National Model the National Experience

1
National Modelthe National Experience

• Rose Trasatti
• NAPHSIS Project Manager
• June 8th, 2005

2
Why Re-engineer?

• Revised U.S. standard certificates for birth,
  death and fetal death
• Progressively constrained schedules for reporting
  to federal agencies
• Higher expectations of data quality and
  timeliness by stakeholders and public
• Separate costly re-engineering projects in
  various jurisdictions
• Lack of integration among internal vital records
  systems
• Very little integration with other stakeholder
  systems
• Need for a standards-based uniform, systematic
  approach

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Re-engineering Partnership

• NAPHSIS
• Social Security Administration (SSA)
• National Center for Health Statistics (NCHS)
• Work jointly to facilitate the re-engineering
  process
• Provide support for each of the national teams
  and committees

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National Model - Goals

• Standardize and make more efficient and timely a
  quality vital records and statistics system in
  the U.S. in order to improve the provision of
  administrative, statistical, and customer
  services
• Model should meet 80-85 of any jurisdictions
  needs
• Components should be modular
• Requirements should allow functionality to be
  configurable without changing software
• Should define what not how

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Re-engineering Oversight Committee

• Provide leadership and guidance to the
  re-engineering process
• Oversee the establishment and operation of the
  subcommittees
• Establish a change control process for the
  artifacts
• Pursue funding opportunities for re-engineering
  activities
• Address and make recommendations on
  re-engineering issues
• Communicate re-engineering progress

• Kansas
• Hawaii
• Alabama
• New York City
• Missouri

• Georgia
• Pennsylvania
• NAPHSIS HQ
• NCHS
• SSA

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EBRS National Team

• Use case analysis for electronic birth
  registration, electronic fetal death
  registration, and ITOP
• Use case analysis for common vital records
  functionality

• Georgia
• Iowa
• Michigan
• Oklahoma
• Tennessee
• South Carolina
• Florida

• NAPHSIS HQ
• NCHS
• SSA

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EDRS National Team

• Use case analysis for electronic death
  registration
• Use case analysis for common vital records
  functionality

• New York City
• Alabama
• California
• Washington
• New York State
• Florida

• NAPHSIS HQ
• NCHS
• SSA

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POS National Team

• Use case analysis for vital records customer
  service functionality

• Alabama
• Kansas
• Pennsylvania
• California
• Minnesota
• Vermont
• New York City

• NAPHSIS HQ
• NCHS

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Data Analysis Committee

• Review NCHS data specifications for revised
  certificates (VSDP data items)
• Review non-VSCP data items
• Review NEDSS specifications
• Recommend data items for other programs such as
  immunization, newborn hearing

• Pennsylvania
• Alabama
• Florida
• Colorado
• Missouri

• Colorado
• Missouri
• NCHS

10
IT Committee

• Analyze standards for messaging, birth death
  matching, authentication
• Identify guidelines for security/disaster
  recover, imaging

• Missouri
• Colorado
• Georgia
• Massachusetts
• New York City

• NAPSHIS HQ
• SSA
• NCHS

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Report/Files/Outputs Committee

• Develop recommendations for standard reports and
  files
• Develop recommendations for other system outputs
  such as forms, certificates, letters, notices

• Washington
• Kansas
• Pennsylvania
• Illinois

• Colorado
• Utah
• NCHS

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Improving COD Committee

• Review and analyze available studies
• Suggest solutions to improve the quality of cause
  of death registration
• Recommend methods to make cause of death
  registration attractive to medical certifiers in
  an electronic environment

• New York City
• Missouri
• Alabama
• Hawaii

• Pennsylvania
• NAPHSIS HQ
• NCHS

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List of Re-engineering Artifacts

• System Requirements and Business Rules
• EBRS
• EDRS
• POS
• Glossary and Acronyms
• Suggested management information reports and
  output files/forms/letters
• White papers
• Birth-Death Matching
• Vital Records Authentication and Risk Analysis
  and Options
• Ideas for an electronic Customer Service and
  Certification system

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List of Re-engineering Artifacts

• EBRS/EDRS/POS Use Cases
• Use case narratives
• Use case to actor matrix
• Use case diagrams
• Activity diagrams
• State diagrams
• Controller diagrams

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Common Use Cases

• Login
• Create profile for facility
• Update profile for facility
• Create user profile
• Update user profile
• Modify a registered record
• Set/reset indicator on a record
• View record history
• Request for information
• Responder responds to request for information
• Void registered record
• Search
• Abandon record

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EBRS Use Cases

• Create birth record for live birth
• Create paternity acknowledgement
• Create fetal death record
• Create ITOP record
• Create multiple records for plural delivery
• Update a record
• Certify cause of death on a fetal death record
• Decertify cause of death on a fetal death record
• Submit record (for registration)
• Create foreign birth adoption record
• Create delayed birth record
• Register a record

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EDRS Use Cases

• Create a case funeral home
• Create a case medical certifier
• Relinquish case
• Request for medical certification
• Sign personal information
• Print permits
• ME/Coroner accepts case
• Certify cause of death
• Match death case to birth record
• Sign case from queue
• Certify cause of death from queue
• Register a case
• Update a case funeral home
• Update a case medical certifier

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POS Use Cases

• Enter a request
• Produce copy
• Update a request
• Auto print

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Benefits of the National Model

• Share expertise
• Reduce risks
• Share successes
• Share best practices
• Uniformly apply national standards
• Jurisdictions dont have to start from scratch

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Timeline

• Oversight Committee and Working Groups
  established
• JAD sessions and committee meetings
• Artifacts defined and posted on NAPHSIS website
• Public review period
• Review boards formed
• Jurisdictions tailoring the national model to
  meet their needs
• NAPHSIS re-engineering assistance available to
  support jurisdictions
• Continue to enhance national model

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NAPHSIS Re-engineering Assistance

• Meet with stakeholders
• Vital records staff
• Data providers
• Facilities/physicians, funeral homes, medical
  examiners
• Assist jurisdictions with the tailoring of the
  national model to meet their needs
• Attend JAD sessions
• Develop tools to assist jurisdictions
• Facilitate communication with other jurisdictions
• Share best practices/lessons learned
• Review documentation developed either in-house or
  by a vendor

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NAPHSIS Re-engineering Assistance

• EDRS
• New York City
• Texas
• Hawaii
• New Mexico
• California
• Louisiana
• Utah
• Colorado
• Michigan
• EBRS
• North Dakota

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How can jurisdictions use the National Model?

• Familiarize yourself the artifacts on the NAPHSIS
  website
• Contact NAPHSIS for re-engineering assistance
• Conduct JAD sessions with your stakeholders
• Many of the artifacts are available in Word
  format
• Dont need to be Rational Rose expert
• Tailor the national model to incorporate your
  jurisdictions functionality
• Two-stage process
• Incorporate tailored national model in your RFP
• Once vendor selected, have detailed JAD sessions
  to further define requirements detail

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NAPHSIS Contact Information

• Rose Trasatti
• Project Manager
• NAPHSIS Headquarters
• [phone]
• rtrasatti_at_naphsis.org
• www.naphsis.org