Information System

CDA-based Actor Diagram


CDA EHDI Pilot Project Design

Proposed Public Health Reporting Schema: Care Plan

Health Information Exchange (HIE)

Or

Public Health Gateway

Early Hearing Care

Plan

Early Hearing Care Plan

State EHDI

Information System

Primary Care Provider EHR

CDA-based Actor Diagram


CDA EHDI Pilot Project: Team

TEAM

2 States Participants: (to be determined)

  • Maryland, Massachusetts, Michigan, North Dakota, Oregon, Rhode Island

    States Observers

  • Florida, Missouri, Ohio, Pennsylvania, South Carolina, Texas, Washington

    PHDSC Team:

  • Alla Fridman, Anna Orlova, Lisa Nelson, Lori Fourquet, Maiko Minami, Sarah Quaynor


CDA EHDI Pilot Project: Timeframe

  • Aug - Sept– Recruitment

    • 2 State participants (To be determined)

    • X State observers

  • November 2012 – Pilot Design

  • December 2012 – Implementation

  • January 10, 2012 – Testing

  • February, 2013 – Draft Project Report

  • May 2013 – Final Project Report


  • CDA EHDI Pilot Project information

    PHDSC Project Wiki pages at:

    https://wiki.phdsc.org/index.php/EHDI

    The findings and conclusions in this presentation are those of the author and do not necessarily represent the official position or policy of the Centers for Disease Control and Prevention.


    ad