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Electronic Death Registration In California OVERVIEW PRESENTATION Electronic Death Registration In California OVERVIEW PRESENTATION

Hardware/Software Requirements • Computer (Standard office workstation) • Adobe reader 7. 0+ (free) • Hardware/Software Requirements • Computer (Standard office workstation) • Adobe reader 7. 0+ (free) • Web browser – Popups & Java. Script enabled – IE 6. 0 + – Netscape 5 + – Mozilla 1. 4+ (Fire. Fox) • Internet Access (high speed preferred) • Printer – Black/White Laser ONLY – CFDA Special Purchase 2 EDRS OVERVIEW

DC Death Certificate DP Disposition Permit VS-9 e VS-11 e 3 EDRS OVERVIEW DC Death Certificate DP Disposition Permit VS-9 e VS-11 e 3 EDRS OVERVIEW

VS-11 e PI Personal Info MI Medical Info CI Coroner Info 4 EDRS OVERVIEW VS-11 e PI Personal Info MI Medical Info CI Coroner Info 4 EDRS OVERVIEW

Icons – – – – – 5 Search Lists State/Foreign Country Hispanic Race Occupation Icons – – – – – 5 Search Lists State/Foreign Country Hispanic Race Occupation Kind of Industry Embalmers Funeral Homes Medical Facilities Physicians (MDs & DOs) ? Field Sensitive Help Select Date Remote Attestation View PAC Fax image Listen to Voice EDRS OVERVIEW

Personal Information - PI 6 EDRS OVERVIEW Personal Information - PI 6 EDRS OVERVIEW

Medical Information - MI 7 EDRS OVERVIEW Medical Information - MI 7 EDRS OVERVIEW

ME/Coroner Information - CI 8 EDRS OVERVIEW ME/Coroner Information - CI 8 EDRS OVERVIEW

Authenticate PI Search Filters Embalmer signature Transfer SSN Verification Submit MI for LR Review Authenticate PI Search Filters Embalmer signature Transfer SSN Verification Submit MI for LR Review Print Working Copy Spell. Check MI Referred to ME/Coroner Attests MI 9 Validations View RA EDRS OVERVIEW Remote Attestation

Data Collection Workflows Decedent’s Personal Information Medical Information worksheet 10 Enter Personal & Medical Data Collection Workflows Decedent’s Personal Information Medical Information worksheet 10 Enter Personal & Medical Data Funeral Home Medical Facility ME/Coroner Office EDRS OVERVIEW

Registration of 100% EDRS electronic Death Certificates means … • No manual handling of Registration of 100% EDRS electronic Death Certificates means … • No manual handling of paper DCs • Quicker registration • Online issuance of DPs 11 EDRS OVERVIEW

Registration of 100% EDRS DC Funeral Home MF or ME/C LRD Submit DC (including Registration of 100% EDRS DC Funeral Home MF or ME/C LRD Submit DC (including DP) Register DC Issue DP Print Official Copy Issue Certified Copies Print Disposition Permit(s) 12 EDRS OVERVIEW

Death Certificate VS-11 e 13 DEMO REGISTRAR MD, PHD EDRS OVERVIEW Death Certificate VS-11 e 13 DEMO REGISTRAR MD, PHD EDRS OVERVIEW

Validations • Validations from: – CDC Electronic Specifications – Birth and Death Registration Handbook Validations • Validations from: – CDC Electronic Specifications – Birth and Death Registration Handbook • Field Edits and Cross-field Edits • Compare Dates • Check for missing fields • Red error messages • Yellow warning messages 14 EDRS OVERVIEW

Conveniences • Drop down lists, search lists where possible • Occupations • Funeral Homes Conveniences • Drop down lists, search lists where possible • Occupations • Funeral Homes • Kind of Industries • Funeral Directors • States/Countries • Embalmers • Hispanic • Hospital Facilities • Races • Physicians • • 15 Automatic converts to “UPPER CASE” when saved Calculates AGE with valid Date of Birth when saved Medical “Spell check” Compare Race & Hispanic terms to reference data EDRS OVERVIEW

On-Line Handbook ? 16 EDRS OVERVIEW On-Line Handbook ? 16 EDRS OVERVIEW

Field Sensitive Help 17 EDRS OVERVIEW Field Sensitive Help 17 EDRS OVERVIEW

Death Certificate Section Amendment Section Disposition Permit Section 18 EDRS OVERVIEW Death Certificate Section Amendment Section Disposition Permit Section 18 EDRS OVERVIEW

