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					                                             Electronic Death Registration System (EDR)

                                                      Stakeholder Survey Results

                                                             April 6, 2009




                                    Prepared by: Marty Henson, Director, Survey Operations Unit
                                            Office of Data, Research, and Vital Statistics
                                                 Division of Public Health Systems
                                          Maine Center for Disease Control and Prevention
                                              244 Water St, Augusta, ME 04333-0011


Special thanks to the individual survey respondents, to Sally Belanger at the Maine Funeral Director’s Association, Sharon Blodgett at
 the Maine Municipal Association, Gordon Smith at the Maine Medical Association, Patty Brochu at the Old Town Municipal Office
   and to the staff at the Office of Data, Research, and Vital Statistics including specifically, Bernadette Philbrick, Tonia Sirois, and
                     Suzanne LeDoux who assisted with survey administration, database file creation, and data entry.




                                                                                                                  Page 1 of 95
                                                       Table of Contents


                           Section                              Page Number
Executive Summary                                                       2
Methodology                                                             4
Results from Unduplicated Responses, All Professions                    6
Results from Municipal Clerks                                          28
Results from Funeral Directors                                         44
Results from Physicians                                                61
Appendices
A - EDR Cover Letter Information Sheet                                     80
B - Paper EDR Survey                                                       81
C - Online EDR Survey                                                      85




                                                                                Page 1 of 95
                                                         Executive Summary

In October 2008, the Maine Center for Disease Control and Prevention (Maine CDC), using funds from a federal CDC Pandemic Flu
grant, began development and implementation of an Electronic Death Registration (EDR) system for Maine. The Survey Operations
Unit of the Office of Data, Research, and Vital Statistics was asked to administer a survey to potential users of an EDR system in
Maine. The goal was to analyze and provide information collected and to present reported computer and staffing capabilities among
those individual stakeholders most likely to participate in the death registration process.

The data collection effort was active during the months of December 2008 and January 2009. Using both paper and online surveys,
information was collected from physicians, medical examiners, municipal clerks, funeral directors, physician assistants, and nurse
practitioners, all professionals who would likely need to use an EDR.

Data from the surveys were analyzed in February and March 2009.

Response to the EDR stakeholder survey varied from profession to profession and by geographical location within the state. Nearly
all funeral homes were represented by a completed survey from the business owner/funeral director who responded for multiple
physical business locations throughout the state. Responses for municipal clerks ranged from 32% of municipalities represented in
Lincoln County to 72% in Knox County. Overall nearly half of municipalities were represented by at least one respondent in the
survey. For physicians, response was low overall, with the lowest response from Aroostook, Oxford, and Penobscot counties.
However, nearly one quarter of the physicians believed to certify deaths responded in Washington, Somerset, and Piscataquis
counties.

While professionals expressed some uncertainty about an EDR system, municipal clerks were most unsure about participation with an
EDR. Overall, about half of the respondents believe they would participate in an EDR system and one third would like more
information about this system. All professionals expressed some uncertainty. Clearly educating potential users about the computer
hardware and software for an EDR will be a high priority for the project.

The majority of physician offices, municipalities, funeral homes and other worksites all have personal computers onsite. Most
respondents have internet access at their work locations and use Microsoft Internet Explorer as their browser. Only a small percent of
worksites do not use Adobe Acrobat Reader to view and print forms. The majority of respondents use a digital subscriber line (DSL)
to access the internet with cable TV or fiber as the next most common method of access. Funeral directors and municipal clerks are
more likely to use DSL to access the internet while physicians and medical examiners cited cable TV or fiber as their method of
access. More than 80% of respondents will allow staff to use the current computer hardware at their worksites to access an EDR.


                                                                                                                Page 2 of 95
Funeral directors were most likely to allow this computer use (92%), followed by municipal clerks (89%), physicians (75%), and
medical examiners (52%).

These results, from self-reported data, provide only a small snapshot of the computer capabilities available at various worksites within
the state for handling a new EDR system. The survey was intended to both gather information and begin the process of alerting
stakeholders that an EDR system for Maine was planned. While important information was gained by undertaking this initiative,
questions still exist about the characteristics and computer capabilities at other Maine worksites which may want to utilize the EDR
when it is fully implemented in 2010.




                                                                                                                 Page 3 of 95
                                                             Methodology

In October, 2008 the Survey Operations Unit at the Office of Data, Research, and Vital Statistics (ODRVS) was asked to administer a
survey to potential users of a new Electronic Death Registration System (EDR) and report results back to a working group assembled
to develop an EDR system in Maine.

Survey development began in earnest in November, 2008. Questions were developed and reviewed by staff at ODRVS, the Office of
Information Technology (OIT), by Robert Rosofsky (Health Information Systems Consulting), Sally Belanger (Executive Director at
the Maine Funeral Directors Association), and Gordon Smith (Executive Director at the Maine Medical Association). Surveys were
finalized in late November.

The online survey was prepared using Survey Monkey, an online software package whose company’s website is based in Oregon,
using Maine CDC rights to access the software. An accompanying paper version of the survey was prepared for each profession.

Each profession was provided a link to the ODRVS website where each person could click on their occupation and be directly routed
to the online survey to complete.

Online and paper data collection began in December. Below is the detail of this survey initiative.


CONTACTS

Funeral Directors                             Survey was emailed on December 1-3, 2008 to Maine Funeral Directors by Sally
                                              Belanger. Those with no email address on file were mailed a copy of the survey and
                                              the survey website link from the Maine Funeral Director’s Association.
Municipal Clerks                              Online web address and electronic versions of paper surveys were emailed to Patti
                                              Brochu, Old Town Municipal Clerk, who emailed the information to the Maine
                                              Municipal Association who in turn emailed a request for completion of the survey to
                                              members of their municipal clerk mailing list (n=749). The survey was emailed to the
                                              clerks on December 2, 2008. Municipal clerks who were not emailed a survey were
                                              sent a hard copy on December 16th from ODRVS.



                                                                                                                      Page 4 of 95
Physicians                                   The website link for physicians was included in the Maine Medical Association’s
                                             weekly e-newsletter on December 8th and again two weeks later. On December 15th,
                                             ODRVS staff sent paper surveys to physicians most likely to certify deaths
                                             (n=2,139).
Medical Examiners                            A list of medical examiners in Maine was received in mid-December. This list was
                                             compared to the list of physicians who had already received paper copies of the
                                             survey. It was determined that 78 medical examiners had not received a copy
                                             through the physician mailing and were send one on December 19th.
Physician Assistants                         Paper surveys were mailed to physician assistants whose supervising physician had
                                             not received a copy of the survey. This mailing went out December 29, 2008
                                             (n=213).
Nurse Practitioners                          Paper surveys were mailed to nurse practitioners whose supervising physician had
                                             not received a copy of the survey. This mailing went out January 7, 2009 (n=48).

RESPONSE EFFORTS

Online responses were monitored using the Survey Monkey software. Paper surveys were tracked and data entered by staff as needed,
again using Survey Monkey.

Sally Belanger, Executive Director of the Maine Funeral Directors Association, conducted follow-up of funeral directors who did not
respond. To economize on time and resources to connect with funeral directors, she elected to contact owners/funeral directors of
businesses with multiple worksite locations. Through her efforts, Ms. Belanger helped achieve over a 90% response rate for this
profession.

A notice about the survey was published twice in the Maine Medical Association’s weekly e- mail newsletter for physicians.

Sharon Blodgett, of the Maine Municipal Association, emailed the municipal clerks several times to remind them to complete the
survey.

Dr. Margaret Greenwald, Chief Medical Examiner of the State of Maine, followed-up with medical examiners encouraging them to
complete the survey.


                                                                                                                     Page 5 of 95
While data collection is still open, data for the analysis of this report was closed on February 2, 2009. Data from Survey Monkey was
downloaded to an Excel file, edited, and analyzed in February.




                                                                                                                       Page 6 of 95
                                                   Results from Unduplicated Responses, All Professions


Formal data collection closed February 2, 2009. By this date, overall 703 complete and partial unduplicated responses were recorded
with the Survey Monkey software, 346 (49.2%) of these responses to the survey questions were completed online by survey
respondents. The remaining 357 paper responses (50.8%) were returned to ODRVS and data entry was completed by office staff.

                                 Response to EDR Survey by Profession
Profession                              Number of responses   Response Percent
                                                              for All Responses
Funeral Directors*                                       97         13.8%
Municipal Clerks                                        261         37.1%
Allopathic Physician (MD)                               242         34.4%
Osteopathic Physician (DO)                               47          6.7%
Medical Examiner                                         12          1.7%
Medical Examiner/Allopathic Physician                    15          2.1%
Medical Examiner/Osteopathic Physician                    7          1.0%
Physician Assistant                                      15          2.1%
Nurse Practitioner                                        4         <1.0%
Other                                                     1         <1.0%
Health Information Personnel                              2         <1.0%
Total                                                   703        100.0%
* Number of respondents represent nearly all funeral establishments in Maine.

The following data are based on unduplicated respondents (n=703) who gave their names as noted in the table above, other sections of
this report will include the responses from select individual professions with adequate response rates.

Of the unduplicated respondents, all provided email addresses for the primary respondent. Sixty-four of the 118 who suggested
someone else as the primary contact provided an email address for that person.


Participation in EDR

        49% (n=342) of respondents expect to participate in a new electronic death registration system.
        13% (n=88) of respondents do not expect to participate.
        38% (n=269) of respondents are not sure if they will participate in a new EDR system and would like more information.

NOTE: Totals may not sum to 100.0% due to rounding.                                                                       Page 7 of 95
Funeral directors are the most likely to participate in a new EDR while municipal clerks are the most unsure about participation in the
system.

   EDR Participation            Funeral Directors       Municipal Clerks      Physicians      Medical Examiners
Yes                                          90.5%                  34.9%           45.6%                73.5%
No                                            4.2%                   6.5%           20.6%                 5.9%
Unsure                                        5.3%                  58.6%           33.8%                20.6%


Of those individuals not expecting to participate, 38% reported that they were retired, 11% were not working, and 34% had some other
reason for not participating. 16% said they had no online capabilities. The remaining percentage had no response to the question.

                                        All Responses
 Reasons for not
 expecting to Participate
 with EDR                             Number Percent
 Currently not working                    10 11.4%
 Retired                                  33 37.5%
 No online capabilities                   13 14.8%
 No online capabilities but
 would like to participate                   1   1.1%
 Other                                      30 34.1%
 No response                                 1   1.1%
 Total                                      88 100.0%


Of the responses from those who do not expect to participate, write-in responses could be characterized as:

 Responses for Not Participating in EDR                            Number
 Not working/retired                                                    2
 Little need for system, small size town                                3
 Respondent does not handle deaths                                     16
 Computer too slow, does not save time, respondent does not
 use computers                                                            2
 Respondent does not want to, adds work to staff, would not be
 effective                                                                2
NOTE: Totals may not sum to 100.0% due to rounding.                                                                          Page 8 of 95
 Limited online capabilities                           1
 Respondent still does work manually                   4
 Total                                                30




NOTE: Totals may not sum to 100.0% due to rounding.        Page 9 of 95
Among respondents who are not sure if they will participate with a new EDR, nearly 59% were municipal clerks. With the exception
of the funeral directors (5% are unsure), one third or more of the other professions are uncertain about participation and need more
information about an EDR.

Responses for Those Uncertain of Participation with EDR and Need More Information
                                                                                                              Percent Who are
                                                Number of responses     Percent of         Total Number       Uncertain about
Profession                                        to this question      Responses           of Survey           EDR Within
                                                                                            Responses            Profession
Funeral Directors                                                5                1.9%                97                   5.2%
Municipal Clerks                                               153               56.9%               263                  58.2%
Allopathic Physician (MD)                                       81               30.1%               242                  33.5%
Osteopathic Physician (DO)                                      16                5.9%                47                  34.0%
Medical Examiner                                                 1               <1.0%                12                      **
Medical Examiner/Allopathic Physician                            5                1.9%                15                  33.3%
Medical Examiner/Osteopathic Physician                           1               <1.0%                 7                      **
Physician Assistant                                              6                2.2%                15                  40.0%
Nurse Practitioner                                               0                0.0%                 4                      **
Other                                                            1               <1.0%                 1                      **
Health Information Personnel                                     0                0.0%                 2                      **
Total                                                          269              100.0%               820
**Numbers too small.




NOTE: Totals may not sum to 100.0% due to rounding.                                                                       Page 10 of 95
Personal Computers at Worksite

       90% (n=634) of respondents have a personal computer at their worksite.
       2% (n=13) of respondents do not have a personal computer at their worksite.
       8% of respondents did not respond to the question.

Of those who responded to the question, nearly all professions have computers at the worksite.

Personal Computers at Worksite by Select Professions
               Funeral Directors       Municipal Clerks            Physicians         Medical Examiners
              Definitive Responses    Definitive Responses    Definitive Responses    Definitive Responses
              Number       Percent    Number      Percent     Number      Percent     Number      Percent
Yes                  93      100.0%       249        97.7%        239        97.6%          31       97.0%
No                    0        0.0%          6        2.3%           6        2.4%           1        3.0%
Total                93      100.0%       255      100.0%         245      100.0%           32      100.0%



While most respondents could answer questions about their worksite personal computer, more than a quarter of respondents were
unsure about the screen resolution of their computer monitor or whether they had a TWAIN-compliant scanner.

