1. Newborn Hearing Screening Data Reporting: Metabolic or Electronic Birth Certificate
2005 National EHDI Conference - Atlanta, Georgia
Anne Jarrett, Follow-up Consultant
Paul Kramer, Data Analyst Consultant
Michigan Department of Community Health/
Early Hearing Detection and Intervention Program
Early Hearing Detection and Intervention
11/21/2018

2. Michigan Births ~130,000 (8th largest birthing state)
Early Hearing Detection and Intervention
11/21/2018

3. 100% Hospital Participation >92% Screened
Early Hearing Detection and Intervention
11/21/2018

4. Newborn Hearing Reporting status in MI
101 birthing hospitals (2000)
99 hospitals using metabolic newborn hearing reporting
2 large hospitals using paper format reporting
Home births – metabolic testing but not providing hearing screening services
Early Hearing Detection and Intervention
11/21/2018

5. New Metabolic Hearing Card
Early Hearing Detection and Intervention
11/21/2018

6. Demographics of New Card
Early Hearing Detection and Intervention
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7. Scanning Scanning has decreased data entry time
Some problems encountered
Filling in ovals (pencils, red pen, “x”), stickers from hearing screening machines, writing by ovals, jamming of scanner (sticky, paper clips/staples), loading cards in the same direction)
Overall great improvement
Canon Scanner – 2400, teleform program
Early Hearing Detection and Intervention
11/21/2018

8. Advantages of Metabolic Hearing Card Reporting
Already in place and multi-tasking
Ease of use - mail in with Metabolic
Screeners independent of other departments
Early Hearing Detection and Intervention
11/21/2018

9. Vision for EBC reporting of newborn hearing
For Hospitals:
Reporting option
Web based provider access
Rescreening and Diagnostic
Collection of risk indicators
Improve upon Metabolic reporting (for hospital)
No copy of final result sent to state
No record of result received by state
No computerized system for NHS for many hospitals
For State EHDI Program
Decrease data entry at the state level
Early Hearing Detection and Intervention
11/21/2018

10. EBC - Larger Vision
Direct linkage to other health data (Vital Records), including evaluative information
Increase overall screening rate
Improve data turnover rate
Decrease lost to follow-up
Improve data accuracy and integrity
Ensure care statewide -130,000 births
Build data collection ability
Step in direction of health data integration
Early Hearing Detection and Intervention
11/21/2018

11. Electronic Birth Certificates (EBC) Reporting status in MI
101 birthing hospitals (2000)
100 hospitals using state EBC version
1 hospital using own version of EBC
Early Hearing Detection and Intervention
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12. Birth Certificate
Early Hearing Detection and Intervention
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13. Genesis Electronic Birth Certificate
Current version in Michigan is DOS
Moving towards Web-based
Early Hearing Detection and Intervention
11/21/2018

14. Main DOS hearing module
Early Hearing Detection and Intervention
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15. Method
Early Hearing Detection and Intervention
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16. Incomplete reason
Early Hearing Detection and Intervention
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17. New EBC web
Early Hearing Detection and Intervention
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18. Web version Big upgrade from DOS
Easy to make data entry fields and reports: (DataFlex and DragIt)
Easy input data entry: (what needs to still be filled in, fast finding, fast fill)
Early Hearing Detection and Intervention
11/21/2018

19. Where did we start (Pilot Study)
Developed EBC Newborn Hearing Screen module
Four pilot hospitals - install ~3 years ago
University of Michigan Health System (3700)
Sparrow Medical Center (3800)
Oaklawn Hospital (610 – Calhoun Co)
Garden City Osteo Meth. Hosp. (900 – Wayne Co)
Checks and Balances, modifications to module
Determine pros and cons of reporting
Early Hearing Detection and Intervention
11/21/2018

20. Pilot Hospitals findings
Down load schedule
EBC report function
NICU, transfer – report summary other cases
6-9 birthing units
Did not solve newborn hearing “protocol” problems, missing hearing screens
Early Hearing Detection and Intervention
11/21/2018

21. Advantages of EBC reporting
Linkage to Vital Records data
Computer database with report functions
No mailing, record of results and download dates
Connection with risk indicators, other eval. data
Check last screen results sent
Early Hearing Detection and Intervention
11/21/2018

22. Disadvantages of EBC reporting
Coordination with other staff, programs
Matching NHS to EBC record –”process issue”
Upload schedule with DOS version
Training period
Early Hearing Detection and Intervention
11/21/2018

23. Where are we going from here?
With new database - lost old data connection with EBC
Created a new matching program
Matches Metabolic, Hearing and Births
Loads EBC hearing records reports
Stores risk indicators
Early Hearing Detection and Intervention
11/21/2018

24. Data Integration & Web Reporting
3 options
EBC Web system (only for hospital use)
Build separate EHDI Web system
Integrate with Child Health Profile Web
NHS entered through EBC or metabolic and then view via Web
Out-patient EHDI services entered or view via Web
Early Hearing Detection and Intervention
11/21/2018

25. Conclusion: Which way to report newborn hearing screens
Conclusion: Which way to report newborn hearing screens? Metabolic, EBC, or Other?
Reason MI pushed towards EBC
Decrease data entry – scanning & matching program
Connected to all births – matching
Connect to risk - matching program
Record (sent/received) – EBC not Metabolic, Web
Hospital computer base to manage records - Web
A way for hospitals to enter rescreen data - Web
Does MI want more hospitals to report by EBC?
Early Hearing Detection and Intervention
11/21/2018