1. NAPHSIS Annual Meeting 2014Slide 1 NAPHSIS ANNUAL MEETING | Seattle | June 8-11, 2014 VITAL RECORDS: A CULTURE OF QUALITY Minnesota eBirth Records Project Possibilities, opportunities and hurdles

2. NAPHSIS Annual Meeting 2014Slide 2 Minnesota 5.3 million Minnesotans in 87 counties 60% live in “Twin Cities” Separate state health and human services agencies Minnesota Registration and Certification System – Electronic Birth Reporting System – ≈ 68,000 births

3. NAPHSIS Annual Meeting 2014Slide 3 Minnesota e-Health Initiative A public-private collaboration established in 2004 Legislatively chartered Coordinates and recommends statewide policy on e-health Develops and acts on statewide e-health priorities Reflects the health community’s strong commitment to act in a coordinated, systematic and focused way

4. NAPHSIS Annual Meeting 2014Slide 4 A quick review MU – Meaningful Use HL7 – Health Level Seven International IHE – Integrating the Healthcare Enterprise BFDR – Birth & Fetal Death Reporting We evaluated the readiness of the Minnesota Department of Health (MDH) and Minnesota hospitals for secure electronic exchange of birth registration information using – IHE BFDR Profile – HL7 standard message and document specifications

5. NAPHSIS Annual Meeting 2014Slide 5 Our process Engage stakeholders Assess current state – At hospital – At state OVR – Where they meet Test and demonstrate Evaluate

6. NAPHSIS Annual Meeting 2014Slide 6 MN Birth Records Information Flow

7. NAPHSIS Annual Meeting 2014Slide 7 Current Hospital Birth Registration Process

8. NAPHSIS Annual Meeting 2014Slide 8 Proposed Hospital Birth Registration Process

9. NAPHSIS Annual Meeting 2014Slide 9 Implications for Office of Vital Records Update policies on data collection and use – Harmonize national standards with state-specific questions and value sets – Understand/document data needs Build resources for HL7 and IHE BFDR Profile Acknowledge connection to fetal death and death reporting Incorporate e-Vital Records into planning and daily work

10. NAPHSIS Annual Meeting 2014Slide 10 Key Findings MDH and hospitals support the adoption of e-birth records standards but lack the readiness to fully test and implement them. Policies do not support using e-birth records standards for collection of civil and medical information Current incentives do not directly support e-birth records standards The IHE BFDR Profile was tested with only one EHR All birth registration data is not available as structured data in the EHR

11. NAPHSIS Annual Meeting 2014Slide 11 Recommendations 1.Align policies to support e-birth records standards 2.Leverage activities of the Office of National Coordinator (ONC) and other federal agencies

12. NAPHSIS Annual Meeting 2014Slide 12 Recommendations 3.Continue expansion and testing of e-birth records standards 4.Provide resources and technical assistance for readiness and implementation

13. NAPHSIS Annual Meeting 2014Slide 13 Conclusion This project revealed support for adoption and use of e-birth records standards. Addressing the factors contributing to the lack of readiness and implementing the recommendations will require the effort of the entire vital records community and its partners. The support of e-birth records standards will strengthen the vital records system to document the lives and improve the health of all people.

14. NAPHSIS Annual Meeting 2014Slide 14 Acknowledgements MN e-Vital Records Initiative Advisory Group NCHS Essentia Health Unity Hospital Allina Health MDH Office of Vital Records MDH Office of Health Information Technology MN.IT

15. NAPHSIS Annual Meeting 2014Slide 15 NAPHSIS ANNUAL MEETING| Seattle | June 8-11, 2014 VITAL RECORDS: A CULTURE OF QUALITY Thank You Sally Almond, Minnesota Department of Health 651-201-5973 sally.almond@ state.mn.us