15th ANNUAL EARLY HEARING DETECTION & INTERVENTION MEETING
March 13-15, 2016 • San Diego, CA
| - | 6 - Follow-up, Tracking and Data Management
Results of Pilot Test of Newborn Hearing Screening Health Information Exchange (HIE) with a Partner Hospital Using the Hearing Plan of Care (HPoC)
In 2015, Oregon EHDI completed Phase 2 of a pilot project to receive live newborn hearing screening results electronically from a partner hospital’s electronic health records system (EHRs).
• 2012-13 Phase 1: intended to simulate the process of reporting newborn hearing screening results from an EHR to a state EHDI-IS registry. It tested the IHE Profile Early Hearing Care Plan (EHCP) using an EHR test harness and Report Form for Data Capture (RFD) methodology.
• 2014-15 Phase 2: intended to report production hearing screening results from an EHR to the state EHDI-IS registry. It tested the IHE Profile Hearing Plan of Care (HPoC) using the Patient Care Device (PCD-01) protocol wherein newborn hearing screening results were captured in an EHR flowsheet, used to create the HPoC, and then consumed into the EHDI-IS live database.
METHODS:
• EHDI-IS data elements and value sets were mapped to the IHE HPoC Profile, HOSPITAL EHR data elements, and HOSPITAL HL7 data elements.
• HOSPITAL’s EHR sent hearing screening results to Oz Systems in an HL7 version 2.6 message format. Oz Systems collected the screening results and repackaged the final results into the HPoC based on decision support rules. OHA then consumed the data into EHDI-IS.
• Test scenarios were developed to compare data received via HIE with the current method of receiving the data from the Oregon Vital Events Registration System (OVERS). HOSPITAL staff continued to enter newborn hearing screening results into OVERS throughout the pilot.
DISCUSSION AND RECOMMENDATIONS:Demonstrating a sustainable methodology for EHDI programs to obtain newborn hearing screening data from EHRs could provide the momentum for other state EHDI programs to initiate HIE programs of their own. Lessons learned from the Phase 2 pilot are being shared via community webinars and a chapter in the upcoming HIMSS 2016 book.
- Summarize the anticipated benefits, opportunities, challenges and risks of electronic data reporting from hospital electronic health record systems.
- Summarize the critical components of a readiness assessment for direct data reporting from EHRs in their state.
- Recognize the language of interoperability, standards and harmonization.
Presentation:
This presentation has not yet been uploaded or the speaker has opted not to make the presentation available online.
Handouts:
Handout is not Available
CART:
CART transcripts are NOT YET available, but will be posted shortly after the conference
Presenters/Authors
(), ;
ASHA DISCLOSURE:
Financial -
Nonfinancial -
Dina Dickerson
(Primary Presenter), Oregon EHDI Program, dinapdx@gmail.com;
Dina Dickerson brings four decades of experience and deep domain knowledge of information management and analysis for health and human services agencies. She recently retired from her role as the Senior Informaticist for the Early Hearing Detection and Intervention program and for the Home Visiting data systems where she was focused on bringing together data from multiple agencies and organizations into an integrated system. The work involved working with stakeholders to define the minimum and program-specific data sets; common workflow needs including identification, screening, referrals, eligibility determination, program enrollment, case management, billing, and query and report; and evidence-based practice protocols that guide workflow and inform decision support.
ASHA DISCLOSURE:
Financial -
No relevant financial relationship exist.
Nonfinancial -
No relevant nonfinancial relationship exist.
Meuy Swafford
(Co-Presenter), Oregon EHDI, meuy.f.swafford@state.or.us;
Meuy Swafford works in the Maternal and Child Health Section of the Center for Prevention and Health Promotion at the Oregon Health Authority as the EHDI Data Quality Coordinator. She has worked with the EHDI Program for 5 years in that capacity, and has been with the Oregon Health Authority for 10 years. Prior to working with EHDI, she worked with the WIC Program and Nurse Home Visiting Program assisting in system development and support. Meuy completed her Bachelor of Arts at Ashford University with a concentration in Business Information Systems.
ASHA DISCLOSURE:
Financial -
Nonfinancial -
Heather Morrow-Almeida
(Co-Presenter), Oregon Health Authority, heather.r.morrow-almeida@state.or.us;
Heather Morrow-Almeida works in the Maternal and Child Health Section of the Center for Prevention and Health Promotion of the Oregon Health Authority as a Systems and Policy Analyst. Her portfolio includes a variety of programs and projects related to child health - including work on healthy weight and development, child care health and safety, and serving as EHDI Coordinator. Prior to joining the Division of Public Health in Oregon, she completed the Public Health Prevention Service Fellowship with the CDC, during which she was assigned to Cowlitz County Health Department (CCHD) in Washington State for two years and spent a year in Atlanta working for the Division of TB Elimination and the Built Environment Team in the National Center for Environmental Health. Heather completed her Master in Public Health at the University of North Carolina at Chapel Hill, in the Maternal and Child Health Department.
ASHA DISCLOSURE:
Financial -
No relevant financial relationship exist.
Nonfinancial -
No relevant nonfinancial relationship exist.