1. Larry Nielsen, MHS Program Manager, Vital Statistics Improvement NAPHSIS/NCHS Joint Annual Meeting June 2-6, 2013 Enhancing Security With STEVE

2. Extending Our Reach Through Partnerships June 2-6, 2013 Phoenix, Arizona Security Topics Transmission of records Birth-Death matching Sharing data with partner programs

3. Introducing STEVE State and Territorial Exchange of Vital Events Point-to-Point messaging system developed by NAPHSIS Implementation in all jurisdictions by 2014 Allows secure exchange of vital record data between jurisdictions Provides for a “mailboxes” for data partners to receive in-state and out-of-state files

4. Transmission of Vital Records

5. Internet STEVE Installation in Jurisdiction A STEVE Installation in Jurisdiction B PHINMS TM STEVE provides point-to-point exchange of vital record data between jurisdictions using a standard flat file format and the CDC’s PHINMS secure messaging pipeline. Death Records Death Data Files

6. IJE Mortality File HI MD PA GM Exchange rules configured by each jurisdiction will reside in its TM and will “filter” data transmitted to other jurisdictions. NCH S Electronic Records of Death Filter configured to jurisdiction’s specifications for data exchange NCHS

7. State and Territorial Exchange of Vital Events (STEVE) Installations Updated May, 2013 Alaska California BDR Idaho BDRF Oregon BDR Washington BDR Montana BDR Wyoming Utah BDR Colorado Arizona B New Mexico BDRI Texas Oklahoma BD Kansas BDRF Nebraska BDRF South Dakota BDR North Dakota BDR Minnesota BDRF Wisconsin B Iowa BR Illinois Ohio BDR Indiana BDR Kentucky WV BDR Virginia N. Carolina BDR Georgia Florida BDRF Alabama BDRFI MS Missouri BDF Arkansas BDR LA Nevada Hawaii Michigan Pennsylvania NJ BD New York CT MA VT NH Maine Tennesse e MD BDR DE RI DC BDF S. Carolina Installed Planning/In Progress Puerto Rico Guam U.S. Virgin Islands American Samoa Northern Mariana Islands BDF NYC Exchanging Birth (B), Death (D), Fetal Death (F), Roster (R), ITOP (I) files * Exchanging non-revised files

8. Birth-Death Matching

9. State and Territorial Exchange of Vital Events (STEVE) Installations Updated May, 2013 Alaska California BDR Idaho BDRF Oregon BDR Washington BDR Montana BDR Wyoming Utah BDR Colorado Arizona B New Mexico BDRI Texas Oklahoma BD Kansas BDRF Nebraska BDRF South Dakota BDR North Dakota BDR Minnesota BDRF Wisconsin B Iowa BR Illinois Ohio BDR Indiana BDR Kentucky WV BDR Virginia N. Carolina BDR Georgia Florida BDRF Alabama BDRFI MS Missouri BDF Arkansas BDR LA Nevada Hawaii Michigan Pennsylvania NJ BD New York CT MA VT NH Maine Tennessee MD BDR DE RI DC BDF S. Carolina Installed Planning/In Progress Puerto Rico Guam U.S. Virgin Islands American Samoa Northern Mariana Islands BDF NYC Exchanging Birth (B), Death (D), Fetal Death (F), Roster (R), ITOP (I) files * Exchanging non-revised files

10. Sharing data with Partner Programs

11. Extending Our Reach Through Partnerships June 2-6, 2013 Phoenix, Arizona Authorized Data Partner Programs Child Health Registries/Surveillance Infant/Child Death Reviews Child Support Enforcement Healthy Start Programs Disease Registries State Eligibility Programs PRAMS NVDRS Voter Registration

12. Extending Our Reach Through Partnerships June 2-6, 2013 Phoenix, Arizona Authorized Data Partner Programs Other federally-funded surveillance programs operated by the jurisdiction Health research per IJE agreement Private sector organizations operating on behalf of jurisdiction

13. I don’t always use PowerPoint, but when I do … I like to put entire spreadsheets on one slide.

14. Extending Our Reach Through Partnerships June 2-6, 2013 Phoenix, Arizona Interjurisdictional Exchange Rules

15. IJE Mortality File Jurisdictions will also configure exchange rules for sending vital record data to approved programs at home and in other jurisdictions. Electronic Records of Death Filter configured to jurisdiction’s specifications for data exchange with public health and other approved programs Disease Registry Voter Registration NVDRS State Eligibility Program

16. Advantages of STEVE Vital Records agency able to satisfy multiple requests with a single extract Data will be more timely Data partner programs will receive resident’s deaths that occurred in other jurisdictions Jurisdiction controls what data partners in other jurisdictions may receive

17. Planning for STEVE Contact STEVE implementation manager Work with your NCHS project manager to get certified to transmit to NHCS Examine current and best methods of transmitting data to partners – Extract data from STEVE mailbox files instead of production database – Decide whether to give mailbox access to partners or to pull data for them

18. Extending Our Reach Through Partnerships June 2-6, 2013 Phoenix, Arizona Questions? Larry Nielsen Program Manager, Vital Statistics Improvement lnielsen@naphsis.org