PHDSC Meeting, MD, Nov. 8-9, 2012 Standards Development in support of Public Health EHDI Program...
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PHDSC Meeting, MD, Nov. 8-9, 2012 Standards Development in support of Public Health EHDI Program Lisa R. Nelson, MS, MBA Public Health Data Standards Consortium [email protected] 1
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Transcript of PHDSC Meeting, MD, Nov. 8-9, 2012 Standards Development in support of Public Health EHDI Program...
PHDSC Meeting, MD, Nov. 8-9, 2012
Standards Development in support of
Public Health EHDI Program
Lisa R. Nelson, MS, MBAPublic Health Data Standards Consortium
1
What is Early Hearing Detection and Intervention?
Why is Newborn Hearing Screening Important?
Associated with increases in educational cost Incremental special education cost of $115,600* per child in US EHDI reduction in educational costs of $44,200 *
or $200 million each year
One of the core newborn conditions on the Recommended Uniform Screening Panel Secretary’s Advisory Committee on Heritable Disorders in Newborns and Children (SACHDNC), US Dept. of Health and Human Services
U.S. Preventive Services Task Force (USPSTF) recommends screening for hearing loss in all newborn infants (Grade B - July 2008)
EHDI Quality Measures included in Meaningful Use Stage 2
25
42.2 1.9
0.7 0.5 0.10
10
20
30 High incidence of Hearing Loss among
screened conditions for newborns
Negative impacts on a child’s ability to develop communication, language, social skills, and school achievement
Interoperability allows two or more
systems to transmit, exchange, store, and manage information
electronically
Nationally recognized health IT standards provide the base for the flow of information securely, reliably, consistently, and accurately
National Health IT Standardsenable Interoperability
How do we make this possible?
US Initiatives
International Initiatives
US HIT Policy Committee&
US HIT Standards Committee
What standards efforts can be leveraged?
Dept.of Health and Human Services, Office of National Coordinator for Health IT (ONC), Standards & Interoperability Framework
Overview of PHDSC Standards Work
HL7 CDA
Clinical Document Architecture, Release 2
HQMF Health Quality Measure Format
QRDA Quality Reporting Document
Architecture
HL7 v 2.x Admission message Observation Result message
HL7 v3 Patient Registry Tracker message
IHE EHCP
Early Hearing Care Plan
QME-EH Quality Measure Execution for
Early Hearing
NANI Newborn Admission Notification
Information
DEC Device Enterprise Communication
EHDI-WD EHDI Workflow Document
6
How do these efforts relate?
HL7 CDA
Clinical Document Architecture, Release 2
HQMF Health Quality Measure Format
QRDA Quality Reporting Document
Architecture
HL7 v2.x Admission message Observation result message
HL7 v3 Patient Registry Tracker message
IHE EHCP
Early Hearing Care Plan
QME-EH Quality Measure Execution for
Early Hearing
NANI Newborn Admission Notification
Information
DEC Device Enterprise Communication
EHDI-WD EHDI Workflow Document
7
How do they help?
HL7 CDA
Interoperable structured document
HQMF CQM defined for computer
processing
QRDA Data that supports assessing a
CQM or represents calculation of a CQM
HL7 v 2.x Newborn admission message Device result message
HL7 v3 Newborn notification message
IHE EHCP
Interoperable early hearing care plan structured document
QME-EH Quality measure data supporting
calculation of EHDI-1a CQM
NANI Standard newborn admission
notification information
DEC Standard device screening results
EHDI-WD Orchestration of the EHDI
workflow for patient care
8
Where do these standards support the EHDI program?
EHCP
NANI
QME-EH
DEC
EHDI-WD
