1 / 25

Re-engineering: It Ain’t Easy!

Re-engineering: It Ain’t Easy!. Lorne A. Phillips, PHD 2004 NAPHSIS/NCHS Joint Annual Meeting June 6-10, 2004 Portland, Oregon. Last Year in NYC. Herding Cats Chaos  organized results Start – Wait – ? Last Year – Accomplishments dramatic. Less dramatic but with closure and completion

carson
Download Presentation

Re-engineering: It Ain’t Easy!

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Re-engineering: It Ain’t Easy! Lorne A. Phillips, PHD 2004 NAPHSIS/NCHS Joint Annual Meeting June 6-10, 2004 Portland, Oregon

  2. Last Year in NYC • Herding Cats • Chaos  organized results • Start – Wait – ? • Last Year – Accomplishments dramatic

  3. Less dramatic but with closure and completion Completed: Common/national use cases Structured walkthrough – EDRS/EBRS/”Fresh eyes” Movement to state/jurisdiction application of EDRS/EBRS This Year’s Accomplishments

  4. NAPHSIS NCHS SSA Re-engineering Oversight Committee EBRS Committee EDRS Committee Reports/Files/Outputs Committee Improving Cause of Death Committee Certifications/POS Committee Data Analysis Committee IT Committee National Re-engineering Committee Structure

  5. Lorne Phillips, Co-Chair (KS) Charlie Rothwell, Co-Chair (NCHS) Alvin Onaka (HI) Bob Anderson (NCHS) Brian Cronin (SSA) Delton Atkinson (NCHS) Dorothy Harshbarger (AL) Edward Hunter (NCHS) Garland Land (MO) James Weed (NCHS) Joanne Harris (SSA) Ken Beam (NAPHSIS) Mike Lavoie (GA) Patricia Potrzebowski (PA) Rajesh Virkar (NCHS) Rose Trasatti (NAPHSIS) Stephanie Ventura (NCHS) Steven Schwartz (NYC) Re-engineering Oversight Committee

  6. EBRS National Team Michael Lavoie, Chair (GA) Jill France (Iowa) Kathy Humphrys (MI) John Burks (OK) Sharon Leinbach (TN) Delton Atkinson (NCHS) Rajesh Vikar (NCHS) Tony Zanfardino (Northrop-Grumman) Kumar Batra (Northrop-Grumman) Leslie Lewis (Northrop-Grumman) Brandon Mitchell (Northrop-Grumman) EBRS Current Team Michael Lavoie, Chair (GA) Delton Atkinson (NCHS) Joann Gooding (SC) Ken Jones (FL) Kumar Batra (Northrop-Grumman) Cathy Molchan (AL) EBRS Committee

  7. EDRS National Team Steven Schwartz, Chair (NYC) Rod Palmieri (CA) Cathy Molchan (AL) Teresa Jennings (WA) Ken Jones (FL) Peter Carucci (NY) Rose Trasatti (NAPHSIS) Rajesh Virkar (NCHS) Delton Atkinson (NCHS) Joanne Harris (SSA) EDRS/NYC Current Team Cathy Molchan (AL) Rose Trasatti (NAPHSIS) Abe Grund (NYC) Rosalyn Williams (NYC) Flor Betancourt (NYC) Steven Schwartz (NYC) EDRS Committee

  8. Data Analysis Committee • Patricia Potrzebowski, Chair (PA) • Dorothy Harshbarger (AL) • Gary Sammet (FL) • Ron Hyman (CO) • Garland Land (MO) • Linda Caniglia (PA) • Stephanie Ventura (NCHS) • Joyce Martin (NCHS) • Donna Hoyert (NCHS) • Delton Atkinson (NCHS) • Rajesh Virkar (NCHS) • George Van Amburg (NCHS)

  9. Certifications/POS National Team Dorothy Harshbarger, Chair (AL) Donna Calabrese (KS) Chuck Hardester (PA) Michael Rodrian (CA) Barbara Carter (NM) William Apao (VT) Nicole Henderson (AL) George Van Amburg (NCHS) Delton Atkinson (NCHS) POS/Certification JAD Attendees Dorothy Harshbarger (AL) Donna Calabrese (KS) Chuck Hardester (PA) George Van Amburg (NCHS) Abe Grund (NYC) Rod Palmieri (CA) Cathy Molchan (AL) Delton Atkinson (NCHS) Rose Trasatti (NAPHSIS) Rosalyn Williams (NYC) Marta Lowalaska (NYC) Kumar Batra (Northrop-Grumman) Larry Summers (Northrop-Grumman) Certifications/POS Committee

