NCHS and NAPHSIS----Solving
the Challenges Together
Delton Atkinson, MPH, MPH, PMP, FAC-P/PM
Acting Division Director
June 2, 2013
Phoenix, Arizona
Word of Thanks!!!
• Acting Division Director
• Receipt of numerous emails and some calls
• Gracious for the words of encouragement
• Look forward to working with you
Issues from DVS
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VSCP Contract Funding and Performance
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Special Projects and Partnerships
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Timeliness
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Publications
File Completion
Lags in Receipts
General comments
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New Geographic Coding Manual
CDC Secure Data Network Transition
Reorganization within DVS
VSCP Funding
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Funding for the VSCP contract for CY13
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Sufficient funding to cover CY13 purchases
Contract modifications to commence after this meeting
Funding for Special Projects on Death
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Roadmap for National Implementation of Enhanced EDRs
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Model Electronic death registration state (1)
Improving physician participation with EDRs (more than 1)
Mortality Surveillance and Statistics Project
Implementing VIEWS
Key Partner---Public Health Preparedness and Response
Special Project Funding
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VIEWS
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Special Project on Births
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Part of the Roadmap
Heard and documented the issues/ raised
Committed to moving ahead in partnership
Birth Quality Study
Characteristics of these Special Projects
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Competitive----no pre-selection
Awarded based on strength of proposal
Contains minimal eligibility
Focus on “ADVANCING” the vital statistics system
Timeliness – Key Element of VSCP Contract
• Publications
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Births ---
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2011 Final Birth --- June 2013 (2 month
improvement)
2012 Preliminary Birth --- October 2012
Deaths
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2011 Final Death --- Expected August 2013 (1
month improvement)
2012 Preliminary Death ---- Expected August 2013
(2 month. Improvement)
Timeliness – Key Element of VSCP Contract
• File completion (2012 standard)
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Births ---
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Death Demo ---
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100% receipts as of 4/15/2013 --- 32 jurisdictions
100% receipts as of 3/1/2013 ---- 10 jurisdictions
100% receipts as of 5/30/2013 – 35 jurisdictions
100% receipts as of 5/1/2013 – 28 jurisdictions
Death Medical ---
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100% receipts as of 5/30/2013 --- 26 jurisdictions
100% receipts as of 5/1/2013 --- 21 jurisdictions
Lags in Receipt of Records--- From Date of Registration
to Date of Receipt at NCHS, CY2012
Lags in Days
States – Births
States---Deaths
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< Less than 10 days
20
12
10 to 19 days
17
14
20 to 39 days
3
12
40 to 89 days
2
5
90 + days
2
1
Reg. Date N/A
13
13
Lags in Receipt of Records – From Date of the
Event to Date of Receipt at NCHS, CY2012
Lags in Days
States – Births
States---Deaths
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< Less than 10 days
1
1
10 to 19 days
20
13
20 to 39 days
25
14
40 to 89 days
4
19
90 To 129 days
3
3
130 or greater days
4
7
Geographic Coding Manual
• New manual ---- emailed on April 18th.
• Goes into effect with events occurring on or after
January 1, 2014
• 2013 events to be coded using previous versions
of the manuals
• New manual to be used with revised certificates
• For states not using revised certificates
• Continue using prior versions of the manuals
• Develop a corrective action plan
SDN Conversion to SAMS
• Begun testing a few months ago with a few states
• Inviting states to join SAMS
• Receive a handout on the process at your
individual state meeting
• Contact your assigned Vital Statistics Specialist to
begin the process
Reorganization of DVS
• Eliminated the Medical Mortality Coding Branch
• Integrated the staff into other DVS branches
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DAEB----------- Medical Classification & Technician staffs
MSB------------- Nosology and Training team
SPSRB (IT)----- IT staff in MMCB
Rationale
• Phase out and revamp inefficient business practices
• Improve working relationships and communication
practices/procedures between Division and state
partners
• Improve operational efficiency through the better use
of new technologies
• Assign dedicated resources to assist states in
improving the timeliness and quality of the data and
in re-engineering their IT systems.
Success
Partnership
Vision