Public Health Data Standards Consortium http://www.phdsc.org The purpose of this presentation is to familiarize you or the organization you represent with an independent body called the Public Health Data Standards Consortium. The Consortium is a unique entity made up of federal agencies, state organizations, regional consortia, professional associations and academia that collectively represent the interests of public health and health services research in the data standards setting processes. This presentation can be used as is or customized to address your needs or those of your organization.

Public Health Data Standards Consortium CDA EHDI Pilot Project Clinical Document Architecture (CDA) for Public Health CDA State EHDI Pilot Projects

North Dakota - EHDI Reporting Design Public Health Gateway (OZ) State EHDI Information System (OZ) Birthing Facility EHR (Cerner) Continuity of Care Document (CCD) CDA NHS Outcome Report (internal) Care Plan PCP/ Pedia-trician (Greenway) Continuity of Care Document (CCD) Form Filler Or Other CDA Document (Labor & Delivery Summary) Document Reliable Interchange (XDR) Form Manager Form Receiver CDA-based Actor Diagram using XDR Form Delivery of Form along with pre-population data bound to the form CDA-based Actor Diagram using RFD

Continuity of Care Document (CCD) CDA-based Actor Diagram using RFD Michigan - EHDI Reporting Design Public Health Gateway (TBD) State EHDI Information System (Orion Rhapsody, Crystal Lightning and Altarum) Birthing Facility EHR (Cerner, Epic 2012, GE CE) Continuity of Care Document (CCD) CDA NHS Outcome Report Continuity of Care Document (CCD) Form Filler Form Manager Form Receiver Or Other CDA Document (Labor & Delivery Summary) Form Delivery of Form along with pre-population data bound to the form CDA-based Actor Diagram using RFD

Continuity of Care Document (CCD) CDA-based Actor Diagram using RFD Oregon - EHDI Reporting Design Public Health Gateway (TBD) State EHDI Information System (Orion Rhapsody, Locally Developed) Birthing Facility EHR (Epic 2012) Continuity of Care Document (CCD) CDA NHS Outcome Report Continuity of Care Document (CCD) Form Filler Form Manager Form Receiver Or Other CDA Document (Labor & Delivery Summary) Form Delivery of Form along with pre-population data bound to the form CDA-based Actor Diagram using RFD

CDA EHDI Pilot Project: State-Specific Use Case Newborn Hearing Screening Newborn, Caregiver, Clinicians, Public Health Program Staff EHR, HIE, Public Health (PH) EHDI IS Actors: Business Actors Technical Actors Data Categories Child is delivered. Clinician conducts initial physical exam Newborn is due for <hearing test> Clinician orders an <hearing test> Hospital staff conducts <hearing test> Hospital staff enter data on the <hearing test> in the EHR database and generate <Newborn Hearing Screening (NHS) Outcome Report> Information is electronically sent on <NHS Outcome Report > to the PH EHDI IS directly or via HIE PH program EHDI IS receives Notification of Report Availability PH programs’ staff reviews the report and create PH EHDI IS record on a child in PH EHDI IS and upload <NHS Outcome Report > in PH EHDI IS PH IS sends Acknowledgement of Receipt of the Report to EHR directly or via HIE. 1&2. Demographics, Labor & Delivery Record, Newborn EHR 3. Consent 4. Standing Order 5. Hearing Test Results 6. Hearing Test Results, NHS Outcome Report 7. NHS Outcome Report 8. Notification of Report Availability 9. Updated Pubic Health EHDI Record 10. Acknowledgement of Receipt Flow of Events Pre-Conditions: EHR System, Health Information Exchange (HIE) Post-Conditions: Public Health Information System <EHDI IS> Preferred Timing Daily updates

CDA EHDI Pilot Project: Timeframe Aug - Sept– Recruitment ✔ 2 State participants (To be determined) X State observers (To be determined) November/December 2012 – Pilot Design  December/January 2012 – Implementation January 31, 2012 – Testing February, 2013 – Draft Project Report May 2013 – Final Project Report

CDA EHDI Pilot Project: Next Steps FOR PARTICIPANTS Finalize recruitment of vendor partners – by Dec 14 Confirm system capability to send/receive report Ready State Team for weekly calls (Staff and System Vendors) Confirm data requirements – by Dec 14 Define architecture for reporting Participate in design calls Confirm report meets EHDI program requirements

CDA EHDI Pilot Project: Next Steps FOR PHDSC TEAM By Dec 14th Announce results of technical assessment and selection of Pilot Participants Setup and hold weekly State Technical Team Pilot Implementation meetings Finalize State technical capabilities and secure vendor commitment Complete NHS data model Define State-specific architecture for data reporting Harmonize and confirm State-specific data requirements/schema Define State-specific pilot timelines and work plan Start development of State projects designs  By Dec 21st Call Educate Participants and Observers about Model Driven Health Tools (MDHT)

CDA EHDI Pilot Project Questions?