On-line Social Security Number Verification 19 EDRS OVERVIEW On-line Social Security Number Verification 19 EDRS OVERVIEW

FN + MI + LN + DOB + SEX + SSN 20 EDRS OVERVIEW FN + MI + LN + DOB + SEX + SSN 20 EDRS OVERVIEW

Physician Remote Attestation (Signature) 21 EDRS OVERVIEW Physician Remote Attestation (Signature) 21 EDRS OVERVIEW

State of California approved methods for Physician Attestation • Voice capture • Automated FAX State of California approved methods for Physician Attestation • Voice capture • Automated FAX signature capture 22 EDRS OVERVIEW

 • Complete MI • Validate MI • Spell Check • Review Working Copy • Complete MI • Validate MI • Spell Check • Review Working Copy • Submit MI for LR Review 23 EDRS OVERVIEW

24 EDRS OVERVIEW 24 EDRS OVERVIEW

25 EDRS OVERVIEW 25 EDRS OVERVIEW

The Physician will Receive… 26 EDRS OVERVIEW The Physician will Receive… 26 EDRS OVERVIEW

Physician Fax Coversheet 27 XXXX X EDRS OVERVIEW Physician Fax Coversheet 27 XXXX X EDRS OVERVIEW

Physician’s Copy of the Death Certificate. To be signed and Faxed back to CA-EDRS. Physician’s Copy of the Death Certificate. To be signed and Faxed back to CA-EDRS. 28 EDRS OVERVIEW

29 EDRS OVERVIEW 29 EDRS OVERVIEW

Physician Fax Coversheet 30 XXXX X EDRS OVERVIEW Physician Fax Coversheet 30 XXXX X EDRS OVERVIEW

31 EDRS OVERVIEW 31 EDRS OVERVIEW

view FAX remote attestation or hear VOICE remote attestation 32 EDRS OVERVIEW view FAX remote attestation or hear VOICE remote attestation 32 EDRS OVERVIEW

View the Remote Attestation from the Medical Certifier / Physician 33 EDRS OVERVIEW View the Remote Attestation from the Medical Certifier / Physician 33 EDRS OVERVIEW

View Remote Attestation FAX Confirm: • Physician’s signature • No Changes • No modifications View Remote Attestation FAX Confirm: • Physician’s signature • No Changes • No modifications • No additions 34 EDRS OVERVIEW

View Remote Attestation FAX Confirm: • Physician’s signature • No Changes • No modifications View Remote Attestation FAX Confirm: • Physician’s signature • No Changes • No modifications • No additions 35 EDRS OVERVIEW

Hear the Remote Attestation from the Medical Certifier / Physician 36 EDRS OVERVIEW Hear the Remote Attestation from the Medical Certifier / Physician 36 EDRS OVERVIEW

Physician Remote Attestation Voice Attestation Fax Attestation V JOHN SMITH MD@ 37 EDRS OVERVIEW Physician Remote Attestation Voice Attestation Fax Attestation V JOHN SMITH MD@ 37 EDRS OVERVIEW F JOHN SMITH MD @

Search Filters 38 EDRS OVERVIEW Search Filters 38 EDRS OVERVIEW

Search by … • • • 39 Last Name First Name Record Number Date Search by … • • • 39 Last Name First Name Record Number Date of Death Date of Creation Various Status fields EDRS OVERVIEW

Record Status • INC • COMP • SUBM LR • SUBM SR • REG Record Status • INC • COMP • SUBM LR • SUBM SR • REG SR • ABAND • VOID • DUP 40 EDRS OVERVIEW

Amendment Status • INC • COMP • SUBM • REG W/EX • ABAND • Amendment Status • INC • COMP • SUBM • REG W/EX • ABAND • VOID 41 EDRS OVERVIEW

Attest Status • UN ATT • MC ATT • ME/C-MC ATT 42 EDRS OVERVIEW Attest Status • UN ATT • MC ATT • ME/C-MC ATT 42 EDRS OVERVIEW

Sort by Column Header … • • • 43 Last Name First Name Date Sort by Column Header … • • • 43 Last Name First Name Date of Death Attest Status MI Review Status Coroner Status Record Number Record Status # of Disp Amendment Status EDRS OVERVIEW

