1. EHCP Evolution Brief Profile Proposal for 2012/13 presented to the Patient Care Coordination (PCC) Planning Committee Lisa R. Nelson October, 2012

2. Patient Care Coordination (PCC) Planning Committee The Problem The Early Hearing Care Plan profile was developed without strong alignment with existing work-year 2 – –Existing CDA templates – –Existing Care Plan Document – –Existing Device Messages – –Existing document update experience (XPHR-Update) Year 2 evolution requires refinement to improve interoperability within the larger information ecosystem

3. Patient Care Coordination (PCC) Planning Committee Use Case Public health creates a care plan for a child to make this available to the providers Information from newborn hearing screening is used by Public Health to create an initial Early Hearing Care Plan for each child. At a newborn /infant’s first well-child check, the PCP reviews the Early Hearing Care Plan received from Public Health to determine the next hearing care steps for each child. These steps for the PCP include a review of screening results and known risk indicators for hearing loss with the family. An assessment of additional risk indicators for hearing loss is also completed by the PCP. Based on results and risk indicators for hearing loss, the PCP is provided best practice guidance from Public Health for ongoing hearing health care.

4. Patient Care Coordination (PCC) Planning Committee Proposed Standards & Systems What standards and/or systems should be considered in addressing this proposal? – –Systems EHR Hearing Screening device EHDI-IS Public Health Physician EMR – –Standards Hearing Screening Results Early Hearing Care Plan Early Hearing Care Plan updates General Care Plan document Alternatives n/a

5. Patient Care Coordination (PCC) Planning Committee Discussion Level of development effort: Major Profile editor: Lisa Nelson Organizational support – –Public Health Data Standards Consortium – –Oz Systems – –CDC Refactoring of profile to use new IHE Profile Template Close information sharing expected with QRPH domain Profile development within PCC essential for success – –Achieve greater consistency with other Care Plan documents