1. Public Health Data Standards Consortium http://www.phdsc.org http://www.phdsc.org

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

3.  Aug - Sept– Recruitment ✔  2 State participants (To be determined)  X State observers (To be determined)  November/December 2012 – Pilot Design ✔  January/February 2012 – Implementation   January 31/February 28, 2012 – Testing  March, 2013 – Draft Project Report  May 2013 – Final Project Report CDA EHDI Pilot Project: Timeframe

4. 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 Jan 4  Define architecture for reporting  Participate in design calls  Confirm report meets EHDI program requirements CDA EHDI Pilot Project: Next Steps

5. FOR PHDSC TEAM By Dec 14 th 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 By Jan Call 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 Educate Participants and Observers about Model Driven Health Tools (MDHT) CDA EHDI Pilot Project: Next Steps

6. State Work Plan TaskPoint of ContactDue Date Conduct data mapping from CDA NHS Outcome Report model to EHR Data/Form PHDSC, State TeamTBD Identify program data requirementsState TeamTBD Complete data/code mappingPHDSCTBD Create NHS form in EHREHR vendorTBD Create CDA NHS Outcome Report from Form Data in EHR EHR vendorTBD Transmit CDA NHS Outcome Report directly or through HIE HIE vendorTBD Import CDA NHS Outcome Report into PH EHDI IS PH EHDI IS vendorTBD Test implementationPHDSC, State Team, Vendors TBD

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

8. Public Health Gateway (OZ) - TBD CDA NHS Outcome Report Birthing Facility EHR OHSU, Legacy Health (Epic 2012) Continuity of Care Document (CCD) State EHDI Information System Oregon (Orion Rhapsody, Locally Developed) CDA-based Actor Diagram using RFD Oregon - EHDI Reporting Design Form Filler Form Manager Continuity of Care Document (CCD) Or Other CDA Document (Labor & Delivery Summary) Form Receiver Form Delivery of Form along with pre- population data bound to the form Key: CCD: Continuity of Care Document CDA: Clinical Document Architecture OHSU: Oregon Health & Science University NHS: Newborn Hearing Screening RFD: Retrieve Form for Data Capture

9. Public Health Gateway (OZ) Birthing Facility EHR Trinity (Cerner) NANI & PCD-01 State EHDI Information System (OZ) North Dakota - EHDI Reporting Design PCP/ Pediatrician TBD (Greenway) Early Hearing Care Plan (EHCP) Document Reliable Interchange (XDR) CDA-based Actor Diagram using XDR North Dakota EHDI Program Key: EHCP: Early Hearing Care Plan NANI: Newborn Admission Notification Information PCD-01: Patient Care Device - Communicate PCD Data XDR: Cross-Enterprise Document Reliable Interchange