44 EDRS OVERVIEW 44 EDRS OVERVIEW

Create Personal Custom Filters 45 EDRS OVERVIEW Create Personal Custom Filters 45 EDRS OVERVIEW

List of Custom Search Filters 46 EDRS OVERVIEW List of Custom Search Filters 46 EDRS OVERVIEW

Paper Hybrid Options Using EDRS in NON-EDRS Counties 47 EDRS OVERVIEW Paper Hybrid Options Using EDRS in NON-EDRS Counties 47 EDRS OVERVIEW

Drop to Paper Option Drop to Paper for ink signature when required USE OFFICIAL Drop to Paper Option Drop to Paper for ink signature when required USE OFFICIAL PAPER Complete Registration Process Manually 48 EDRS OVERVIEW

Dual Pass Option Drop to Paper for ink signature if PI is not complete Dual Pass Option Drop to Paper for ink signature if PI is not complete USE OFFICIAL PAPER Dual Pass Reinsert signed form, finish PI and print. NOTE: Check Paper Alignment Complete Registration Process Manually 012345 49 EDRS OVERVIEW

Not Acceptable • • • Color Inkjet or other non-Laser printer Not Printed 100% Not Acceptable • • • Color Inkjet or other non-Laser printer Not Printed 100% size Not Printed on Official Paper Not Printed in correct orientation Printer: HP 2420 B&W Laser 50 EDRS OVERVIEW

Amendments 51 EDRS OVERVIEW Amendments 51 EDRS OVERVIEW

FD e-sign LR e-sign General Amendment Print Working Copy VS-24 Le Validations Coroner Amendment FD e-sign LR e-sign General Amendment Print Working Copy VS-24 Le Validations Coroner Amendment VS-24 Ae 52 Spell. Check MI Coroner e-sign EDRS OVERVIEW

General Amendment VS 24 Le FIRST SIGNATURE SECOND SIGNATURE 53 EDRS OVERVIEWREGISTRAR MD, PHD General Amendment VS 24 Le FIRST SIGNATURE SECOND SIGNATURE 53 EDRS OVERVIEWREGISTRAR MD, PHD DEMO

ME/Coroner Amendment VS-24 Ae DEMO CORONER DEMO REGISTRAR MD, PHD 54 EDRS OVERVIEW ME/Coroner Amendment VS-24 Ae DEMO CORONER DEMO REGISTRAR MD, PHD 54 EDRS OVERVIEW

Registering 100% EDRS Amendments LRD ME/Coroner VS-24 Ae DC not yet registered with SFN Registering 100% EDRS Amendments LRD ME/Coroner VS-24 Ae DC not yet registered with SFN State Submit Register Print Official Copy DC registered with SFN Register 55 EDRS OVERVIEW Issue Certified Copies

Data Reports • • • 56 MWR Report Pending DC Aging Report Place of Data Reports • • • 56 MWR Report Pending DC Aging Report Place of Death Report County Death Report Ordered by LRN County Death Report Ordered by Date of Death County Death Report Ordered by Name w/o SSN Cause of Death Report Ordered by LRN Cause of Death Report Ordered by Date of Death Decedents over 18 yrs Report w/o Address EDRS OVERVIEW

Pending DC Aging Report 57 EDRS OVERVIEW Pending DC Aging Report 57 EDRS OVERVIEW

County Death Report Ordered by Name 58 EDRS OVERVIEW County Death Report Ordered by Name 58 EDRS OVERVIEW

Decedents over 18 yrs Report w/o Address 59 EDRS OVERVIEW Decedents over 18 yrs Report w/o Address 59 EDRS OVERVIEW

Data Export • Flat file – – OVR systems Local Health Department systems ME/Coroner Data Export • Flat file – – OVR systems Local Health Department systems ME/Coroner systems Individual Coroner Case • Allows downloading for subsequent analysis by data managers with existing tools – SAS, SPSS, EPI 2000, Excel, Access … 60 EDRS OVERVIEW

61 EDRS OVERVIEW 61 EDRS OVERVIEW

Data Export Specifications http: //www. edrs. us 62 EDRS OVERVIEW Data Export Specifications http: //www. edrs. us 62 EDRS OVERVIEW

