1. Public Health Data Standards Consortium http://www.phdsc.org
The purpose of this presentation is to familiarize you or the organization you represent with an independent body called the Public Health Data Standards Consortium. The Consortium is a unique entity made up of federal agencies, state organizations, regional consortia, professional associations and academia that collectively represent the interests of public health and health services research in the data standards setting processes. This presentation can be used as is or customized to address your needs or those of your organization.

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

3. North Dakota - EHDI Reporting Design
Public Health Gateway
(OZ)
State EHDI
Information System
(OZ)
Birthing Facility
EHR
(Cerner)
Continuity of Care Document (CCD)
CDA NHS Outcome Report (internal)
Care Plan
PCP/ Pedia-trician
(Greenway)
Continuity of Care Document (CCD)
Form Filler
Or Other CDA Document
(Labor & Delivery Summary)
Document Reliable Interchange (XDR)
Form Manager
Form Receiver
CDA-based Actor Diagram using XDR
Form
Delivery of Form along with pre-population data bound to the form
CDA-based Actor Diagram using RFD

4. Continuity of Care Document (CCD) CDA-based Actor Diagram using RFD
Michigan - EHDI Reporting Design
Public Health Gateway
(TBD)
State EHDI
Information System
(Orion Rhapsody, Crystal Lightning and Altarum)
Birthing Facility
EHR
(Cerner, Epic 2012, GE CE)
Continuity of Care Document (CCD)
CDA NHS Outcome Report
Continuity of Care Document (CCD)
Form Filler
Form Manager
Form Receiver
Or Other CDA Document (Labor & Delivery Summary)
Form
Delivery of Form along with pre-population data bound to the form
CDA-based Actor Diagram using RFD

5. Continuity of Care Document (CCD) CDA-based Actor Diagram using RFD
Oregon - EHDI Reporting Design
Public Health Gateway
(TBD)
State EHDI
Information System
(Orion Rhapsody, Locally Developed)
Birthing Facility
EHR
(Epic 2012)
Continuity of Care Document (CCD)
CDA NHS Outcome Report
Continuity of Care Document (CCD)
Form Filler
Form Manager
Form Receiver
Or Other CDA Document (Labor & Delivery Summary)
Form
Delivery of Form along with pre-population data bound to the form
CDA-based Actor Diagram using RFD

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

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

8. CDA EHDI Pilot Project: Next Steps
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 Dec 14
Define architecture for reporting
Participate in design calls
Confirm report meets EHDI program requirements

9. CDA EHDI Pilot Project: Next Steps
FOR PHDSC TEAM
By Dec 14th
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
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 
By Dec 21st Call
Educate Participants and Observers about Model Driven Health Tools (MDHT)

10. CDA EHDI Pilot Project
Questions?