 Question                                                                 No               Total                    Total
   Topic        Yes    Percent    No Percent        Unsure      Percent Response Percent Responses                 Percent
Screen          401       63.3     2     0.3           179         28.1       52     8.2       634                   100.0
resolution
of at least
1024 by
768 pixels
Windows          45         7.1 228         36.0         16          2.5             345     54.4            634    100.0
98 SSE or
ME
Windows         556        87.4       9       1.4        12          1.9              59      9.3            634    100.0
2000 or
Windows
XP
Windows          51         8.0 245         38.6         16          2.5             322     50.8            634    100.0
VISTA
NOTE: Totals may not sum to 100.0% due to rounding.                                                                          Page 11 of 95
 Question                                                             No               Total          Total
   Topic      Yes    Percent No Percent           Unsure    Percent Response Percent Responses       Percent
Macintosh      19        3.0 269   42.4               12        1.9      334    52.7       634         100.0
or other
operation
system
Microsoft     581        91.6      1        0.2         3      0.5       49       7.7          634     100.0
Internet
Explorer
Other Web     112        17.5 154         24.2         17      2.7      352      55.5          634     100.0
Browser
Adobe         567        89.4      5        0.8         8      1.3       54       8.5          634     100.0
Acrobat
Reader
Available     488        77.0     15        2.4        19      3.0      112      17.7          634     100.0
USB port
Fingerprint     31        4.9 348         54.9         40      6.3      215      33.9          634     100.0
reader
Microsoft     440        69.4     46        7.2        33      5.2      115      18.1          634     100.0
Word
2000 or
higher
TWAIN-        132        20.8 123         19.4        183     28.9      196      31.0          634     100.0
compliant
scanner

Many respondents on the paper version of the survey did not completely fill out the chart. “Yes” responses were clearly marked.
Quite often there were no “No” responses checked off at all, rather the response to the item would be left totally blank. One might
assume that “No response” might equate to a “No”. If that is the case, the previous chart would read:
 Question                                                             No                    Total      Total
   Topic      Yes Percent No Percent Unsure Percent Response Percent Responses Percent
Screen        401      63.3 54         8.5      179        28.2                                 634     100.0
resolution
of at least
1024 by
768 pixels
NOTE: Totals may not sum to 100.0% due to rounding.                                                                         Page 12 of 95
 Question                                                             No               Total      Total
   Topic      Yes    Percent No Percent           Unsure    Percent Response Percent Responses   Percent
Windows        45        7.1 574   90.5               16        2.5                        634     100.0
98 SSE or
ME
Windows       554        87.4     68      10.7         12      1.9                         634    100.0
2000 or
Windows
XP
Windows         51        8.0 567         89.4         16      2.5                         634    100.0
VISTA
Macintosh       19        3.0 603         95.1         12      1.9                         634    100.0
or other
operation
system
Microsoft     581        91.6     50        7.9         3      0.5                         634    100.0
Internet
Explorer
Other Web     112        17.7 506         79.8         17      2.7                         634    100.0
Browser
Adobe         567        89.5     59        9.3         8      1.3                         634    100.0
Acrobat
Reader
Available     488        77.0 127         20.0         19      3.0                         634    100.0
USB port
Fingerprint     31        4.9 563         88.8         40      6.3                         634    100.0
reader
Microsoft     440        69.4 161         25.4         33      5.2                         634    100.0
Word
2000 or
higher
TWAIN-        132        20.8 320         50.3        183     28.9                         634    100.0
compliant
scanner



NOTE: Totals may not sum to 100.0% due to rounding.                                                        Page 13 of 95
Internet Explorer

Over two thirds of those who had Internet Explorer on their computers and knew the version number indicated version 7.0 or higher.
Very few had an Internet Explorer version less than 6.0.

 Version of Internet Explorer on Computer
                                                                            Definitive
                       All Responses                                        Responses
  Version           Number       Percent                                 Number    Percent
 Less than 6.0             7          1.2%     Less than 6.0                  7        1.8%
 6.0                    116          20.0%     6.0                          116      29.7%
 7.0 or higher          267          46.0%     7.0 or higher                267      68.5%
 Don't know             177          30.5%     Total                        390     100.0%
 Doesn't apply           12           2.1%
 No response               2          0.3%
 Total                  581         100.0%

Version of Internet Explorer on Computer by Select Professions
              Funeral Directors       Municipal Clerks              Physicians        Medical Examiners
             Definitive Responses    Definitive Responses      Definitive Responses   Definitive Responses
 Version     Number       Percent    Number      Percent       Number      Percent    Number      Percent
Less than            1        1.5%          2        1.3%             1        0.8%          2       11.8%
6.0
6.0                 24      35.8%         45       29.0%            33       26.6%          5       29.4%
7.0 or              42      62.7%        108       69.7%            90       72.6%         10       58.8%
higher
Total               67    100.0%         155     100.0%            124     100.0%          17     100.0%




NOTE: Totals may not sum to 100.0% due to rounding.                                                                      Page 14 of 95
Other Web Browser

For those who indicated they had some other web browser, 75% reported Firefox as the type/brand. 14% mentioned a Safari product.

 Other type of browser
                           All Responses
                         Number      Percent
 Firefox 3 or higher            55     49.5%
 Firefox less than 3             3       2.7%
 Safari 3.2                      8       7.2%
 Safari 3.1                      0       0.0%
 Safari 3.0                      2       1.8%
 Safari less than 3.0            2       1.8%
 Other                          21     18.9%
 Does not apply                  0       0.0%
 No response                    20     18.0%
 Total                         111    100.0%

                                      Definitive
                                      Responses
                                   Number    Percent
 Any mention just Firefox              68        76.4
 Any mention just Safari               12        13.5
 Both Firefox and Safari                4         4.5
 Other                                  5         5.6
                                       89       100.0




NOTE: Totals may not sum to 100.0% due to rounding.                                                                   Page 15 of 95
Pop-up Blocker

While 15% (n=95) respondents did not know if their browser had a pop-up blocker enabled, 75% (n=478) indicated that they believed
their browser did.

 Pop-up blocker enabled?
                                                         Definitive
                         All Responses                   Responses
                       Number      Percent            Number    Percent
 Yes                         478     75.4%    Yes        478      92.1%
 No                           41       6.5%   No          41        7.9%
 Unknown                      95     15.0%    Total      521     100.0%
 No response                  20       3.1%
 Total                       634    100.0%




NOTE: Totals may not sum to 100.0% due to rounding.                                                                    Page 16 of 95
Adobe Acrobat Reader

89% of respondents with computers indicated that Adobe Acrobat Reader (used to view and print forms) was installed on their
personal computer. 44% who knew the version number indicated that 7.0 was the particular version of their software.

 Adobe Acrobat Reader
                                                               Definitive                     Definitive plus No               Definitive plus
                           All Responses                       Responses                     Response Responses               Unsure Responses
                         Number       Percent               Number    Percent                Number       Percent            Number      Percent
 Yes                            567      89.5%   Yes           567      99.1%    Yes              567       90.6%   Yes          567       89.4%
 No                               5       0.8%   No              5        0.9%   No+NR*            59        9.4%   No            59        9.3%
 Unsure                           8       1.3%   Total         572     100.0%    Total            626     100.0%    Unsure         8        1.3%
 No response                     54       8.5%                                                                      Total        634     100.0%
 Total                          634    100.0%
*NR = No Response



 Version of Acrobat Reader on computer
                                                                            Definitive
                              All Responses                                 Responses
 Version Number             Number     Percent                           Number Percent
 Less than Version 6.0            11      1.9%   Less than Version 6.0       11       2.9%
 Version 6.0                      50      8.8%   Version 6.0                 50      13.2%
 Version 7.0                    168     29.6%    Version 7.0                168      44.4%
 Version 8.0                      60    10.6%    Version 8.0                 60      15.8%
 Version 9.0                      89    15.7%    Version 9.0                 89      23.5%
 Unknown                        181     31.9%    Total                      378     100.0%
 Does not apply                    3      0.5%
 No response                       5      0.9%
 Total                          567    100.0%




NOTE: Totals may not sum to 100.0% due to rounding.                                                                           Page 17 of 95
Antivirus Software

84% of all respondents have antivirus software installed on their computers. 43% indicated some vendor other than McAfee or
Norton as their antivirus software vendor.

 Antivirus software installed on computer?
                                                          Definitive
                        All Responses                     Responses
                      Number      Percent              Number    Percent
 Yes                      532        83.9%    Yes         532      97.3%
 No                         15        2.4%    No           15        2.7%
 Unknown                    72       11.4%    Total       547     100.0%
 No response                15        2.4%
 Total                    636      100.0%

 Vendor for the antivirus software?
                                                                    Definitive
                        All Responses                               Responses
                      Number      Percent                        Number    Percent
 McAfee                   110        20.7%    McAfee                110      24.3%
 Norton                   146        27.4%    Norton                146      32.3%
 Other                    196        36.8%    Other                 196      43.4%
 No response                80       15.0%    Total                 452     100.0%
 Total                    532      100.0%



Other antivirus software/vendors reported:

Software/Vendor

ADAware SE Personal
AVAST Professional
AVG
Avast
Avira
Barracuda
NOTE: Totals may not sum to 100.0% due to rounding.                                                                    Page 18 of 95
Computer Associates
Command Antivirus
ETrust
Fairpoint
Hospital or VA IT Department
Kaspersky
McAfee and Norton
Microsoft
PC Tools Spyware
Pioneer Wireless
Panda
Pest Control
Postini
Roadrunner
Security Architecture
Sophos
Spybot
Symantec
Trend Micro
Trust
Various products
Virus Scan
Web Impressions
Window Firewall




NOTE: Totals may not sum to 100.0% due to rounding.   Page 19 of 95
Of those respondents responding to whether antivirus software is up to date with current virus lists, nearly all are current with their
software.

 Antivirus software up to date with current virus lists?
                                                              Definitive
                          All Responses                       Responses
                       Number       Percent                Number    Percent
 Yes                        426        80.1%      Yes         426      99.3%
 No                            3        0.6%      No            3        0.7%
 Unknown                      92       17.3%      Total       429     100.0%
 No response                  11        2.1%
 Total                      532       100.0%



Of all respondents to this question, 74% regularly run a scan of their computer to remove viruses, Trojan horses, malware, key
loggers, etc.

 Regularly run a scan to remove viruses, Trojan horses, malware, key loggers,
 etc?
                         All Responses                  Definitive Responses
                     Number       Percent               Number        Percent
 Yes                       393       73.9% Yes               393        87.3%
 No                          57      10.7% No                  57       12.7%
 Unknown                     69      13.0% Total             450       100.0%
 No response                 13        2.4%
 Total                     532      100.0%




NOTE: Totals may not sum to 100.0% due to rounding.                                                                             Page 20 of 95
Internet Access

98% of respondents have access to the internet.

 Internet Access?
                                                                 Definitive
                             All Responses                       Responses
                           Number     Percent                 Number    Percent
 Yes                          626      89.0%    Yes              626      98.3%
 No                             11       1.6%   No                11        1.7%
 Unknown                         4       0.6%   Total            637     100.0%
 No response                    62       8.8%
 Total                        703     100.0%



Internet Access by Select Professions?
                Funeral Directors       Municipal Clerks            Physicians        Medical Examiners
               Definitive Responses    Definitive Responses    Definitive Responses   Definitive Responses
               Number       Percent    Number      Percent     Number      Percent    Number      Percent
Yes                   93      100.0%       247        97.6%        233        97.9%         31       97.0%
No                     0        0.0%          6        2.4%           5        2.1%          1        3.0%
Total                 93      100.0%       253      100.0%         238      100.0%          32

The majority of respondents who access the internet use DSL (44%). The next most prevalent method to access the internet is cable
TV or fiber (34.6%). Six percent of respondents do not know how they access the internet.

 How access the internet?
                           All Responses
                         Number      Percent
 Dial-up                        26       4.2%
 DSL                           274     43.8%
 Cable TV or Fiber             216     34.5%
 Unknown                        40       6.4%
 Other                          66     10.5%
 No response                     4       0.6%
 Total                         628    100.0%

NOTE: Totals may not sum to 100.0% due to rounding.                                                                      Page 21 of 95
How Respondents Access Internet by Select Professions
             Funeral Directors       Municipal Clerks           Physicians        Medical Examiners
            Definitive Responses    Definitive Responses   Definitive Responses   Definitive Responses
            Number       Percent    Number      Percent    Number      Percent    Number      Percent
Dial-up             3        3.2%        17         7.0%          4        2.0%          2        6.9%
DSL                63       67.7%       125        51.4%        75        37.7%          7       24.1%
Cable TV           23       24.7%        86        35.4%        85        42.7%          9       31.0%
or Fiber
Other              4        4.3%         15       6.2%          35      17.6%          11      37.9%
Total             93      100.0%        243     100.0%         199     100.0%          29     100.0%



Other methods respondents use to access the internet are as follows:

 Other access methods to Internet
 Adelphia
 DSL and Cable TV or Fiber
 Dial up and DSL
 Double DSL
 Ethernet
 GNI service
 Hospital network
 Hughes.net
 Intranet
 Pioneer Wireless
 Radio
 Satellite
 T-1
 Wireless




NOTE: Totals may not sum to 100.0% due to rounding.                                                      Page 22 of 95
Nearly all respondents access the internet at their primary worksite.

 Access to Internet at worksite?
                                                                 Definitive
                           All Responses                         Responses
                         Number      Percent                  Number    Percent
 Yes                           610     97.4%     Yes             610      97.9%
 No                             13       2.1%    No               13        2.1%
 Unknown                         0       0.0%    Total           623     100.0%
 No response                     3       0.5%
 Total                         626    100.0%



Internet Access at Worksite by Select Professions
                Funeral Directors       Municipal Clerks            Physicians        Medical Examiners
               Definitive Responses    Definitive Responses    Definitive Responses   Definitive Responses
               Number       Percent    Number      Percent     Number      Percent    Number      Percent
Yes                   93      100.0%       240        98.0%        228        98.3%         28       90.3%
No                     0        0.0%          5        2.0%           4        1.7%          3        9.7%
Total                 93      100.0%       245      100.0%         232      100.0%          31      100.0%




For those who do not access the internet at their primary worksite, nearly all reported they access the internet at home.

 Where do you access the Internet if not at your primary worksite?
                                     All Responses
                            Number                 Percent
 Home                                    12              92.3%
 Another worksite                         0                0.0%
 Library                                  0                0.0%
 Retail establishment                     0                0.0%
 Other                                    1                7.7%
 Total                                   13             100.0%




NOTE: Totals may not sum to 100.0% due to rounding.                                                                         Page 23 of 95
Use of Worksite Computer for EDR

Approximately 82% of respondents stated that staff will be allowed to use the current computer hardware at their worksite to access an
EDR.

