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
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!
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
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
Medical Examiner Statutes what case data? Michigan
Wisconsin
Indiana
Ohio
NIJ 2011
NIJ 2011
Deaths Requiring Investigation NAME 2012
Deaths Requiring Forensic Autopsy NAME 2012
Office Inspection & Accreditation Programs Ensures Policy and SOP are in place and followed. Requires DOCUMENTATION. Requires Data Systems and Reporting
Good News?
Bad News?
Data Imports - NamUs NCIC exported cases into NamUs State UID cases into NamUs NamUs-UP <> NamUs-MP NamUs-UP > NamUs-UC
Two Pilot Projects Compliance and Efficiency MDI > EDRS MDI <> Gift of Life Michigan
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)
Death Certificate Worksheet
Step 1: Exporting DC Data from MDILog More of a data push
Step 2: Note Location of Exported File
Step 3: Log into EDRS
Step 4: Add New Record to EDRS
Step 5: Add Basic Information and Search
Step 6: No Match? Click Create New Case
Step 7: Import DC Data
Step 8: Browse and Open File to Import
Step 9: Data is Imported and Fills DC
Project: 54 hours over 57 days Estimated to save Washtenaw County ~82 hours of typing per year.
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
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.
MDI Worksheet - Basics Case Administration Decedent Information Circumstances Suspected MOD and COD Postmortem Observations Next of Kin Notification Suspected Medical Conditions
MDI Worksheet
If GoL Criteria satisfied > case is referred automatically Once a case is referred a Gray Heart icon appears in the case log
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.
Pending - Show missing items
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
Released If GoL does not want to pursue the case the heart turns Green with details.
Medical Examiner office and OPO can message each other case by case. Communication Log
When recovery takes place heart turns Red.
Washtenaw County has increased referrals from 26 in 2011 to 71 as of last week. All 71 referrals were made automatically.
12 Counties Currently Online
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.
Questions?