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Getting from Good to Great: NAPHSIS/NCHS Partnership. Centers for Disease Control and Prevention National Center for Health Statistics. VSCP Contract 2010 : Where we were. Environment: Many years of NCHS paying States late 5 Year Contract that would be negotiated with each state

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Getting from Good to Great:

NAPHSIS/NCHS Partnership

Centers for Disease Control and Prevention

National Center for Health Statistics


Vscp contract 2010 where we were
VSCP Contract 2010 : Where we were

  • Environment: Many years of NCHS paying States late

  • 5 Year Contract that would be negotiated with each state

  • Strict (unrealistic?) requirements for improvement in timeliness over the 5 years

  • $ penalties for not meeting timeliness requirements

  • Sub-dividing data sets into “core” and “enhanced”


Vscp contracts 2010 where we were
VSCP Contracts 2010: Where we were

  • Deliverables were: fetals, Birth (core), Birth (enhanced); Death Demo (core); Death Demo (enhanced); Death Medical (core) Death Medical (enhanced); Linked Birth/Death

  • Section for a variety of VS improvement projects to help states with EDR’s, 2003 revision, Quality Control, etc


Vscp contract 2011 where we are
VSCP Contract 2011: Where we are

  • 5 year contract negotiated with NAPHSIS and sign-off from States

  • Shortened but realistic timeframes for data submission

  • Corrective Action Plan (CAP) instead of $ penalties

  • NCHS/NAPHSIS partnership helping states with a CAP to get better

  • No core and enhanced data sets


Vscp contract 2011 where we are1
VSCP Contract 2011: Where we are

  • NCHS provides medical coding for States

  • NCHS provides one time catch-up for mortality data entry and coding for States

  • Data items to be studied for QC -jointly determined by NAPHSIS/NCHS

  • Special projects (EDR/QC/2003 revision funding) in VSCP contract but separate from core VSCP funding


Vscp contract 2011 where we are2
VSCP Contract 2011: Where we are

  • All states to 2003 revision for births , deaths and fetal deaths by 2013

  • All States sending their data to NCHS through STEVE by 2013

  • Monthly fetal submission by 2013

  • Training requirements will be included for staff, providers and facilities

  • Attendance at Joint meetings and State meetings will continue to be required


Vscp contract some specifics on timeliness
VSCP Contract: Some Specifics on Timeliness

  • Birth event submission timeliness based on DATE OF REGISTRATION:

    • 1st year (2011) – 30 days

    • 2nd year (2012) – 25 days

    • 3rd year (2013) – 20 days

    • 4th year (2014) – 15 days

    • 5th year (2015) – 10 days 


Vscp contract some specifics on timeliness1
VSCP Contract: Some Specifics on Timeliness

  • Death event submission timeliness based on DATE OF REGISTRATION:

    • 1st year (2011) – 45 days

    • 2nd year (2012) – 40 days

    • 3rd year (2013) – 35 days

    • 4th year (2014) – 30 days

    • 5th year (2015) – 25 days 


Vscp contract some specifics on timeliness2
VSCP Contract: Some Specifics on Timeliness

  • Birth file FINAL FILE timeliness:

    • 1st year (2011) – April 30th of the following year

    • 2nd year (2012) – April 15th of the following year

    • 3rd year (2013) – March 31st of the following year

    • 4th year (2014) – March 15th of the following year

    • 5th year (2015) – March 1st of the following year


Vscp contract some specifics on timeliness3
VSCP Contract: Some Specifics on Timeliness

  • Death file FINAL FILE timeliness:

    • 1st year (2011) – June 30th of the following year

    • 2nd year (2012) – June 15th of the following year

    • 3rd year (2013) – May 31st of the following year

    • 4th year (2014) – May 15th of the following year

    • 5th year (2015) – May 1st of the following year


Requirements on nchs
Requirements on NCHS

  • Medical COD coded files to be returned to states from the date of receipt by NCHS:

    • 1st year (2011) –

      • Electronically coded records back to the jurisdictions – 5 days

      • Manually coded records (rejects) back to the jurisdictions – 30 days

    • 2nd year (2012) –

      • Electronically coded records back to the jurisdictions – 4 days

      • Manually coded records (rejects) back to the jurisdictions – 25 days


Requirements on nchs1
Requirements on NCHS

  • Medical COD coded files to be returned to states from the date of receipt by NCHS:

    • 3rd year (2013) –

      • Electronically coded records back to the jurisdictions – 3 days

      • Manually coded records (rejects) back to the jurisdictions – 20 days

    • 4th year (2014) –

      • Electronically coded records back to the jurisdictions – 2 days

      • Manually coded records – 15 days

    • 5th year (2015) –

      • Electronically coded records back to the jurisdictions – 1 day

      • Manually coded records – 10 days


Timeline vscp contract 2011 2015
Timeline: VSCP Contract 2011-2015

  • May 17-18 NAPHSIS/NCHS Retreat : Finalize recommendations on improving the National Vital Statistics System and parameters of the new contract

  • June 6-10 NAPHSIS/NCHS Joint Meeting: Discuss recommendations at plenary sessions, individual state meetings, roundtables and Town Hall Meetings

  • June 14: NAPHSIS/NCHS Retreat Conference Call: Summarize recommendations and issues raised at the annual meeting.

  • June 14 –June 30 DVS management develop draft VSCP contract using recommendations


Timeline vscp contract 2011 20151
Timeline: VSCP Contract 2011-2015

  • July 1- August 30: NCHS and PGO develop draft solicitation

  • September 30: Post draft solicitation

  • October 15: National conference call to address questions/issues

  • November 1: Post Final Solicitation

  • November 15 -16: Contract Negotiations NAPHSIS State reps & PGO/NCHS


Timeline vscp contract 2011 20152
Timeline: VSCP Contract 2011-2015

  • December 1: Individual contracts with negotiated costs sent to States for signature and or additional individual negotiation.

  • December 1 – February 1: Individual state signings of contract as negotiated or individual state negotiations.

  • March 1 2011: All contracts signed.


We have come a long way since baltimore
We have come a long way since Baltimore

  • Partnership with NAPHSIS critical

  • NCHS will be improving its systems and processes and providing new services to take advantage of State improvements

  • Contract is to help States improve realistically

  • Data sets will not be reduced to core elements


We have come a long way since baltimore1
We have come a long way since Baltimore

  • NAPHSIS can negotiate for States but States have the final word

  • Special projects will be funded but not at the expense of VSCP funding for data

  • We will seek new funding using the successes we have had in developing the 5 year road map together

  • States will be helped when in trouble not penalized


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