  10. IT Committee • Garland Land, Chair (MO) • Bob O’Doherty (CO) • Gordon Freymann (GA) • Stan Nyberg (MA) • Abe Grund (NYC) • Gabe DiGiacomo (SSA) • Delton Atkinson (NCHS) • Rajesh Virkar (NCHS) • Rose Trasatti (NAPHSIS) • Nicholas Pace (NCHS)

  11. Reports/Files/Outputs Committee Bob Anderson, Chair (NCHS) Teresa Jennings (WA) Lou Saadi (KS) Trish Potrzebowski (PA) Mark Flotow (IL) Ron Hyman (CO) Barry Nangle (UT) David Justice (NCHS) Delton Atkinson (NCHS) Rajesh Virkar (NCHS) Improving Cause of Death Committee Bob Anderson, Chair (NCHS) Steve Schwartz (NYC) Garland Land (MO) Dorothy Harshbarger (AL) Alvin Onaka (HI) Patricia Potrzebowski (PA) Donna Hoyert (NCHS) Delton Atkinson (NCHS) George Van Amburg (NCHS)

  12. Past Year Committee Accomplishments EBRS: • Final JAD Session • Clarify national use cases • System requirements • Glossary language • MoVERS use cases • Structured Walkthrough (NYC – September 28 – October 3/2003) • Joint EBRS/EDRS Committees and “Fresh Eyes”

  13. Past Year Committee Accomplishments (Cont.) • Final review and publication on NAPHSIS web-site (January 26, 2004) • Use Cases/UML Designs/Artifacts • Concentration moved to state specific application

  14. EDRS • Completed EDRS use cases • Being applied in NYC, CA and other jurisdictions • Began porting national EDRS to NYC application SSA expanded support for EDRS technical assistance • Enhanced transfer of knowledge and commitment to use of national use cases

  15. Data Analysis Committee • Focus • Data requirements for birth, death and fetal deaths • Edit specifications – NEDSS/NCHS • Identification of optional data elements • Immunization registry • Newborn hearing • Birth defects • EVVE • Review of VSCP and non-VSCP specifications change control

  16. Certification/POS Committee • Certification/Point of Sale (POS) ideas for state starting the re-engineering process • JAD Session (NYC November 2-6, 2003) • Linked EBRS/EDRS and certification/POS use cases for national model • Four unique certification/POS use cases • Enter request • Produce copy • Update request • Auto print • Define system requirements and business rules for software development

  17. IT Committee • HL-7 Mapping Project • Vital Records Authentication Risk Analysis and Option Examples: • Potential fraud with any system • Risks: forged signatures vs. shared or stolen passwords • Minimum = User ID + password + 1 • Password follows NIST standards • Proposed minimum = password + digital certificate • Ideal = OD/password, digital certificate + swipe card/key fob/biometric (unfeasible)

  18. Improving Cause of Death Committee • Research Perspective • Review and analysis of available studies • Goals • Define common characteristics • Issues • Suggested solutions to improve physician buy-in

  19. Oversight Committee • Phase II • Project plan • Publication of separate and joint (MoVER’s) use cases models • Change control • Funding

  20. Successes • Completion of national use cases • Artifacts identified, developed, and implemented • SSA support for state/jurisdiction re-engineering grants • SSA support for technical assistance position

  21. Successes (cont.) • NCHS Support for oversight and NCHS support position • Additional funding for EBRS JAD sessions • Northrop-Grumman continued technical assistance related to EBRS • Cooperative Working Effort • NAPHSIS/NCHS/SSA

  22. Unmet Challenges • Lack of funding in specific areas • No NAPHSIS based re-engineering position • Impact • Limited Technical Assistance in General Requirements and Birth Registration Specific Areas. • Federal Register (May 2004) • Communication • Lack of focal point for knowledge transfer

  23. New Challenges • Communicate better and more often • Don’t be afraid to ask • You don’t need to be the “first one on the block” with a new system. • Don’t be afraid to answer honestly when asked what worked and what didn’t

  24. Be prepared to ask the tough questions because we all need answers!

  25. Remember.Re-engineering: it ain’t easy,but it is doable!

More Related