Use Case: Initial Newborn Hearing Screening

Technical Framework SupplementEarly Hearing Detection and Intervention (EHDI)IHE Quality, Research and Public Health (QRPH)

EHDI Use Case Description -1

This Use Case represents the newborn hearing screening process flows conducted at a birthing facility as part of a state-based Public Health Early Hearing Detection and Intervention (EHDI) program.

• Birthing facility populates state EHDI Information System (EHDI-IS) electronically with demographic information on all births to create individual Hearing Record so care can be delivered and for an accurate denominator to use in quality measures.

EHDI Use Case Description -2

• Hearing screening results from Screening Devices (or Birthing Facility EHR) are transmitted electronically to State EHDI –IS which matches them to newborn’s record.

• EHDI-IS generates Early Hearing Care Plan (EHCP) on all infants based on State EHDI program guidelines

• EHCP communicates screening outcomes and next care guidelines for each infant through Health Information Exchange (HIE) to authorized providers

• EHDI-IS publishes periodic quality assessment reports for birthing facilities to review as needed to HIE or approved EHRs.

Use Case Care Settings

Required:• Birthing facility• Early Hearing Detection and Intervention (EHDI) programOptional:• Medical Home

Use Case Actors

Business Actors: Birthing facility nursery staff, hearing screener, public health EHDI program staff, newborn

Technical Actors: Birthing facility EHR, Health Information Exchange (HIE), Hearing Screening Device, Public Health EHDI Information System (EHDI-IS)

Profile Actors: EHCP Content Creator, EHCP Content Consumer, EHDI Quality Measure Rule - Content Source, EHDI Quality Measure Rule - Content Consumer, Knowledge Requestor, Knowledge Resource, Distribution Message Transmitter, Distribution Message Receiver.