NCHS and NAPHSIS----Solving the Challenges Together Delton Atkinson, MPH, MPH, PMP, FAC-P/PM

1. NCHS and NAPHSIS----Solving the Challenges Together Delton Atkinson, MPH, MPH, PMP, FAC-P/PM Acting Division Director June 2, 2013 Phoenix, Arizona

2. 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

3. Issues from DVS • VSCP Contract Funding and Performance • Special Projects and Partnerships • Timeliness • Publications • File Completion • Lags in Receipts • General comments • New Geographic Coding Manual • CDC Secure Data Network Transition • Reorganization within DVS

4. VSCP Funding • Funding for the VSCP contract for CY13 • Sufficient funding to cover CY13 purchases • Contract modifications to commence after this meeting • Funding for Special Projects on Death • Roadmap for National Implementation of Enhanced EDRs • 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

5. Special Project Funding • VIEWS • Part of the Roadmap • Heard and documented the issues/ raised • Committed to moving ahead in partnership • Special Project on Births • Birth Quality Study • Characteristics of these Special Projects • Competitive----no pre-selection • Awarded based on strength of proposal • Contains minimal eligibility • Focus on “ADVANCING” the vital statistics system

6. Timeliness – Key Element of VSCP Contract • Publications • Births --- • 2011 Final Birth --- June 2013 (2 month improvement) • 2012 Preliminary Birth --- October 2012 • Deaths • 2011 Final Death --- Expected August 2013 (1 month improvement) • 2012 Preliminary Death ---- Expected August 2013 (2 month. Improvement)

7. Timeliness – Key Element of VSCP Contract • File completion (2012 standard) • Births --- • 100% receipts as of 4/15/2013 --- 32 jurisdictions • 100% receipts as of 3/1/2013 ---- 10 jurisdictions • Death Demo --- • 100% receipts as of 5/30/2013 – 35 jurisdictions • 100% receipts as of 5/1/2013 – 28 jurisdictions • Death Medical --- • 100% receipts as of 5/30/2013 --- 26 jurisdictions • 100% receipts as of 5/1/2013 --- 21 jurisdictions

8. Lags in Receipt of Records--- From Date of Registration to Date of Receipt at NCHS, CY2012

9. Lags in Receipt of Records – From Date of the Event to Date of Receipt at NCHS, CY2012

10. 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

11. 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

12. Reorganization of DVS • Eliminated the Medical Mortality Coding Branch • Integrated the staff into other DVS branches • DAEB----------- Medical Classification & Technician staffs • MSB------------- Nosology and Training team • SPSRB (IT)----- IT staff in MMCB

13. 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.

14. Success Partnership Vision