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LIKE NAPHSIS, IT’LL GET YOU…. The Importance of STEVE. COMING…. AND GOING. The Importance of STEVE. NAPHSIS Past President S tate and T erritorial E xchange of V ital E vents A secure electronic messaging system (but NOT like EVVE) Intelligence Reform Good Business Practices.

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The importance of steve

LIKE NAPHSIS, IT’LL GET YOU…

The Importance of STEVE

COMING…

AND GOING


The importance of steve1

The Importance of STEVE

  • NAPHSIS Past President

  • State and Territorial Exchange of Vital Events

  • A secure electronic messaging system (but NOT like EVVE)

  • Intelligence Reform

  • Good Business Practices


Intelligence reform regs

Intelligence Reform Regs

  • Very rapidly report fact of death to state of birth

  • Flag birth records “deceased” to protect them from fraudulent use

  • For completeness we need inter-jurisdictional exchange (“IJE”) and STEVE


Steve will speed things up

STEVE Will Speed Things Up

  • Electronic exchange through STEVE can be as often as sending partners want

  • STEVE will send batches of any size, even one record at a time

  • Once a file is in place, STEVE will parse and send it automatically


Ije methods now ca

IJE Methods Now - CA

  • California sends notification of about 120,000 deaths/year to birth jurisdictions

  • Each is a plain paper copy of the death certificate

  • 300+ REAMS of paper + postage

  • Secure??? Hardly!


Steve is better

STEVE is Better

  • Paperless

  • Secure

  • No more batch printing, packaging, postage

  • Huge savings in staff time


Other notification methods

Other Notification Methods

  • Line listings

  • Abstracts

  • Each jurisdiction’s format is different

  • NCHS SDN/VRX – used by too few


Steve one exchange method

STEVE: One Exchange Method

  • STEVE builds on knowledge gained from NCHS’ SDN/VRX system

  • All events will be sent and received in same format

  • Standard “roster” record layout is posted on NAPHSIS website


Steve for complete data files

STEVE for Complete Data Files

  • Send data to place of residence

    • Deaths

    • Births

    • Fetal deaths

    • ITOPs

  • Receive data for your jurisdiction’s residents


Steve will send it all

STEVE Will Send It All

  • File layouts for exchanging births, deaths, fetal deaths, and ITOPs have been developed and posted

  • Out-of-jurisdiction resident events can also be exchanged in batches of any size or timing

  • Updated/edited replacement records can be sent


Honor sending state s limitations

Honor Sending State’s Limitations

  • Each jurisdiction has its own laws and regulations that differ widely

  • By signing IJE Agreement you’re agreeing to use others’ events appropriately

  • Violations may occur, or data completeness may be unnecessarily compromised


Steve manages permissions

STEVE Manages “Permissions”

  • Sending partners specify their jurisdictions’ limitations on data use when “setting up” STEVE

  • Sending partners may specify data elements to be given to each program

  • STEVE is more detailed and flexible than IJE Agreement “Matrix” of permissions


Steve for receiving partners

STEVE for Receiving Partners

  • STEVE makes it easy to honor others’ data restrictions

  • Receiving partners will only receive data elements they can use

  • STEVE allows different programs to obtain different data elements in their own “mailboxes”


Ije s major challenges

IJE’s Major Challenges

  • Getting information from jurisdictions can be slow, unpredictable, or impossible – STEVE is faster

  • Sending information can be expensive and time consuming – STEVE is cheaper

  • Knowing and honoring others’ data use restrictions can be unbearably complex – STEVE is simpler


The importance of steve

STEVE is a Web-Based Messaging System

Internet

Sending Jurisdiction

Receiving Jurisdiction

S


The importance of steve

A Controller Module Will House Master Files and Collect Transaction Meta-data

TM of Jurisdiction A

TM of Jurisdiction B

Internet

Controller Module


The importance of steve

Jurisdictions Will Configure Filters to Designate Content and Recipients of their Exchange Messages

IJE File


The importance of steve

Configuring a TM Filter for Exchange with Other Vital Records Jurisdictions

3.

FILE LAYOUT

RECIPIENT

Element

Element

Element

Element

Element

Element.

.

.

.

.

.

.

.

.

.

.

.

1.

Vital Records

NCHS

Programs

Requester

Internal

5.

FILE TYPE

2.

Natality (2003)

Natality (pre-2003)

Mortality

Roster

Fetal Death

ITOP

Marriage (future)

Divorce (future)

Civil Union (future)

4.

Check all

Check none


The importance of steve

PROGRAM TYPE

Birth Defects

Newborn Hearing

Child Support Enforcement

Health Start Program

Immunization

Infant Death Review

PRAMS

AIDS Registry

Medicaid Enrollment

IRB--Approved Research

Check all

Check none

Configuring a TM Filter for Exchange with Programs/ Agencies

1.

RECIPIENT

FILE LAYOUT

Vital Records

NCHS

Programs

Requester

Internal

Element

Element

Element

Element

Element

Element.