 Staff use computer for EDR?
                                                                 Definitive
                           All Responses                         Responses
                         Number      Percent                  Number    Percent
 Yes                           433     68.3%     Yes             433      82.2%
 No                             94     14.8%     No               94      17.8%
 Unknown                        33       5.2%    Total           527     100.0%
 No response                    74     11.7%
 Total                         634    100.0%



Use of Worksite Computer for EDR by Select Professions
                Funeral Directors       Municipal Clerks           Physicians        Medical Examiners
               Definitive Responses    Definitive Responses   Definitive Responses   Definitive Responses
               Number       Percent    Number      Percent    Number      Percent    Number      Percent
Yes                   83       92.2%       192        88.5%       136        75.1%         13       52.0%
No                     7        7.8%        25        11.5%        45        24.9%         12       48.0%
Total                 90      100.0%       217      100.0%        181      100.0%          25      100.0%




NOTE: Totals may not sum to 100.0% due to rounding.                                                                        Page 24 of 95
County Location of Worksites

Distribution of work locations for respondents throughout the state by county and Maine DHHS Districts are recorded in the following
tables. The percent of respondents based on Maine’s population by county and district is somewhat similar to the percent of Maine’s
population in each county and district.*

                                                                            2006       Percent of
                                                                           Maine         Maine
 Work county of                                                          Population    Population
 respondent                                                               Estimate
                                      Number      Percent                 Number        Percent
 Androscoggin                             44         6.4%                   107031          8.1%
 Aroostook                                53         7.7%                     72122         5.5%
 Cumberland                              128       18.5%                    274520        20.9%
 Franklin                                 26         3.7%                     29886         2.3%
 Hancock                                  38         5.5%                     53234         4.0%
 Kennebec                                 62         9.0%                   120594          9.2%
 Knox                                     24         3.5%                     40862         3.1%
 Lincoln                                  21         3.0%                     34806         2.6%
 Oxford                                   27         3.9%                     56486         4.3%
 Penobscot                                82       11.9%                    148082        11.3%
 Piscataquis                              15         2.2%                     17212         1.3%
 Sagadahoc                                13         1.9%                     36457         2.8%
 Somerset                                 33         4.8%                     51496         3.9%
 Waldo                                    18         2.6%                     38471         2.9%
 Washington                               36         5.2%                     32778         2.5%
 York                                     71       10.3%                    200873        15.3%
 Total                                   691      100.0%                   1314910       100.0%




 *Overall response by county among all professions is difficult to determine as each profession
 had its own method of data collection and therefore, method of determining the universe for that
 profession.

NOTE: Totals may not sum to 100.0% due to rounding.                                                                      Page 25 of 95
 District of
 respondent
 District                                    Number   Percent   Number      Percent
                  1   York                       71    10.3%      200,873     15.3%
                  2   Cumberland                128    18.5%      274,520     20.9%
                  3   Western Maine              97    14.0%      193,403     14.7%
                  4   Mid Coast                  76    11.0%      150,596     11.5%
                  5   Central Maine              95    13.7%      172,090     13.1%
                  6   Penquis                    97    14.0%      165,294     12.6%
                  7   Downeast                   74    10.7%       86,012       6.5%
                  8   Aroostook                  53      7.7%      72,122       5.5%
 All Districts        Total                     691   100.0%    1,314,910    100.0%




NOTE: Totals may not sum to 100.0% due to rounding.                                    Page 26 of 95
Questions Specific to Funeral Directors

One third of funeral director establishments have only one funeral director working at that particular worksite.

                                 All Funeral Directors
 Number of Funeral
 Directors                     Number          Percent
 One                                 32           33.0%
 Two                                 27           27.8%
 Three                               17           17.5%
 Four                                 7             7.2%
 Five                                 1             1.0%
 Six                                  3             3.1%
 Seven                                1             1.0%
 Eight                                1             1.0%
 Nine                                 0             0.0%
 Ten or more                          0             0.0%
 No response                          8             8.3%
 Total                               97          100.0%



Three-quarters of worksites for funeral directors have software specifically designed to help the funeral director run his/her business.

 Funeral Director Software?
                                                              Definitive
                      All Funeral Directors                   Responses
                      Number        Percent                Number    Percent
 Yes                          67      69.1%    Yes             67      75.3%
 No                           22      22.7%    No              22      24.7%
 Unknown                       0       0.0%    Total           89     100.0%
 No response                   8       8.3%
 Total                        97     100.0%




NOTE: Totals may not sum to 100.0% due to rounding.                                                                            Page 27 of 95
The majority of funeral directors who have funeral director software at their worksite had some other software not included in the list
of potential responses on the survey.

 Type of Funeral Director Software
                                      All Funeral Directors
                                     Number          Percent
 Aldor Solutions                              2             3.%
 Custom Data Systems Inc                      3           4.5%
 FM Solutions                                 1           1.5%
 MMS, Twin Tiers Technologies                 1           1.5%
 Terradise                                    1           1.5%
 Other                                       49          73.1%
 No response                                 12          17.9%
 Total                                       67         100.0%

Other responses included:

 Other Name of Software                   Number
 Associated Computer Service                   6
 Alpha Software                                1
 Continental Computer                         27
 Self designed                                 2
 Frontrunnerpro                                1
 Funeral Data Manager                          2
 HMIS                                          2
 TDAW                                          6
 Other                                         2
 Total                                        49




NOTE: Totals may not sum to 100.0% due to rounding.                                                                          Page 28 of 95
Question Specific to Municipal Clerks

Most municipal offices have one to three staff who handle death registration at the worksite.

                                 All Municipal Clerks
 Number of Other Staff
 Handling Death
 Registration at Worksite      Number         Percent
 No other person                     70          26.8%
 One person                          73          28.0%
 Two people                          54          20.7%
 Three people                        24            9.2%
 Four people                         10            3.8%
 Five people                          2          <1.0%
 Six people                           2          <1.0%
 Seven people                         0            0.0%
 Eight people                         0            0.0%
 Nine people                          0            0.0%
 Ten or more people                   2          <1.0%
 No response                         24            9.2%
 Total                              261         100.0%




NOTE: Totals may not sum to 100.0% due to rounding.                                             Page 29 of 95
                                                              Results from Municipal Clerks


The following data are based on unduplicated responses for municipal clerks (n=261). Ten municipalities had responses from more
than one person.

Participation in EDR

          35% (n=91) of respondents expect to participate in a new electronic death registration system.
          6% (n=17) of respondents do not expect to participate.
          59% (n=153) of respondents are not sure if they will participate in a new EDR system and would like more information.


Of those individuals not expecting to participate, one reported that they were retired, six had no online capabilities, and nine had some
other reason for not participating.

                                             Municipal Clerks
                                             Not Expecting to
 Reasons for not expecting to participate   Participate in EDR
 with EDR                                   Number       Percent
 Currently not working                             0        0.0%
 Retired                                           1        5.9%
 No online capabilities                            6       35.3%
 No online capabilities but would like to
 participate                                       0      0.0%
 Other                                             9     52.9%
 No response                                       1      5.9%
 Total                                            17    100.0%




NOTE: Totals may not sum to 100.0% due to rounding.                                                                     Page 30 of 95
Of the responses from those who do not expect to participate, write-in responses could be characterized as:

 Responses for Not Participating in EDR                                     Number
 Not working/retired                                                             0
 Little need for system, small size town                                         6
 Respondent does not handle deaths                                               0
 Computer too slow, does not save time, respondent does not use computers        1
 Respondent does not want to, adds work to staff, would not be effective         0
 Limited online capabilities                                                     1
 Respondent still does work manually                                             1
 Total                                                                           9



Personal Computers at Worksite

       95.4% (n=249) of respondents have a personal computer at their worksite.
       2% (n=6) of respondents do not have a personal computer at their worksite.
       2% (n=6) of respondents did not respond to the question.


While most respondents could answer questions about their worksite personal computer, more than a quarter of respondents were
unsure about the screen resolution of their computer monitor or whether they had a TWAIN-compliant scanner.

 Question                                                                 No               Total      Total
   Topic       Yes    Percent     No Percent        Unsure      Percent Response Percent Responses   Percent
Screen         149       59.8      0     0.0            80         32.1       20     8.8       249     100.0
resolution
of at least
1024 by
768 pixels
Windows         19          7.6    93       37.4            4        1.6        133   53.4     249     100.0
98 SSE or
ME



NOTE: Totals may not sum to 100.0% due to rounding.                                                               Page 31 of 95
 Question                                                            No               Total           Total
   Topic      Yes    Percent     No Percent       Unsure   Percent Response Percent Responses        Percent
Windows       227       91.2      5     2.0            1       0.4       16     6.4       249          100.0
2000 or
Windows
XP
Windows          7         2.8 107         43.0        2      0.8       133      53.4          249     100.0
VISTA
Macintosh        1         0.4 111         44.6        3      1.2       134      53.8          249     100.0
or other
operation
system
Microsoft      212       85.1      3        1.2        1      0.4        33      13.3          249     100.0
Internet
Explorer
Other Web       20         8.0    76       30.5        6      2.4       147      59.0          249     100.0
Browser
Adobe          229       92.0      2        0.8        2      0.8        16       6.4          249     100.0
Acrobat
Reader
Available      174       69.9      6        2.4        8      3.2        61      24.5          249     100.0
USB port
Fingerprint      1         0.4 117         47.0       15      6.0       116      46.6          249     100.0
reader
Microsoft      161       64.7     14        5.6       11      4.4        63      25.3          249     100.0
Word
2000 or
higher
TWAIN-          50       20.1     38       15.3       56     22.5       105      42.2          249     100.0
compliant
scanner


Many respondents on the paper version of the survey did not completely fill out the chart. “Yes” responses were clearly marked.
Quite often there were no “No” responses checked off at all, rather the response to the item would be left totally blank. One might
assume that “No response” might equate to a “No”. If that is the case, the previous chart would read:
NOTE: Totals may not sum to 100.0% due to rounding.                                                                   Page 32 of 95
 Question                                                            No               Total      Total
   Topic      Yes    Percent     No Percent       Unsure   Percent Response Percent Responses   Percent
Screen        149       59.8      20    8.0           80      32.1                        249     100.0
resolution
of at least
1024 by
768 pixels
Windows         19         7.6 226         90.8        4      1.6                         249    100.0
98 SSE or
ME
Windows        227       91.2     21        8.4        1      0.4                         249    100.0
2000 or
Windows
XP
Windows          7         2.8 240         96.4        2      0.8                         249    100.0
VISTA
Macintosh        1         0.4 245         98.4        3      1.2                         249    100.0
or other
operation
system
Microsoft      212       85.1     36       14.5        1      0.4                         249    100.0
Internet
Explorer
Other Web       20         8.0 223         89.6        6      2.4                         249    100.0
Browser
Adobe          229       92.0     18        7.2        2      0.8                         249    100.0
Acrobat
Reader
Available      174       69.9     67     26.39         8      3.2                         249    100.0
USB port
Fingerprint      1         0.4 233         93.6       15      6.0                         249    100.0
reader
Microsoft      161       64.7     77       30.9       11      4.4                         249    100.0
Word
2000 or
higher
NOTE: Totals may not sum to 100.0% due to rounding.                                                       Page 33 of 95
 Question                                                               No               Total                     Total
   Topic       Yes   Percent No Percent           Unsure      Percent Response Percent Responses                  Percent
TWAIN-          50      20.1 143   57.4               56         22.5                        249                    100.0
compliant
scanner


Internet Explorer

Over two thirds of those who had Internet Explorer on their computers and knew the version number indicated version 7.0 or higher.
Very few had an Internet Explorer version less than 6.0.

 Microsoft Internet Explorer
                                                         Definitive Municipal                                               Definitive Municipal
                     All Municipal Clerks                       Clerks                     All Municipal Clerks             Clerks Plus Unsure
                     Number         Percent              Number      Percent               Number      Percent              Number      Percent
 Yes                        212       88.4%   Yes             212      98.6%    Yes             212      85.1%    Yes            212     98.1%
 No                            3       1.2%   No                 3      1.4%    No+NR            36      14.5%    No                3      1.4%
 Unsure                        1       0.4%   Total           215     100.0%    Unsure            1       0.4%    Unsure            1      0.5%
 No response                  33      13.3%                                     Total           249    100.0%
 Total                      249     100.0%                                                                        Total          216     100.0%

 Version of Internet Explorer on computer
                                                                    Definitive Municipal
                 All Municipal Clerks with                          Clerks with Internet
                     Internet Explorer                                    Explorer
                 Number           Percent                           Number      Percent
 Less than
 6.0                       2           0.9%   Less than 6.0                 2      1.3%
 6.0                      45          21.2%   6.0                          45     29.0%
 7.0 or
 higher                  108          50.9%   7.0 or higher              108      69.7%
 Don't know               56          26.4%   Total                      155     100.0%
 Doesn't
 apply                     1           0.5%
 No response               0           0.0%
 Total                   212         100.0%


NOTE: Totals may not sum to 100.0% due to rounding.                                                                               Page 34 of 95
Other Web Browser

For those who indicated they had some other web browser, two-thirds of them reported Firefox as the type/brand. Five percent
mentioned a Safari product.

 Other type of browser
                      Municipal Clerks with
                         Other Browser
                       Number       Percent
 Firefox 3 or higher           7      35.0%
 Firefox less than 3           1       0.5%
 Safari 3.2                    0       0.0%
 Safari 3.1                    0       0.0%
 Safari 3.0                    1       0.5%
 Safari less than 3.0          0       0.0%
 Other                         6      30.0%
 Does not apply                2      10.0%
 No response                   3      15.0%
 Total                        20     100.0%

                                   Other Responses
                                  Number     Percent
 Any mention just Firefox              12        63.2
 Any mention just Safari                1         5.3
 Both Firefox and Safari                0         0.0
 Other                                  6        31.6
                                       19      100.0




NOTE: Totals may not sum to 100.0% due to rounding.                                                                Page 35 of 95
Pop-up Blocker

While 13% (n=31) respondents did not know if their browser had a pop-up blocker enabled, 78% (n=193) indicated that they believed
their browser did.

 Pop-up blocker enabled?
                      All Municipal Clerks            Definitive Municipal
                           Responses                   Clerk Responses
                      Number        Percent           Number      Percent
 Yes                        193      77.5%    Yes          193     91.5%
 No                           18       7.2%   No            18       8.5%
 Unknown                      31     12.5%    Total        211    100.0%
 No response                   7       2.8%
 Total                      249     100.0%



Adobe Acrobat Reader

Nearly all respondents with computers indicated that Adobe Acrobat Reader (used to view and print forms) was installed on their
personal computer. 51% who knew the version number indicated that 7.0 was the particular version of their software.

