Phase 2 Pilot of Newborn Hearing Screening (NHS) Health Information Exchange (HIE) With Electronic Health Records (EHRs) Using Clinical Document Architecture (CDA) PHRI/PHTT Educational Webinar Dina Dickerson, MPH 10.01.2014 1 Reporting NHS data is a Stage 2 Meaningful Use Objective http://www.cms.gov/Regulations-andGuidance/Legislation/EHRIncentivePrograms/Downloads/2014_CQM_EH_FinalRule.pdf 2 EHDI manual reporting form 3 EHDI CDA Pilot history & timeline When Event Fall 2012 Oregon EHDI selected as 1 of 2 sites nationally for Phase 1 Pilot of the NHS CDA by the Public Health Data Standards Consortium (PHDSC) Winter – Spring 2013 Phase 1 Pilot test conducted using Epic test harness involving Oregon EHDI and Informatics staff, OHSU audiology and IT staff, & vendor support from Oz, Epic and Orion Rhapsody Summer 2013 EHDI CDA Pilot Report released Fall 2013 Oregon EHDI selected by Office of the National Coordinator (ONC) Structured Data Capture (SDC) Public Health Tiger Team to conduct phase 2 pilot of CDA using live data Government shutdown Fall 2014 EDHI CDA Phase 2 Pilot funded June 2015 Pilot completion 4 EHDI CDA Phase 1 Pilot – lessons learned Interoperability Standards Step-1 Setting: Birthing Facility IT Product: Epic 2012 EHR (Test Harness) Report Content: Patient demographic information, NHS results Standards: HL7 CCD, IHE RFD Actor: Content Creator Form Filler Step-2 Setting: HIE IT Product: OZ Form Manager Report Content: NHS Outcome Report Standards: HL7 CDA, IHE EHCP, IHE RFD, IHE XDR Actor: Form Manager Form Receiver Content Creator Document Source Step-3 Setting: Oregon EHDI IT Product: Orion Rhapsody, Filemaker DB Report Content: NHS Outcome Report Standards: HL7 CDA, IHE EHCP, IHE XDR Actor: Content Consumer Document Recipient Source: Assure Health Information Technology Standards for Early Hearing Detection and Intervention (EHDI): Clinical Document Architecture (CDA) State EHDI Pilot Project. Public Health Data Standards Consortium 2013. 5 EHDI CDA Phase 1 Pilot – lessons learned Data Exchange Architecture Source: Assure Health Information Technology Standards for Early Hearing Detection and Intervention (EHDI): Clinical Document Architecture (CDA) State EHDI Pilot Project. Public Health Data Standards Consortium 2013. 6 EHDI CDA Phase 2: live data & systems EHDI User Story – Report Form for Data Capture (RFD) 7 EHDI CDA Phase 2 SDC RFD template 8 EHDI CDA Phase 2: SDC template 9 Phase 2: Map EHDI to Common Data Elements Patient Information Patient Contact Patient Insurance Family History 10 Phase 2: Map EHDI to Common Data Elements Procedure Result Diagnosis 11 Phase 2: Map EHDI to Common Data Elements Facility Encounter Provider 12 Phase 2: SDC Business Process Matrix 13 EHDI CDA Phase 2 Partners 14 Multi-disciplinary, multi-institutional team Role Description Institution Senior Public Health Informaticist Provide oversight of internal team, review work effort for project milestones, and lead the data standardization initiative EHDI-IS Data Manager Provide data management expertise for consuming data from EHRs into OHA EHDI-IS EHDI Coordinator Provide leadership and coordination for the project from an EHDI perspective OHA OHA Public Health Informaticist Create data maps and employ HIE tools for EHDI-IS data consumption OHA Public Health Informatics Specialist Provide technical expertise for EHDI-IS data consumption OHA ELR Director of Interoperability Provide technical support for CDA message transport from Orion Rhapsody server OHA EHR Interface Specialist Provide technical expertise for HIE with EHR OHSU Audiologist Provide subject matter expertise for EHR-based data reporting OHSU Clinical Workflow Analyst Provide subject matter expertise for EHDI data in the EHR OHSU 15 Questions or comments? Contact: Dina Dickerson, MPH [email protected] [email protected] 503.804.8430 16
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