1.3.1 Objectives Specific to Hearing Screening • Establish the NBSSS as the centralized system of record for all hearing screening and follow-up activities in South Dakota. • Enable entry and tracking of hearing screening results, diagnostic evaluations, and interventions within a unified case management platform. • Support timely provider reporting through automated data exchange or secure web-based forms for facilities without HL7 capabilities. • Replace hearing-related data entry in the Vital Records System with structured, longitudinal data entry and workflows in the NBSSS. • Support 1-3-6 tracking standards (screening by 1 month, diagnosis by 3 months, intervention by 6 months), with performance monitoring dashboards and reports. 1.3.2 Objectives Specific to Bloodspot Screening • Enable seamless data integration with the Iowa State Hygienic Laboratory’s OpenELIS system, receiving all screening and short-term follow-up data directly into the NBSSS. • Support bi-directional exchange with Iowa to allow corrections, deduplication, and case updates in both systems. • Build the internal infrastructure needed to manage and document care beyond initial screening and diagnosis. • Provide SD DOH with full visibility and the ability to manage long-term follow-up for conditions identified through bloodspot screening. • Centralize all bloodspot-related documentation, recommendations, confirmatory testing, and condition outcomes within NBSSS for case continuity and analytics. • Eliminate the need for Vital Records to serve as an intermediary for bloodspot data, keeping their scope focused on birth and death records. 1.3.3 Shared Objectives for Both Hearing and Bloodspot Screening • Centralize all newborn screening data—including demographic, clinical, laboratory, and follow-up information—into a single, secure, and fully owned system. • Provide automated case management workflows with configurable triggers, alerts, escalation paths, and resolution tracking. • Support interoperability with external systems using HL7, FHIR, IJE, and secure file-based methods. • Ensure data integrity and quality, including support for real-time validation, deduplication, cross-system matching, and correction workflows. • Enable flexible data entry options, including structured uploads and manual forms, for facilities that lack integration capabilities. • Deliver robust reporting, analytics, and dashboard tools for compliance (e.g., CDC, HRSA), performance monitoring, and epidemiological analysis. • Guarantee full access to raw, structured, and historical data for authorized SD DOH analysts to conduct independent research and generate program insights. • Enable biostatisticians and epidemiologists to access row-level data and apply code (e.g., SAS, R, SQL) to generate automated reports for public health surveillance at the state level and mandated reporting at the national level (e.g., HRSA, CDC, APHL, NewSTEPs, etc). • Implement role-based access controls and integration with South Dakota’s identity and access management standards (Azure Entra ID and Azure B2C). • Ensure the system is modular, configurable, and scalable to support additional screening conditions, workflow updates, or policy changes. • Provide training, technical support, and sustainable maintenance to ensure long-term system effectiveness and user adoption.
