Web-based Information Exchange and Information Services Concept to Support the Exchange of Newborn Screening Information. A description of workflow components within newborn screening process improved by implementation of standards-based health information exchange of newborn screening data. The table contains stakeholder perspectives alongs

12/01/2009

A description of workflow components within newborn screening process improved by implementation of standards-based health information exchange of newborn screening data. The table contains stakeholder perspectives alongside associated workflow components.

PerspectiveCurrent StateFuture State
HospitalSends Guthrie card to lab by mail Receives lab result by fax or mail Manually incorporates results into medical recordSends electronic order to lab Sends Guthrie card to lab by mail Receives results into patient EHR
Newborn Screening LabReceives Guthrie card Manually enters info into lab management system, but due to omissions on Guthrie card, order data is incomplete Produces lab report Mails/faxes results to hospital and state registriesReceives Guthrie card Receives electronic lab order Produces lab report Send results electronically to hospital, state registry and newborn screening web-based information exchange
Primary Care ProviderCalls hospital for test results or accesses lab website Manually enters results into medical record Or never receives resultsAccesses results through web-based information exchange Electronic integration of results into EHR
SpecialistContacts PCP for test results Or results not availableAccesses results through web-based information exchange Electronic integration of results into EHR
State Health RegistryReceives results from testing lab Manually enters data into databaseReceives results electronically Integrated into database
Patient/FamilyMay requests test results from PCP May not be aware results are available or receive them.Accesses results through web-based information exchange Integrates results into PHR
Research CommunityCan request access to state registries Or may not have access to dataCan access state registries electronically