 Adobe Acrobat Reader
                                                                                                                        Definitive Plus
                    All Municipal Clerks              Definitive Municipal            All Municipal Clerks             Unsure Municipal
                         Responses                     Clerks Responses                    Responses                   Clerks Responses
                     Number        Percent            Number      Percent             Number      Percent             Number      Percent
 Yes                       221       92.0%    Yes          229     99.1%     Yes           229      92.7%    Yes          229       98.3%
 No                           2       0.8%    No              2      0.9%    No+NR*         18       7.3%    No              2       0.9%
 Unsure                       2       0.8%    Total        231    100.0%     Unsure          2       0.8%    Unsure          2       0.9%
 No response                 16       6.4%                                   Total         247    100.0%
 Total                     249     100.0%                                                                    Total        233      100.0%
*Note: NR = No Response




NOTE: Totals may not sum to 100.0% due to rounding.                                                                         Page 36 of 95
 Version of Acrobat Reader on computer
                        All Municipal Clerk                          Definitive Municipal
                            Responses                                 Clerk Responses
                        Number     Percent                           Number      Percent
                                               Less than Version
 Less than Version 6.0          4      1.7%    6.0                          4      2.3%
 Version 6.0                   24     10.5%    Version 6.0                 24     14.0%
 Version 7.0                   87     38.0%    Version 7.0                 87     50.9%
 Version 8.0                   29     12.7%    Version 8.0                 29     17.0%
 Version 9.0                   27     11.8%    Version 9.0                 27     15.8%
 Unknown                       56     24.5%    Total                      171    100.0%
 Does not apply                 0      0.0%
 No response                    2      0.9%
 Total                        229    100.0%



Antivirus Software

89% of respondents have antivirus software installed on their computers. 47% indicated some vendor other than McAfee or Norton as
their antivirus software brand.

 Antivirus software installed on computer?
                       All Municipal Clerk                Definitive Municipal
                            Responses                      Clerks Responses
                      Number        Percent               Number      Percent
 Yes                         221       88.8%   Yes             221     96.9%
 No                            7        2.8%   No                 7      3.1%
 Unknown                      18        7.2%   Total           228    100.0%
 No response                   3        1.2%
 Total                       249      100.0%




NOTE: Totals may not sum to 100.0% due to rounding.                                                              Page 37 of 95
 Vendor for the antivirus software?
                                                       Definitive Municipal
                     All Municipal Clerks               Clerks Responses
                   Responses with Antivirus              with Antivirus
                          Software                          Software
                    Number         Percent             Number      Percent
 McAfee                    47         21.3%   McAfee          47     23.0%
 Norton                    61         27.6%   Norton          61     29.9%
 Other                     96         43.4%   Other           96     47.1%
 No response               17          7.7%   Total          204    100.0%
 Total                    221        100.0%

Other antivirus software/vendors reported:
Software/Vendor
ADAware SE Personal
AVAST Professional
AVG
Avast
Avira
CA Security Center
Computer Associates
ETrust
Fairpoint
Kaspersky
McAfee and Norton
Pioneer Wireless
Panda
Roadrunner
Spybot
Symantec
Trend Micro
Trust
Various products
Virus Scan
Web Impressions

NOTE: Totals may not sum to 100.0% due to rounding.                           Page 38 of 95
Of those respondents responding to whether antivirus software is up to date with current virus lists, nearly all are current with their
software.

 Antivirus software up to date with current virus lists?
                                                           Definitive Municipal
                      All Municipal Clerks with             Clerks Responses
                          Antivirus Software                 with Antivirus
                              Responses                         Software
                       Number          Percent             Number      Percent
 Yes                          172         77.8%   Yes            172     98.9%
 No                              2         0.9%   No                2     1.1%
 Unknown                        40        18.1%   Total          174    100.0%
 No response                     7         3.2%
 Total                        221        100.0%

Of all respondents to this question, 71% regularly run a scan of their computer to remove viruses, Trojan horses, malware, key
loggers, etc.

 Regularly run a scan to remove viruses, Trojan horses, malware, key loggers, etc?
                    All Municipal Clerks            Definitive Municipal                Definitive Municipal
                         Responses                    Clerks Responses                   Clerks Responses
                    Number      Percent             Number       Percent                Number      Percent
 Yes                      156      70.6% Yes              156      82.5% Yes                 156     80.8%
 No                        33      14.9% No                33      17.5% No                   33     17.1%
 Unknown                   28      12.7% Total            189     100.0% No response            4      2.1%
 No response                4       1.8%                                   Total             193    100.0%
 Total                    221     100.0%




NOTE: Totals may not sum to 100.0% due to rounding.                                                                       Page 39 of 95
Internet Access

98% have access to the internet.

 Internet Access?
                        All Municipal Clerks            Definitive Municipal
                             Responses                   Clerks Responses
                        Number      Percent             Number      Percent
 Yes                         247      94.6%     Yes          247     97.6%
 No                            6       2.3%     No              6      2.4%
 Unknown                       1       0.4%     Total        253    100.0%
 No response                   7       2.7%
 Total                       261    100.0%



The majority of respondents who access the internet use DSL (51%). The next most prevalent method to access the internet is cable
TV or fiber (35%). One percent of respondents do not know how they access the internet.

 How access the internet?
                       All Municipal Clerks
                       with Internet Access
                       Number         Percent
 Dial-up                       17        6.9%
 DSL                          125      50.6%
 Cable TV or Fiber             86      34.8%
 Unknown                         3       1.2%
 Other                         15        6.1%
 No response                     1       0.4%
 Total                        247     100.0%




NOTE: Totals may not sum to 100.0% due to rounding.                                                                Page 40 of 95
Other methods respondents use to access the internet are as follows:

 Other access method to Internet
 Broadband
 Double DSL
 Pioneer Wireless
 Satellite
 Wireless



Nearly all respondents access the Internet at their primary worksite.

 Access to Internet at worksite?
                                                           Definitive
                                                         Responses of
                      Municipal Clerks with            Municipal Clerks
                        Internet Access               with Internet Access
                       Number       Percent           Number       Percent
 Yes                         240      97.2%   Yes          240       98.0%
 No                            5       2.0%   No              5       2.0%
 Unknown                       0       0.0%   Total        245      100.0%
 No response                   2       0.8%
 Total                       247     100.0%




NOTE: Totals may not sum to 100.0% due to rounding.                          Page 41 of 95
For those who do not access the Internet at their primary worksite, nearly all reported they access the internet at home.

 Where do you access the Internet if not at your
 primary worksite?
                    Municipal Clerks who don’t
                      Access Internet at Work
                       Number          Percent
 Home                          4           80.0%
 Another worksite              0            0.0%
 Library                       0            0.0%
 Retail
 establishment                 0            0.0%
 Other                         1           20.0%
 Total                         5         100.0%




Use of Worksite Computer for EDR

Approximately 89% of respondents to this question stated that staff will be allowed to use the current computer hardware at their
worksite to access an EDR.

 Staff use computer for EDR?
                       All Municipal Clerks            Definitive Municipal
                            Responses                   Clerks Responses
                        Number       Percent           Number      Percent
 Yes                         192      77.1%    Yes          192     88.5%
 No                            25     10.0%    No            25     11.5%
 Unknown                        3       1.2%   Total        217    100.0%
 No response                   29     11.7%
 Total                       249     100.0%




NOTE: Totals may not sum to 100.0% due to rounding.                                                                     Page 42 of 95
County Location of Worksites
Distribution of work locations for respondents throughout the state by county and Maine DHHS Districts are recorded in the following
tables. More than half of municipalities in Androscoggin, Cumberland, Franklin, Hancock, Kennebec, Knox, Penobscot, and York
counties are represented in this analysis. The overall response rate for municipalities is 49%.
                            Number of                      Total            Percent
                           Municipalities                Number of        Response
 Work county of               with                      Municipalities   Within County
 respondent                 Response        Percent
 Androscoggin                           9       3.6%                14         64.3%
 Aroostook                            27      10.9%                 78         34.6%
 Cumberland                           16        6.5%                28         57.1%
 Franklin                             15        6.1%                21         71.4%
 Hancock                              20        8.1%                37         54.1%
 Kennebec                             17        6.9%                29         58.6%
 Knox                                 12        4.9%                18         66.7%
 Lincoln                                6       2.4%                19         31.6%
 Oxford                               17        6.9%                36         47.2%
 Penobscot                            33      13.4%                 61         54.1%
 Piscataquis                            8       3.2%                20         40.0%
 Sagadahoc                              4       1.6%                10         30.0%
 Somerset                             10        4.0%                33         33.3%
 Waldo                                12        4.9%                26         46.2%
 Washington                           22        8.9%                46         47.8%
 York                                 19        7.7%                29         65.5%
 Total                               247     100.0%                505         49.3%
                                                 Number of                      Total\          Percent
                                               Municipalities                 Number of        Response
 District of                                        with                     Municipalities     within
 respondent                                      Response        Percent                        District
              1   York                                    19         7.7%                 29      65.5%
              2   Cumberland                              16         6.5%                 28     57.17%
              3   Western Maine                           41        16.6%                 71      57.7%
              4   Mid Coast                               33        13.4%                 73     45.2%
              5   Central Maine                           28        11.3%                 62     45.2%
              6   Penquis                                 41        16.6%                 81     49.4%
              7   Downeast                                42        17.0%                 83     50.6%
              8   Aroostook                               27        10.9%                 78     34.6%
 All Districts    Total                                  247       100.0%                505     48.9%

NOTE: Totals may not sum to 100.0% due to rounding.                                                                Page 43 of 95
     1.            COMMENTS ABOUT EDR SYSTEM FROM MUNICIPAL CLERKS
     2.
     3.       How and when will training be provided?
     4.       Is this something every municipality should do? Would just like more info.
     5.       If you have any questions in my absence, contact xxx (Deputy Clerk). Thank you....
              We are a small town and hopefully very few deaths. Most small towns use their
     6.        homes for town work.
     7.       We really do not need this service.
              As stated earlier in survey, I'd be using the Dell computer supplied by the state for
               voter registration. Sometimes the computer sends a prompt to install updates and I
     8.        let it do that. I can't say I fully understand the antivirus part of it.
              I would like more information about the electronic death registration. We have 6
               computers in our office that are all online and access most software that is related
               to our work-IE CVR, MOSES, TRIO, ETC. My primary computer workstation is in
     9.        my office.
     10.      Town is to small for this to - do maybe 1 every other year.
     11.      Will this system be expanded to include births and marriages?
     12.      Each of our stations will or could have access to the site.
     13.      Interested in receiving more information.
     14.      We are willing to be a pilot town if needed!
              I have nothing to do with computers, will not longer be in this office after first week
     15.       in March.
              I would still like more information on how this is going to work. I really haven't seen
     16.       enough in detail to explain the process.
     17.      When do you think this service will be up and running?
              We do not do any death recording except via the funeral home or mail. We don't
     18.       physically do the paperwork. I really don't know what this program will do for us.
              I can't wait to have this program set up. Half of the time I'm not able to read the
     19.       cause of death due to bad hand writing.
              Not sure how this will change our acceptance of death certificates. Does this mean
     20.       that funeral directors will no longer come in person to our office?
              Please don't make the process as repetitive as the IF&W Moses program. This is
     21.       very time consuming.
              I am sorry to be so lacking in what I have. I currently use the State Supplied
               computers that were given to each town from the election division. All the programs
               from the State are on that computer. I am, therefore, assuming that virus protection
     22.       is part of it.
              The only pc that goes online is the one used for central voter registration. If it is
     23.       allowed I could use the EDR on that.
     24.      I will be using the state issued computer I use for Voter registration for this project.
     25.      We have five computers. Will this electronic death registration system be available
NOTE: Totals may not sum to 100.0% due to rounding.                                                       Page 44 of 95
               on all five computers or will we have to access it from only one computer?
              Unsure of some of the technical aspects of our network but will find out if required
               and also unsure at this point how things will be if and when school consolidation
     26.       takes place.
              The Town of Jackman, Maine also files Rockwood (Unorganized) Township death
               certificates....the information completed in this survey also applies to Rockwood
     27.       Township......Thanks
              This is the first I've heard about this, I hope there is going to be more information
     28.       provided to the Town Clerks from the State Vitals Office.
     29.      Sounds like a great idea - how about marriage and birth records too!
              The computer work station currently used was provided by the State of Maine for
               use of the CVR System, that's why I'm not sure what versions of some software are
     30.       loaded in.
              Since we are not a hospital or nursing home community, I am not certain if
     31.       Machiasport would be involved in the use of an EDR.
     32.      Anxious to learn the software and to start using it.
     33.      When do you expect this to be activated, and is there any cost to the town?
              I also handle death certificates for Indian Purchase 3&4 in Penobscot County and
     34.       T1R9 in Piscataquis County.
              Most small towns such as ours do not have the basic ability for using such systems.
               Small municipalities do not work at any town offices. All of our municipal workers
     35.       work out of their home, our town office is used for town meetings only.
     36.      I'm not sure what this entails.
     37.      Very excited! Definitely want to be a pilot site.
     38.      Town manager for Moro Plantation and Hersey-both in Aroostook County.
     39.      Sorry so late, had computer problems, got a newer computer
              I checked uncertain under #2 because I'm not actually sure what will be expected of
               our office to be able to do the EDR system. I'm sure it will probably be an easier
     40.       way but I would like to know more information. Thank you.
     41.      What is it? This is the first I've heard of it.
              Can you call it something different? EDR stands for Election Day Registration and
     42.       could get confusing for some people.
     43.      We have an IT person who knows the survey items I didn't know.
     44.      The computer system is the one provided by the state to manage the CVR.
              We do not do anything online except the CVR voting. That is the only computer
               here. There was talk about checking into online for other things also but don't know
     45.       what will be needed
              Our internet connection is dial-up. It is very slow. If the system involves
               manipulation of extensive data as the Centralized Voter Registration it does not
     46.       work well here.
              We are a very small town and don't have too many things that we need online. We
     47.       usually prefer a paper format but I realize things are moving forward but for us it

NOTE: Totals may not sum to 100.0% due to rounding.                                                    Page 45 of 95
               usually means more work or more time needed.
     48.      None except costs!
              We are a very small town with a population of less than 100. We do not have more
               than 1 or 2 deaths occurring in Upton in any given year. I don't think this number is
     49.       sufficient for us to go electronic.
              Is there consideration for fee increases to offset lost revenue of hospital
     50.       communities?
                                                          Results from Funeral Directors


Survey responses were received from funeral directors between December 5, 2008 and January 28, 2009.

There are 221 funeral practitioners licensed in Maine. Responses were received from 111 funeral directors or their representatives,
however, 97 funeral directors identified themselves and are represented in this analysis.

There are 151 active funeral home establishments in Maine. The 97 individuals who responded represent 147 or 97% of Maine
funeral homes. These respondents would respond for all of their funeral home businesses and in many cases were the owner or
president of companies which included many different named funeral homes. Only four active funeral home establishments had no
representation.

