jeff duncan, ms utah department of health · title: interoperability between vital records and ehrs...
TRANSCRIPT
![Page 1: Jeff Duncan, MS Utah Department of Health · Title: Interoperability between vital records and EHRs in Utah Author: National Center for Health Statistics Subject: Vital Records, Standards,](https://reader033.vdocuments.net/reader033/viewer/2022042218/5ec4ac93a9bf5874f404a664/html5/thumbnails/1.jpg)
Interoperability between vital records and EHRs in Utah
Jeff Duncan, MS
Utah Department of Health
![Page 2: Jeff Duncan, MS Utah Department of Health · Title: Interoperability between vital records and EHRs in Utah Author: National Center for Health Statistics Subject: Vital Records, Standards,](https://reader033.vdocuments.net/reader033/viewer/2022042218/5ec4ac93a9bf5874f404a664/html5/thumbnails/2.jpg)
Timeline of events—UDOH-Intermountain Death Interface
![Page 3: Jeff Duncan, MS Utah Department of Health · Title: Interoperability between vital records and EHRs in Utah Author: National Center for Health Statistics Subject: Vital Records, Standards,](https://reader033.vdocuments.net/reader033/viewer/2022042218/5ec4ac93a9bf5874f404a664/html5/thumbnails/3.jpg)
Death Registration in the US
• Death certificate is…• A legal document
• A public health report
• A cooperation between funeral directors, physicians, coroners and medical examiners, and public health departments
• Electronic death registration• 38 states now have some form of EDR
• Utah’s Electronic Death Entry Network (EDEN)August 1, 2006
![Page 4: Jeff Duncan, MS Utah Department of Health · Title: Interoperability between vital records and EHRs in Utah Author: National Center for Health Statistics Subject: Vital Records, Standards,](https://reader033.vdocuments.net/reader033/viewer/2022042218/5ec4ac93a9bf5874f404a664/html5/thumbnails/4.jpg)
![Page 5: Jeff Duncan, MS Utah Department of Health · Title: Interoperability between vital records and EHRs in Utah Author: National Center for Health Statistics Subject: Vital Records, Standards,](https://reader033.vdocuments.net/reader033/viewer/2022042218/5ec4ac93a9bf5874f404a664/html5/thumbnails/5.jpg)
The Eden plateau
0%
10%
20%
30%
40%
50%
60%
70%
Au
g-0
6
Oct
-06
Dec
-06
Feb
-07
Ap
r-0
7
Jun
-07
Au
g-0
7
Oct
-07
Dec
-07
Feb
-08
Ap
r-0
8
Jun
-08
Au
g-0
8
Oct
-08
Dec
-08
Feb
-09
Ap
r-0
9
Jun
-09
Au
g-0
9
Oct
-09
Dec
-09
Feb
-10
Ap
r-1
0
Jun
-10
Au
g-1
0
Oct
-10
Dec
-10
% o
f al
l de
ath
s
Percentage of all deaths signed in EDEN by physicians, 2006-2010
![Page 6: Jeff Duncan, MS Utah Department of Health · Title: Interoperability between vital records and EHRs in Utah Author: National Center for Health Statistics Subject: Vital Records, Standards,](https://reader033.vdocuments.net/reader033/viewer/2022042218/5ec4ac93a9bf5874f404a664/html5/thumbnails/6.jpg)
Reasons for low physician participation
• About 75 % of physicians that certify a death do <1 death certificate per year.
• They account for about 35 % of all DC’s
• Difficult to maintain EDEN skills
• Lack of incentive to complete death certificates
![Page 7: Jeff Duncan, MS Utah Department of Health · Title: Interoperability between vital records and EHRs in Utah Author: National Center for Health Statistics Subject: Vital Records, Standards,](https://reader033.vdocuments.net/reader033/viewer/2022042218/5ec4ac93a9bf5874f404a664/html5/thumbnails/7.jpg)
From Intermountain to EDEN
![Page 8: Jeff Duncan, MS Utah Department of Health · Title: Interoperability between vital records and EHRs in Utah Author: National Center for Health Statistics Subject: Vital Records, Standards,](https://reader033.vdocuments.net/reader033/viewer/2022042218/5ec4ac93a9bf5874f404a664/html5/thumbnails/8.jpg)
Intermountain’s EHR screen:
![Page 9: Jeff Duncan, MS Utah Department of Health · Title: Interoperability between vital records and EHRs in Utah Author: National Center for Health Statistics Subject: Vital Records, Standards,](https://reader033.vdocuments.net/reader033/viewer/2022042218/5ec4ac93a9bf5874f404a664/html5/thumbnails/9.jpg)
HL7 death message
• In 2009 UDOH and Intermountain created an HL7 v2.3.1 message using a lot of z-segments
• We used existing gateway for immunization records from Intermountain
• Began pilot testing in 2011 at a large family practice clinic
• In 2013, began work to implement a v2.5.1 draft standard death message
![Page 10: Jeff Duncan, MS Utah Department of Health · Title: Interoperability between vital records and EHRs in Utah Author: National Center for Health Statistics Subject: Vital Records, Standards,](https://reader033.vdocuments.net/reader033/viewer/2022042218/5ec4ac93a9bf5874f404a664/html5/thumbnails/10.jpg)
Death Certificates per Month
0
10
20
30
40
50
60
70
2011 2012 2013 2014
![Page 11: Jeff Duncan, MS Utah Department of Health · Title: Interoperability between vital records and EHRs in Utah Author: National Center for Health Statistics Subject: Vital Records, Standards,](https://reader033.vdocuments.net/reader033/viewer/2022042218/5ec4ac93a9bf5874f404a664/html5/thumbnails/11.jpg)
Death Certification Process
![Page 12: Jeff Duncan, MS Utah Department of Health · Title: Interoperability between vital records and EHRs in Utah Author: National Center for Health Statistics Subject: Vital Records, Standards,](https://reader033.vdocuments.net/reader033/viewer/2022042218/5ec4ac93a9bf5874f404a664/html5/thumbnails/12.jpg)
The new and improved interface
![Page 13: Jeff Duncan, MS Utah Department of Health · Title: Interoperability between vital records and EHRs in Utah Author: National Center for Health Statistics Subject: Vital Records, Standards,](https://reader033.vdocuments.net/reader033/viewer/2022042218/5ec4ac93a9bf5874f404a664/html5/thumbnails/13.jpg)
Next Steps
![Page 14: Jeff Duncan, MS Utah Department of Health · Title: Interoperability between vital records and EHRs in Utah Author: National Center for Health Statistics Subject: Vital Records, Standards,](https://reader033.vdocuments.net/reader033/viewer/2022042218/5ec4ac93a9bf5874f404a664/html5/thumbnails/14.jpg)
Acknowledgements
• NCHS• Michelle Williamson, Hetty Khan, Delton Atkinson
• Intermountain Healthcare Team• Jacob Tripp, PhD
• Utah Department of Health• Leisa Finch, EDR Coordinator
• Multidimensional Software Creations (MDSC)• Stephen Clyde, PhD
• Mike Jolley, Project Manager