1. EHDI Interoperability Stages and Ages of Care from Birthing Facility to Health Department to Medical Home to Family Home

3. Early Hearing Care Plan Basic Identifying Information on the Baby Assessments - Risk Factors (as known) Results – Screening Results Problem List – Outcomes or Care Status Care Plan – Next Steps

4. Care Status (Problem List) CARE PLAN at initial Medical Home visit for baby and family 1. Pass hearing screening 2.No known risk factors 1.Conduct risk factor assessment 2.Discuss milestones for speech and language 3.Assess middle-ear status, with pneumatic otoscopy or tympanometry at well-child visits 1. Conduct additional screening if there is parental concern for speech and language development at any well- child visit 1.Pass hearing screening 2.Known risk factors 1.Conduct risk factor assessment 2.Discuss milestones for speech language 3.Assess middle-ear status with pneumatic otoscopy or tympanometry at well- child visits 1. Conduct additional screening if there is parental concern for speech and language development or with special conditions* (AAP and JCIH) 1.Refer for audiologic diagnostic assessment between 24-30 months of age

5. Care Status (Problem List) CARE PLAN at Initial Medical Home Visit for baby and family 1.Did not pass hearing screening. 2. No known risk factors 1.Review risk factors assessment with parent. 2.Discuss developmental milestones for speech and language 3. Assess middle-ear status, using pneumatic otoscopy and/or tympanometry at well-child visits 1. Referral to birthing facility or another outpatient screening facility to complete screening before 30 days of age 1.Did not pass hearing screening. 2. Known risk factors 1.Review risk factors assessment with parent. 2.Discuss developmental milestones for speech and language 3.Assess middle-ear status, using pneumatic otoscopy and/or tympanometry at well-child visits 1 Referral for audiology assessment following discharge from nursery and before one month of age if possible** **Jurisdictionally driven 1. Hearing screening not complete (includes technical fail ) 1.Conduct risk factor assessment 2. Discuss developmental milestones for speech language 3.Assess middle-ear status, using pneumatic otoscopy or tympanometry at well-child visits 1. Referral to the birthing facility or another outpatient screening facility to complete the screening before one month of age

6. XML code for EHCP -<ClinicalDocument xmlns="urn:hl7-org:v3" xmlns:voc="urn:hl7-org:v3/voc" xmlns:xsi= -"http://www.w3.org/2001/XMLSchema-instance" xmlns:pcc="urn:ihe:pcc:hl7v3" xsi:schemaLocation="urn:hl7-org:v3 CDA.xsd">

7. Questions Terese Finitzo OZ Systems tfinitzo@oz-systems.com 214-631-6161 ext 2450