Four of the funeral directors who responded (3.6%) are retired or are not currently working. Three of these individuals identified
themselves.

Participation in EDR

       89% (n=86) of respondents expect to participate in a new electronic death registration system.
       4% (n=4) of respondents do not expect to participate.
       5% (n=5) of respondents are not sure if they will participate in a new EDR system and would like more information.

 Funeral Directors expecting to participate in
 a new EDR
                     Number
                   Expecting to
                  Participate in
                      EDR            Percent
 Yes                          86         88.7%
 No                            4          4.1%
 Unsure                        5          5.2%

NOTE: Totals may not sum to 100.0% due to rounding.                                                                   Page 46 of 95
 No response                  2          2.1%
 Total                       97        100.0%




NOTE: Totals may not sum to 100.0% due to rounding.   Page 47 of 95
Of those individuals not expecting to participate, two reported that they were retired and two had some other reason for not
participating (one was both retired and not working and the other felt the system would not be effective).

                                                              Number
                                                                Not
                                                             Expecting
                                                                 to
                                                             Participate
 Reasons for not expecting to participate with EDR            in EDR        Percent
 Currently not working                                                 0       0.0%
 Retired                                                               2     50.0%
 No online capabilities                                                0       0.0%
 No online capabilities but would like to participate                  0       0.0%
 Other                                                                 2     50.0%
 Total                                                                 4    100.0%



Personal Computers at Worksite

       96% (n=93) of respondents have a personal computer at their worksite.
       No respondent indicated that they do not have a personal computer at their worksite.
       4% (n=4) of respondents did not respond to the question.

While most respondents could answer questions about their worksite personal computer, 20% of respondents were unsure about the
screen resolution of their computer monitor and 30% whether they had a TWAIN-compliant scanner.

 Question                                                                  No               Total       Total
   Topic       Yes     Percent     No Percent           Unsure   Percent Response Percent Responses    Percent
Screen          65        69.9      0      0.               19      20.4        9     9.7         93     100.0
resolution
of at least
1024 by
768 pixels
Windows          10        10.8     47       50.5            1        1.1             35   37.6   93    100.0
98 SSE or
ME

NOTE: Totals may not sum to 100.0% due to rounding.                                                                    Page 48 of 95
 Question                                                            No               Total       Total
   Topic    Yes      Percent     No Percent       Unsure   Percent Response Percent Responses    Percent
Windows      77         82.8      4     4.3            1       1.1       11    11.8         93     100.0
2000 or
Windows
XP
Windows      24          25.8     38       40.9        1      1.1        30    32.3        93     100.0
VISTA
Macintosh     2            2.2    52       55.9        2      2.2        37    39.8        93     100.0
or other
operation
system
Microsoft    90          96.8      0        0.0        0      0.0         3     3.2        93     100.0
Internet
Explorer
Other Web    18          19.4     31       33.3        1      1.1        43    46.2        93     100.0
Browser
Adobe        89          95.7      0        0.0        0      0.0         4     4.3        93     100.0
Acrobat
Reader
Available    78          83.9      1        1.1        0      0.0        14    15.1        93     100.0
USB port
Fingerprint   2            2.2    54       58.1        9      9.7        28    30.1        93     100.0
reader
Microsoft    73          78.5      9        9.7        2      2.2         9     9.7        93     100.0
Word
2000 or
higher
TWAIN-       39          41.9      7        7.5       28     30.1        19    20.4        93     100.0
compliant
scanner




NOTE: Totals may not sum to 100.0% due to rounding.                                                        Page 49 of 95
Many respondents on the paper version of the survey did not completely fill out the chart. “Yes” responses were clearly marked.
Quite often there were no “No” responses checked off at all, rather the response to the item would be left totally blank. One might
assume that “No response” might equate to a “No”. If that is the case, the previous chart would read:


 Question                                                            No               Total           Total
   Topic    Yes      Percent     No Percent       Unsure   Percent Response Percent Responses        Percent
Screen       65         69.9      9     9.7           19      20.4                          93         100.0
resolution
of at least
1024 by
768 pixels
Windows      10          10.8     82       88.2        1      1.1                               93     100.0
98 SSE or
ME
Windows      77          82.8     15       16.1        1      1.1                               93     100.0
2000 or
Windows
XP
Windows      24          25.8     68       73.1        1      1.1                               93     100.0
VISTA
Macintosh     2            2.2    89       95.7        2      2.2                               93     100.0
or other
operation
system
Microsoft    90          96.8      3        3.2        0      0.0                               93     100.0
Internet
Explorer
Other Web    18          19.4     74       79.6        1      1.1                               93     100.0
Browser
Adobe        89          95.7      4        4.3        0      0.0                               93     100.0
Acrobat
Reader
Available    78          83.9     15       16.1        0      0.0                               93     100.0
USB port

NOTE: Totals may not sum to 100.0% due to rounding.                                                                   Page 50 of 95
 Question                                                                  No               Total                Total
   Topic    Yes      Percent     No Percent         Unsure       Percent Response Percent Responses             Percent
Fingerprint   2          2.2      82   88.2              9           9.7                          93              100.0
reader
Microsoft    73          78.5     18       19.4            2          2.2                                  93       100.0
Word
2000 or
higher
TWAIN-       39          41.9     26       28.0           2.8        93.0                                  93       100.0
compliant
scanner


Internet Explorer
Nearly two thirds of those who had Internet Explorer on their computers and knew the version number indicated version 7.0 or higher.
Very few had an Internet Explorer version less than 6.0.

 Microsoft Internet Explorer
                                                                                                                              Definitive Funeral
                                                                 Definitive Funeral               All Funeral                  Directors Plus
                      All Funeral Directors                          Directors                     Directors                       Unsures
                      Number          Percent                   Number      Percent            Number     Percent            Number      Percent
 Yes                          90         96.8%    Yes                 90     100.0%   Yes          90       96.8%   Yes            90     100.0%
 No                             0         0.0%    No                   0       0.0%   No+NR          3       3.2%   No              0       0.0%
 Unsure                         0         0.0%    Total               90     100.0%   Unsure         0       0.0%   Unsure          0       0.0%
 No response                    3         3.2%                                        Total        93     100.0%    Total         90 100.0%
 Total                        93       100.0%




NOTE: Totals may not sum to 100.0% due to rounding.                                                                             Page 51 of 95
 Version of Internet Explorer on computer
                                                                       Definitive Funeral
                  All Funeral Directors with                            Directors with
                       Internet Explorer                               Internet Explorer
                  Number             Percent                          Number      Percent
 Less than
 6.0                        1            1.1%   Less than 6.0                1       1.5%
 6.0                       24           25.8%   6.0                         24      35.8%
 7.0 or higher             42           45.2%   7.0 or higher               42      62.7%
 Don't know                21           22.6%   Total                       67     100.0%
 No response                5            5.4%
 Total                     93          100.0%



Other Web Browser

For those who indicated they had some other web browser, 94% reported Firefox as the type/brand.

 Other web browser
                                                                                                                              Definitive Plus
                         All Funeral Director               Definitive Funeral              All Funeral Director             Unsure Funeral
                              Responses                    Director Responses                    Responses                  Director Responses
                        Number       Percent               Number      Percent              Number      Percent             Number      Percent
 Yes                          18        19.4%   Yes              18      36.7%   Yes              18      19.4%    Yes            18      36.0%
 No                           31        33.3%   No               31      63.3%   No+NR            74      79.6%    No             31      62.0%
 Unsure                        1         1.1%   Total            49     100.0%   Unsure            1       1.1%    Unsure          1       2.0%
 No response                  43        46.2%                                    Total            93     100.0%    Total         50 100.0%
 Total                        93       100.0%




NOTE: Totals may not sum to 100.0% due to rounding.                                                                             Page 52 of 95
 Other type of browser
                         Funeral Directors with                                   Funeral Directors
                            Other Browser                                        with Other Browser
                         Number         Percent                                  Number     Percent
 Firefox 3 or higher             13        72.2%          Firefox 3 or higher          13     72.2%
 Firefox less than 3              1         5.6%          Firefox less than 3           1       5.6%
                                                          Safari
 Safari 3.2                      0         0.0%           3.2                          0       0.0%
                                                          Safari
 Safari 3.1                      0         0.0%           3.1                          0       0.0%
                                                          Safari
 Safari 3.0                      0         0.0%           3.0                          0      0.0%
 Safari less than 3.0            0         0.0%           Safari less than 3.0         0      0.0%
 Other                           2        11.1%           Other                        2     11.1%
 Does not apply                  0         0.0%           No response                  2     11.1%
 No response                     2        11.1%           Total                       18    100.0%
 Total                          18       100.0%




                                      Other Responses

                                     Number    Percent
 Any mention just Firefox                15        93.8
 Any mention just Safari                  0         0.0
 Both Firefox and Safari                  1         6.3
 Other                                    0         0.0
                                         16      100.0




NOTE: Totals may not sum to 100.0% due to rounding.                                                    Page 53 of 95
Pop-up Blocker

While 10% (n=9) respondents did not know if their browser had a pop-up blocker enabled, 86% (n=80) indicated that they believed
their browser did.

 Pop-up blocker enabled?
                        All Funeral Director              Definitive Funeral
                             Responses                   Director Responses
                       Number         Percent            Number      Percent
 Yes                           80        86.0%   Yes           80      97.6%
 No                             2         2.2%   No             2       2.4%
 Unknown                        9         9.7%   Total         82     100.0%
 No response                    2         2.2%
 Total                         93       100.0%




Adobe Acrobat Reader

Nearly all respondents with computers indicated that Adobe Acrobat Reader (used to view and print forms) was installed on their
personal computer. 41% who knew the version number indicated that 7.0 was the particular version of their software.

 Adobe Acrobat Reader
                                                                                                                          Definitive Plus
                      All Funeral Director                Definitive Funeral            All Funeral Director             Unsure Funeral
                           Responses                     Director Responses                  Responses                  Director Responses
                     Number          Percent             Number      Percent            Number      Percent             Number      Percent
 Yes                          89        95.7%    Yes           89     100.0%   Yes            89      95.7%    Yes            89     100.0%
 No                            0         0.0%    No             0       0.0%   No+NR           4       4.3%    No              0       0.0%
 Unsure                        0         0.0%    Total         89     100.0%   Unsure          0       0.0%    Unsure          0       0.0%
 No response                   4         4.3%                                  Total          93     100.0%    Total          89     100.0%
 Total                        93       100.0%
*Note: NR = No Response



NOTE: Totals may not sum to 100.0% due to rounding.                                                                        Page 54 of 95
 Version of Acrobat Reader on computer
                         All Funeral Director                         Definitive Funeral
                              Responses                              Director Responses
                         Number       Percent                        Number      Percent
                                                 Less than Version
 Less than Version 6.0            3      3.4%    6.0                       3       5.2%
 Version 6.0                      9     10.1%    Version 6.0               9      15.5%
 Version 7.0                     24     27.0%    Version 7.0              24      41.4%
 Version 8.0                      9     10.1%    Version 8.0               9      15.5%
 Version 9.0                     13     14.6%    Version 9.0              13      22.4%
 Unknown                         29     32.6%    Total                    58     100.0%
 Does not apply                   2      2.2%
 No response                      0      0.0%
 Total                           89    100.0%




NOTE: Totals may not sum to 100.0% due to rounding.                                        Page 55 of 95
Antivirus Software

96% of respondents have antivirus software installed on their computers. 45% indicated some vendor other than McAfee or Norton as
their antivirus software vendor.

 Antivirus software installed on computer?
                         All Funeral Director               Definitive Funeral
                              Responses                    Director Responses
                        Number         Percent             Number      Percent
 Yes                            85        91.4%   Yes            85      95.5%
 No                              4         4.3%   No              4       4.5%
 Unknown                         4         4.3%   Total          89     100.0%
 No response                     0         0.0%
 Total                          93       100.0%

 Vendor for the antivirus software?
                                                                      Definitive Funeral
                       All Funeral Directors                         Directors Responses
                     Responses with Antivirus                           with Antivirus
                             Software                                     Software
                      Number          Percent                        Number      Percent
 McAfee                       20          23.5%   McAfee                   20      32.3%
 Norton                       34          40.0%   Norton                   34      54.8%
 Other                        28          32.9%   Other                    28      45.2%
 No response                   3           3.5%   Total                    62     100.0%
 Total                        85        100.0%




NOTE: Totals may not sum to 100.0% due to rounding.                                                              Page 56 of 95
Other antivirus software/vendors reported:

Software/Vendor

AVAST Professional
AVG
Avast
CA Security Center
McAfee and Norton
Microsoft
PC Tools Spyware
Spybot
Trend Micro
Web Impressions


Of those respondents responding to whether antivirus software is up to date with current virus lists, nearly all are current with their
software.

 Antivirus software up to date with current virus lists?
                                                             Definitive Funeral
                       All Funeral Directors with           Director Responses
                           Antivirus Software                 with Antivirus
                               Responses                         Software
                        Number          Percent             Number      Percent
 Yes                             74         87.1%   Yes           74      98.7%
 No                               1          1.2%   No             1       1.3%
 Unknown                         10         11.8%   Total         75     100.0%
 No response                      0          0.0%
 Total                           85       100.0%




NOTE: Totals may not sum to 100.0% due to rounding.                                                                       Page 57 of 95
Of all respondents to this question, 85% regularly run a scan of their computer to remove viruses, Trojan horses, malware, key
loggers, etc.

 Regularly run a scan to remove viruses, Trojan horses, malware, key loggers,
 etc?
                       All Funeral Director                Definitive Funeral
                            Responses                      Director Responses
                      Number        Percent              Number         Percent
 Yes                         72        84.7% Yes                 72        90.0%
 No                           8          9.4% No                  8        10.0%
 Unknown                      3          3.5% Total              80      100.0%
 No response                  2          2.4%
 Total                       85       100.0%



Internet Access

All respondents have internet access.

 Internet Access?
                          All Funeral Director               Definitive Funeral
                               Responses                    Director Responses
                         Number       Percent               Number      Percent
 Yes                           93        95.9%   Yes              93     100.0%
 No                             0         0.0%   No                0       0.0%
 Unknown                        0         0.0%   Total            93     100.0%
 No response                    4         4.1%
 Total                         97       100.0%




NOTE: Totals may not sum to 100.0% due to rounding.                                                                  Page 58 of 95
The majority of respondents who access the internet use DSL (68%). The next most prevalent method to access the internet is cable
TV or fiber (25%).

