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Interjurisdictional

Exchange
Update, Workshop, and
Discussion: Weve done
the work so why are you
not exchanging the data?
(just kidding sort of)
PixelPatriot.blogspot.com
Strengthening Partnerships: Shaping the Future
Portland, OR
June 6
th
10
th
, 2004
Presenters: IJE Ctee Members
Jane McKendry, California
Joyce Grant-Worley, Oregon
Mark Miller, Nebraska
David Johnson, NCHS
ALSO: Teresa Jennings (WA), Karen
Lathrop (WA), Other IJE Members
PixelPatriot.blogspot.com
Strengthening Partnerships: Shaping the Future
Portland, OR
June 6
th
10
th
, 2004
Outline
Overview of electronic exchange
(What? Why? Who? How?)
Exchange record layouts
Prototype of new VRX
Barriers to exchange discussion
Rotate among 3 small breakout
groups for consultation
PixelPatriot.blogspot.com
Strengthening Partnerships: Shaping the Future
Portland, OR
June 6
th
10
th
, 2004
Overview
What?
Why?
Who?
How?
PixelPatriot.blogspot.com
Strengthening Partnerships: Shaping the Future
Portland, OR
June 6
th
10
th
, 2004
WHAT?
Send 3 data files out
Receive 4 files from each participant
Honor the Inter-Jurisdictional
Exchange Agreement
PixelPatriot.blogspot.com
Strengthening Partnerships: Shaping the Future
Portland, OR
June 6
th
10
th
, 2004
Types of files exchanged
Natality: convert to one of two
layouts that fits your certificate
revision status
Mortality: combine demo, medical,
additional items for exchange
Roster: short death record for
crossmatch to birth for fraud
prevention
PixelPatriot.blogspot.com
Strengthening Partnerships: Shaping the Future
Portland, OR
June 6
th
10
th
, 2004
Standard formats
Formats are expanded from NCHS
transmission formats
Add extra fields (e.g. names) as you
are able
Process all states records in a single
file for uploading
More detail later in this program
PixelPatriot.blogspot.com
Strengthening Partnerships: Shaping the Future
Portland, OR
June 6
th
10
th
, 2004
Printed document exchange
PixelPatriot.blogspot.com
Strengthening Partnerships: Shaping the Future
Portland, OR
June 6
th
10
th
, 2004
Goal: Electronic Exchange
PixelPatriot.blogspot.com
Strengthening Partnerships: Shaping the Future
Portland, OR
June 6
th
10
th
, 2004
Currently: Mixed Mode
PixelPatriot.blogspot.com
Strengthening Partnerships: Shaping the Future
Portland, OR
June 6
th
10
th
, 2004
WHY? Incoming
Get complete data for statistics and
fraud prevention
Receive data in consistent formats
Save manual recoding time
Save manual keying
PixelPatriot.blogspot.com
Strengthening Partnerships: Shaping the Future
Portland, OR
June 6
th
10
th
, 2004
WHY? Outgoing
Send a single file for all states
Save paper, printing, postage
Help other IJE states and so theyll
help you!
PixelPatriot.blogspot.com
Strengthening Partnerships: Shaping the Future
Portland, OR
June 6
th
10
th
, 2004
Get Complete Resident Data
California % of out-of-state occurrences not received compared with NCHS data.
2002 deaths are estimated.
Births Deaths
2000
74.1% 55.3%
2001
55.4% 52.7%
2002
14.5% 58.8%
CA % of out-of-state events lost
PixelPatriot.blogspot.com
Strengthening Partnerships: Shaping the Future
Portland, OR
June 6
th
10
th
, 2004
WHO?
Start with currently active states
Expand to nearby partner states
Most volume to share
Most benefit to sharing
Eventually - EVERYBODY
PixelPatriot.blogspot.com
Strengthening Partnerships: Shaping the Future
Portland, OR
June 6
th
10
th
, 2004
HOW? Outgoing
1. Format your data into IJE format
2. Run the VRX software to build the
exchange package
3. Upload file to the NCHS Exchange
Server, via the CDC SDN
4. Opt: send receiving states a group
email to say theyve got mail
PixelPatriot.blogspot.com
Strengthening Partnerships: Shaping the Future
Portland, OR
June 6
th
10
th
, 2004
HOW? Incoming
1. Download exchange files via the
SDN.
