New Jersey Mandatory EDRS

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New Jersey Mandatory EDRS

• Fax Hybrid - Interim Option
• for Physician Compliance
• Presented by Joseph A. Komosinski, State
  Registrar
• 609.984.3445 joseph.komosinski_at_doh.state.nj.us

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Phased Approach to Training

• Pilot Completed May 2007
• Training of Registrars, Funeral Directors and 3
  medical facilities in the pilot county.
• Medical Examiners statewide were trained during
  the pilot
• Phase I June 2007, Concurrent training of
• 566 Local Registrar Offices
• Training by State Registrar
• Target completion by Oct 2007
• 800 Funeral Homes
• Training by the New Jersey Funeral Directors
  Association
• Target completion by Oct 2008

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Phased Approach to Training (continued)

• Phase II Training of Medical Facilities
• Hospitals, Long Term Care, Nursing Homes, Hospice
  
• 1200 Medical facilities to be trained in total
• Training by State Registrar Director of Health
  Statistics
• Medical Facilities who have approached the
  Department will receive training in Fall 2007
• Remaining Medical Facilities will receive
  training beginning Spring of 2008
• Phase III Training of Private Practice
  Physicians
• Training to commence upon the conclusion of Phase
  II
• Physicians can self-register and utilize on-line
  tutorials

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Physician Self-Registration
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Fax Hybrid Compliance

• Physician has not been trained and has not self
  registered to use the EDRS
• Physician completes the paper death certificate
• The Funeral Director obtains the paper death
  certificate when the body is picked up
• Funeral Director completes Demographic
  Information in the EDRS
• Funeral Director selects to process manual
  medical information and the Fax Hybrid begins
• The EDRS prints a bar coded cover sheet that
  corresponds to the death certificate being
  processed. The Funeral Director faxes the cover
  sheet and the paper death certificate completed
  by the physician to the EDRS server

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Back End Processing

• Fax Hybrid document is electronically transmitted
  to the State Registrar
• The State staff enters the medical information
  into the EDRS and the completely electronic
  record becomes the permanent record on file.
• The record is accessible by the State and Local
  Registrar to print a paper copy for the archives
  and for certified copies.

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Measurable Success

• Prior to implementation of Fax Hybrid Option
• Since they were forced to re-enter all the data
  on the paper certificate Funeral Directors
  utilization of the system within the pilot county
  dropped to an all time low of less than 1
• Many began to view the system as optional and
  legislation to make participation voluntary was
  introduced
• Following implementation of Fax Hybrid Option
• Funeral Directory participation soared to an all
  time high of 82 within the pilot county
• The proposed legislation was pulled
• The Funeral Directors Association dedicated
  staff, funding and training to the statewide
  deployment
• Medical facilities and physicians are requesting
  training