 How access the internet?
                      All Funeral Directors with
                           Internet Access
                       Number          Percent
 Dial-up                         3         3.2%
 DSL                            63        67.7%
 Cable TV or Fiber              23        24.7%
 Unknown                         0         0.0%
 Other                           4         4.3%
 No response                     0         0.0%
 Total                          93       100.0%

Other methods respondents use to access the internet are as follows:

 Other access method to Internet
 DSL and Cable TV or
 Fiber
 Dial up and DSL
 Wireless

All respondents access the Internet at their primary worksite.

 Internet access at worksite?
                                                                Definitive
                                                              Responses of
                        Funeral Directors with              Funeral Directors
                           Internet Access                 with Internet Access
                        Number         Percent             Number       Percent
 Yes                            93       100.0%    Yes           93      100.0%
 No                              0         0.0%    No              0       0.0%
 Unknown                         0         0.0%    Total         93      100.0%
 No response                     0         0.0%
 Total                          93       100.0%




NOTE: Totals may not sum to 100.0% due to rounding.                                                                Page 59 of 95
Use of Worksite Computer for EDR

92% of respondents to this question stated that staff will be allowed to use the current computer hardware at their worksite to access
an EDR.

 Staff use computer for EDR?
                         All Funeral Director              Definitive Funeral
                              Responses                   Director Responses
                        Number         Percent            Number      Percent
 Yes                            83        85.6%   Yes           83      92.2%
 No                              7         7.2%   No             7       7.8%
 Unknown                         2         2.1%   Total         90     100.0%
 No response                     5         5.2%
 Total                          97       100.0%




NOTE: Totals may not sum to 100.0% due to rounding.                                                                     Page 60 of 95
County Location of Worksites

Distribution of work locations for respondents throughout the state by county and Maine DHHS Districts are recorded in the following
tables. Also included and received from the licensing board are the locations for licensed funeral homes in Maine.

                                                      Work County of Funeral Homes in
 Work county of funeral practitioner (respondent)     Maine (board list)
                            All Respondent Funeral
                                   Directors                Funeral Homes
                            Number         Percent       Number        Percent
 Androscoggin                        6         6.2%             11          7.3%
 Aroostook                          11        11.3%             14          9.3%
 Cumberland                         18        18.6%             20         13.2%
 Franklin                            2         2.1%              4          2.6%
 Hancock                             3         3.1%              8          5.3%
 Kennebec                            6         6.2%             14          9.3%
 Knox                                4         4.1%              3          2.0%
 Lincoln                             2         2.1%              6          4.0%
 Oxford                              5         5.2%             11          7.3%
 Penobscot                          11        11.3%             19         12.6%
 Piscataquis                         2         2.1%              4          2.6%
 Sagadahoc                           3         3.1%              3          2.0%
 Somerset                            5         5.2%              5          3.3%
 Waldo                               1         1.0%              4          2.6%
 Washington                          4         4.1%              7          4.6%
 York                               13        13.4%             18         11.9%
 Unknown                             1         1.0%
 Total                              97       100.0%              151         100.0%




NOTE: Totals may not sum to 100.0% due to rounding.                                                                Page 61 of 95
                                                      District of funeral homes (from
 District of funeral practitioner                     board)
                           All Funeral Director
                               Respondents                  Funeral Homes
                          Number        Percent          Number        Percent
 York                             13       13.5%                18         11.9%
 Cumberland                       18       18.8%                20         13.2%
 Western Maine                    13       13.5%                26         17.2%
 Mid Coast                        10       10.4%                16         10.6%
 Central Maine                    11       11.5%                19         12.6%
 Penquis                          13       13.5%                23         15.2%
 Downeast                          7         7.3%               15          9.9%
 Aroostook                        11       11.5%                14          9.3%
 Total                            96      100.0%              151        100.0%




NOTE: Totals may not sum to 100.0% due to rounding.                                     Page 62 of 95
     51.            COMMENTS ABOUT EDR SYSTEM FROM FUNERAL DIRECTORS
                    I have used the NH version for many years before coming back to the State of
                      Maine to work. Really looking forward for this program to be used in Maine!
                    Hurry up                                      
                    A major concern is the timeliness in the physicians signing or processing death
                      certificate and how will this effect Medical Examiner Releases?
                    We have 4 locations with 2 clerical offices. This system could potentially be
                      utilized by more than indicated in this survey.
                    Who is going to ensure that the doctors in the area use the EDR system?
                    Can't wait!!!
                    About time that we move to the 21st century. Thanks
                    Can't wait, this will be outstanding for our state!!
                    Will have some as I learn more
                    Will there be a seminar on how to use the system in Northern Aroostook
                      County? Will there be a cost for this system?
                    When I was licensed in NH, there system works great.
                    Can't wait                                    
                    Long overdue!
                    Looking forward to using the new EDR.
                    Looking forward to it.
                    a. Will we still have to go to a Medical Examiner to obtain a permit for
                      cremations and etc? b. Is it safe to assume that all burial-transit permits will
                      be done in a sub registrar fashion? As done in NH?
                    1. How does the Doctor do his part in a timely fashion??????? as in "hello has
                      the doctor done his part yet ? this is the 5th time I've called to check" 2. How
                      are we to get a Med. Exam. signature electronically for cremations? 3. Where
                      will we get the
                    Looking forward to it
                    Make sure the physicians get educated!
                    If we need to update our computer to make this transition easier we are
                      certainly willing to do that.
                    New Hampshire has been successfully using this system for a number of
                      years. Please, please work directly with them to implement this.
                    This electronic system should save much time and expense for funeral
     52.              directors and registrars - Good luck with its implementation!




NOTE: Totals may not sum to 100.0% due to rounding.                                                      Page 63 of 95
                                                           Results from Physicians


Survey responses were received from physicians between December 8, 2008 and February 2, 2009.

Overall there are a total of 4,120 physicians licensed in Maine. Primary care doctors however, may be more likely to certify deaths.
There are 1,772 primary care physicians licensed in Maine. Responses were received from 315 physicians, however, 289 physicians
(allopathic physicians - n=242 and osteopathic physicians - n=47) identified themselves and are represented in this analysis. The
largest groups of physicians responding specialize in family practice and internal medicine.

Specialty                                             Number     Percent
Administration                                              1       <1.0%
Cardiology/Cardiovascular Diseases                          6        2.2%
Emergency Medicine                                         22        8.1%
Family Medicine/General Practice                          107       39.6%
Hospitalist                                                 3        1.1%
Internal Medicine                                          93       34.4%
OB/GYN                                                      1       <1.0%
Oncology                                                    4        1.5%
Pediatrics                                                 21        7.8%
Pulmonary Disease                                           1       <1.0%
Surgery, Abdominal                                          1       <1.0%
Surgery, General                                           10        3.7%
All Specialties                                           270      100.0%


Participation in EDR

       46% (n=131) of respondents expect to participate in a new electronic death registration system.
       21% (n=59) of respondents do not expect to participate.
       34% (n=97) of respondents are not sure if they will participate in a new EDR system and would like more information.




NOTE: Totals may not sum to 100.0% due to rounding.                                                                  Page 64 of 95
 Physicians expecting to participate in a new EDR
                                                                          Definitive
                                                                          Physician
                     All Physician Responses                              Responses
                     Number          Percent                           Number Percent
 Yes                        131          45.3%        Yes                 131     45.6%
 No                           59         20.4%        No                   59     20.6%
 Unsure                       97         33.6%        Unsure               97     33.8%
 No response                   2          0.7%        Total               287 100.0%
 Total                      289        100.0%


Of those individuals not expecting to participate, 39 reported that they were retired or not working, eight have no online capabilities
and 12 had some other reason for not participating (see table below).

                                                                                    Other reasons for         Definitive Responses from
                                                      Responses from Physicians Not not expecting to         Physicians Not Expecting to
 Reasons for not expecting to participate             Expecting to Participate in EDR
                                                                                    participate                  Participate in EDR
 With EDR                                                Number            Percent  with EDR                  Number             Percent
 Currently not working                                            10                Doesn't save any time
                                                                                16.9%                                    1             8.3%
                                                                                    Don't do death
 Retired                                                          29          49.2% registration                         8               66.7%
 No online capabilities                                            7          11.9% No office practice                   1                8.3%
 No online capabilities but would like to
 participate                                                       1           1.7% Not practicing                       1                 8.3%
 Other                                                            12          20.3% Not online                           1                 8.3%
 No response                                                       0           0.0% Total                               12               100.0%
 Total                                                            59         100.0%


Personal Computers at Worksite

       83% (n=239) of respondents have a personal computer at their worksite.
       Six respondents indicated that they do not have a personal computer at their worksite.
       15% (n=44) of respondents did not respond to the question.

NOTE: Totals may not sum to 100.0% due to rounding.                                                                      Page 65 of 95
 Worksite has computer?
                                                         Definitive
                                                         Physician
                  All Physician Responses                Responses
                    Number        Percent             Number Percent
 Yes                        239    82.7% Yes             239     97.6%
 No                           6     2.1% No                6      2.4%
 Unsure                       0     0.0% Total           245 100.0%
 No response                 44    15.2%
 Total                      289 100.0%


While most respondents could answer questions about their worksite personal computer, among those unsure, more respondents were
unsure about the screen resolution of their computer monitor and whether they had a TWAIN-compliant scanner.


 Question                                                            No               Total      Total
   Topic       Yes   Percent     No Percent       Unsure   Percent Response Percent Responses   Percent
Screen         151      63.2      2     0.8           66      27.6       20     8.4       239     100.0
resolution
of at least
1024 by
768 pixels
Windows         16         6.7    68       28.5        8      3.3        147   61.5       239     100.0
98 SSE or
ME
Windows        206        86.2     0        0.0        7      2.9         26   10.9       239     100.0
2000 or
Windows
XP
Windows         14         5.9    76       31.8        9      3.8        140   58.6       239     100.0
VISTA
Macintosh       11         4.6    83       34.7        4      1.7        141   59.0       239     100.0
or other
operation
system

NOTE: Totals may not sum to 100.0% due to rounding.                                                             Page 66 of 95
 Question                                                            No               Total           Total
   Topic      Yes    Percent     No Percent       Unsure   Percent Response Percent Responses        Percent
Microsoft     206       86.2      1     0.4            2       0.8       30    12.6       239          100.0
Internet
Explorer
Other Web       44       20.1     35       16.0        7      3.2       133      60.7          239     100.0
Browser
Adobe          198       82.8      3        1.3        6      2.5        32      13.4          239     100.0
Acrobat
Reader
Available      191       79.9      7        2.9        8      3.3        33      13.8          239     100.0
USB port
Fingerprint     25       10.5 144          60.3       12      5.0        58      24.3          239     100.0
reader
Microsoft      166       69.5     21        8.8       16      6.7        36      15.1          239     100.0
Word
2000 or
higher
TWAIN-          31       13.0     65       27.2       83     34.7        60      25.1          239     100.0
compliant
scanner



Many respondents on the paper version of the survey did not completely fill out the chart. “Yes” responses were clearly marked.
Quite often there were no “No” responses checked off at all, rather the response to the item would be left totally blank. One might
assume that “No response” might equate to a “No”. If that is the case, the previous chart would read:


 Question                                                            No               Total           Total
   Topic      Yes    Percent     No Percent       Unsure   Percent Response Percent Responses        Percent
Screen        151       63.2      22    9.2           66      27.6                        239          100.0
resolution
of at least
1024 by
768 pixels
NOTE: Totals may not sum to 100.0% due to rounding.                                                                   Page 67 of 95
 Question                                                            No               Total      Total
   Topic      Yes    Percent No Percent           Unsure   Percent Response Percent Responses   Percent
Windows        16        6.7 215   90.0                8       3.3                        239     100.0
98 SSE or
ME
Windows        206       86.2     26       10.9        7      2.9                         239    100.0
2000 or
Windows
XP
Windows         14         5.9 216         90.4        9      3.8                         239    100.0
VISTA
Macintosh       11         5.9 224         93.7        4      1.7                         239    100.0
or other
operation
system
Microsoft      206       86.2     31       13.0        2      0.8                         239    100.0
Internet
Explorer
Other Web       44       20.1 168          76.7        7      3.2                         239    100.0
Browser
Adobe          198       82.8     35       14.6        6      2.5                         239    100.0
Acrobat
Reader
Available      191       79.9     40       16.7        8      3.3                         239    100.0
USB port
Fingerprint     25       10.5 202          84.5       12      5.0                         239    100.0
reader
Microsoft      166       69.5     57       23.8       16      6.7                         239    100.0
Word
2000 or
higher
TWAIN-          31       13.0 125          52.3       83     34.7                         239    100.0
compliant
scanner



NOTE: Totals may not sum to 100.0% due to rounding.                                                       Page 68 of 95
Internet Explorer

Over two thirds of those who had Internet Explorer on their computers and knew the version number indicated version 7.0 or higher.
Very few had an Internet Explorer version less than 6.0.

 Microsoft Internet Explorer
                                                            Definitive
                                                            Physician                    All Physician            Definitive Physician
                     All Physician Responses                Responses                     Responses                   Responses
                       Number        Percent             Number Percent                Number Percent             Number      Percent
 Yes                           206    86.2% Yes             206     99.5% Yes             206      86.2% Yes           206      98.6%
 No                              1     0.4% No                1      0.5% No+NR             31     13.0% No               1      0.5%
 Unsure                          2     0.8% Total           207 100.0% Unsure                2      0.8% Unsure           2      1.0%
 No response                    30    12.6%                               Total           239 100.0%
 Total                         239 100.0%                                                                Total        209      100.0%
Note: NR = No Response


 Version of Internet Explorer on computer
                                                                       Definitive
                   All Physicians with Internet                     Physicians with
                            Explorer                               Internet Explorer
                     Number          Percent                      Number Percent
 Less than
 6.0                          1           0.4% Less than 6.0            1      0.8%
 6.0                         33          13.8% 6.0                     33     26.6%
 7.0 or
 higher                      90          37.7% 7.0 or higher           90     72.6%
 Don't know                  75          31.4% Total                  124    100.0%
 Doesn't
 apply                        7          2.9%
 No response                 33         13.8%
 Total                      239        100.0%




NOTE: Totals may not sum to 100.0% due to rounding.                                                                     Page 69 of 95
Other Web Browser

For those who indicated they had some other web browser, 61% reported Firefox as the type/brand.

