newborn admission notification interface(nani) brief profile proposal for 2011/12 presented to the...

Newborn Admission Notification Newborn Admission Notification Interface(NANI)Interface(NANI)

Brief Profile Proposal for 2011/12Brief Profile Proposal for 2011/12presented to thepresented to the

Quality, Research & Public Health (QRPH) Quality, Research & Public Health (QRPH) Planning CommitteePlanning Committee

Nitin Kunte, Terese Finitzo, Michelle Wiliamson, Anna Nitin Kunte, Terese Finitzo, Michelle Wiliamson, Anna Orlova , John EichwaldOrlova , John Eichwald

09/22/201109/22/2011

Quality, Research & Public Health (QRPH) Planning CommitteeQuality, Research & Public Health (QRPH) Planning Committee

The Problem

• Currently there is no uniform method for hospitals Currently there is no uniform method for hospitals to notify Public Health programs on the birth of a to notify Public Health programs on the birth of a babybaby

• A Newborn Admission Notification Interface A Newborn Admission Notification Interface (NANI) would provide an accurate hospital (NANI) would provide an accurate hospital denominator for each Public Health program to denominator for each Public Health program to carry out its missioncarry out its mission

• Without an NANI, and thus an interim accurate Without an NANI, and thus an interim accurate denominator, care may not be delivered and denominator, care may not be delivered and morbidity or mortality may increase.morbidity or mortality may increase.


The Problem

• A NANI would ensure that no baby is “lost” to A NANI would ensure that no baby is “lost” to proper careproper care

• This NANI proposal is a solution to the problem by This NANI proposal is a solution to the problem by providing a mechanism to convey a Newborn providing a mechanism to convey a Newborn Admission Notification from the birthing facility to Admission Notification from the birthing facility to divergent public health programsdivergent public health programs

• This profile should not be construed as a legal This profile should not be construed as a legal notification of birth.notification of birth.


Use Case

• A baby is born at a hospitalA baby is born at a hospital• Hospital uses NANI to informHospital uses NANI to inform

– State Newborn Screening –Newborn Bloodspot Screening (NBS), State Newborn Screening –Newborn Bloodspot Screening (NBS), Early Hearing Detection and Intervention (EHDI) ProgramsEarly Hearing Detection and Intervention (EHDI) Programs

• If a baby’s screening is missed or the data are not entered, the If a baby’s screening is missed or the data are not entered, the program staff has an accurate count of births and can respond program staff has an accurate count of births and can respond promptly. promptly.

– State Immunization RegistryState Immunization Registry– Communicable Diseases Programs Communicable Diseases Programs

• This ensures every baby receives care mandated by law, This ensures every baby receives care mandated by law, or rule.or rule.


Stakeholders & Benefits

• Public HealthPublic Health– Provides possible denominator toProvides possible denominator to

• EHDI Programs (Confirmed)EHDI Programs (Confirmed)

• NBS Programs (Potential)NBS Programs (Potential)

• Immunization Programs (Potential)Immunization Programs (Potential)

• Communicable Diseases Program (Potential)Communicable Diseases Program (Potential)

• Newborn & ParentsNewborn & Parents– Ensure proper care is deliveredEnsure proper care is delivered

• Birthing Facilities Birthing Facilities – Reduces Reduces

• errors errors

• duplicate data entryduplicate data entry


Proposed Standards & Systems

• We will examine existing IHE profiles to select those We will examine existing IHE profiles to select those applicable to the NANI profile. The following applicable to the NANI profile. The following standards may apply. Other future relevant standards may apply. Other future relevant standards may also be used.standards may also be used.– IHE PIX and PDQ profiles for demographic informationIHE PIX and PDQ profiles for demographic information– PCC Care Management Technical Framework for PCC Care Management Technical Framework for

managing clinical guidelinesmanaging clinical guidelines– QRPH Technical Framework Supplements for data QRPH Technical Framework Supplements for data

guidelinesguidelines– HL7 V2 ADT messagesHL7 V2 ADT messages

• There is no existing standardThere is no existing standard


Discussion

• We are proposing new Actors and Transactions but no new We are proposing new Actors and Transactions but no new Content. Content.

• We believe that we should be able to reuse the existing We believe that we should be able to reuse the existing profile work done at IHE. This will facilitate the profile work done at IHE. This will facilitate the development of this profile and will bridge the gap that development of this profile and will bridge the gap that currently exists amongst different IHE profiles. currently exists amongst different IHE profiles.

• We think the effort would be “Medium”We think the effort would be “Medium”• Proposed editors – Anna Orlova, Nitin Kunte, Terese Proposed editors – Anna Orlova, Nitin Kunte, Terese

Finitzo, John Eichwald, Michelle WilliamsonFinitzo, John Eichwald, Michelle Williamson

newborn admission notification interface(nani) brief profile proposal for 2011/12 presented to the...

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