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Tracking from Birth: Massachusetts Universal Newborn Hearing Screening Program. MCHB/CDC Annual Meeting on Successful Statewide EHDI Programs Presenter: Janet M. Farrell, Director February 2002. Chapter 243 of the Acts of 1998 & DPH Universal Newborn Hearing Screening Guidelines.
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Tracking from Birth:Massachusetts Universal Newborn Hearing Screening Program MCHB/CDC Annual Meeting on Successful Statewide EHDI Programs Presenter: Janet M. Farrell, Director February 2002
Chapter 243 of the Acts of 1998 & DPH Universal Newborn Hearing Screening Guidelines • Birth hospital and birth center requirements • Perform hearing screening on all newborns • Submit protocols to DPH for approval • Data agreement with DPH • Program statistics (aggregate) • Screening data
Electronic Birth Certificate System Stakeholders • Registry of Vital Records and Statistics • Genesis Systems • MDPH Bureau of Family and Community Health, Office of Statistics and Evaluation
Electronic Birth Certificate System • Birth data entered at facility • Downloaded regularly to Vital Records • Daily updates to Childhood Hearing Data System • Total delay approximately 5 days from DOB Birth Facility Vital Records BFCH OSE CHDS
Electronic Birth Certificate System • Legal • General demographics • Confidential • Parental demographics and information • Medical • Confidential medical information including prenatal care, labor and delivery procedures, maternal & newborn risk indicators, medical conditions, neonatal procedures, etc.
Massachusetts Childhood Hearing Data System (CHDS) • Statewide tracking and surveillance system • Objectives: Ensure timely screening, diagnosis, and intervention; Long-term research and collaboration; Develop epidemiological profile for MA
CHDS: Data Sources EBC Legal/Demographic Medical/Confidential Screening Diagnostic Assessment Procedures Type/Degree of Loss Risk Indicators CHDS Family contact Follow-up Early Intervention Medical Home
UNHSP/CHDS and Vital STEPS • Objective: Develop a central database within MDPH with a common data and application architecture • Assist to eliminate duplication of effort in data collection • Increase capacity of DPH to track service delivery • UNHSP/CHDS currently working towards integration
Future Directions & Challenges • Evolution to web-based CHDS though Electronic Birth Registration and Vital STEPS • Further data linkages with existing state programs (i.e. Early Intervention) • Ensure timely screening, diagnosis, and intervention for home and out-of-state births