The U.S. National Vital Statistics System: Transitioning ...

NATIONAL CENTER FOR HEALTH STATISTICS

Vital and Health Statistics

Series 1, Number 62

March 2018

The U.S. National Vital Statistics System: Transitioning Into the 21st Century, 1990?2017

Programs and Collection Procedures

U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention National Center for Health Statistics

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All material appearing in this report is in the public domain and may be reproduced or copied without permission; citation as to source, however, is appreciated.

Suggested citation

Ventura SJ. The U.S. National Vital Statistics System: Transitioning into the 21st century, 1990?2017. National Center for Health Statistics. Vital Health Stat 1(62). 2018.

Library of Congress Cataloging-in-Publication Data

Names: National Center for Health Statistics (U.S.), issuing body. Title: The U.S. National Vital Statistics System : transitioning into the

21st century, 1990-2017. Other titles: Vital and health statistics. Ser. 1, Programs and collection

procedures ; no. 62. | DHHS publication ; no. 2018-1338. 0276-4733 Description: Hyattsville, Maryland : U.S. Department of Health and Human

Services, Centers for Disease Control and Prevention, National Center for Health Statistics, March 2018. | Series: Vital and health statistics, series 1, program and collection procedures ; number 62 | Series: DHHS pub ; number 2018-1338 | Includes bibliographical references. Identifiers: LCCN 2018002222| ISBN 9780840606884 (pbk.) | ISBN 0840606885 (pbk.) Subjects: | MESH: National Vital Statistics System (U.S.) | Vital Statistics | Statistics as Topic--trends | Data Collection--methods | United States Classification: LCC RA407.3 | NLM W2 A N148va no.62 2018 | DDC 614.4/273--dc23 LC record available at

For sale by the U.S. Government Printing Office Superintendent of Documents Mail Stop: SSOP Washington, DC 20402?9328 Printed on acid-free paper.

Vital and Health Statistics

Series 1, Number 62

The U.S. National Vital Statistics System: Transitioning Into the 21st Century, 1990?2017

Programs and Collection Procedures

U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention National Center for Health Statistics Hyattsville, Maryland March 2018 DHHS Publication No. (PHS) 2018?1338

National Center for Health Statistics

Charles J. Rothwell, M.S., M.B.A., Director Jennifer H. Madans, Ph.D., Associate Director for Science

Division of Vital Statistics Delton Atkinson, M.P.H., M.P.H., P.M.P., Director Hanyu Ni, Ph.D., M.P.H., Associate Director for Science

Contents

Preface

v

Acknowledgments

vi

Abstract

1

Introduction

1

1989 Revisions of the U.S. Standard Certificates and Reports and Evaluations of the Forms

2

Evaluation of the 1989 Certificates

2

Revision Recommendations for the 2003 Certificates

3

Evaluating and Testing the Proposed Revised Certificates and Associated Materials

3

Implementation of the 2003 Standard Certificates

4

Background

4

Budgetary and Implementation Challenges

5

Challenges in Implementing the 2003 Revisions

6

Consequences of These Challenges

6

Delay in Approval to Use the New Data Items on Certificates

9

Ongoing Challenges to the Vital Statistics Cooperative Program

9

Reengineering the National Vital Statistics System

10

The Concept of MoVERS

10

Reengineering of Internal Processing Systems

11

Coding Cause of Death for Mortality

11

International Classification of Diseases (ICD)

11

Mortality Coding System

12

Evaluation of Iris Proprietary Software

12

Transmitting Vital Statistics Data From the States to NCHS

12

Improving Timeliness of Birth and Death Statistical Data With "Preliminary" Releases

13

Using Technology to Improve Timeliness of Vital Statistics Data, Especially Mortality

14

Mortality Surveillance Facilitates Continued Improvement in Timeliness

15

Evaluating and Improving Birth Data Quality

15

Evaluation of Worksheets and Comparison With Hospital Birth Records Data

15

Improvements in the Measurement of Gestational Age

16

Birth Data Quality Workgroup

16

Other Initiatives to Enhance Vital Statistics Data Quality

18

Micro-data Files: Data Dissemination Tools and Strategies

18

Content and Availability of Vital Statistics Data

18

Data Sets

19

New Strategies to Enhance Availability and Utility of Vital Statistics Data Sets

22

Vital Statistics Rapid Release Program Showcased in New Online Releases

22

Data Visualization Gallery

22

Other Data Access Tools

22

Publication of Tabulated and Descriptive Analytic Reports

23

iii

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