Neonatal Care Report
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Copyright 2009, Children’s Hospitals Neonatal Database – All Rights Reserved In affiliation with Child Health Corporation of America Neonatal Care Report Clinical Document Architecture (CDA) Release 2 ∙ Version 3
description
Neonatal Care Report. Clinical Document Architecture (CDA) Release 2 ∙ Version 3. Neonatal Care Report. Children’s Hospitals Neonatal Consortium (CHNC). Background & Rationale collaborative of 24 children’s hospital Neonatal ICUs multidisciplinary initiative, started in 2006 - PowerPoint PPT Presentation
Transcript of Neonatal Care Report
Copyright 2009, Children’s Hospitals Neonatal Database – All Rights ReservedIn affiliation with Child Health Corporation of America
Neonatal Care ReportClinical Document Architecture (CDA)Release 2 ∙ Version 3
Copyright 2009, Children’s Hospitals Neonatal Database - All Rights Reserved - In affiliation with Child Health Corporation of America
Children’s Hospitals Neonatal Consortium (CHNC)
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Background & Rationale collaborative of 24 children’s hospital Neonatal ICUs multidisciplinary initiative, started in 2006 limited knowledge about best practices & outcomes for the
unique population of infants in tertiary NICUs:
Neonatal Care Report
complex & uncommon neonatal diseases preterm infants with co-morbidities/complications ill term infants requiring emergent intervention
e.g., ECMO, surgery, dialysis congenital anomalies genetic & metabolic syndromes
typically referred for surgical and other subspecialty care
Copyright 2009, Children’s Hospitals Neonatal Database - All Rights Reserved - In affiliation with Child Health Corporation of America
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Aims of the Initiative: To evaluate & optimize the tertiary neonatal intensive care
provided at children’s hospitals determine variations in care evaluate efficacy of current practices promote safety & facilitate research efforts spearhead benchmarking & quality improvement initiatives
CHNC Mission
Neonatal Care Report
ultimately improve clinical outcomes
Copyright 2009, Children’s Hospitals Neonatal Database - All Rights Reserved - In affiliation with Child Health Corporation of America
CHNC Partnership with Child Health Corporation of America (CHCA) In 2008, CHNC partnered with CHCA, a business alliance of 43
leading children’s hospitals Developed a comprehensive clinical database:
Children’s Hospitals Neonatal Database (CHND)
4Neonatal Care ReportDevelopment of Database - CHND
Establishment of a Core Data Set In 2009, CHNC/CHCA completes specifications for a core data
set of about 700 defined data fields Data collection primarily manual abstraction from current
systems of clinical documentation (costly)
Copyright 2009, Children’s Hospitals Neonatal Database - All Rights Reserved - In affiliation with Child Health Corporation of America
Children’s Hospitals Neonatal Database Participants
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AtlantaBirmingham
BostonChicago
ColumbusCincinnati
DallasDetroitDenver
Fort Worth Houston
Kansas CityLittle Rock
Los AngelesMemphis (Le Bonheur)OaklandPhiladelphiaPittsburghSt. LouisSan DiegoSalt Lake CitySt. PetersburgWashington, DCWilmington, DE
*13 additional CHCA hospitals and 8 non CHCA sites considering future participation.
Neonatal Care Report
Copyright 2009, Children’s Hospitals Neonatal Database - All Rights Reserved - In affiliation with Child Health Corporation of America
Messaging a Subset of DataEmploying HL7 standards to facilitate electronic extraction HL7 Clinical Document Architecture (CDA) Release 2
Selection of Subset of Data Elements for the NCR unambiguous data fields, well established standards present in majority of centers (varied stages of EHR development)
6Neonatal Care Report (NCR)
Demographic data• Name, MRN, Maternal ZipBirth Data • Birth weight• Gestational Age • Apgar scores (1, 5, prolonged)Admission/Discharge Information• Dates• Measurements (weights, head circ.)
Acuity Scoring• severity of illness assessment • derived from existing mortality models:
• Pediatric Risk of Mortality: PRISM-III• Pediatric Index of Mortality: PIM-II• Clinical Risk Index for Babies: CRIB-II • Score for Neonatal Acute Physiology: SNAPPE II
• Predominantly laboratory and physiologic data• Scored at several intervals
• 1st 12 hours, Day 3, Day 7 of admission
Copyright 2009, Children’s Hospitals Neonatal Database - All Rights Reserved - In affiliation with Child Health Corporation of America
Working Group ContributorsCo-Chair/Co-Editor: Robert H. Dolin, MD
Semantically Yours, [email protected]
Co-Chair/Co-Editor: Liora AlschulerAlschuler Associates, [email protected]
Co-Chair: Calvin BeebeMayo [email protected]
Co-Chair: Keith W. BooneGE [email protected]
Primary Editor: Gay Giannone, MSN RNAlschuler Associates, [email protected]
Co-Editor: Joy Kuhl, MBA, CPFPrincipal | Optimal Accords, [email protected]
Co-Editor: Michael A. Padula, MDNeonatologist, Clinical InformaticistThe Children's Hospital of [email protected]
Co-Editor: Feliciano Yu, M.D.Information Technology Division Pediatrics Professor University of Alabama at Birmingham School of [email protected]
Co-Editor: David J. Durand, MDDirector, Division of NeonatologyChildren's Hospital and Research Center [email protected]
Co-Editor: Karna Murthy, MDNeonatologist, Children's Memorial HospitalAssistant Professor of PediatricsNorthwestern [email protected]
Co-Editor: Jacqueline KueserVice President, Strategy/R&DChildren’s Hospitals Corporation of America [email protected]
Co-Editor: Kirk ElrodCHCA IT Liaison/Business AnalystChildren’s Hospitals Corporation of America [email protected]
Current Working Group also includes: Kate Conrad, Bobby George, Andy Spooner David Muraco, Diane Ward Celeste Milton, Jean Millar Ann WattShaun Shakib Sandy Stuart Brett Marquard Jingdong (JD) Li Anneke Goossen William GoossenTeresa Finitzo
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