February 13, 2002CDC/MCHB1 NATIONAL EHDI MEETING February 13, 2002 MICHIGAN DEPARTMENT OF COMMUNITY...

February 13, 2002 CDC/MCHB 1

NATIONAL EHDI MEETINGFebruary 13, 2002

MICHIGAN

DEPARTMENT OF

COMMUNITY HEALTH

TRACKING FROM BIRTH


LEGISLATION

• No enacted legislation

• Two pending State Bills

• Medicaid (June, 2000) policy requiring all newborns have a hearing screen in-hospital or within first month of life


POPULATING THE DATABASE/DATA ITEMS

• Reporting through metabolic screening with a separate pull out hearing card

• Hospitals have responded well to this system as it is familiar

• Hearing does not interfere with other reporting to MDCH


DataBase Tracking

• MDCH currently uses FOXPRO software for blood spot screening

• Because newborn hearing is linked to that database, we also use FOXPRO

• Both databases have converted to an Access program for report generation


HEARING SCREEN PAGE BAR CODE FOR MATCHINGRED NUMBER IS INVENTORY NUMBER

BLUE AREA FOR HEARING RESULTSFOURTH SHEET ON CARD BENEATH NBS SHEETS


EFFECTIVENESS OF SYSTEM

• Process has been well accepted as hospitals are accustomed to system

• Has made NBS look at data integration as important relative to the finding of newborns with missed screens


BIRTH CERTIFICATES/DATA INTEGRATION

• Three projects are occurring– Data integration with Michigan

Birth Defects Registry

– Pilot project for hospitals to use electronic birth certificate system for reporting hearing

– Medicaid integrated data system


• Case finding project with Vital Records, Birth Defects Registry (BDR) to capture reported hearing loss. – EHDI to BDR (confirms DX codes

and adds new cases to database)

– BDR to EHDI (adds new cases to ensure follow-up for infants)

• BDR is reported monthly by law

Birth Defects Registry


• Approximately 80% of Michigan birth certificates are reported electronically bi-weekly

• 100% reported within four weeks

• Exploring Web based reporting of birth certificates

Electronic Birth Certificates


• Michigan’s Medicaid system is also developing a statewide system to store and integrate data – Executive Information System/ Decision Support System–Enhance Medicaid information by

identifying patterns of behavior across recipients and providers

–Build supporting infrastructure to expand integration, access and analysis of data


HEALTH CARE PROVIDER REPORTING/COLLABORATION

• Michigan’s EHDI Program receives information in a variety of ways– Primary care physicians/clinics

– Part C of IDEA (Early On)

– State audiologists

– Maternal Support System/Infant Support System (Medicaid program)


• Counties with All Students Achieve Program-Parent Information and Education grant participants

• Children’s Special Health Care Services

• Local Public Health Nursing contacts

• Have shared information with WIC and information will be added to their intake histories on newborn hearing and possible acquired hearing loss concerns for the older age group


• We have developed a system of facsimile forms to notify and receive information back from collaborating providers

• Many audiologists use a reporting form, but we accept their audiological reports in FAX or written form


PARENTS AND FAMILY

• Hospitals have been asked to notify parents of the hospital newborn hearing screen

• We also request that they share our brochure or one they have developed with families


• In March of 2001, we developed a parent signature form allowing the EHDI program to refer, follow-up and collect pertinent information

• We have supplemented hospital efforts with information to prenatal classes

• We also have a new parent consultant who has developed information systems for parents


CONTACT INFORMATION• Anne Jarrett, Follow-Up Consultant

– 517/ 335-8878– [email protected]

• Debby Behringer, Com. Dev Consultant– 517/ 335-8875 – [email protected]

• Amy Lester, Parent Consultant– 517/335-8273– [email protected]

FAX 517/335-8036

mailto:[email protected]





February 13, 2002CDC/MCHB1 NATIONAL EHDI MEETING February 13, 2002 MICHIGAN DEPARTMENT OF COMMUNITY...

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