Agenda  Recruitment Pediatrician – Trinity Clinic - XDR Sanford Epic EHR – secure Epic test harness - XDR  Implementation & Testing Send EHCP by secure Configure XDR for sending EHCP Operational test  Next Steps Confirm readiness for operational test  Planning Meetings for config & setup Set date for test of remaining exchanges

North Dakota - EHDI Reporting Design Standards-based information exchange using IHE Newborn Admission Notification Information (NANI), IHE Patient Care Device Technical Framework (PCD-01), IIHE Early Hearing Care Plan (EHCP), and IHE Cross-enterprise Document Reliable Interchange (XDR) Sanford Health (Epic) State Public Health Electronic Health Record System Care Provider North Dakota EHDI Information System (OZ) eSP Communication Server (OZ) Public Health Hearing Device Epic (test harness) Electronic Health Record System PCP/ Pediatrician Content Creator EHCP Document Content Consumer Admission Information Source Admission Notification Manager Newborn Admission Subscriber Device Observation Reporter Device Observation Consumer EHCP Document Content Consumer Newborn Admission Notification Information (NANI) Hearing Screening Result Message Early Hearing Care Plan (EHCP) ASCII File Sanford Health Clinic (Epic) Trinity Health Center (Cerner) We are here

 Recruitment: Aug – Sept ✔  2 State participants – ND and OR  12 observers  Pilot Design: November – December 2012 ✔  Implementation: January - February 2013 ✔  Testing: February – April 2013   Connectathon: Feb 1, 2013  HIMSS: March 7, 2013  Field (sample data) April – May, 2013  Final Report: March - May 2013  Draft Project Report  Final Project Report – May 2013 CDA EHDI Pilot Implementation: North Dakota