Larry Nielsen, MHSProgram Manager, Vital Statistics Improvement

NAPHSIS/NCHS Joint Annual MeetingJune 2-6, 2013

Enhancing SecurityWith STEVE

Extending Our Reach Through PartnershipsJune 2-6, 2013 Phoenix, Arizona

Security Topics• Transmission of records• Birth-Death matching• Sharing data with partner programs

Introducing STEVE• State and Territorial Exchange of Vital Events• Point-to-Point messaging system developed by

NAPHSIS• Implementation in all jurisdictions by 2014• Allows secure exchange of vital record data

between jurisdictions• Provides for a “mailboxes” for data partners to

receive in-state and out-of-state files

Transmission of Vital Records

InternetInternet

STEVE Installation in Jurisdiction A

STEVE Installation in Jurisdiction B

PHINMS

TMTM

STEVE provides point-to-point exchange of vital record data between jurisdictions using a standard flat file format and the CDC’s PHINMS secure

messaging pipeline.

DeathRecords

Death Data Files

IJE MortalityFile

HIHI

MDMD

PAPA

GMGM

Exchange rules configured by each jurisdiction will reside in its TM and will “filter” data transmitted to other jurisdictions.

NCHS

NCHS

ElectronicRecords of

Death

Filter configuredto jurisdiction’s specifications

for data exchange

NCHSNCHS

State and Territorial Exchange of Vital Events (STEVE) InstallationsUpdated May, 2013

Alaska

CaliforniaBDR

IdahoBDRF

OregonBDR

WashingtonBDR

MontanaBDR

Wyoming

UtahBDR

Colorado

ArizonaB New Mexico

BDRI

Texas

OklahomaBD

KansasBDRF

NebraskaBDRF

South DakotaBDR

North DakotaBDR

MinnesotaBDRF

WisconsinB

IowaBR

Illinois

OhioBDRIndiana

BDR

Kentucky

WVBDR Virginia

N. CarolinaBDR

Georgia

Florida BDRF

AlabamaBDRFI

MS

MissouriBDF

ArkansasBDR

LA

Nevada

Hawaii

Michigan

PennsylvaniaNJ BD

New YorkCT

MA

VT

NH

Maine

Tennessee

MD BDR

DE

RI

DCBDF

S. Carolina

Installed

Planning/In Progress Puerto Rico

Guam

U.S. Virgin Islands

American Samoa

Northern Mariana Islands

BDF

NYC

Exchanging Birth (B), Death (D), Fetal Death (F), Roster (R), ITOP (I) files * Exchanging non-revised files

Birth-Death Matching

State and Territorial Exchange of Vital Events (STEVE) InstallationsUpdated May, 2013

Alaska

CaliforniaBDR

IdahoBDRF

OregonBDR

WashingtonBDR

MontanaBDR

Wyoming

UtahBDR Colorado

ArizonaB New Mexico

BDRI

Texas

OklahomaBD

KansasBDRF

NebraskaBDRF

South DakotaBDR

North DakotaBDR

MinnesotaBDRF

WisconsinB

IowaBR

Illinois

OhioBDRIndiana

BDR

Kentucky

WVBDR Virginia

N. CarolinaBDR

Georgia

Florida BDRF

AlabamaBDRFI

MS

MissouriBDF

ArkansasBDR

LA

Nevada

Hawaii

Michigan

PennsylvaniaNJ BD

New YorkCT

MA

VT

NH

Maine

Tennessee

MD BDR

DE

RI

DCBDF

S. Carolina

Installed

Planning/In Progress Puerto Rico

Guam

U.S. Virgin Islands

American Samoa

Northern Mariana IslandsBDF

NYC

Exchanging Birth (B), Death (D), Fetal Death (F), Roster (R), ITOP (I) files * Exchanging non-revised files

Sharing data with Partner Programs

Extending Our Reach Through PartnershipsJune 2-6, 2013 Phoenix, Arizona

Authorized Data Partner Programs• Child Health Registries/Surveillance• Infant/Child Death Reviews• Child Support Enforcement• Healthy Start Programs• Disease Registries• State Eligibility Programs• PRAMS• NVDRS• Voter Registration

Extending Our Reach Through PartnershipsJune 2-6, 2013 Phoenix, Arizona

Authorized Data Partner Programs

• Other federally-funded surveillance programs operated by the jurisdiction

• Health research per IJE agreement• Private sector organizations operating on

behalf of jurisdiction

I don’t always use PowerPoint,

but when I do …

I like to put entire spreadsheets on one slide.

Extending Our Reach Through PartnershipsJune 2-6, 2013 Phoenix, Arizona

Interjurisdictional Exchange Rules

IJE MortalityFile

Jurisdictions will also configure exchange rules for sending vital record data to approved programs at home and in other jurisdictions.

ElectronicRecords of

Death

Filter configuredto jurisdiction’s specifications

for data exchange withpublic health and other

approved programs

Disease Registry

Voter Registration

NVDRS

State Eligibility Program

Advantages of STEVE• Vital Records agency able to satisfy multiple

requests with a single extract• Data will be more timely• Data partner programs will receive resident’s

deaths that occurred in other jurisdictions• Jurisdiction controls what data partners in other

jurisdictions may receive

Planning for STEVE• Contact STEVE implementation manager• Work with your NCHS project manager to get

certified to transmit to NHCS• Examine current and best methods of

transmitting data to partners– Extract data from STEVE mailbox files instead of

production database– Decide whether to give mailbox access to partners or

to pull data for them

Extending Our Reach Through PartnershipsJune 2-6, 2013 Phoenix, Arizona

Questions?

Larry NielsenProgram Manager, Vital Statistics Improvementlnielsen@naphsis.org