1. Current Changes in Birth Registration Nothing endures but change. --Heraclitus

2. Change Improvements Changes Tips for better birth registration A glimpse into the future The only way to make sense out of change is to plunge into it, move with it, and join the dance. --Alan Watts

3. In 2012 we… Sent 4,963 birth records back to hospitals for validation and verification Corrected the dropped data problem Deployed 5 new builds in MR&C The only sense that is common in the long run, is the sense of change and we all instinctively avoid it. --E.B. White

4. Incomplete data isnt a disease Its a symptom Do you have the access you need? Do you have the support/resources you need? How can you raise awareness at your facility? How can MDH help? If we dont change, we dont grow. If we dont grow, we arent really living. --Gail Sheehy

5. Inaccurate data is useless Dont guess Record what you know Ask for help Use unknown when you dont have the information* Use the NOTES field at the end of the birth record to indicate unexpected or unavailable data items. Always remember the future comes one day at a time. --Dean Acheson

6. Resources Birth registration manual Birth & Fetal Death Registrars website http://www.health.state.mn.us/divs/chs/osr/birthreg MR&C support line 651-201-5993 Birth & Death Registration support 651-201-5961 Any change, even a change for the better, is always accompanied by drawbacks and discomforts. --Arnold Bennett

7. More resources – New field reps! The three of us will be cross-trained to work with Birth Registration, Death Registration and Issuance Kirsti Taipale 651-201-4832 Krista Bauer651-201-5937 Sally Almond651-201-5973 A year from now you will wish you had started today. --Karen Lamb

8. Recent changes to MR&C Parent verification – added address & SSN verification Commemoration of birth Reports 72-hr Report birth transcripts ROP completed at Miscellaneous data entry helps Location of birth prepopulates birth recorded by data field Parents place of birth defaults Cancel button renamed to Return Partial address corrections dont erase other data Previous pregnancy data / Moms date of birth message To improve is to change; to be perfect is to change often. --Winston Churchill

9. Some things never seem to change… Mom is married but not to the dad Dad wasnt on the parent notice and I cant find the birth record any more Fetus was stillborn at 19 weeks and mom is naming it. Should I enter the record? I entered the date of birth incorrectly and now I cant fix it We have unwanted, incomplete records in our work queue Parents place of birth city misspelling/other Address verification failed Reason for correcting a birth record The more things change, the more they remain…insane. --Michael Fry

10. Some things never seem to change… Mom is married… Use a ROP & HNPS I cant find the birth record any more The record is replaced Stillborn at 19 wks with a name. Enter a fetal death report Goofed the date of birth Go to MMII (last page) near time of birth Incomplete records in work queue health.dataquality@state.mn.us Parents place of birth Use Google for alternate name Address verification failed Please ignore this message Reason for correcting a birth record Hospitals use Data entry error correction Change is inevitable – except from vending machines. – Robert C. Gallagher

11. Legislative changes Effective 7/1/13 Birth records will be correctable for 1 year or until issuance After issuance – amendments cost $40 After 1 year – amendments cost $40 Were changing our name: Office of the State Registrar becomes Office of Vital Records You must be the change you wish to see in the world. --Mahatma Gandhi

12. New Criteria for Excellence Awards Birth records 98% timeliness (within 5 days) Data must match MDH partner usage reports Coordinate with your facilitys statistician Use MR&C Maternity & Newborn Activity report Corrections (after 1 month) less than 10% of total records If there is no struggle, there is no progress. --Frederick Douglass

13. Change is good In the last 5 years, Minnesota birth records have improved dramatically. 65% filed on time in 2007 85% filed on time in 2012 19 data items out of compliance with NCHS standards in 2007 0 out of compliance in 2012! Thank you! If you dont like something, change it. IF you cant change it, change your attitude. --Maya Angelou

14. The future e-Vital Records Initiative - Secure electronic transfer of data from the Electronic Health Record to the vital record Standards Incentives Human engagement 1.Phase one – evaluate the current state Hospital State 2.Phase two – prepare for change 3.Phase three – Pilot test Never believe that a few caring people cant change the world. For, indeed, thats all who ever have. --Margaret Mead

15. This never changes…. Our appreciation for you and the work you do For the families For your facility - compliance For your community For public health Youre braver than you believe, and stronger than you seem, and smarter than you think. --A.A. Milne

16. Change If nothing ever changed, thered be no butterflies. -- Unknown