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The Impact of EDRS on registration timeliness: Utah, Nebraska and California's perspective

The Impact of EDRS on registration timeliness: Utah, Nebraska and California's perspective. Jeff Duncan, Utah Mark Miller, Nebraska David Fisher, California. Does EDRS improve timeliness?. What is timeliness? The civil registration view In Utah, 72 hours to certify 5 days to register

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The Impact of EDRS on registration timeliness: Utah, Nebraska and California's perspective

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  1. The Impact of EDRS on registration timeliness: Utah, Nebraska and California's perspective • Jeff Duncan, Utah • Mark Miller, Nebraska • David Fisher, California

  2. Does EDRS improve timeliness? • What is timeliness? • The civil registration view • In Utah, 72 hours to certify • 5 days to register • The public health view • How fast is data available?

  3. Death Registration in Utah • 15,000+ deaths per year • Eden, rolled out in 2006 • 100% FD users • 60% of dc’s all-electronic • Local participation in registration process

  4. Timeliness of registration

  5. Effect of late certification on late registration • 87% of deaths certified on time (<72 hrs) were registered on time • 67% of deaths certified late were registered late. • Late certification strongly predicts late registration (OR=12.4)

  6. Timeliness of certification

  7. Modeling late certification • Logistic regression using 2009 death data excluding deaths certified by OME • Age, gender, place of death and registration method had minimal effect on certification timeliness • Non-residents more likely to be certified on time (OR = 2.2)

  8. Late certification vs. day of week of death

  9. Timeliness in EDEN

  10. Another definition of timeliness • Availability of data • Transmission to NCHS • Availability of coded COD statistics • Use of cause of death literals for surveillance

  11. Data timeliness Data available

  12. Improving timeliness • Enable physicians • Rapid notification of death • Electronic medical records for certification • Reduce processing time

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