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Ways, not places: Death certification from an EHR

Ways, not places: Death certification from an EHR. Jeff Duncan, MS Utah Department of Health. Email in 1992…Places. America Online. MCI. Compuserve. http://www.windley.com/archives/2012/03/ways_not_places.shtml. Phil Windley 2012. Email now. SMTP. Evolution of Health IT …Places.

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Ways, not places: Death certification from an EHR

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  1. Ways, not places: Death certification from an EHR

    Jeff Duncan, MS Utah Department of Health
  2. Email in 1992…Places America Online MCI Compuserve http://www.windley.com/archives/2012/03/ways_not_places.shtml Phil Windley 2012
  3. Email now SMTP
  4. Evolution of Health IT …Places Billing EHR Rx Laboratory (LIS) Radiology (RIS) EDRS
  5. Integrated Delivery systems such as Intermountain Healthcare…Ways Laboratory (LIS) EHR Radiology (RIS) Billing Rx Others Clinical Workstation Internal Communications External Communications HL7 HL7 HL7 HL7 DOH Health Information Exchange (HIE) * Immunizations Payers *Reportable Diseases *Syndromic Surveillance *Death Certification
  6. What is HL7? HL7 is… An ANSI standards organization A family of standards for exchanging health information HL7 v2 Message:
  7. What is in the DSTU? Message Structures ADT^04—Add ADT^08--Update ADT^23--Delete Message Contents Demographic fields for matching Cause of death fields from death certificate Constraints Which fields are optional, which fields are required Value sets—what values are allowed
  8. Intermountain’s EHR screen:
  9. Timeline of events—UDOH-Intermountain Death Interface CDC Pan Flu Grant UDOH received funding to create a death reporting interface with Intermountain. Pilot testing Implemented at one Intermountain Clinic Pilot test expanded to Salt Lake City Metro Area 2010 2009 2011 2012 2013 Upgrade to DSTU Project begins HL7 Version 2.3 Interface Planning and Development Interface development and testing HITECH act and Meaningful Use DSTU Implementation
  10. Certification Process Business Rules -matching and merging -update / delete messages
  11. Advantages of certification through EHR For Physicians: No need to remember login and password to EDRS Access to relevant clinical data Potential for clinical decision support For Public Health: (hypothesis)Engaging physicians within their workflow in the EHR will: Improve timeliness, completeness and accuracy of death data Engage more physicians in electronic death registration
  12. Challenges Ensure data semantic standards meet the needs of public health Ensure standards are flexible to meet the unique needs of individual jurisdictions Ensure data quality standards are met or exceeded
  13. Next Steps
  14. Acknowledgements NCHS Michelle Williamson 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
  15. Questions? Jeff Duncan, MS Public Health Informatics Program Manager Office of Public Health Informatics Utah Department of Health jduncan@utah.gov
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