It’s a Wonderful Life…

1. It’s a Wonderful Life… What the world would have been like without NAPHSIS Steven Schwartz New York City and NAPHSIS past president

2. The World in 1933 • Vital Statistics in 1933 • NAPHSIS contributions • It’s a Wonderful Life • The Future

3. The World in 1933

14. The economy • FDR declares bank holiday • First minimum wage law- $.33/hour • Gallon of gas- $.10 • Loaf of bread- $.07 • Average annual income- $1,550 • Unemployment- 25%

15. New inventions and firsts • Stereo records • FM radio • IBM enters typewriter business • New foods- Ritz crackers, Sunsweet prune juice, V8 juice • Windex • First drive-in movie theater

16. Sports • World Series- NY Giants beat Washington Senators 4-1 • First NFL championship- Chicago Bears beat NY Giants 23-21 • NY Rangers beat Toronto Maple Leafs 3-1 in Stanley Cup • Baer KOs Schmelling

17. Medicine and health • Average life expectancy- 59.7 years • Warfarin discovered as anti-clotting agent • First isolation and analysis of cancer virus

18. Vital Statistics • All states were registering live births and deaths • Sending data to the U.S. Bureau of the Census

19. American Association of Registration Execs- 1933 “The members of the Association are keenly aware of the part played by the States in the National Vital Statistics Program… Occasionally, however, situations arise where healthy differences of opinion may exist, and on such occasions the States would like to feel that they are being consulted rather than dictated to.”

20. Vital Statistics Cooperative Program (VSCP) • <1981- VSCP contracts individually negotiated with each state • 1981- NCHS-AVRHS workgroup • Define state/local activities in producing vital stats for all levels of government • Figure costs of these activities • Calculate federal share of costs • Develop standardized funding formula

21. NAPHSIS Contributions

22. Communication • Learning from each other • Sharing information • Best practices • Resolving problems • Annual and regional meetings

23. Contract negotiations • VSCP • National Death Index (NDI) • SSA Enumeration at birth • SSA Death Record contracts with pricing based on EDR records and filing speed

24. Standards • Model Law and Regulations • U.S. Standard Certificates and Reports • EDR and EBR national models • Interjurisdictional exchange • EVVE • STEVE • Data release policy

25. Leadership • Intel Reform • Funding • National models • Conceptual and technological solutions: Direct access v. Electronic verification • Partners and vendors

35. NAPHSIS Mission • National leadership and advocacy… • On behalf of its members… • To ensure quality, security, confidentiality, utility of vital records and health statistics… • For monitoring and improving public health

36. NAPHSIS Goals • Develop and promote national standards • Support jurisdictions in implementing electronic systems • Strive to secure funding for the national vital statistics system • Inform members and influence federal laws and regulations

37. Goals... • Promote best practices • Strengthen partnerships and collaboration with stakeholders • Strengthen capacity of NAPHSIS organizationally • Foster communication

38. Our future

39. Our future will be built on what we do today… • And what our predecessors did… • The successes and the failures

40. Data quality • Imaging and microfilm quality • Data systems that were eliminated • Data items that were eliminated • Contracts negotiated • Standards that were set • Technical notes that were written

41. Systems that were built and negotiated: EDRS, EBRS, EVVE, STEVE, EAB, NDI, SSA death records • Records that were made public • Strengths and weaknesses of leadership

42. Strengths • Our members: state, local and corporate • Our partners: federal, vendor, organizational (ASTHO, Friends of NCHS, NAHDO, AAMVA)