 Other web
 browser
                                                                                          All Physicians
                          Physicians with                Definitive Physicians              with Other               Definitive Plus
                          Other Browser                  with Other Browser                  Browser                Unsure Physician
                            Responses                         Responses                     Responses                 Responses
                         Number Percent                   Number      Percent            Number Percent            Number      Percent
 Yes                         44      20.1% Yes                   44    55.7% Yes              44    20.1% Yes           44       51.2%
 No                          35      16.0% No                    35    44.3% No+NR          168     76.7% No            35       40.7%
 Unsure                        7      3.2% Total                 79 100.0% Unsure              7     3.2% Unsure         7        8.1%
 No response                133      60.7%                                     Total        219 100.0%
 Total                      219 100.0%                                                                    Total         86      100.0%
Note: NR = No Response




 Other type of browser                                Other write-in responses to type of browser
                    Physicians with                                         Definitive Physicians
                    Other Browser                                            with Other Browser
                   Number Percent                                            Number       Percent
 Firefox 3 or
 higher                  18 40.9%                     Both Firefox + Safari          2     22.2%
 Firefox less
 than 3                   0     0.0%                  Firefox                        4     44.4%
 Safari 3.2               6 13.6%                     Safari                         0      0.0%
                                                      Google Chrome +
 Safari 3.1                  0     0.0%               Firefox                        1     11.1%
 Safari 3.0                  1     2.3%               Other                          1     11.1%
 Safari less than
 3.0                         2   4.5%                 Missing                        1     11.1%
 Other                       9 20.5%                  Don't know                     0      0.0%
 Does not apply              0   0.0%                 Total                          9    100.0%
 No response                 8 18.2%
 Total                      44 100.0%

NOTE: Totals may not sum to 100.0% due to rounding.                                                                    Page 70 of 95
                                 Other Responses
                               Number    Percent
 Any mention just Firefox          22     61.1%
 Any mention just Safari            9     25.0%
 Both Firefox and Safari            2      5.6%
 Other                              2      5.6%
 Don't know                         1      2.8%
 Total                             36    100.0%

Pop-up Blocker

While 18% (n=43) respondents did not know if their browser had a pop-up blocker enabled, 71% (n=170) indicated that they believed
their browser did.

 Pop-up blocker enabled?
                                                          Definitive
                              All Physician               Physician
                               Responses                  Responses
                            Number      Percent        Number Percent
 Yes                             170     71.1% Yes        170     90.9%
 No                                17     7.1% No          17      9.1%
 Unknown                           43    18.0% Total      187 100.0%
 No response                        9     3.8%
 Total                           239 100.0%




NOTE: Totals may not sum to 100.0% due to rounding.                                                              Page 71 of 95
Adobe Acrobat Reader

96% of all respondents with computers indicated that Adobe Acrobat Reader (used to view and print forms) was installed on their
personal computer. 43% who knew the version number indicated that 7.0 was the particular version of their software.

 Adobe Acrobat Reader
                                                           Definitive
                                                           Physician                    All Physician            Definitive Plus Unsure
                  All Physician Responses                  Responses                     Responses                Physician Responses
                    Number        Percent               Number Percent                Number Percent              Number         Percent
 Yes                        198    82.8% Yes               198     98.5% Yes             198      82.8% Yes              198      95.7%
 No                           3     1.3% No                  3      1.5% No+NR             35     14.6% No                  3       1.4%
 Unsure                       6     2.5% Total             201 100.0% Unsure                6      2.5% Unsure              6       2.9%
 No response                 32    13.4%                                 Total           239 100.0%
 Total                      239 100.0%                                                                  Total           207      100.0%
*Note: NR = No Response



 Version of Acrobat Reader on computer
                        All Physician                              Definitive Physician
                          Responses                                    Responses
                      Number Percent                               Number       Percent
 Less than Version                             Less than Version
 6.0                         1     0.5%        6.0                         1     0.9%
 Version 6.0                14     7.1%        Version 6.0                14    12.1%
 Version 7.0                50    25.3%        Version 7.0                50    43.1%
 Version 8.0                13     6.6%        Version 8.0                13    11.2%
 Version 9.0                38    19.2%        Version 9.0                38    32.8%
 Unknown                    79    39.9%        Total                     116   100.0%
 Does not apply              1     0.5%
 No response                 2     1.0%
 Total                    198 100.0%




NOTE: Totals may not sum to 100.0% due to rounding.                                                                   Page 72 of 95
Antivirus Software

98% of respondents have antivirus software installed on their computers. 47% indicated some vendor other than McAfee or Norton as
their antivirus software vendor.

 Antivirus software installed on computer?
                                                          Definitive
                        All Physician                     Physician
                         Responses                        Responses
                      Number      Percent              Number Percent
 Yes                      186       77.8% Yes             186     98.4%
 No                          3        1.3% No               3      1.6%
 Unknown                   42       17.6% Total           189 100.0%
 No response                 8        3.3%
 Total                    239      100.0%

 Vendor for the antivirus software?
                      All Physicians                               Definitive
                     Responses with                                Physician
                    Antivirus Software                             Responses
                  Number        Percent                         Number Percent
 McAfee                   31       16.7%      McAfee                31     23.7%
 Norton                   39       21.0%      Norton                39     29.8%
 Other                    61       32.8%      Other                 61     46.6%
 No response              55       29.6%      Total                131 100.0%
 Total                  186       100.0%




NOTE: Totals may not sum to 100.0% due to rounding.                                                              Page 73 of 95
Other antivirus software/vendors reported:

AVG
CA Security
Don’t Know
Etrust
Hospital IS Department
Kaspesky
Several Different Products
SOPHOS
Symantec
Trend Micros
VirusScan
Windows Firewall



Of those respondents responding to whether antivirus software is up to date with current virus lists, all are current with their software.

 Antivirus software up to date with current virus
 lists?
                                                          Definitive
                      All Physicians with              Physicians with
                       Antivirus Software             Antivirus Software
                           Responses                      Responses
                      Number       Percent            Number Percent
 Yes                       148        79.6% Yes           148 100.0%
 No                           0        0.0% No               0      0.0%
 Unknown                     34       18.3% Total         148 100.0%
 No response                  4        2.2%
 Total                     186       100.0%




NOTE: Totals may not sum to 100.0% due to rounding.                                                                       Page 74 of 95
Of all respondents to this question, 57% regularly run a scan of their computer to remove viruses, Trojan horses, malware, key
loggers, etc.

 Regularly run a scan to remove viruses, Trojan horses, malware, key loggers, etc?
                                             Definitive                                 Definitive
                    All Physician             Physician                                 Physician
                     Responses               Responses                                  Responses
                 Number Percent                Number     Percent                    Number Percent
 Yes                  137     57.3% Yes             137    91.9% Yes                    137     66.2%
 No                    12       5.0% No              12     8.1% No                      12      5.8%
 Unknown               32     13.4% Total           149 100.0% No response               58     28.0%
 No response           58     24.3%                                Total                207 100.0%
 Total                239 100.0%


Internet Access

Nearly all respondents have internet access.

 Internet Access?
                                                         Definitive
                          All Physician                  Physician
                           Responses                     Responses
                        Number Percent                Number Percent
 Yes                       233      80.6% Yes            233     97.9%
 No                           5      1.7% No               5      2.1%
 Unknown                      2      0.7% Total          238 100.0%
 No response                 49     17.0%
 Total                     289 100.0%




NOTE: Totals may not sum to 100.0% due to rounding.                                                                  Page 75 of 95
The majority of respondents who access the internet use cable TV or fiber (37%). The next most prevalent method to access the
internet is DSL (32%).

 How access the internet?
                     All Physicians with
                      Internet Access
                         Responses
                     Number       Percent
 Dial-up                     4      1.7%
 DSL                        75     32.2%
 Cable TV or
 Fiber                      85     36.5%
 Unknown                    32     13.7%
 Other                      35     15.0%
 No response                 2      0.9%
 Total                     233 100.0%

Other methods respondents use to access the internet are as follows:

 Other access method to Internet
 10MB Link
 Broadband
 Ethernet Line
 Hospital Intranet
 GNI Service
 Hospital T-1 Line
 Satellite
 Radio
 Wireless Service
 At Home-Satellite, at work-DSL




NOTE: Totals may not sum to 100.0% due to rounding.                                                               Page 76 of 95
Nearly all respondents access the Internet at their primary worksite.

 Access to Internet at worksite?
                                                         Definitive
                       All Physicians                    Physician
                        Responses                        Responses
                     Number      Percent              Number Percent
 Yes                     228       97.9% Yes             228     98.3%
 No                         4       1.7% No                4      1.7%
 Unknown                    0       0.0% Total           232 100.0%
 No response                1       0.4%
 Total                   233      100.0%


Of those not accessing the Internet at their worksite, all had access at home.

 Where do you access the Internet if not at your
 primary worksite?
                     Physician Who Don’t Access
                      Internet at Work Responses
                        Number           Percent
 Home                             4         100.0%
 Another worksite                 0           0.0%
 Library                          0           0.0%
 Retail
 establishment                    0           0.0%
 Other                            0           0.0%
 Total                            4         100.0%




NOTE: Totals may not sum to 100.0% due to rounding.                              Page 77 of 95
Use of Worksite Computer for EDR

57% of respondents to this question stated that staff will be allowed to use the current computer hardware at their worksite to access
an EDR.

 Staff use computer for EDR?
                                                         Definitive
                        All Physician                    Physician
                         Responses                       Responses
                      Number      Percent             Number Percent
 Yes                       136     56.9% Yes             136     75.1%
 No                          45    18.8% No               45     24.9%
 Unknown                     24    10.0% Total           181 100.0%
 No response                 34    14.2%
 Total                     239 100.0%




NOTE: Totals may not sum to 100.0% due to rounding.                                                                     Page 78 of 95
County Location of Worksites

Distribution of work locations for respondents throughout the state by county and Maine DHHS Districts are recorded in the following
tables.

The county with the highest response from physicians was Piscataquis with 29% of physicians in that county responding. The lowest
response was from providers in Aroostook County at 9%.

                                                                                           Response
                                                                                            within
                  All Respondent Physicians           Universe of Surveyed Physicians       County
 Work County       Number          Percent             Number               Percent         Percent
 Androscoggin              23           8.3%                     168                8.3%      13.7%
 Aroostook                 10           3.6%                     110                5.4%       9.1%
 Cumberland                76          27.3%                     613               30.3%      12.4%
 Franklin                   7           2.5%                       39               1.9%      17.9%
 Hancock                   14           5.0%                       75               3.7%      18.7%
 Kennebec                  35          12.6%                     212               10.5%      16.5%
 Knox                       6           2.2%                       58               2.9%      10.3%
 Lincoln                   10           3.6%                       56               2.8%      17.9%
 Oxford                     4           1.4%                       42               2.1%       9.5%
 Penobscot                 27           9.7%                     283               14.0%       9.5%
 Piscataquis                5           1.8%                       17               0.8%      29.4%
 Sagadohoc                  4           1.4%                       22               1.1%      18.2%
 Somerset                  13           4.7%                       53               2.6%      24.5%
 Waldo                      5           1.8%                       37               1.8%      13.5%
 Washington                 7           2.5%                       29               1.4%      24.1%
 York                      32          11.5%                     210               10.4%      15.2%
 Total                    278         100.0%                    2024             100.0%       13.7%




NOTE: Totals may not sum to 100.0% due to rounding.                                                                Page 79 of 95
Physicians in the Aroostook District were less likely to respond to the survey than those in the other Maine districts. Physicians in the
Downeast District were most likely to respond, with 20% of their surveyed physicians responding.



                                All Respondent Physicians    Universe of Surveyed Physicians Response within Profession
District     District Name     Number          Percent       Number           Percent                 Percent
     1     York                       32               11.5%      210                  10.4%                      15.2%
     2     Cumberland                 76               27.3%      613                  30.3%                      12.4%
     3     Western Maine              34               12.2%      249                  12.3%                      13.7%
     4     Mid Coast                  26                9.4%      173                   8.5%                      15.0%
     5     Central Maine              48               17.3%      265                  13.1%                      18.1%
     6     Penquis                    31               11.2%      300                  14.8%                      10.3%
     7     Downeast                   21                7.6%      104                   5.1%                      20.2%
     8     Aroostook                  10                3.6%      110                   5.4%                        9.1%
                                     278              100.0%     2024                 100.0%                      13.7%




NOTE: Totals may not sum to 100.0% due to rounding.                                                                        Page 80 of 95
                        COMMENTS ABOUT EDR SYSTEM FROM PHYSICIANS
          All of my work is at EMMC, so whatever system the hospital adopts will be what I use,
           thanks.
          Am part of a group practice (Family Medicine Institute) and have little control.
           However, in general we participate in such things.
          Don't know enough to know what to ask.
          Good idea.
          Great idea.
          Have windows OS, do not know the details.
          Hippa?
          Hoping not to have to use, pediatrician, v. rarely have to report death.
          How is this going to work?
          I am an emergency physician. I am not sure who will do the reporting.
          I am employed by EMMC and practice only hospital-based medicine. As such, I
           suspect all deaths would be reported by EMMC Registration.
          I am in solo practice. Very high tech practice can access my practice files from almost
           anywhere electronically. Doing this will be great as families and funeral directors chase
           me down like god forbid I should not sign something on a Sunday with black.
          I am not aware of what this system is, so my answers are presumptions.
          I am part of Franklin Health, Farmington Family Practice. An org. Of Franklin Memorial
           Hospital.
          I don't set up my computer, which is part of the larger hospital system, so you'd be
           better off talking with the IT people at the hospital.
          I don't think it applies to me - am I right?
          I think it will complicate efforts at rapid response to death certificates.
          I use Linx OS- rarely use Windows which is inherently unsecure.
          I wanted to go electronic in 1986 but software was not adequate.
          I work at the VA and this should be an easy fit with our system as all providers have
           "high end" computer access.
          I work in a hospital which has a "high end" computer system. I only guessed the
           answers to some of the technical questions. Am glad an EDR system is being
           developed. It will be much more convenient for everyone involved, and hopefully will
           lead to more.
          Is this to replace written death certificates or in addition to them?
          It is a service I hope not to use for my patients!
          It would be more useful for you if you contact the hospital directly for MDs like myself
           who are hospital based.
          It would certainly be more efficient than paper.
          Macintosh compatible please.

