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Working with Less: What does 15% Less Mean?. Linette T Scott, MD, MPH Deputy Director Health Information and Strategic Planning California Department of Public Health June 6, 2010. New Opportunities. New environment for Fiscal Year 09/10
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Working with Less: What does 15% Less Mean? Linette T Scott, MD, MPH Deputy Director Health Information and Strategic Planning California Department of Public Health June 6, 2010
New Opportunities New environment for Fiscal Year 09/10 State government closed 1st three Fridays of the month 36 of 225 fewer work days 1.7 months less of work time Continue services Prioritize tasks and resources
Clearly Understand our Program Policy Data &Information Dissemination Issuance,Verification, Certification Data & Information Management The Foundation: Registration, Amendments, Preservation (Required by Statute, Health & Safety Code Section 102100 and 102230)
Focus on our Products Certified Copies Verifications Data Files Reports
Certified Copies Processing Times April 2009 9 Wks October 2009 15 Wks May 2010 13 Wks Response to 15% less: Re-evaluating business processes Focus on performance metrics Ensure older requests are processed first
Verifications Electronic Verifications of Vital Events (EVVE) – A Project Feasibility Study Report approved Jan. 2009 Original project implementation date Sept. 2009 Actual project implementation date Dec. 2009 Continue to work on match rates - which is slowed by decreased staff availability
Data Files Final Birth Statistical Master File 2008 Data File – Released July 1, 2009 Final Death Statistical Master File 2008 Data File – Released January 27, 2010 Focus on business process flow for death registration Streamline process to reduce dependency on paper Average time from Date of Death to State Registration 2008 – 72 days 2009 – 46 days (Paperless Death Registration – 13 days) 2010 – 33 days (Paperless Death Registration – 16 days)
Reports: County Health Status Profiles Published annually since 1993 for Public Health Week EDRS implementation in 2005 to present initially delayed the final Death Statistical Master File 2005 Statistical File released – July 3, 2007 (18 mo.) 2006 Statistical File released – May 2, 2008 (16 mo.) 2007 Statistical File released – January 28, 2009 (13 mo.) 2008 Statistical File released – January 27, 2010 (13 mo.) Report was published after Public Health Week in 2007 and 2008 Report was completed before Public Health Week in 2009 and 2010 15% less work meant no improvement in the timeliness of the report despite continued process improvements in registration and data processing http://www.cdph.ca.gov/programs/ohir/Pages/CHSP.aspx
What does 15% less mean? Apparent outcomes of process improvements are minimized – they help cover the gap Projects are delayed in implementation Increased risk due to staff moral
Response to Less … Continue to focus on customer service Focus upstream on registration, amendments, and edits to improve business process Focus on performance metrics to maintain focus for staff and managers Celebrate the successes Embrace ingenuity and creativity to solve problems and move past “the ways we have always done it”