Keys to Success • Target 100% EDRS – Goal 100% Funeral Home participation – Keys to Success • Target 100% EDRS – Goal 100% Funeral Home participation – Goal 100% Medical Facility/Hospital participation – Goal 100% Physician participation (100% Remote Attestation/electronic physician signature) • Major physician outreach & encouragement • Train-the-Trainer model for ongoing continuing education 63 EDRS OVERVIEW

Before EDRS 64 EDRS OVERVIEW Before EDRS 64 EDRS OVERVIEW

January 2005 Riverside Yolo 5. 5% 65 EDRS OVERVIEW January 2005 Riverside Yolo 5. 5% 65 EDRS OVERVIEW

January 2006 Imperial Sacramento Santa Clara 13. 7% 66 EDRS OVERVIEW January 2006 Imperial Sacramento Santa Clara 13. 7% 66 EDRS OVERVIEW

February 2006 Monterey 14. 7% 67 EDRS OVERVIEW February 2006 Monterey 14. 7% 67 EDRS OVERVIEW

March 2006 San Benito San Diego 22. 9% 68 EDRS OVERVIEW March 2006 San Benito San Diego 22. 9% 68 EDRS OVERVIEW

April 2006 Kern Ventura 26. 6% 69 EDRS OVERVIEW April 2006 Kern Ventura 26. 6% 69 EDRS OVERVIEW

May 2006 San Mateo 28. 4% 70 EDRS OVERVIEW May 2006 San Mateo 28. 4% 70 EDRS OVERVIEW

June 2006 San Francisco 31. 0% 71 EDRS OVERVIEW June 2006 San Francisco 31. 0% 71 EDRS OVERVIEW

September 2006 Kings Marin 32. 1% 72 EDRS OVERVIEW September 2006 Kings Marin 32. 1% 72 EDRS OVERVIEW

October 2006 Stanislaus Sutter 33. 9% 73 EDRS OVERVIEW October 2006 Stanislaus Sutter 33. 9% 73 EDRS OVERVIEW

November 2006 San Bernardino San Luis Obispo 39. 7% 74 EDRS OVERVIEW November 2006 San Bernardino San Luis Obispo 39. 7% 74 EDRS OVERVIEW

December 2006 Butte El Dorado Nevada 41. 4% 75 EDRS OVERVIEW December 2006 Butte El Dorado Nevada 41. 4% 75 EDRS OVERVIEW

February 2007 Alameda Berkeley Sonoma 46. 9% 76 EDRS OVERVIEW February 2007 Alameda Berkeley Sonoma 46. 9% 76 EDRS OVERVIEW

March 2007 Mendocino Placer 48. 3% 77 EDRS OVERVIEW March 2007 Mendocino Placer 48. 3% 77 EDRS OVERVIEW

April 2007 Fresno Napa Solano 52. 2% 78 EDRS OVERVIEW April 2007 Fresno Napa Solano 52. 2% 78 EDRS OVERVIEW

May 2007 Contra Costa Lake Yuba 55. 5% 79 EDRS OVERVIEW May 2007 Contra Costa Lake Yuba 55. 5% 79 EDRS OVERVIEW

October 2007 Los Angeles Long Beach Pasadena 82. 2% 80 EDRS OVERVIEW October 2007 Los Angeles Long Beach Pasadena 82. 2% 80 EDRS OVERVIEW

EDRS Implementation 81 EDRS OVERVIEW EDRS Implementation 81 EDRS OVERVIEW

http: //www. edrs. us 82 EDRS OVERVIEW http: //www. edrs. us 82 EDRS OVERVIEW

For more information … – http: //www. edrs. us – edrshelp@dhs. ca. gov – For more information … – http: //www. edrs. us – edrshelp@dhs. ca. gov – (916) 552 -8123 83 EDRS OVERVIEW

Acknowledgments James Draper - California Funeral Directors Association Mike Rodrian – former California State Acknowledgments James Draper - California Funeral Directors Association Mike Rodrian – former California State Registrar Terry Trinidad - California State Registrar California State Office of Vital Records Members of the CA-EDRS technical advisory groups CA-EDRS implementation and training teams 84 EDRS OVERVIEW

Q & A QU E S T I O N S ANSWERS 85 EDRS Q & A QU E S T I O N S ANSWERS 85 EDRS OVERVIEW