HB 618 allows physician assistants, assistant physicians and advanced practice registered nurses in addition to physicians and coroners/medical examiners to medically certify death certificates.

This bill requires DHSS to notify all physicians and the professions noted above of the requirements regarding use of MoEVR. Letters are being drafted to these medical professions and the MO Funeral Directors Association concerning the implementation of this legislation. DHSS expects for the notification to all professionals noted in HB 618 to be sent by the end of December 2015. DHSS is working with Missouri State Medical Association, Missouri Association of Osteopathic Physicians and Surgeons, Missouri Hospital Association, Missouri Professional Registration, Missouri Chapter - American College of Cardiology, Missouri Academy of Physician Assistants, Missouri Nurses Association, Association of Missouri’s Nurse Practitioners, Missouri Coroner’s and Medical Examiner’s Association, Missouri Funeral Directors and Embalmers Association to notify the above referenced professions of the changes outlined in HB 618.

The bill allows the medical certifier to designate any other person to enter the medical certification information into MoEVR if the medical certifier has physically or by electronic process signed a statement stating the cause of death. MoEVR currently has a data entry role that will allow someone other than the certifier to enter the information. The language does not allow someone other than the certifier to electronically certify the record. If a medical certifier chooses to designate someone to enter, into MOEVR, the medical certification information on the physician’s behalf, a User Access Request form is required from the user requesting access as the appropriate data entry clerk. The medical certifier must be listed and the form signed by the user and the medical certifier for processing of the form to occur.

DHSS is also required to create a working group to evaluate the electronic vital records system and develop recommendations to improve the efficiency and usability of the system by January 1, 2016.

A brief presentation highlights why Vital Records are collected and how the information collected is utilized in research and in allocating funding for prevention educational efforts.