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NATIONAL EHDI MEETING February 13, 2002. MICHIGAN DEPARTMENT OF COMMUNITY HEALTH TRACKING FROM BIRTH. LEGISLATION. No enacted legislation Two pending State Bills Medicaid (June, 2000) policy requiring all newborns have a hearing screen in-hospital or within first month of life.

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National ehdi meeting february 13 2002

NATIONAL EHDI MEETINGFebruary 13, 2002

MICHIGAN

DEPARTMENT OF

COMMUNITY HEALTH

TRACKING FROM BIRTH

CDC/MCHB


Legislation
LEGISLATION

  • No enacted legislation

  • Two pending State Bills

  • Medicaid (June, 2000) policy requiring all newborns have a hearing screen in-hospital or within first month of life

CDC/MCHB


Populating the database data items
POPULATING THE DATABASE/DATA ITEMS

  • Reporting through metabolic screening with a separate pull out hearing card

  • Hospitals have responded well to this system as it is familiar

  • Hearing does not interfere with other reporting to MDCH

CDC/MCHB


Database tracking
DataBase Tracking

  • MDCH currently uses FOXPRO software for blood spot screening

  • Because newborn hearing is linked to that database, we also use FOXPRO

  • Both databases have converted to an Access program for report generation

CDC/MCHB


RED NUMBER IS INVENTORY NUMBER

HEARING SCREEN PAGE

BAR CODE FOR MATCHING

FOURTH SHEET ON CARD BENEATH NBS SHEETS

BLUE AREA FOR HEARING RESULTS

CDC/MCHB


Effectiveness of system
EFFECTIVENESS OF SYSTEM

  • Process has been well accepted as hospitals are accustomed to system

  • Has made NBS look at data integration as important relative to the finding of newborns with missed screens

CDC/MCHB


Birth certificates data integration
BIRTH CERTIFICATES/DATA INTEGRATION

  • Three projects are occurring

    • Data integration with Michigan Birth Defects Registry

    • Pilot project for hospitals to use electronic birth certificate system for reporting hearing

    • Medicaid integrated data system

CDC/MCHB


Birth Defects Registry

  • Case finding project with Vital Records, Birth Defects Registry (BDR) to capture reported hearing loss.

    • EHDI to BDR (confirms DX codes and adds new cases to database)

    • BDR to EHDI (adds new cases to ensure follow-up for infants)

  • BDR is reported monthly by law

CDC/MCHB


Electronic Birth Certificates

  • Approximately 80% of Michigan birth certificates are reported electronically bi-weekly

  • 100% reported within four weeks

  • Exploring Web based reporting of birth certificates

CDC/MCHB


  • Michigan’s Medicaid system is also developing a statewide system to store and integrate data – Executive Information System/ Decision Support System

    • Enhance Medicaid information by identifying patterns of behavior across recipients and providers

    • Build supporting infrastructure to expand integration, access and analysis of data

CDC/MCHB


Health care provider reporting collaboration
HEALTH CARE PROVIDER REPORTING/COLLABORATION system to store and integrate data –

  • Michigan’s EHDI Program receives information in a variety of ways

    • Primary care physicians/clinics

    • Part C of IDEA (Early On)

    • State audiologists

    • Maternal Support System/Infant Support System (Medicaid program)

CDC/MCHB


  • Counties with All Students Achieve Program-Parent Information and Education grant participants

  • Children’s Special Health Care Services

  • Local Public Health Nursing contacts

  • Have shared information with WIC and information will be added to their intake histories on newborn hearing and possible acquired hearing loss concerns for the older age group

CDC/MCHB


CDC/MCHB


Parents and family
PARENTS AND FAMILY receive information back from collaborating providers

  • Hospitals have been asked to notify parents of the hospital newborn hearing screen

  • We also request that they share our brochure or one they have developed with families

CDC/MCHB


  • In March of 2001, we developed a parent signature form allowing the EHDI program to refer, follow-up and collect pertinent information

  • We have supplemented hospital efforts with information to prenatal classes

  • We also have a new parent consultant who has developed information systems for parents

CDC/MCHB


Contact information
CONTACT INFORMATION allowing the EHDI program to refer, follow-up and collect pertinent information

CDC/MCHB


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