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Newborn Hearing Screening Data Reporting: Metabolic or Electronic Birth Certificate

This presentation discusses the use of metabolic and electronic birth certificates for reporting newborn hearing screening data, including the advantages and disadvantages of each method.

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Newborn Hearing Screening Data Reporting: Metabolic or Electronic Birth Certificate

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  1. Newborn Hearing Screening Data Reporting: Metabolic or Electronic Birth Certificate 2005 National EHDI Conference - Atlanta, Georgia Anne Jarrett, Follow-up Consultant Paul Kramer, Data Analyst Consultant Michigan Department of Community Health/ Early Hearing Detection and Intervention Program Early Hearing Detection and Intervention

  2. Michigan Births~130,000 (8th largest birthing state) Early Hearing Detection and Intervention

  3. 100% Hospital Participation >92% Screened Early Hearing Detection and Intervention

  4. Newborn Hearing Reporting status in MI • 101 birthing hospitals (2000) • 99 hospitals using metabolic newborn hearing reporting • 2 large hospitals using paper format reporting • Home births – metabolic testing but not providing hearing screening services Early Hearing Detection and Intervention

  5. New Metabolic Hearing Card Early Hearing Detection and Intervention

  6. Demographics of New Card Early Hearing Detection and Intervention

  7. Scanning • Scanning has decreased data entry time • Some problems encountered • Filling in ovals (pencils, red pen, “x”), stickers from hearing screening machines, writing by ovals, jamming of scanner (sticky, paper clips/staples), loading cards in the same direction) • Overall great improvement • Canon Scanner – 2400, teleform program Early Hearing Detection and Intervention

  8. Advantages of Metabolic Hearing Card Reporting • Already in place and multi-tasking • Ease of use - mail in with Metabolic • Screeners independent of other departments Early Hearing Detection and Intervention

  9. Vision for EBC reporting of newborn hearing • For Hospitals: • Reporting option • Web based provider access • Rescreening and Diagnostic • Collection of risk indicators • Improve upon Metabolic reporting (for hospital) • No copy of final result sent to state • No record of result received by state • No computerized system for NHS for many hospitals • For State EHDI Program • Decrease data entry at the state level Early Hearing Detection and Intervention

  10. EBC - Larger Vision • Direct linkage to other health data (Vital Records), including evaluative information • Increase overall screening rate • Improve data turnover rate • Decrease lost to follow-up • Improve data accuracy and integrity • Ensure care statewide -130,000 births • Build data collection ability • Step in direction of health data integration Early Hearing Detection and Intervention

  11. Electronic Birth Certificates (EBC) Reporting status in MI • 101 birthing hospitals (2000) • 100 hospitals using state EBC version • 1 hospital using own version of EBC Early Hearing Detection and Intervention

  12. Birth Certificate Early Hearing Detection and Intervention

  13. Genesis Electronic Birth Certificate • Current version in Michigan is DOS • Moving towards Web-based Early Hearing Detection and Intervention

  14. Main DOS hearing module Early Hearing Detection and Intervention

  15. Method Early Hearing Detection and Intervention

  16. Incomplete reason Early Hearing Detection and Intervention

  17. New EBC web Early Hearing Detection and Intervention

  18. Web version • Big upgrade from DOS • Easy to make data entry fields and reports: (DataFlex and DragIt) • Easy input data entry: (what needs to still be filled in, fast finding, fast fill) Early Hearing Detection and Intervention

  19. Where did we start(Pilot Study) Developed EBC Newborn Hearing Screen module • Four pilot hospitals - install ~3 years ago • University of Michigan Health System (3700) • Sparrow Medical Center (3800) • Oaklawn Hospital (610 – Calhoun Co) • Garden City Osteo Meth. Hosp. (900 – Wayne Co) • Checks and Balances, modifications to module • Determine pros and cons of reporting Early Hearing Detection and Intervention

  20. Pilot Hospitals findings • Down load schedule • EBC report function • NICU, transfer – report summary other cases • 6-9 birthing units • Did not solve newborn hearing “protocol” problems, missing hearing screens Early Hearing Detection and Intervention

  21. Advantages of EBC reporting • Linkage to Vital Records data • Computer database with report functions • No mailing, record of results and download dates • Connection with risk indicators, other eval. data • Check last screen results sent Early Hearing Detection and Intervention

  22. Disadvantages of EBC reporting • Coordination with other staff, programs • Matching NHS to EBC record –”process issue” • Upload schedule with DOS version • Training period Early Hearing Detection and Intervention

  23. Where are we going from here? • With new database - lost old data connection with EBC • Created a new matching program • Matches Metabolic, Hearing and Births • Loads EBC hearing records reports • Stores risk indicators Early Hearing Detection and Intervention

  24. Data Integration & Web Reporting • 3 options • EBC Web system (only for hospital use) • Build separate EHDI Web system • Integrate with Child Health Profile Web • NHS entered through EBC or metabolic and then view via Web • Out-patient EHDI services entered or view via Web Early Hearing Detection and Intervention

  25. Conclusion: Which way to report newborn hearing screens? Metabolic, EBC, or Other? • Reason MI pushed towards EBC • Decrease data entry – scanning & matching program • Connected to all births – matching • Connect to risk - matching program • Record (sent/received) – EBC not Metabolic, Web • Hospital computer base to manage records - Web • A way for hospitals to enter rescreen data - Web • Does MI want more hospitals to report by EBC? Early Hearing Detection and Intervention

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