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Improving Public Health throughe-Vital RecordsCDC Public Health Informatics ConferenceApril 30, 2014
Presentation Agenda Modernizing Vital Records with eVital Standards Minnesota e-Birth Records Project Interoperability between Vital Records and EHRs in Utah Challenges and Opportunities Q&A
Modernizing Vital Records witheVital StandardsMichelle Williamson, RN, MSIS, CPHITSenior Health Informatics ScientistCenters for Disease Control and Prevention (CDC)National Center for Health Statistics (NCHS)CDC Public Health Informatics ConferenceApril 30, 2014National Center for Health StatisticsClassifications and Public Health Data Standards Staff
U.S. Plans for Health Information Technology“By computerizing health records, wecan avoid dangerous medicalmistakes, reduce costs, andimprove care.”Former President G. W. Bushin State of the Union Address onJanuary 20, 2004Established goal for most Americansto have access to an interoperableelectronic health record (EHR) by2014Established the Office of the NationalCoordinator for HealthInformation Technology (ONC)through an Executive Order
U.S. Plans for Health Information Technology“To lower healthcare cost, cutmedical errors, and improve care,we’ll computerize the nation’shealth record in five years, savingbillions of dollars in health carecosts and countless lives.”President Barack Obamain First Weekly Address onJanuary 24, 2009Consistent with Bush’s 2014 goalfor electronic health records
American Recovery & Reinvestment Act(ARRA) President Obama signed ARRA on Feb. 17, 2009 ARRA required the Department of Health and HumanServices (DHHS) to create, vet and publish an initial setof HIT system standards, implementation specificationsand testing criteria to promote adoption and“meaningful use” of EHRs ARRA is serving to stimulate adoption of HIT
Standards forPopulation Health and HealthcareNCHS and its partnerorganizations havedeveloped, implemented andmaintained many of thecritical standards used inpopulation health andhealthcare:Standard certificates forvital eventso International Classificationof Diseases and its clinicalmodificationso Uniform data sets forhospital and ambulatorycareThese standards can contribute to and benefit from currentdeliberations on national standards.o
National Vital Statistics SystemVital statistics data are widely used to monitor and improve the nation’s health
National Vital Statistics System
Medical and Health Information Captured for theU.S. Standard Certificate of Live Birth
NCHS eVitals Standards InitiativeDevelop national standards to facilitate thenational exchange of birth, death and fetal deathrecords between electronic health record systemsand state vital statistics systems
Standards to Support Capturing VRData at the Point of Care or Contact
Why the eVitals Standards Initiative?Hypothesis:Interoperability withEHRs may improve thetimeliness, accuracy andquality of theinformation collected forvital records purposes
NCHS eVital Standards InitiativeIt is worthwhile to lay the foundation for standardizing the exchange ofVR data as efforts towards developing and implementing EHRs continue
eVital Standards Activities Stakeholder Collaboration Standards Development Activities Trial Implementations, Demonstrations and Pilot Testing
Stakeholder Collaboration Ongoing collaboration with theNational Association for PublicHealth Statistics andInformation Systems (NAPHSIS)and states/jurisdictions tosupport standards developmentactivities Outreach and partnership withEHR, VR and public healthsystem vendors to develop, testand implement the VRstandards
Standards Development Activities Participating in standards development activities with theStandards Development Organizations (SDOs)Health Level SevenInternational (HL7)
Health Level SevenInternational (HL7) Dedicated to developing standards for the exchange,integration, sharing, and retrieval of electronic healthinformation Includes over 2,300 members representing more than 90%of the information systems vendors serving healthcare VR standards developed through support of the HL7 PublicHealth and Emergency Response Work Group (PHER WG)Available at: http://www.hl7.org/about/index.cfm?ref nav
Promotes the coordinated use of established standardssuch as HL7 to address specific clinical needs in supportof optimal patient care VR standards developed through support of the IHEQuality, Research and Public Health Committee (QRPH)Available at: http://www.ihe.net/
IHE Vital Records Standards
HL7 Vital Records ds/data interchange.html
HL7 Vital Records Standards
Trial Implementations, Demonstrationsand Pilot Testing
AcknowledgementsSpecial thanks to those who have collaborated with us duringthe trial implementations and demonstrations to supportdevelopment of the Vital Records standards
eVitals Standards Pilot Testing Minnesota Department of Health Evaluating readiness for secure electronicexchange of birth registration informationusing the IHE and HL7 standards Utah Department of Health Collaborating with IntermountainHealthcare to test sending deathinformation using the HL7 V2.5.1 message
Retrieved from /
Challenges to eVitals StandardsDevelopment and Implementation Limited funding to supportstates/jurisdictions pilottesting/adopting eVitalStandards Limited EHR and VR systemvendors adoption of eVitalstandards Vital Records not specificallyrecognized in Meaningful UseRegulations
Opportunities for eVital Records Initiative Get Ready Develop an informatics-savvy workforce Start an eVital Records Initiative Conduct a readiness assessment of state and local partners Be Aware Become familiar with the available VR standards Contribute to national policy discussions, e-health and standardsrelated activities Get Involved Participate in SDO activities to review and provide feedback on theVR standards Engage in trial implementation/pilot testing activities
THANK YOUAnyquestions?
U.S. Plans for Health Information Technology "By computerizing health records, we can avoid dangerous medical mistakes, reduce costs, and improve care." . National Vital Statistics System Vital statistics data are widely used to monitor and improve the nation's health. National Vital Statistics System.
