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A Success Story: CA Birth Data Quality

A Success Story: CA Birth Data Quality. California Department of Health Services Office of Vital Records Presented by: Melissa Reyes, R.N. Overview. History Concerns from Researchers Too many unknowns OHIR/AVSS reports confirm high number of unknowns Hospital Visits

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A Success Story: CA Birth Data Quality

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  1. A Success Story: CA Birth Data Quality California Department of Health Services Office of Vital Records Presented by: Melissa Reyes, R.N.

  2. Overview • History • Concerns from Researchers • Too many unknowns • OHIR/AVSS reports confirm high number of unknowns • Hospital Visits • Observed birth clerks • Training requested • Annual Conference vs. Regional Workshop

  3. Overview • Phase One • October 2004 through March 2005 • 500 attendees/300 hospitals • Phase Two • May 2005 through December 2005 • 500+ attendees/300+ hospitals • Phase Three • March 2006 through September 2006

  4. Participants • Presenters • Coordinated effort: CHS, MCAH, DCSS • AVSS, OVR, OHIR • Regional Perinatal Program of CA Directors • Hospital link • Crucial role • Paternity Opportunity Program staff

  5. Participants • Attendees • Birth clerks • Supervisors • Nurse Managers • County vital records staff • Midwives

  6. Topics • Use of data • Make a difference improving care of moms and babies in CA • Facts + “real life” examples given • Race/ethnicity • Title of articles • Reporting of diabetes • Pre-pregnancy vs. gestational • Obstetric estimate of gestation • Accuracy of reporting

  7. California Population Descriptors, 1997-2002 Perinatal Profiles of California Hospitals & Regions, 2002 & 5 Year Cohort. Gould, et.al.

  8. Perinatal Profiles:Mortality Risk by Category, California 2002 Perinatal Profiles of California Hospitals & Regions, 2002 & 5 Year Cohort. Gould, et.al.

  9. Perinatal Survival By Weeks of Gestation The period of maximal opportunity Approximate survival (%) Weeks of gestation Source: RL Goldenberg, 2002

  10. Topics • Upcoming changes • e.g., 2007 CA birth certificate • Timeliness-birth registration • Fetal death vs. birth/death • Improving data quality • Number of unknowns • Race/ethnicity, education

  11. Areas to Improve • Date last menses • Mom’s Education • Mom’s Race • Mom Hispanic • Month prenatal care began • Number of prenatal visits

  12. Comparative Table of Unknowns

  13. AVSS “Report Card”

  14. Results

  15. Facts • What do Mom’s Education/Mom Hispanic/Mom’s Race have in common? • All are “optional” fields • Not optional for birth clerks • Optional for mom to answer-can withhold information • If withheld-will show as “unknown”

  16. Awards/Recognition • Most improved data collection • 2004 vs. 2005 • Hospital specific • Least number of unknowns • Hospital specific • Timeliness of birth registration • County/hospital specific

  17. Summary • Education of staff • Importance of work they do • What information is used for • NAPHSIS survey • Provide assistance/guidance • Flyers • Worksheets

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