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XEHDI-WD

XEHDI-WD. Brief Profile Proposal for 2012/13 presented to the Patient Care Coordination (PCC) Planning Committee Lisa R. Nelson October, 2012. The Problem. There is a need to coordinate care for children with hearing loss and risk of hearing loss

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XEHDI-WD

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  1. XEHDI-WD Brief Profile Proposal for 2012/13 presented to the Patient Care Coordination (PCC) Planning Committee Lisa R. Nelson October, 2012

  2. The Problem • There is a need to coordinate care for children with hearing loss and risk of hearing loss • Standards have been developed for the component information collected at individual steps of the detection and intervention process, but the coordination of the information collection across the workflow has not been standardized. • Pulse Oximetry Integration (POI) • Early Hearing Care Plan (EHCP) • Quality Measure Execution for EHDI (QME-EHDI) • Industry Readiness • 1-2 years prior Connectathon testing and Show Case participation • Industry Pilot in Fall, 2012 • What is the risk of this proposal not being undertaken this cycle? • Silo development • Miss meeting requirements resulting from the bigger picture

  3. Use Case • Coordination of Newborn hearing screening and short-term care plan guidance (up to 3 years of age) • Newborn screening at the birthing facility using devices with a current approved physiologic measures of auditory function • Computation of the hearing screening outcomes report • Generation of the early hearing care plan (EHCP) • Provision of the EHCP recommendations to pediatricians to guide hearing care • Quality assessment on the hearing screening and short-term care follow-up.

  4. Workflow Steps

  5. Proposed Standards & Systems • What standards and/or systems should be considered in addressing this proposal? • Systems • EHR • EHDI-IS • Physician EMR • Public Health • Standards • Hearing Screening Results • Early Hearing Care Plan • QME-EHDI patient level report • Early Hearing Care Plan updates • Alternatives: • Retrieve Process for Execution (RPE) • Not as clear a fit • Fewer examples of implementing the profile

  6. Discussion • Level of development effort: Major • Profile editor: Lisa Nelson • Organizational support • Public Health Data Standards Consortium • Oz Systems • CDC • Close coordination and information sharing expected with QRPH domain • Profile development within PCC essential for success • Economies of scale with other XDW profile development • Achieve greater consistency across XDW implementations

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