Current through Register Vol. 47, No. 17, September 10, 2024
5.1
A. Only reports of initial hearing screens,
hearing rescreens, and follow up services for newborns at risk of hearing loss
as described in Section 3.1 and 4.1 of these rules will be maintained in the
Department's health information data system.
B. The Department will limit the reported
data to the minimum information necessary for a health professional attending
the birth or providing follow-up services for newborns at risk of hearing loss
to execute their obligations under the statute and this rule. A health
professional will only be able to input and view records for patients from
their own facility.
C. The
Department approves all access to its health information data system. To
receive access, the health professional attending the birth or providing
follow-up services for newborns at risk of hearing loss will sign the
Department's confidentiality agreement. A health professional attending the
birth or providing follow-up services for newborns at risk of hearing loss may
access the Department health information data system to input or retrieve their
patient care data. A primary care provider of a newborn receiving follow-up
services may access the system for the purpose of coordinating care regardless
of whether the primary care provider is performing follow up services. The
Department will log and monitor health information data system use. The only
authorized use of the data is to connect newborns at risk for hearing loss to
appropriate follow-up services, pursuant to §
25-4-1004.7(5)
and §
25-4-1004.7(8),
C.R.S., and these rules.
The Department may revoke access to the health information
data system at any time, including when the patient is no longer under the
health professional's care, follow-up services have concluded, the individual
has violated the terms of the signed confidentiality agreement, or the data are
being used for a purpose that is outside the statutory and regulatory
authorization.
D. Entities,
including but not limited to the Department and the Colorado School for the
Deaf and the Blind, Article
80, Title
22, C.R.S., CO-Hears Program may access
and input data into the health information data system to coordinate care,
provide referrals and similar follow-up services.
E. Entities and individuals granted access
have the ability to run facility-level reports for the purpose of improving the
facility or individual's newborn hearing screening practices and service
delivery.
F. The Department may
access the health information data system to identify an appropriate follow-up
services provider for a child with a failed screen result when:
1. Requested by the parent, named submitter,
newborn's primary care provider or follow-up service provider and the
relationship with the newborn has been confirmed.
2. The Department communicates to the
requestor that identifying a potential provider is not an endorsement for the
provider or their services.
5.2 Except as authorized in Section 5.1,
newborn hearing screening program data, whether recorded on paper or
electronically, shall be strictly confidential and shall not be released.
§
25-4-1004.7(9)(d),
C.R.S., allows the Department to provide statistical reports with aggregate
data; such reports will not include the name or any other patient specific data
that could reasonably lead to identification of the patient. To ensure accurate
assessment of prevalence, statistical reports will be comprised of data for
newborns born in Colorado.
A. The Department
will provide statistical reports to the CIHAC to support the CIHAC's execution
of its statutorily assigned duties in §
25-4-1004.7(2)(a)(I),
C.R.S.
B. The Department will
submit de-identified, aggregate data to entities such as Centers for Disease
Control and Prevention for comparison to national standards and outcomes. When
appropriate, de-identified, aggregate data may also be used for the purpose of
improving newborn hearing screening, evaluation, and connection to follow-up
services.
C. The statistical
reports and de-identified, aggregate data identified in Section 5.2.A and 5.2.B
can be made available to named submitters, entities with access to the health
information data system and other interested persons for the purpose of
comparing an entity or individual's services to state outcomes and national
standards, or improving practice.
5.3 Quality Control
The Department will ensure quality newborn hearing screening
data by:
A. Training individuals
granted access to the system to report screening results pursuant to Section 3
and follow-up services pursuant to Section 4. Training will be provided
annually and more often as determined by the Department to be appropriate. Such
training may be offered in conjunction with the periodic training required by
§
25-4-1004.7(9)(c),
C.R.S.
B. Training individuals
entering hearing screening data in the electronic birth certificate. Such
training can be offered in conjunction with other Department training related
to completing the electronic birth certificate.
C. Utilizing the data identified in Rule
4.4(H) to implement quality improvement activities.
Nothing in this subsection should be read to limit the
CIHAC's ability to recommend best practices and guidelines as delineated in
§
25-4-1004.7(2)(a)(I),
C.R.S. as those activities may also concern quality improvement.
