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Health data from the revised birth certificate: Was it worth the wait?

Health data from the revised birth certificate: Was it worth the wait? . National Conference on Health Statistics August 8, 2012 Washington, DC. Primary goal of the 2003 revision. Separate worksheets to encourage collection of data from the best sources

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Health data from the revised birth certificate: Was it worth the wait?

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  1. Health data from the revised birth certificate: Was it worth the wait? National Conference on Health Statistics August 8, 2012 Washington, DC

  2. Primary goal of the 2003 revision • Separate worksheets to encourage collection of data from the best sources • One worksheet for the mom to complete (legal, demographic data) • Second worksheet (medical/health data) for facility staff to complete using medical records • Standardized and improved data collection: • Detailed specifications for new electronic birth systems. • Guidebook for completing the facility worksheet with detailed definitions and instructions, recommendations for preferred sources and key words IMPROVE DATA QUALITY

  3. A few bumps along the revision road… • Staggered implementation of 2003 revised birth certificates across country • Limited and constantly changing reporting areas for many key items (e.g., education, prenatal care, tobacco use) • Many health items not comparable between revisions (e.g., primary cesarean delivery) • No NCHS release (as of yet) of many new data items (i.e., infertility therapy, source of payment, breastfeeding.) = Limited and confusing birth data set 2003---?

  4. Times they are a –changing… Upcoming release of new/new data items (e.g., breastfeeding) with 2009 data file All states will soon be on the 2003 revision

  5. WA ME MT ND MN VT OR NH MA ID WI NY SD CT WY MI RI PA IA NJ NE NV OH DE IN IL UT MD CO WV VA KS MO CA KY NC TN OK AZ AR SC NM GA AL MS TX LA FL AK HI • 2012 revised states NYC DC Revised 2012 area = 89%of births) Revised (37 states + DC) Mid year / rolling / partial Unrevised

  6. WA ME MT ND MN VT OR NH MA ID WI NY SD CT WY MI RI PA IA NJ NE NV OH DE IN IL UT MD CO WV VA KS MO CA KY NC TN OK AZ AR SC NM GA AL MS TX LA FL AK HI • 2014 revised states 100% of all births! NYC DC

  7. National birth certificate data – most items Improved medical/health data quality

  8. Shae Sutton, Ph.D.; Director, Division of Biostatistics, South Carolina Department of Health and Environmental Control Patricia Dietz, Ph.D.; Team Leader, Reproductive Health and Chronic Disease Prevention Team, Maternal and Infant Health Branch, Division of Reproductive Health, NCCDPHD/CDCMichelle Osterman,M.H.S.; Health Statistician, Reproductive Statistics Branch, Division of Vital Statistics, NCHS/CDC Isabelle Horon,Ph.D.; Director, Vital Statistics Administration, Maryland Department of Health and Mental Hygiene

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