Newborn Admission Notification Interface(NANI) Brief Profile Proposal for 2011/12 presented to the Quality, Research & Public Health (QRPH) Planning Committee Nitin Kunte, Terese Finitzo, Michelle Wiliamson, Anna Orlova, John Eichwald 09/22/2011

Quality, Research & Public Health (QRPH) Planning Committee The Problem Currently there is no uniform method for hospitals to notify Public Health programs on the birth of a babyCurrently there is no uniform method for hospitals to notify Public Health programs on the birth of a baby A Newborn Admission Notification Interface (NANI) would provide an accurate hospital denominator for each Public Health program to carry out its missionA Newborn Admission Notification Interface (NANI) would provide an accurate hospital denominator for each Public Health program to carry out its mission Without an NANI, and thus an interim accurate denominator, care may not be delivered and morbidity or mortality may increase.Without an NANI, and thus an interim accurate denominator, care may not be delivered and morbidity or mortality may increase.

Quality, Research & Public Health (QRPH) Planning Committee The Problem A NANI would ensure that no baby is “lost” to proper careA NANI would ensure that no baby is “lost” to proper care This NANI proposal is a solution to the problem by providing a mechanism to convey a Newborn Admission Notification from the birthing facility to divergent public health programsThis NANI proposal is a solution to the problem by providing a mechanism to convey a Newborn Admission Notification from the birthing facility to divergent public health programs This profile should not be construed as a legal notification of birth.This profile should not be construed as a legal notification of birth.

Quality, Research & Public Health (QRPH) Planning Committee Use Case A baby is born at a hospitalA baby is born at a hospital Hospital uses NANI to informHospital uses NANI to inform –State Newborn Screening –Newborn Bloodspot Screening (NBS), Early Hearing Detection and Intervention (EHDI) Programs If a baby’s screening is missed or the data are not entered, the program staff has an accurate count of births and can respond promptly.If a baby’s screening is missed or the data are not entered, the program staff has an accurate count of births and can respond promptly. –State Immunization Registry –Communicable Diseases Programs This ensures every baby receives care mandated by law, or rule.This ensures every baby receives care mandated by law, or rule.

Quality, Research & Public Health (QRPH) Planning Committee Stakeholders & Benefits Public HealthPublic Health –Provides possible denominator to EHDI Programs (Confirmed)EHDI Programs (Confirmed) NBS Programs (Potential)NBS Programs (Potential) Immunization Programs (Potential)Immunization Programs (Potential) Communicable Diseases Program (Potential)Communicable Diseases Program (Potential) Newborn & ParentsNewborn & Parents –Ensure proper care is delivered Birthing FacilitiesBirthing Facilities –Reduces errorserrors duplicate data entryduplicate data entry

Quality, Research & Public Health (QRPH) Planning Committee Proposed Standards & Systems We will examine existing IHE profiles to select those applicable to the NANI profile. The following standards may apply. Other future relevant standards may also be used.We will examine existing IHE profiles to select those applicable to the NANI profile. The following standards may apply. Other future relevant standards may also be used. –IHE PIX and PDQ profiles for demographic information –PCC Care Management Technical Framework for managing clinical guidelines –QRPH Technical Framework Supplements for data guidelines –HL7 V2 ADT messages There is no existing standardThere is no existing standard

Quality, Research & Public Health (QRPH) Planning Committee Discussion We are proposing new Actors and Transactions but no new Content.We are proposing new Actors and Transactions but no new Content. We believe that we should be able to reuse the existing profile work done at IHE. This will facilitate the development of this profile and will bridge the gap that currently exists amongst different IHE profiles.We believe that we should be able to reuse the existing profile work done at IHE. This will facilitate the development of this profile and will bridge the gap that currently exists amongst different IHE profiles. We think the effort would be “Medium”We think the effort would be “Medium” Proposed editors – Anna Orlova, Nitin Kunte, Terese Finitzo, John Eichwald, Michelle WilliamsonProposed editors – Anna Orlova, Nitin Kunte, Terese Finitzo, John Eichwald, Michelle Williamson