continuity of change: where we have come from, where we are going new orleans, la june 5 th – 9...
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Continuity of Change:Where We Have Come From, Where We Are Going
New Orleans, LA June 5 th – 9th, 2011
The Future Role of Vital Records’ Systems
An Overview of Health Information Exchange, Meaningful Use, and Electronic Health Records
Steve Elkins Barry Nangle, PhD
Minnesota Utah
State Registrar Director
Linette Scott, PhD Leesa Shem-Tov
California NAPHSIS
State Registrar Director, Vital Statistics Improvement Programs
June 8th, 2011
Continuity of Change:Where We Have Come From, Where We Are Going
New Orleans, LA June 5 th – 9th, 2011
California
Linette Scott, PhDState Registrar
California Department of Health
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Linette Scott
Continuity of Change:Where We Have Come From, Where We Are Going
New Orleans, LA June 5 th – 9th, 2011
Federal Laws and Regulations:
Health Information Technology for Economic and Clinical Health Act (HITECH)
HITECH introduced as part of the American Recovery and Reinvestment Act (ARRA)
Signed into legislation on February 17, 2009 Section 1561 required HHS, in consultation with HIT Policy
Committee and HIT Standards Committee, to develop interoperable and secure standards and protocols that facilitate electronic enrollment of individuals in Federal and State health and human services programs
HIT Policy and Standards Committees approved initial recommendations in August 2010
September 17, 2010, Secretary Sebelius adopted these recommendations.
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Linette Scott
Continuity of Change:Where We Have Come From, Where We Are Going
New Orleans, LA June 5 th – 9th, 2011
Federal Laws and Regulations:
Health Information Technology for Economic and Clinical Health Act (HITECH)
Health Care Providers must demonstrate “meaningful use” of Electronic Health Records (EHRs) by:
1. Use of certified EHR technology in a meaningful manner such as e-prescribing;
2. That the certified EHR technology is connected in a manner that provides for the electronic exchange of health information to improve the quality of care; and
3. In using this technology, the provider submits to the Secretary information on clinical quality measures and such other measures selected by the Secretary
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Linette Scott
Continuity of Change:Where We Have Come From, Where We Are Going
New Orleans, LA June 5 th – 9th, 2011
“Meaningful Use” Requirement Stages
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Linette Scott
Continuity of Change:Where We Have Come From, Where We Are Going
New Orleans, LA June 5 th – 9th, 2011
Vital Records: Data Items Related to Meaningful Use and Data Exchange
Record demographics preferred language gender race ethnicity date of birth date of death and cause of death (hospitals)
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Linette Scott
Continuity of Change:Where We Have Come From, Where We Are Going
New Orleans, LA June 5 th – 9th, 2011
NAPHSIS Staff
Leesa Shem-TovDirector
Vital Statistics Improvement Programs
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Leesa Shem-Tov
Continuity of Change:Where We Have Come From, Where We Are Going
New Orleans, LA June 5 th – 9th, 2011
National Efforts for Vital Records and EHR Systems: Standards & VR Profile
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Leesa Shem-Tov
Continuity of Change:Where We Have Come From, Where We Are Going
New Orleans, LA June 5 th – 9th, 2011
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Leesa Shem-Tov
National Efforts for Vital Records and EHR Systems: Standards & VR Profile
Continuity of Change:Where We Have Come From, Where We Are Going
New Orleans, LA June 5 th – 9th, 2011
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Leesa Shem-Tov
National Efforts for Vital Records and EHR Systems: Standards & VR Profile
Continuity of Change:Where We Have Come From, Where We Are Going
New Orleans, LA June 5 th – 9th, 2011
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Leesa Shem-Tov
National Efforts for Vital Records and EHR Systems: Standards & VR Profile
Continuity of Change:Where We Have Come From, Where We Are Going
New Orleans, LA June 5 th – 9th, 2011
Minnesota
Steve ElkinsState Registrar
Minnesota Department of Health
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Steve Elkins
Continuity of Change:Where We Have Come From, Where We Are Going
New Orleans, LA June 5 th – 9th, 2011
State / Jurisdiction Collaborations for Vital Records and EHR Systems: Minnesota
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Steve Elkins
All Health Records Electronic by 2012 Several Competing Vendors Standardized Birth Registration Report Facility Customizable Reports
Continuity of Change:Where We Have Come From, Where We Are Going
New Orleans, LA June 5 th – 9th, 2011
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Steve Elkins
State / Jurisdiction Collaborations for Vital Records and EHR Systems: Minnesota
MN Registration & Certification 3-21-11 Imports from Funeral Home Software Standardization of Data Types and Edits
Continuity of Change:Where We Have Come From, Where We Are Going
New Orleans, LA June 5 th – 9th, 2011
Utah
Barry Nangle, PhDDirector, Center for Health Data
Utah Department of Health
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Barry Nangle
Continuity of Change:Where We Have Come From, Where We Are Going
New Orleans, LA June 5 th – 9th, 2011
Environment of Public Health Informatics in Utah
Healthcare market dominated by Intermountain Healthcare: Cares for ½ population Completes 52 % of EDEN Certifications Has used EHR since the 1980’s
70 % of Primary care providers use EHR. Public Health regulates standards for
electronic health information exchange.
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Barry Nangle
Continuity of Change:Where We Have Come From, Where We Are Going
New Orleans, LA June 5 th – 9th, 2011
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Barry Nangle
EDEN Interface to Intermountain EMR Pilot
Continuity of Change:Where We Have Come From, Where We Are Going
New Orleans, LA June 5 th – 9th, 2011
Participated in Intermountain-led development of standard Antepartum Record
Standard adopted by Integrating the Healthcare Enterprise (IHE)
Participated in the IHE Connectathon at HIMSS 2011 Demonstrated connectivity between vendor EHR
and the Utah EBC (UINTAH)
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Barry Nangle
Connectivity Demonstration
Continuity of Change:Where We Have Come From, Where We Are Going
New Orleans, LA June 5 th – 9th, 2011
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Barry Nangle
State Secure Patient Directory for Identity Resolution in Health Care (sSPD – in development)
Continuity of Change:Where We Have Come From, Where We Are Going
New Orleans, LA June 5 th – 9th, 2011
General Discussion
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Continuity of Change:Where We Have Come From, Where We Are Going
New Orleans, LA June 5 th – 9th, 2011
Questions / Comments ?
Items to consider for Vital Records Systems and EHR collaborations:
Staff / technical support Service agreements Data quality and issue remediation Ownership Reporting Training
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