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Improving Physician Access to Electronic Death Registration

Improving Physician Access to Electronic Death Registration. Jeff Duncan, Director Utah Office of Vital Records and Statistics. EDEN. Electronic Death Entry Network Operational August, 2006 LAMP environment—Linux, Apache, MySQL, PHP 15,000 deaths annually. EDEN Users.

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Improving Physician Access to Electronic Death Registration

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  1. Improving Physician Access to Electronic Death Registration Jeff Duncan, Director Utah Office of Vital Records and Statistics

  2. EDEN • Electronic Death Entry Network • Operational August, 2006 • LAMP environment—Linux, Apache, MySQL, PHP • 15,000 deaths annually

  3. EDEN Users • 228 funeral directors (100%) • 445 physicians (< 10%) • 62% of deaths in last three months registered electronically • Pressure from funeral directors to achieve 100%

  4. The Pareto Principle

  5. Two solutions • Pan-flu grant from CDC to develop two solutions: • Certification through EMR of a large regional health care organization • Single sign-on through the website of Utah’s RHIO

  6. Intermountain Healthcare (IHC) • Large not-for-profit healthcare delivery system • Over 50% of Utah’s healthcare delivery market • 21 inpatient facilities • 700+ affiliated physicians

  7. Current process MD Certifies in EDEN Is MD an EDEN user? FD Initiates EDEN Record Yes Death No LHD Registers death Drop-to-paper process FD prints paper certificate MD signs paper certificate LHD keys paper certificate into EDEN FD delivers to MD FD delivers To LHD

  8. New IHC Process Intermountain EMR (cause of death) Intermountain HL7 Message Server Cause of Death Certification Funeral Directors (fact of death) HL7 over VPN Tunnel EDEN Cause Of Death Table UDOH HL7 Message Server (Rhapsody) EDEN Master Database Record Matching

  9. IHC Advantages and Disadvantages Advantages • Physicians will have access to EMR to complete cause of death fields • Built-in decision support for conditions such as pregnancy, tobacco use Disadvantage • Only available to IHC physicians

  10. Utah Health Information Network (UHIN) • Utah’s RHIO • Not-for-profit coalition of insurers, providers, UDOH and others • Links 90% of Utah medical providers for claims data

  11. Single sign-on through UHIN UHINet web Interface Hyperlink to EDEN https redirect with UHIN login, password, physician ID and security hash EDEN user table EDEN Web Interface

  12. UHIN Advantages and disadvantages • Advantage: Available to 90% of physicians • Disadvantage: Physicians need an Eden account to use

  13. Implementation • Solutions are in development • Pilots scheduled August 2009 • Marketing campaign through IHC • Collaboration with Utah Medical Association and Utah Funeral Directors Association in marketing to non-IHC physicians

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