Michigan Association of Medical Examiners Annual Meeting Medical Examiner Data Exchange

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1 Michigan Association of Medical Examiners Annual Meeting 2012 Medical Examiner Data Exchange Steven C. Clark, PhD, Director Occupational Research and Assessment National System Administrator (NamUs) Educational Consultant (ABFO/ABMDI/BFDE) Jeffrey M. Jentzen, MD, PhD Washtenaw County Medical Examiner Clinical Professor of Pathology University of Michigan Ann Arbor

2

3 Why Exchange Data? 1. Death investigation is multidisciplinary. 2. Various MOD and COD require multiple agency involvement. 3. Participant agencies have their own data collection system(s) and storage methods or nothing. 4. Oftentimes, people who do bad things move. 5. Staffing. there s just too much!

4 Who uses Medical Examiner Data? 1. The medical examiner s office 2. Local county/region 3. State health agencies 4. State OPO 5. Federal government agencies/projects

5 Death Investigation Data who has it? 1. Medical Examiner/Coroner Offices (69%) 2. Law Enforcement Agencies (26%) 3. Public Health Agencies (4%) NAME/NVDRS Data Source Survey, 2008

6 Medical Examiner Statutes what case data? Michigan

7 Wisconsin

8 Indiana

9 Ohio

10 NIJ 2011

11 NIJ 2011

12 Deaths Requiring Investigation NAME 2012

13 Deaths Requiring Forensic Autopsy NAME 2012

14 Office Inspection & Accreditation Programs Ensures Policy and SOP are in place and followed. Requires DOCUMENTATION. Requires Data Systems and Reporting

15 Good News?

16 Bad News?

17 Data Imports - NamUs NCIC exported cases into NamUs State UID cases into NamUs NamUs-UP <> NamUs-MP NamUs-UP > NamUs-UC

18

19 Two Pilot Projects Compliance and Efficiency MDI > EDRS MDI <> Gift of Life Michigan

20 Building a Data Bridge Between an Existing Medical Examiner Case Management System and Michigan s Electronic Death Registry System (EDRS) Project 1 A pilot project with Washtenaw County, (Ann Arbor MI)

21 Death Certificate Worksheet

22 Step 1: Exporting DC Data from MDILog More of a data push

23 Step 2: Note Location of Exported File

24 Step 3: Log into EDRS

25 Step 4: Add New Record to EDRS

26 Step 5: Add Basic Information and Search

27 Step 6: No Match? Click Create New Case

28 Step 7: Import DC Data

29 Step 8: Browse and Open File to Import

30 Step 9: Data is Imported and Fills DC

31 Project: 54 hours over 57 days Estimated to save Washtenaw County ~82 hours of typing per year.

32 Project 2 Building a Data Bridge Between an Existing Medical Examiner Case Management System and Gift of Life Michigan (OPO) A pilot project with Washtenaw County and Michigan Gift of Life

33 ME <> Gift of Life Michigan Talk Less Communicate More Identify case criteria for referrals. Automatic transfer of essential data from ME to GoL call center. Timely reporting of OPO intentions to medical examiner office. Referred - Release Hold - Donated Reduce phone calls, increase productivity.

34 MDI Worksheet - Basics Case Administration Decedent Information Circumstances Suspected MOD and COD Postmortem Observations Next of Kin Notification Suspected Medical Conditions

35 MDI Worksheet

36 If GoL Criteria satisfied > case is referred automatically Once a case is referred a Gray Heart icon appears in the case log

37 Case is NOT ruled-out, but is still missing data it s Pending to see what data is missing open the case and look at the bottom of the MDI worksheet.

38 Pending - Show missing items

39 Once Gray the case appears instantly at the GoL call center for review. If GoL wants to pursue the case the heart turns Yellow with details for the ME

40 Released If GoL does not want to pursue the case the heart turns Green with details.

41 Medical Examiner office and OPO can message each other case by case. Communication Log

42 When recovery takes place heart turns Red.

43 Washtenaw County has increased referrals from 26 in 2011 to 71 as of last week. All 71 referrals were made automatically.

44 12 Counties Currently Online

45

46

47 All Michigan Medical Examiners can participate without charge using the free version of the MDILog case management system. User Names and PIN numbers are here for Medical Examiners.

48 Questions?

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