VIEWS Immediate Validations for Mortality Data

VIEWS Immediate Validations for Mortality Data

VIEWS Immediate Validations for Mortality Data Steven Rushing National Center for Health Statistics Gateway to the Future: Improving the National Vital Statistics System St. Louis, MO June 6th June 10th, 2010 What Is VIEWS? Validations and Interactive Edits Web Service An online service provided by NCHS enabling improved mortality data validations during data entry which can be used by state Electronic Death Registration Systems (EDRS.) Gateway to the Future:

Improving the National Vital Statistics System St. Louis, MO June 6th June 10th, 2010 Goals of VIEWS By providing improved and consistent validations immediately at data entry, VIEWS will: Improve data quality at the outset, increasing its value for surveillance. Improve efficiency by reducing the number of rejects to be coded and late stage cleanups. Reduce training demands for the EDRS states by providing smarter tools. to the Future: Validate instead Gateway

of train. Improving the National Vital Statistics System St. Louis, MO June 6th June 10th, 2010 How Will VIEWS Benefit You? An EDRS state incorporating VIEWS into its EDRS will gain the following benefits: Improved Spellchecking and data quality Earlier notice for starting queries Surveillance Free no work updates Reduced training demands.

Gateway to the Future: Improving the National Vital Statistics System St. Louis, MO June 6th June 10th, 2010 How Will VIEWS Benefit You? A currently non-EDRS state (possibly looking to develop an EDRS in the future) will gain: Timely reports from NCHS on queried entries, such as rare causes, edits and surveillance terms. A much simpler set of specifications for getting a comprehensive set of medical validations and edits into their future EDRS plans. Gateway to the Future: Improving the National Vital Statistics System

St. Louis, MO June 6th June 10th, 2010 What Does VIEWS Do? VIEWS will perform the following checks: Rare Words Intelligent Mortality-focused Spellchecker Ambiguous Abbreviations Data Validations (SuperMICAR) Rare Causes

Surveillance Trivial/Ill-Defined Age/Sex Cause (edits) Gateway to the Future: Improving the National Vital Statistics System St. Louis, MO June 6th June 10th, 2010 What Will VIEWS Tell You? VIEWS will send back information tailored to three user roles: Level 1 assumes a data entry role (may not assign causes.) Level 2 assumes a medical role (may assign causes.) Level 3 assumes a more complete access

role (may assign causes and adjust demographic files.) The state will determine which role a user Gateway to the Future: is assigned. Improving the National Vital Statistics System St. Louis, MO June 6th June 10th, 2010 What Is a Web Service? A web service is an online component which allows other programs to call it and get something done, just like it was a module within that other program. VIEWS uses XML (a common component in modern software with many uses) for communication. To access VIEWS, a state and their EDRS developer will have to create and incorporate into their EDRS a component that talks to VIEWS.

NCHS will support thisGateway development to some to the Future: Improving the National Vital Statistics System extent. St. Louis, MO June 6 June 10 , 2010 th th What Will the State Control? VIEWS will only send back the results and suggestions for corrections to the EDRS The state will make all of the practical implementation and use decisions, including:

How it looks to the EDRS user The actual wording used on the dialogs Which validations to use and which to ignore. Which validations are hard and which are soft. Gateway to the Future: Which level ofImproving messages each user the National Vital Statistics System sees. St. Louis, MO

June 6th June 10th, 2010 VIEWS Is Like A Buffet VIEWS operates like a buffet style meal where a wide assortment of choices is provided and you choose what you want to take. VIEWS will perform every check and return information for every level with each submission, depending on what information was sent. However, it will be up to the state as to which portions it chooses to use and which it chooses Gateway to the Future: to ignore. Improving the National Vital Statistics System St. Louis, MO June 6th June 10th, 2010

Is VIEWS Secure? When it goes live in 2011, VIEWS will be hosted by the CDC and provide typical CDC/NCHS security. During the pilot period, VIEWS will be hosted offsite but still provide typical CDC/NCHS security. VIEWS will not need (and the EDRS should not send) VIEWS the certificate number. Gateway to the Future: Improving the National Vital Statistics System St. Louis, MO June 6th June 10th, 2010 VIEWS: Rare Words There are words which are actual words spelled correctly but almost certainly not the words intended by the provider. Most normal language spellcheckers will NOT spot these as issues but VIEWS will.

