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Strengthening Partnerships: Shaping the Future Portland, OR June 6 th – 10 th, 2004 WELCOME TO TENNESSEE VITAL RECORDS Quality Mortality Data.

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Presentation on theme: "Strengthening Partnerships: Shaping the Future Portland, OR June 6 th – 10 th, 2004 WELCOME TO TENNESSEE VITAL RECORDS Quality Mortality Data."— Presentation transcript:

1 Strengthening Partnerships: Shaping the Future Portland, OR June 6 th – 10 th, 2004 WELCOME TO TENNESSEE VITAL RECORDS Quality Mortality Data

2 Strengthening Partnerships: Shaping the Future Portland, OR June 6 th – 10 th, 2004 DEATH CERTIFICATE FAMILY ARCHIVE MEDICAL STATISTICS  Diseases Kill Our Citizens  $ To Treat and Prevent

3 Strengthening Partnerships: Shaping the Future Portland, OR June 6 th – 10 th, 2004  Education – IYF  Query Program – Paula Taylor -- Rebecca Groves GOOD MEDICAL STATISTICS Program: Gets Good Data In

4 Strengthening Partnerships: Shaping the Future Portland, OR June 6 th – 10 th, 2004 NCHS Manual

5 Strengthening Partnerships: Shaping the Future Portland, OR June 6 th – 10 th, 2004 Good Data: Small Cell Cancer of the Lung Diabetes Gun Shot Wound to the Head Bad Data: Six Levels: E X A M P L E S Level 1. 1.b. Site of Cancer a - g 1.c. Symptom (gangrene) 1.d. Improbable Sequence a. HIV b. Pneumonia Level 3. More Liver Disease – Alcohol? Hep C? NCHS Manual – Categorizes Bad Data

6 Strengthening Partnerships: Shaping the Future Portland, OR June 6 th – 10 th, 2004 Problem:Translate for Clerks NCHS Manual – Write to the Certifier

7 Strengthening Partnerships: Shaping the Future Portland, OR June 6 th – 10 th, 2004 CERTIFICATE SAYS WE MUST KNOW SO WRITE Anemia An Underlying Cause U L Cardiac Arrest An Underlying CauseU L Cancer Where It StartedP S Amputation Surgery? WhyD C Dementia Need Special InformationM S Paralysis Underlying Cause and WhyU E Pending Create a Delayed FormM S Trauma More Details About ItE C

8 Strengthening Partnerships: Shaping the Future Portland, OR June 6 th – 10 th, 2004 CERTIFICATE SAYS WE MUST KNOW SO WRITE Anemia An Underlying Cause U L Cardiac Arrest An Underlying CauseU L Cancer Where It StartedP S Amputation Surgery? WhyD C Dementia Need Special InformationM S Paralysis Underlying Cause and WhyU E Pending Create a Delayed FormM S Trauma More Details About ItE C

9 Strengthening Partnerships: Shaping the Future Portland, OR June 6 th – 10 th, 2004 Chuck this is a death certificate “anemia”

10 Strengthening Partnerships: Shaping the Future Portland, OR June 6 th – 10 th, 2004 John Smith M.D.Re: Death Certificate 123 Fourth Street Mary Carter Mary Carter Nashville, TN 37206 DOD Jan-1-2004 Dear Doctor Smith: We love you but you blew it! (Paraphrased). Please provide the Underlying Cause of Death:________________________________ _____________________________________________________ _____ (signature) John Smith M.D Date Signed U L Letter STATE OF TENNESSEE DEPARTMENT OF HEALTH Office of Vital Records 421 5 th Avenue North, 1 st Floor Central Services Building Nashville TN 37247 January 10, 2004

11 Strengthening Partnerships: Shaping the Future Portland, OR June 6 th – 10 th, 2004 CERTIFICATE SAYS WE MUST KNOW SO WRITE Anemia An Underlying Cause U L Cardiac Arrest An Underlying CauseU L Cancer Where It StartedP S Amputation Surgery? WhyD C Dementia Need Special InformationM S Paralysis Underlying Cause and WhyU E Pending Create a Delayed FormM S Trauma More Details About ItE C

12 Strengthening Partnerships: Shaping the Future Portland, OR June 6 th – 10 th, 2004

13 Strengthening Partnerships: Shaping the Future Portland, OR June 6 th – 10 th, 2004 John Jones M.D.Re: Death Certificate 123 Fourth StreetMary Carter DOD Jan 1, 2004 Nashville, TN 37206 Dear Medical Examiner Jones: In order to classify this death more accurately, please provide information about the injury: Date of Injury_______________ Place of Injury ________________ Location (Address)____________________ Was Injury at Work?___ Describe How the Injury Occurred____________________________ (signature) John Jones M.D Medical Examiner Date Signed E C Letter STATE OF TENNESSEE DEPARTMENT OF HEALTH Office of Vital Records 421 5 th Avenue North, 1 st Floor Central Services Building Nashville TN 37247 January 10, 2004

14 Strengthening Partnerships: Shaping the Future Portland, OR June 6 th – 10 th, 2004 Additional Details Highway Safety Reports Seat Belt Type of Road Driver or passenger

15 Strengthening Partnerships: Shaping the Future Portland, OR June 6 th – 10 th, 2004 CERTIFICATE SAYS WE MUST KNOW SO WRITE Anemia An Underlying CauseU L Cardiac Arrest An Underlying CauseU L Cancer Where It StartedP S Amputation Surgery? WhyD C Dementia Need Special InformationM S Paralysis Underlying Cause and WhyU E Pending Create a Delayed FormM S Trauma More Details About ItE C

16 Strengthening Partnerships: Shaping the Future Portland, OR June 6 th – 10 th, 2004

17 Strengthening Partnerships: Shaping the Future Portland, OR June 6 th – 10 th, 2004 John Smith M.D.Re: Death Certificate 123 Fourth StreetMary Carter DOD Jan-1-2004 Nashville, TN 37206 Dear Doctor Smith: In order to determine the cause the death, please specify the Primary Site of the Cancer :____________________________ (signature) John Smith M.D Date Signed ________________ ___________ P S Letter STATE OF TENNESSEE DEPARTMET OF HEALTH Office of Vital Records 421 5 th Avenue North, 1 st Floor Central Services Building Nashville TN 37247 January 10, 2004

18 Strengthening Partnerships: Shaping the Future Portland, OR June 6 th – 10 th, 2004 Death Certificates Updated: 4851 Improved: 8% Silver Lining: Education 2003

19 Strengthening Partnerships: Shaping the Future Portland, OR June 6 th – 10 th, 2004 Heart Disease 31%----Cancer---22%---Viral Hepatitis ½% Our State Taxes Our Federal Taxes TN Health DepartCDC Recommends to Recommends toCongress Legislature Tennessee Vital Records Health Prevention Programs Disease Treatment Programs Quality Data e.g.


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