NOTE: Totals may not sum to 100.0% due to rounding.                                                    Page 81 of 95
          No, good idea.
          None currently, but please keep me informed.
          Should be little extra work - at this point all I need do enter cause of death in drop down
           menu, see patient after death and signature.
          Sounds great.
          Sounds like a much more efficient process.
          System should be nationalized - same in all states.
          Thanks for trying to improve this. Filling out the paper death certificates is very
           frustrating for us physicians.
          The office uses Windows. I personally use Macintosh at the office and at home. There
           are 4 other MDs (nephrologists) at this office.
          This is the 1st that I have heard of this. How will this impact the Medical Examiner
           process.
          This is the first I have heard of this, so not a lot of forethought re implementation.
          Totally unnecessary. Please spend money on helping care for the living.
          We are one of 11 health centers in Healthreach health centers. We all use same
           computer system.
          We have over 50 physicians with the residency including residents. Please include
           resident physicians statewide in your communications.
          We will be going to an EMR next year.
          What about times when all power is lost or unavailable? Will paper forms be on hand
           for hand-or typewriting that a "back log" of computer work does not happen? Also-
           death registration information should be available for generations, and computer
           format.
          What is EDR?
          When does it start?
          Who can/cannot access? What is the intent/good? When will we switch? Where is
           the "???Illegible word" at? How will we know to use it and why the transition?
          Why are you creating more work for me again?
          Yes, you don't want to hear them.
          You should be sending surveys to the hospital IT people.




NOTE: Totals may not sum to 100.0% due to rounding.                                                      Page 82 of 95
                                                                Appendix A
                                        Electronic Death Registration Cover Letter Information Sheet




                                                Electronic Death Registration (EDR) in Maine

The primary purpose of an EDR system is to enable the participants of death registration to file death records electronically with the
Maine Office of Vital Records. An EDR system will provide for on-line access so that decedent fact-of-death and cause-of-death
information can be registered electronically by multiple death registration participants working on the same case. An EDR system
will facilitate on-line collaboration among multiple death registration users supporting the completion and filing of death records.

With an EDR system, funeral directors will be better able to serve families by obtaining copies of death certificates with fewer errors
faster and more efficiently. For physicians, physician assistants and nurse practitioners, the ability to report cause-of death with
increased accuracy and timeliness can be an integral part of patient care and will also improve cause-of-death data for disease
surveillance.

An EDR system will feature user-friendly death record data entry screens that are highly secure and Internet accessible, available 24
hours/day, 7 days/week, and will accommodate a variety of facilities such as hospitals, nursing homes, private physician practices,
medical examiners, and funeral homes. The system will have on-line help and instructions built into the system to assist the users.

Potential benefits of the system include enabling faster death registration at the Office of Vital Records which will speed turnaround
time for obtaining certified copies for families, will improve fraud prevention by using electronic authentication, and will improve
timeliness and quality of death data by promoting uniformity in cause-of-death statistics. An EDR will save time and effort for the
users of an electronic death registration system.




NOTE: Totals may not sum to 100.0% due to rounding.                                                                     Page 83 of 95
                                                                         Appendix B

                                                                     EDR Paper Survey

                                    Electronic Death Registration System (EDR) Survey for Maine
 The Maine Center for Disease Control and Prevention is conducting this survey of potential users of a new Electronic Death Registration (EDR) online system
 for Maine, in order to understand our technical capabilities for participation. Your responses to the questions will help us develop a system that will work for
                                                                                you!

1. Please mark your occupation and answer any questions within the box.
   Funeral Director or         Municipal          Allopathic         Osteopathic          Medical              Nurse
          staff                  Clerk            Physician           Physician           Examiner          Practitioner
                                or staff
   How many licensed
   funeral directors           How many          THIS SURVEY IS ALSO                      Physician
   work at your physical        other staff     AVAILABLE ONLINE FOR                      Assistant
   location?                  handle death      MUNICIPAL CLERKS AT:
   Does your worksite
                               registration
   have software                 at your        http://www.maine.gov/dhhs/                 Other,
   specifically for             worksite?          bohodr/edrsurvey.htm                     please    ______________
   helping your funeral                                                                    specify
   director business?
        Yes        No
   If yes, please indicate
   vendor:
   _______________

2. Are you expecting to participate in a new Electronic Registration System once developed?
         Yes (skip to Question 4)     No             Uncertain, I need more information

3. Why won’t you be using an Electronic Death Registration System?
       I am currently not working (skip to Question 17) I am retired (skip to Question 17)
       I do not have online capabilities                Other (please specify)
       I do not have online capabilities but would      __________________________
       like to access the new system

  As part of preparing for rollout of the EDR project, we would like to know what computer software and hardware you have at your
                                                              worksite.

NOTE: Totals may not sum to 100.0% due to rounding.                                                                                           Page 84 of 95
4. First of all, does your worksite have a computer?
                        Yes                  No (continue with Question 12, page 2)

5. Does the computer you will be using at your worksite have a screen resolution of at least
   1024 by 768 pixels?                            Yes       No       Unknown

6. What software and hardware do you currently have at your worksite? Please check
   appropriate column for each item.
                                        Yes we have            No we do not have      Don’t know what this is

Windows 98 SE or ME

Windows 2000 or Windows XP

Windows Vista

Macintosh or other operating
system
Microsoft Internet Explorer
                                Which version do you have?
                                   Less than 6.0
                                   Version 6.0
                                   Version 7.0 or higher
                                   Unknown
Other web browser

Adobe Acrobat Reader (used to
                                What version is installed on
view and print forms)
                                your worksite computer?
                                    A version less than 6
                                    Version 6
                                    Version 7
                                    Version 9
                                    Unknown
Available USB port

Fingerprint reader

Microsoft Word 2000 or higher

TWAIN-compliant scanner


NOTE: Totals may not sum to 100.0% due to rounding.                                                             Page 85 of 95
7. If you have a web browser other than Microsoft Internet Explorer 6.0 or higher, please
   indicate the type/brand:
            Firefox 3 or higher           Firefox less than 3         O Safari 3.2                     Safari 3.1

            Safari 3.0                    Safari less than 3.0           Other, please                  Does not
                                                                      specify______________             apply
                                                                      ___________________

8. Does the browser you will be using have a pop-up blocker enabled?                         Yes       No     Unkn.

9. Does the computer you will be using for accessing the EDR have antivirus software installed?
               Yes   (continue below)      No (skip to Question 12)          Unknown (skip to Question 12)
        The vendor name is McAfee:         Version number is ____________
        The vendor name is Norton:         Version number is ____________
        Other vendor name? Please tell us: Vendor name and version number
                                           __________________________

10. On the computer you will be using for accessing the EDR, is the antivirus software up to
    date with current virus lists?                      Yes      No      Unknown

11. Do you (or someone else) regularly run a scan of the computer you will be using to remove
    viruses, Trojan horses, malware, key loggers, etc.?    Yes      No        Unknown

12. Are you able to access the Internet?             Yes          No (skip to Question 15)      Unknown

13. How do you access the internet?
          Dial-up        DSL            Cable TV or Fiber         Unknown          Other, please specify
                                                                                 ______________________

14. Is your internet access at your worksite?
          Yes (skip to Question 15)
          No, my access is at:      Home                Another worksite                     Library
                                    Retail              Other, please specify
                                establishment       __________________________

15. Will staff be allowed to use the current computer hardware at your worksite to access the
    Electronic Death Registration System?        Yes, please continue below        No
                                     If yes, how many people at your website
                                     will be using the EDR?
NOTE: Totals may not sum to 100.0% due to rounding.                                                                   Page 86 of 95
16. Where is your worksite located? Name of town/city _________________________

                                          County name     _________________________

17. Please print your name, title, phone number, email address and professional license number.
    Name
    Title
    Phone Number
    Email Address
    Professional license number

18. Who should we contact to follow up on this survey (if necessary)?
      Please contact me      Please contact this person
                                                     Name: _________________________
                                              Phone Number: _________________________
                                              Email Address: _________________________

19. Do you have any comments or questions for us regarding an EDR?
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
__________________

   Thank you very much for completing this survey. Your responses will assist us in the development of an EDR system that will
                            benefit all who are involved in the death registration process in Maine.
                     Please return survey to: ODRVS, 244 Water St., 11 SHS, Augusta, ME 04333-0011




NOTE: Totals may not sum to 100.0% due to rounding.                                                             Page 87 of 95
                                                                                     Appendix C

                                                                                EDR Online Survey

1. What is your occupation?
Introduction
The Maine Center for Disease Control and Prevention is conducting this survey of potential
users of a new Electronic Death Registration (EDR) online system for Maine, in order to
understand your technical capabilities for participation. Your responses to the questions will
help us develop a system that will work for you!



Funeral Director or Staff
Municipal Clerk or Staff
Allopathic Physician
Osteopathic Physician
Medical Examiner
Medical Examiner and MD
Medical Examiner and DO
Physician Assistant
Nurse Practitioner
Other (please specify)


2. How many licensed funeral directors work at your physical location?

One
Two
Three
Four
Five
Six
Seven
Eight
Nine
Ten or more
Other comment (please specify)


3. Does your worksite have software specifically for helping your funeral director
business?
Number of Funeral Directors at Worksite
Yes
No
Unknown


NOTE: Totals may not sum to 100.0% due to rounding.                                                 Page 88 of 95
4. If you have funeral home software, please specify vendor:
Funeral Director Software
Aldor Solutions
Custom Data Systems, Inc
FM Solutions
FPA Software
MMIS, Twin Tiers Technologies
Mortware
SRS Computing
Terradise
Ultimate Computer Software, Inc
Other (please specify)


5. How many other staff handle death registration at your worksite?
Municipal Clerks
No one else
One person
Two people
Three people
Four people
Five people
Six people
Seven people
Eight people
Nine people
Ten or more people
Comment area (if necessary)


6. Are you expecting to participate in a new Electronic Registration System once
developed?
Use new EDR?
Yes
No
Uncertain, I need more information

7. Why won't you be using an Electronic Death Registration System?
Not going to use EDR?
I am currently not working
I am retired
I do not have online capabilities
I do not have online capabilities but would like to access the new system
Other (please specify)


NOTE: Totals may not sum to 100.0% due to rounding.                                Page 89 of 95
As part of preparing for rollout of the EDR project, we would like to know what computer software and hardware you
have at your worksite.


8. First of all, does your worksite have a computer?
Software and Hardware
Yes
No

9. Does the computer you will be using at your worksite have a screen resolution of
at least 1024 by 768 pixels?

Yes
No


10. What software and hardware do you currently have at your worksite?
Software and Hardware Questions
                                               Yes we have   No we do not have   Don't know what this is
Windows 98 SE or ME   
Windows 2000 or Windows XP 
Windows Vista
Macintosh or other operating system
Microsoft Internet Explorer
Other web browser
Adobe Acrobat Reader (used to view and
print forms)
Available USB port
Fingerprint reader
Microsoft Word 2000 or higher
TWAIN-compliant scanner



11. If you checked Microsoft Internet Explorer in the list above, please indicate which
of the following version of this browser is on the computer(s) at your worksite?

Microsoft Internet Explorer less than 6.0
Microsoft Internet Explorer 6.0
Microsoft Internet Explorer 7.0 or higher
I do not know
Does not apply




NOTE: Totals may not sum to 100.0% due to rounding.                                                                  Page 90 of 95
12. If you have a web browser other than Microsoft Internet Explorer 6.0 or higher,
please indicate the type/brand.

Firefox 3 or higher
Firefox less than 3
Safari 3.2
Safari 3.1
Safari 3.0
Safari less than 3.0
Other
Does not apply
Please specify other browser


13. Does the browser you will be using have a pop-up blocker enabled?

Yes
No
Unknown


14. If you have an Adobe Acrobat Reader, what version is installed on your worksite
computer?

A version less than 6
Version 6
Version 7
Version 8
Version 9
Unknown
Does not apply

15. Does the computer you will be using for accessing the EDR have antivirus
software installed?

Yes
No
Unknown




NOTE: Totals may not sum to 100.0% due to rounding.                                   Page 91 of 95
16. What is the vendor for the installed antivirus software?

McAfee
Norton
Other
Please specify




17. If your antivirus software vendor name is McAfee, what is the version number?

18. If the antivirus software vendor name is Norton, what is the version number?

19. On the computer you will be using for accessing the EDR, is the antivirus
software up to date with current virus lists?

Yes
No
Unknown


20. Do you (or someone else) regularly run a scan of the computer you will be using
to remove viruses, Trojan horses, malware, key loggers, etc.?
Antivirus Software
Yes
No
Unknown

21. Are you able to access the Internet?
Internet Access?
Yes
No
Unknown

22. How do you access the internet?

Dial-up
DSL
Cable TV or Fiber
Unknown
Other (please specify)




NOTE: Totals may not sum to 100.0% due to rounding.                                   Page 92 of 95
23. Is your internet access at your worksite?
Means to Access the Internet
Yes
No

24. Since you do not access the internet at your worksite, where do you access the
internet? Check all that apply.
Internet Access Site
Home
Another worksite
Library
Retail establishment
Other (please specify)


25. Will staff be allowed to use the current computer hardware at your worksite to
access the Electronic Death Registration System?
Computer Access
Yes
No
Unknown

26. How many people at your worksite will be using the EDR?
Number of Users
One person
Two people
Three people
Four people
Five or more people
No one will be using the EDR
Unknown

27. What is the name of the city or town where your worksite is physically located?

28. Please specify the county where your worksite is physically located.
Worksite Location
Androscoggin County
Aroostook County
Cumberland County
Franklin County
Hancock County
Kennebec County
Knox County
Lincoln County
NOTE: Totals may not sum to 100.0% due to rounding.                                   Page 93 of 95
Oxford County
Penobscot County
Piscataquis County
Sagadahoc County
Somerset County
Waldo County
Washington County
York County

29. Please indicate the name and title of the person completing this survey.
Respondent Information
Name
Title
Phone Number
Email Address
Professional License Number



30. If we need to contact your worksite to follow up on this survey, should we
contact you or some other person?
Survey contact
Please contact me
Please contact someone else

31. Who should we contact to follow up on this survey?
Other survey contact
Name
Phone Number
Email Address


32. Any other comments or questions for us?

Comments
Thank you very much for completing this survey. Your responses will assist us in the development of an EDR system that will benefit
all who are involved in the death registration process in Maine.




NOTE: Totals may not sum to 100.0% due to rounding.                                                                                   Page 94 of 95

				
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