1. By Nancy Hoffman Missouri Department of Health and Senior Services

2. MOHS IC Missouri Health Strategic Architectures And Information Cooperative (MOHSAIC)

3. MOHS IC Fully Integrated Database Births (1995) Births (1995) Immunizations (1995) Immunizations (1995) Family Planning (1997) Family Planning (1997) Lead Licensing (2000) Lead Licensing (2000) Child Care Licensing (2001) Child Care Licensing (2001) SHCN - Service Coordination (2001) SHCN - Service Coordination (2001) Metabolic Screening (2002) Newborn Hearing (2002) Lead Poisoning (2002) Tel Link (2002) WIC (2003) Birth Defects can be linked Communicable Diseases (2000)

4. Common Across Programs Registration (DCN number) Registration (DCN number) Appointment scheduling Appointment scheduling Inventory Inventory Providers Providers MOHS IC

5. Data Input Immunization Direct connection Web connection Billing Data Metabolic/Newborn Hearing (common form) State laboratory Hospital Web connection Audiologists Web connection MOHS IC

6. State Laboratory Neometrics System NBS/NBH Lab form Audiological Results Private Providers/Parents Birth Registry Birth Data NBS Data NBH Data Hospital MOHS IC

7. Records Identifier Department client number Department client number Newborn hearing/metabolic screening Newborn hearing/metabolic screening – Mother and child medical record number also on birth certificate MOHS IC

8. Collaboration with Medicaid Patient information Patient information Medicaid eligibility/ provider Medicaid eligibility/ provider Statistical analysis Statistical analysis MOHS IC

9. Parental Consent Immunizations Immunizations Newborn hearing Newborn hearing Metabolic screening Metabolic screening MOHS IC

10. Notification Hospital can print results letter for parent Hospital can print results letter for parent Neometrics system generates results and follow-up letters to parents and providers Neometrics system generates results and follow-up letters to parents and providers MOHSAIC system generates alerts and e-mail messages for public health staff to assure long-term follow-up MOHSAIC system generates alerts and e-mail messages for public health staff to assure long-term follow-up

11. Data Access Based upon roles and responsibilities Based upon roles and responsibilities State and local public health agencies State and local public health agencies HMO’s HMO’s Audiologists Audiologists Child profile for private providers Child profile for private providers MOHS IC

12. Child profile

13. Missouri Department of Health and Senior Services Child Information as of 07/02/2001 Child Name:Date of Birth:DCN: Primary:Primary Phone: Address: Parent or Guardian:Primary Care Provider: Quick Review View Child Demographic Details…… Metabolic ScreeningNewborn HearingImmunizations Lead ScreeningAllergies AbnormalNormalDueMedications Not EnrolledEnvironmental Metabolic Screening Summary Newborn Hearing Summary Ear TestedResult LeftPass RightPass Immunization Summary TypeDue DateLast ShotTypeDue DateLast Shot DPT/T07/12/200303/27/1994Rotavirus07/12/1998 Hep A05/16/2001Pneumococcal Hep B11/04/1993Lyme HIB03/27/1994Measles07/12/1998 Mumps07/12/1998Polio07/12/1998 Varicella Lead Screening Summary View Immunization Details>>>>> The details of this table still need to be determined Allergy Summary TypeAllergenReaction Type MedicationsPenicillinChest tightness EnvironmentalMoldHives Enrolled Programs ProgramEnrollment DateService Coordination Case Manager First Steps12/20/1999Sydney Alphred Healthy Children and Youth01/05/2000Sydney Alphred Other Details Managed Care ProviderJCMG WIC ProviderJCMG Primary Care Physician at BirthDr. Jim Smith TypeOutcomeActionEnrollmentResult Hypothyroidism:T4AbnormalDHSS contactNot enrolled5.2 ug/dL Hypothyroidism: TSHNormalNo contactNot enrolled12 ulU/mL PhenylketonuriaNormalNo contactNot enrolled2.9 mg/dL