1. STEVE….A Vital Message Secure Electronic Exchange for Vital Records Leesa Shem-Tov NAPHSIS Project Manager

2. Current Exchange Process Few participants in NCHS VRX program Primarily paper copies, abstracts and line lists are exchanged Exchange and use rules are difficult to follow and enforce Slows the availability of a complete data set for analysis and reporting Will not support timely birth/death matching once required by Intel Reform

3. What’s Needed Trading Partners willing to trade information and follow each other’s rules Data use and exchange rules Automated way to apply and enforce the rules of 57 jurisdictions (and other trading partners) Secure pipeline for message transmission Efficient way to make sure everything is working

4. Think of STEVE as a really smart mailman

5. STEVE Is On The Job 24/7 Knows when you have “mail” to be picked up and processed Sorts, separates and replicates the information according to your rules Figures out each destination and what’s going in each package Seals each package securely Labels packages and sends them out

6. STEVE resides inside your firewall IJE formatted files

7. You decide how your data may be used… STEVE makes sure it happens IJE File Data use & exchange rules

8. The envelope remains sealed and secure throughout transmission Sender Receiver

9. On The Receiving End STEVE knows when “you’ve got mail!” Opens each package Separates and sorts the information Let’s you decide if other programs you already share data with can have their own mailbox If so, delivers their mail, too --- or let’s you deliver it Puts them in your outbox for pickup

10. Other programs and agencies in your jurisdiction can receive exchanged data in dedicated mailboxes Child Support Enforcement AIDS Registry Immunization State Retirement

11. It’s Not Really That Simple NAPHSIS will hold special orientation and training sessions at the 2008 regional meetings to inform you in detail about how STEVE will work and when it will be ready to deploy in your jurisdiction.

12. How You Will Use STEVE Exchange records with other jurisdictions –Birth/death crossmatch –Complete statistical data files Transfer reportable data to NCHS Exchange coded data files with NCHS Exchange records with Canadian provinces and other trading partners Re-distribute exchanged data to other programs and agencies in your jurisdiction

13. Next Steps STEVE Motion System specifications Release RFP Select a vendor Develop and test Deploy in phases over 3 years Training and user support

14. For More Information Read the ED Newsletter for more information Send your IJE representatives to regional meetings Check the NAPHSIS website for newslinks and guidance Call or email for more information: Leesa Shem-Tov lshemtov@naphsis.org