Hart Attack (Deer Gone Wild?) Bran Damage (Bludgeoned with muffins?) Prostrate Cancer (Prone while sick?) Infraction (Fatal speeding ticket?) Rob Caught Fire (Rob was a 59 year old female?) Riffle (Lethal shuffling accident in Vegas?) Gateway to the Future: Improving the National Vital Statistics System St. Louis, MO June 6th June 10th, 2010 VIEWS: Spellchecker

VIEWS will provide an improved mortality focused spellchecker including: Additional medical terms including drugs Better, mortality-focused suggestions for choices: o Mellitus before Militias o Rifle before Raffle or Riffle o Alzheimer's before Alchemies o Lung before Unk before Hung before Stung. Gateway to the Future: VIEWS Spellchecker will

never suggest Improving the National Vital Statistics System a rare St. Louis, MO June 6th June 10th, 2010 VIEWS: Abbreviations VIEWS will ask for clarification on ambiguous or unknown abbreviations, prompting data entry staff to verify spelling and medical providers to clarify intended entry: CRF: Chronic Renal Failure or Chronic Respiratory Failure? DS: Downs Syndrome or Disease?

DT: Due to or Delirium Tremens? EX Obesity: Exogenous or Extreme? MI: Michigan or Myocardial infarction CA: California or Cancer? Gateway to the Future: Improving the National Vital Statistics System St. Louis, MO June 6th June 10th, 2010 VIEWS: Data Validations VIEWS will implement functional data validations such as those found in SuperMICAR data entry including: Valid entries for day, month, year

Valid cross-references such as date of injury not after date of death Appropriate Field lengths Gateway to the Future: Improving the National Vital Statistics System St. Louis, MO June 6th June 10th, 2010 VIEWS: Rare Causes VIEWS will look for Rare Causes, prompting data entry staff to confirm spelling and medical providers to confirm intended entry: Plague (did you mean plaque) Hepatitis-C under age 20 Non-Venereal Syphilis

Gateway to the Future: Improving the National Vital Statistics System St. Louis, MO June 6th June 10th, 2010 VIEWS: Surveillance VIEWS will consult a surveillance list for additional conditions of interest and notify provider that this will be flagged. These surveillance lists may be state specific and customizable at states request. By cleaning up more data at data entry, surveillance on the literals is made more reliable. Gateway to the Future: Improving the National Vital Statistics System St. Louis, MO June 6th June 10th, 2010 VIEWS: Trivial/Ill-Defined

VIEWS will notify data provider if all terms on a record fall within list of trivial or illdefined causes that the record has no sufficiently specific cause-of-death. Examples of Trivial/Ill-Defined terms include: Senility Migraines Hypertension Gateway to the Future: Improving the National Vital Statistics System St. Louis, MO June 6th June 10th, 2010 VIEWS: Age/Sex Edits VIEWS will notify the provider when there is a possible mismatch between age or sex and conditions:

Pregnancy for males or 90 year old women Sequela (late effects) or Senility on infants 48 year olds with prematurity conditions Women with prostrate cancer Men with ovarian cancer Gateway to the Future: Improving the National Vital Statistics System St. Louis, MO June 6th June 10th, 2010 VIEWS Pilot Program NCHS has already been working with and receiving valuable input on the development of VIEWS from the following states and vendors. States

Other AZ CA Genesis DE KS Gold Systems KY MI

ManTech NC NE NetSmart NH NYC VitalChek UT WA NAPHSIS

Gateway to the Future: Improving the National Vital Statistics System St. Louis, MO June 6th June 10th, 2010 When Will VIEWS Be Ready? VIEWS will go live for production use in 2011 and be open for all users by the end of that year. VIEWS will be implemented as a pilot program in 2010, phasing in validations and expanding participants as the year progresses Gateway to the Future: Improving the National Vital Statistics System St. Louis, MO June 6th June 10th, 2010 VIEWS: What Do You

Want? We want your input. Which elements of VIEWS are of greatest interest to you? What additional elements would you find useful as we proceed? Are you interested in participation in VIEWS? Gateway to the Future: Improving the National Vital Statistics System St. Louis, MO June 6th June 10th, 2010 VIEWS User Group The VIEWS User Group can exchange information and input and receive regular

updates on VIEWS development and progress. Information on VIEWS related online discussion groups is available. You can contact us at [email protected] Gateway to the Future: Improving the National Vital Statistics System St. Louis, MO June 6th June 10th, 2010 VIEWS Contact Info You can contact us at [email protected] Steve Rushing ([email protected]) is the VIEWS Project Manager and deals with technical issues. Chuck Sirc ([email protected]) is the COTR and deals with non-technical issues and matters of policy and support. Gateway to the Future: Improving the National Vital Statistics System St. Louis, MO June 6th June 10th, 2010

More VIEWS at NAPHSIS There will be live demonstrations (live as in actually connected to a web service and processing) of the VIEWS prototype Tuesday June 8th from 1:30-5pm hosted by John Bunch (SRA - VIEWS Development Project Manager [email protected]) in the Systems Roundtables room. The prototype uses sample screens patterned after Utahs EDEN system. Thanks to Barry Nangle and his Utah staff for their assistance. Gateway to the Future: Improving the National Vital Statistics System St. Louis, MO June 6th June 10th, 2010

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