.

.

.

.

.

.

.

.

.

.

.

4.

FILE TYPE

5.

2.

Natality (2003)

Natality (pre-2003)

Mortality

Fetal Death

ITOP

Marriage (future)

Divorce (future)

Civil Union (future)

3.

Check all

Check none

.

6.


The importance of steve

PROGRAM TYPE

Birth Defects

Newborn Hearing

Child Support Enforcement

Health Start Program

Immunization

Infant Death Reviews

PRAMS

AIDS Registry

Medicaid Enrollment

IRB--Approved Research

Check all

Check none

4.

Configuring a TM Filter for Exchange with Internal Programs and Agencies

RECIPIENT

FILE LAYOUT

1.

Vital Records

NCHS

Programs

Requester

Internal

Element

Element

Element

Element

Element

Element.

.

.

.

.

.

.

.

.

.

.

.

FILE TYPE

5.

2.

Natality (2003)

Natality (pre-2003)

Mortality

Fetal Death

ITOP

Marriage (future)

Divorce (future)

Civil Union (future)

3.

Check all

Check none

.

6.


The importance of steve

Configuring a TM Filter for Exchange with NCHS

3.

FILE LAYOUT

Element

Element

Element

Element

Element

Element.

.

.

.

.

.

.

.

.

.

.

.

1.

RECIPIENT

Vital Records

NCHS

Programs

Requester

Internal

FILE TYPE

2.

5.

Natality (2003)

Natality (pre-2003)

Mortality

Fetal Death

(future formats)

4.

Check all

Check none


The importance of steve

Configuring a TM Filter for a Record or Data Request

3.

FILE LAYOUT

5.

SOURCE

RECIPIENT

Element

Element

Element

Element

Element

Element.

.

.

.

.

.

.

.

.

.

.

.

F:/birth082008.dbf

1.

Vital Records

NCHS

Programs

Requester

Internal

6.

DESTINATION

Alabama

Alaska

American Samoa

Arizona

Arkansas

California

Colorado

Connecticut

Delaware

District of Columbia

Florida

Georgia

Hawaii

FILE TYPE

2.

Natality (2003)

Natality (pre-2003)

Mortality

Roster

Fetal Death

ITOP

Marriage (future)

Divorce (future)

Civil Union (future)

4.

Check all

Check none

7.


The importance of steve

Exchange Files are Automatically Delivered to

Recipient Mailboxes

Vital Records

Immunization

Child Support

Enforcement

Receiving TM

EHDI

Research


The importance of steve

Configuration of Program Mailboxes

RECIPIENT

PROGRAM TYPE

ACCESS CONTROL

Vital Records

Programs

Birth Defects

Newborn Hearing

Child Support Enforcement

Health Start Program

Immunization

Infant Death Reviews

PRAMS

AIDS Registry

Medicaid Enrollment

IRB--Approved Research

Operator

User

1.

3.

2.

USERS

Jane Doe

John Q. Public

Paris Hilton

Dr. McDreamy

4.

6.

MAILBOX SETUP

Birth Defects Mailbox

Authorized access: P.Hilton

Email: [email protected]

Destination ID xxcythol

5.


The importance of steve

Outgoing Messages from Sender

NCHS TM

Main VR Data

Repository

Of Sending

Jurisdiction

NCHS-reportable vital events

Medical coding, other data

STEVE

Source files

STEVE

Sending Jurisdiction’s TM

Out-of-jurisdiction records

STEVE

Metadata and

Updates to profiles and settings

Receiving Jurisdiction’s TM

Controller

Module

STEVE


The importance of steve

Incoming Messages to Sender

NCHS TM

Main VR Data

Repository

Of Sending

Jurisdiction

MDNs, corrections,

Medical coding, other data

STEVE

Received files

STEVE

Sending Jurisdiction’s TM

MDNs

Out-of-jurisdiction records

STEVE

Receiving Jurisdiction’s TM

Master file profiles and settings

Controller

Module

STEVE


Current status of steve

Current Status of STEVE

  • SMS Awarded Contract

  • Development Q1-Q3 of 2008

  • Deployment beginning Q4 of 2008 and continuing through 2010

  • Seeking additional funds to complete development and deployment


Preparation start now

Preparation – START NOW!

  • Prepare to convert your files into standard IJE format

  • Prepare to convert received records into your own format

  • Consider hardware and software

  • Attend the upcoming STEVE technical break-out session

  • When you’re ready, volunteer your state for roll-out


The importance of steve2

IT’LL GET YOU (or at least your data)…

The Importance of STEVE

FROM BIRTH…

TO DEATH

AND BACK AGAIN!


For more information

For More Information

  • Check the NAPHSIS website at www.naphsis.org for updates

  • The NAPHSIS website has standard record layouts in the IJE project area http://www.naphsis.org/index.asp?bid=987

  • Contact Leesa Shem-Tov at [email protected] or Jane McKendry at [email protected]


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