Oregon EHDI’s Participation in the CDA Pilot Project By Oregon EHDI Program and Informatics Team, Division of Public Health In late 2012, the Oregon Early Hearing Detection and Intervention (EHDI) Program was chosen to participate in the Public Health Data Standards Consortium (PHDSC) Clinical Document Architecture (CDA) Pilot Project. The goal of the project was to demonstrate the feasibility of CDA standards for electronic reporting and data exchange between healthcare providers and state EHDI programs, specifically the newborn hearing screening results. Oregon’s EHDI Information System (EHDI-IS) is a web-based data system, built upon daily data imports from the state Vital Records system (OVERS), that collects a complete profile of a child’s hearing health. A number of different data sources are integrated to allow comprehensive tracking of all Oregon births through the 1-3-6 milestones. The system supports providers and partners in providing timely and complete data, and supports program staff with automated processes that enable timely and efficient follow-up activities for infants needing additional care. We hoped through participation in this pilot project to build our local expertise in electronic reporting and data exchange, with an eye towards receiving newborn hearing screening results directly from hospital electronic health record systems, thus eliminating duplicate data entry for our screening partners. A very eager team of state staff, including public health informaticists, our data quality coordinator, informatics specialists, and electronic laboratory reporting interoperability director, along with relevant information technology staff from one of our largest birth hospitals, Oregon Health & Sciences University (OHSU), invested time and expertise in the project. PHDSC experts proposed a reporting design that would use data from OHSU’s electronic health record system to pre-populate a third-party vendor form that could be manually edited with additional required data elements by the local user and then securely transferred through Cross Enterprise Document Reliable (XDR) format for submission through Oregon’s Health Information Exchange (HIE) gateway to the Oregon EHDI Information System (EHDI-IS). Throughout the pilot project, we have uncovered a number of unforeseen challenges that have threatened our ability to meet the project milestones including software, capacity, IT support, and policy related issues. Despite these bumps, a number of positive outcomes have ensued from this project, including development of local capacity and expertise, relationships between state staff and OHSU IT experts, and increased state commitment to enterprise solutions for electronic data exchange. We hope to leverage these learnings as we proceed toward our vision of timely, efficient, and pain-free reporting for our local EHDI partners. ****
Posted on: Wed, 10 Jul 2013 17:37:39 +0000
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