2023 Early Hearing Detection & Intervention Conference

March 5-7, 2023 • Cincinnati, OH

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3/15/2022  |   3:50 PM - 4:15 PM   |  Remote Electronic Health Record Access: A Minnesota Newborn Hearing Screening Follow-up Story   |  Room 9

Remote Electronic Health Record Access: A Minnesota Newborn Hearing Screening Follow-up Story

In the Spring of 2020, the Minnesota Newborn Screening program began a project to obtain remote access to the Electronic Health Records (EHR) of several Minnesota health systems for the purpose of assisting our newborn screening (NBS) follow-up practices. This poster will share the process for requesting remote EHR access and how our program utilized chart abstraction to further our hearing follow-up practices. Limited access has been requested to 18 health systems; 8 have granted access, 8 are in progress, and 2 are on hold while they update their system to allow for reduced access. Reduced access to the EHRs will allow the follow-up team to retrieve only information that should be reported to the state EHDI-IS for hearing screening and follow-up purposes, as mandated in Minnesota. Lost to follow-up data will be analyzed pre/post remote EHR access to determine outcome benefit. Additional analysis will be shared on differences in having remote access in 2021 compared to other years, including our ability to obtain unreported initial and subsequent newborn hearing screening results, scheduled audiology appointment information, and primary care provider/clinic details to assist with a baby’s newborn hearing screening and follow-up status. Challenges and successes will be shared on the process to gain remote access, implementation of chart abstraction into EHDI follow-up practice, as well as general functionality. Overall, remote access for chart abstraction has been a great tool to assist with follow-up practices, but it cannot replace traditional mechanisms of receiving hearing screening results directly from screening providers. Next steps will be provided and include working to obtain remote access to additional health systems, comparison of outcomes between the different EHR access systems/permissions, and monitoring of efficiencies found in the follow-up process due to remote access.

  • 1. Describe Minnesota’s process to obtain remote EHR access
  • 2. Review multi-year comparison data obtained pre/post remote EHR access
  • 3. Identify challenges, successes, and future goals for chart abstraction using remote EHR access

Presentation:
3353554_14979JennaLaine.pdf

Handouts:
Handout is not Available

Transcripts:
CART transcripts are NOT YET available, but will be posted shortly after the conference


Presenters/Authors

Jenna Laine (Virtual), Minnesota Department of Health-Public Health Lab, Newborn Screening, Jenna.Laine@state.mn.us;
Jenna Laine, EdD serves as the Point of Care EHDI short-term follow-up supervisor, Minnesota Department of Health, Newborn Screening


ASHA DISCLOSURE:

Financial -
No relevant financial relationship exist.

Nonfinancial -
No relevant nonfinancial relationship exist.

Kirsten Coverstone (), MN Dept. of Health, Kirsten.Coverstone@state.mn.us ;
Kirsten Coverstone is an audiologist with many years of service dedicated to early hearing detection and intervention. She grew up in southern Minnesota, earned her masters degree from the Univ. of Northern Iowa and her doctorate from Salus University. Kirsten has actively worked at the local state and national levels to promote universal newborn screening for hearing. As coordinator of the Lions Infant Hearing Program at the University of Minnesota she worked directly with hospitals to establish effective hearing screening programs and audiologists to confirm hearing loss. In addition, Kirsten implemented a statewide hearing instrument loaner program for infants and young children in Minnesota. She is dedicated to making a difference in the lives of children and their families as the MDH EHDI Screening Program Coordinator.


ASHA DISCLOSURE:

Financial -
No relevant financial relationship exist.

Nonfinancial -
No relevant nonfinancial relationship exist.

Melissa Marsh (), Minnesota Department of Health, Newborn Screening, Public Health Laboratory, Melissa.Marsh@state.mn.us;
Melissa is a member of the Point of Care, EHDI follow-up team with the Minnesota Department of Health, Newborn Screening program


ASHA DISCLOSURE:

Financial -
No relevant financial relationship exist.

Nonfinancial -
No relevant nonfinancial relationship exist.

Annikka Strong (), Minnesota Department of Health-Public Health Lab, Newborn Screening, Annikka.Strong@state.mn.us;
Annikka Strong, serves as a Health Program Representative for Minnesota Department of Health, Newborn Screening focusing on EHDI program follow-up


ASHA DISCLOSURE:

Financial -

Nonfinancial -