Technologies like HL7®’s FHIR® standard are being adopted across many government agencies to set standards and modernize systems so they can “speak the same language.” Widespread adoption of solutions like this can help move death data – including information about drug overdose deaths – more fluidly among the people who rely on it.Ībdul Malik Shakir, President and Chief Informatics Scientist from Hi3 Solutions, provided an overview of the eVitals Initiative, which consists of an array of standards for exchanging vital records data. Best of all, he explained, we don’t have to reinvent the wheel. Charles Jaffe, Chief Executive Officer of HL7®, told the group that reusable technology has the power to transform the way health information is shared at all levels. Charles Jaffe, CEO of HL7®, spoke about FHIR® at the workgroup meeting in September. Two top-level experts in the health information industry helped the group consider ways that that both states and CDC could increase interoperability.ĭr. Interoperability is about enabling information – like mortality data – to move easily from one space or system to another. One way to provide data faster without sacrificing its quality is to make systems more interoperable. “And what better way to serve that community than by making sure they’re getting real-world data fast?” “My job is to serve my community,” said Stephen Wurtz of New Hampshire. On September 11, 2018, the project’s implementer’s community held its second in-person meeting in Atlanta, Georgia, to discover more about how mortality data flow and are used at multiple points across the public health spectrum.īecause state and local experts play a key role in creating and processing death data, an important part of the meeting was hearing from the state representatives in attendance, who presented their plans and priorities for strengthening death reporting. The national goal is to promote a standards-based approach that will improve the electronic exchange of mortality information, both within states and between states and NCHS. The plan is for the results produced in the first year by the Implementer’s states to also be piloted in of some of the 10 states over the second year of the project. NCHS has also funded 10 other states to examine the business practices and technology associated with the collection and exchange of drug-involved mortality information in their states. states who are leading the way in adopting new technologies under the project. This “implementer’s community” includes leaders from centers across CDC, top experts in information technology, and representatives from six U.S. The project brings together a community of key players who work with, create, and process mortality data from death certificates. These yarn paths illustrate the flow of mortality data to different programs throughout CDC. Today, CDC’s National Center for Health Statistics (NCHS) and its partners are working on a project that will make mortality data more timely, usable and accessible to the many experts who depend on it to fulfill their missions. The goal is to adopt best practices for electronic information exchange that put less burden on and deliver more value to data providers, while delivering more “real-time” and automated data feeds to those requesting the data. This is prompting public health to explore new ways to improve the flow of health information. The lack of connectivity places a large burden on individual data providers (staff in medical examiner and coroner offices, vital records offices, post-mortem toxicology offices, etc.) who must respond to many different requests and requestors. Historically, the electronic systems used to share mortality data have not been designed to exchange information with one another. However, tracking and reporting mortality data for an entire nation is a complex and decentralized process, with information flowing through a multitude of systems at the local level up to the national level, and often back down again. Timely, accurate mortality data are at the center of effective public health decision-making.
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