1. Continuity of Change: Where We Have Come From, Where We Are Going New Orleans, LA June 5 th – 9 th, 2011 The Future Role of Vital Records’ Systems An Overview of Health Information Exchange, Meaningful Use, and Electronic Health Records Steve ElkinsBarry Nangle, PhD MinnesotaUtah State RegistrarDirector Linette Scott, PhDLeesa Shem-Tov CaliforniaNAPHSIS State RegistrarDirector, Vital Statistics Improvement Programs June 8 th, 2011

2. Continuity of Change: Where We Have Come From, Where We Are Going New Orleans, LA June 5 th – 9 th, 2011 California Linette Scott, PhD State Registrar California Department of Health Page 2 Linette Scott

3. Continuity of Change: Where We Have Come From, Where We Are Going New Orleans, LA June 5 th – 9 th, 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. Page 3 Linette Scott

4. Continuity of Change: Where We Have Come From, Where We Are Going New Orleans, LA June 5 th – 9 th, 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 Page 4 Linette Scott

5. Continuity of Change: Where We Have Come From, Where We Are Going New Orleans, LA June 5 th – 9 th, 2011 “Meaningful Use” Requirement Stages Page 5 Linette Scott

6. Continuity of Change: Where We Have Come From, Where We Are Going New Orleans, LA June 5 th – 9 th, 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) Page 6 Linette Scott

7. Continuity of Change: Where We Have Come From, Where We Are Going New Orleans, LA June 5 th – 9 th, 2011 NAPHSIS Staff Leesa Shem-Tov Director Vital Statistics Improvement Programs Page 7 Leesa Shem-Tov

8. Continuity of Change: Where We Have Come From, Where We Are Going New Orleans, LA June 5 th – 9 th, 2011 National Efforts for Vital Records and EHR Systems: Standards & VR Profile Page 8 Leesa Shem-Tov

9. Continuity of Change: Where We Have Come From, Where We Are Going New Orleans, LA June 5 th – 9 th, 2011 Page 9 Leesa Shem-Tov National Efforts for Vital Records and EHR Systems: Standards & VR Profile

10. Continuity of Change: Where We Have Come From, Where We Are Going New Orleans, LA June 5 th – 9 th, 2011 Page 10 Leesa Shem-Tov National Efforts for Vital Records and EHR Systems: Standards & VR Profile

11. Continuity of Change: Where We Have Come From, Where We Are Going New Orleans, LA June 5 th – 9 th, 2011 Page 11 Leesa Shem-Tov National Efforts for Vital Records and EHR Systems: Standards & VR Profile

12. Continuity of Change: Where We Have Come From, Where We Are Going New Orleans, LA June 5 th – 9 th, 2011 Minnesota Steve Elkins State Registrar Minnesota Department of Health Page 12 Steve Elkins

13. Continuity of Change: Where We Have Come From, Where We Are Going New Orleans, LA June 5 th – 9 th, 2011 State / Jurisdiction Collaborations for Vital Records and EHR Systems: Minnesota Page 13 Steve Elkins All Health Records Electronic by 2012 Several Competing Vendors Standardized Birth Registration Report Facility Customizable Reports

14. Continuity of Change: Where We Have Come From, Where We Are Going New Orleans, LA June 5 th – 9 th, 2011 Page 14 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

15. Continuity of Change: Where We Have Come From, Where We Are Going New Orleans, LA June 5 th – 9 th, 2011 Utah Barry Nangle, PhD Director, Center for Health Data Utah Department of Health Page 15 Barry Nangle

16. Continuity of Change: Where We Have Come From, Where We Are Going New Orleans, LA June 5 th – 9 th, 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. Page 16 Barry Nangle

17. Continuity of Change: Where We Have Come From, Where We Are Going New Orleans, LA June 5 th – 9 th, 2011 Page 17 Barry Nangle EDEN Interface to Intermountain EMR Pilot

18. Continuity of Change: Where We Have Come From, Where We Are Going New Orleans, LA June 5 th – 9 th, 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) Page 18 Barry Nangle Connectivity Demonstration

19. Continuity of Change: Where We Have Come From, Where We Are Going New Orleans, LA June 5 th – 9 th, 2011 Page 19 Barry Nangle State Secure Patient Directory for Identity Resolution in Health Care (sSPD – in development)

20. Continuity of Change: Where We Have Come From, Where We Are Going New Orleans, LA June 5 th – 9 th, 2011 General Discussion Page 20

21. Continuity of Change: Where We Have Come From, Where We Are Going New Orleans, LA June 5 th – 9 th, 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 Page 21