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NCHS and Public Health Data Standards. Centers for Disease Control and Prevention National Center for Health Statistics. Mission of CDC’s National Center for Health Statistics:.

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NCHS and Public Health Data Standards

Centers for Disease Control and Prevention

National Center for Health Statistics

mission of cdc s national center for health statistics
Mission of CDC’s National Center for Health Statistics:

“NCHS monitors the nation’s health, providing statistical information that will guide actions and policies to improve the health of the American people.”

nchs and phdsc
NCHS and PHDSC
  • Long history of involvement in development and implementation of data standards
  • Early supporter of PHDSC; housed initial organization
  • Founding member of PHDSC
  • Current collaborative projects
    • Web-based Resource Center
    • Health Care Service: Data Reporting Guide
vision for 21 st century health statistics influences on the population s health
Vision for 21st Century Health Statistics Influences on the Population's Health

Place & Time

Context

Community Attributes

Social

Biological

Characteristics

Natural

Environment

Built Environment

The Population’s Health

Level

Distribution

Health Services

Disease

Functioning

Well-being

Cultural Context

Economic

Population-based

Health Programs

Collective

Lifestyles

and Health

Practices

Political

Context

vision for health statistics enterprise ten guiding principles
Enterprise-wide planning

Broad collaboration

Protection of privacy, confidentiality and security

Flexibility to address emerging data needs

Use of data standards

Sufficient detail at all levels

Timely production

Integrated and streamlined data collection

Appropriate access and ease of use

Continuous evaluation

Vision for health statistics enterprise: ten guiding principles
major nchs data systems
Major NCHS Data Systems
  • National Vital Statistics System
  • National Survey of Family Growth
  • National Health Interview Survey
  • National Health Care Survey
  • National Health and Nutrition Examination Survey
  • State and Local Area Integrated Telephone Survey
national vital statistics system
National Vital Statistics System
  • 57 reporting areas
  • Decentralized
  • US historical development-self-governing States
  • Nothing on registration in US Constitution
  • Responsibility based in state law
  • Responsibility with provider of services
vital statistics
Vital Statistics
  • Core of our health data system
  • Base for public health, social science, economic planning and program development
  • Monitor key indicators of health world-wide
  • Track progress to goals
  • Identify disparities
  • Alert to emerging problems
promoting consistency and uniformity
Promoting Consistency and Uniformity
  • Model State Vital Statistics Act and Regulations
  • Standard Certificates and Reports – standardized worksheets
  • Training materials – handbooks, videos, instruction manuals
  • Technical assistance – ICD 10
  • Software – ACME, MICAR, etc…
future for vital statistics
Future for Vital Statistics

Revised Birth Certificate

Revised Death Certificate

re engineering vital statistics
Re-engineering Vital Statistics
  • Automation of records at the source
  • Flexibility to revise rapidly, address new data needs
  • Speed the flow of data
  • Implemented by states along with new standard certificates
  • Protocols and standards
vital statistics messaging project
Vital Statistics Messaging Project
  • To establish standardized messaging for vital events consistent with PHIN
  • Joint project – PHDSC, NAPHSIS, State representatives, CDC, and NCHS
  • Recognizes value of including vital statistics with its strong state-based system in PHIN
  • Next step: Identify state partners for testing and development
major nchs data systems1
Major NCHS Data Systems
  • National Vital Statistics System
  • National Survey of Family Growth
  • National Health Interview Survey
  • National Health Care Survey
  • National Health and Nutrition Examination Survey
  • State and Local Area Integrated Telephone Survey
standardizing data from multiple sources1
Standardizing data from multiple sources
  • Medical records from doctors’ offices, inpatient and outpatient hospital care
  • Facility questionnaires
  • CAPI interviews in the home
  • Clinical and laboratory tests
  • Medical examination findings
international standards setting
International Standards Setting
  • WHO’s Family of International Classifications
    • International Classification of Diseases
    • International Classification of Functioning and Disabilities
  • Summary health measures
  • Interview and examination survey methodologies
  • International Collaborative Efforts
    • Injury
    • Automated Mortality Coding
nchs support for who standards in mortality coding
NCHS support for WHO standards in mortality coding
  • NCHS developed automated coding system for mortality data, based on ICD
  • Distributes software at no charge
  • Offers international ICD coder training course at RTP
  • NCHS’s ICE on Automation promotes automated system via meetings, symposiums
  • Automation seminar for Eastern European nations in June 2004
conference format
Conference Format
  • Theme: Data for the Public
  • Workshop Sessions ( 1 ½ hours)
    • Overview of Programs
    • In-depth Program Analysis
    • Cross-Cutting Issues, such as Data Standards
    • Hands-On
  • Exhibits – NCHS, CDC and vendors
  • Focus groups
conference registration
Conference Registration

2004 Invitation: to be mailed soon and will be available also on-line