2. Run the VRX software to decrypt
and parse the file into separate
units
3. Recode files to local layout
4. Combine with your permanent files
PixelPatriot.blogspot.com
Strengthening Partnerships: Shaping the Future
Portland, OR
June 6
th
10
th
, 2004
Tools via NAPHSIS Website
Standard record formats
VRX request form
Instructions
Other helpful tools
Access programs for printing files
SAS program to print rosters
PixelPatriot.blogspot.com
Strengthening Partnerships: Shaping the Future
Portland, OR
June 6
th
10
th
, 2004
Resources from NCHS
VRX software and documentation
Current State encryption keys
Exchange format (FMT) files from
participating IJE states
PixelPatriot.blogspot.com
Strengthening Partnerships: Shaping the Future
Portland, OR
June 6
th
10
th
, 2004
Suggestion for EDRS
While electronic systems are being
developed is the best time to
integrate file output and input
utilities to accommodate these
processes.
PixelPatriot.blogspot.com
Strengthening Partnerships: Shaping the Future
Portland, OR
June 6
th
10
th
, 2004
Exchange record layouts
Newly revised by IJE Committee
Expanded from NCHS transmission
layouts
We think theyre final drafts
Distributed prior to NAPHSIS
Discuss in detail in small groups
PixelPatriot.blogspot.com
Strengthening Partnerships: Shaping the Future
Portland, OR
June 6
th
10
th
, 2004
VRX; Prototype of changes
Dave Johnson take it away!
PixelPatriot.blogspot.com
Strengthening Partnerships: Shaping the Future
Portland, OR
June 6
th
10
th
, 2004
What VRX does
Security: encryption, keys,
passwords
Accepts standard formats
Breaks your single upload file into
files for each receiving state
Encrypts each file with receiving
states key
PixelPatriot.blogspot.com
Strengthening Partnerships: Shaping the Future
Portland, OR
June 6
th
10
th
, 2004
Lessons learned
In-house file management tips
Keep a log of file names and dates
Use same layout to print for paper
states
Tips on VRX and SDN passwords
Discuss in small groups
PixelPatriot.blogspot.com
Strengthening Partnerships: Shaping the Future
Portland, OR
June 6
th
10
th
, 2004
Barriers
Unfamiliar with SDN/VRX?
Need an incentive? Partner states!
Programming the file conversions?
Changing your internal processes?
Others??? Discussion
PixelPatriot.blogspot.com
Strengthening Partnerships: Shaping the Future
Portland, OR
June 6
th
10
th
, 2004
Weve prepared the way
Developed VRX (Dave/NCHS)
Developed exchange layouts (all)
Pilot tested the system (Joyce et. al.)
Worked with partner jurisdictions
and other IJE Committee members
So now, its up to you!
PixelPatriot.blogspot.com
Strengthening Partnerships: Shaping the Future
Portland, OR
June 6
th
10
th
, 2004
Where to get help
Exchange Agreements: Teresa
Mortality layouts: Joyce, Mark
Natality layouts: Karen, Jane
VRX/SDN: Dave
Exchange toolkit: www.naphsis.org
PixelPatriot.blogspot.com
Strengthening Partnerships: Shaping the Future
Portland, OR
June 6
th
10
th
, 2004
Where to get help (cont.)
Dave: dpj1@cdc.gov
Jane: jmckendr@dhs.ca.gov
Joyce: joyce.a.grant-worley@state.or.us
Karen: karen.lathrop@doh.wa.gov
Mark: mark.miller@hhss.state.ne.us
Teresa: teresa.jennings@doh.wa.gov
PixelPatriot.blogspot.com
Strengthening Partnerships: Shaping the Future
Portland, OR
June 6
th
10
th
, 2004
Discussion topics
Barriers and solutions
Lessons learned
General comments or ideas about
the layouts, perhaps from tech staff
Bring ideas and concerns to group
discussions
PixelPatriot.blogspot.com
Strengthening Partnerships: Shaping the Future
Portland, OR
June 6
th
10
th
, 2004
Rotate 2X among groups
Exporting issues w/ focus on death
Joyce (SPSS & Access printing) and
Mark (SAS)
Importing data w/ focus on birth
layout Karen and Jane
VRX: help from the expert - Dave
PixelPatriot.blogspot.com

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