1. Gateway to the Future: Improving the National Vital Statistics System St. Louis, MO June 6 th – June 10 th, 2010 Oregon PEP: Oregon’s campaign to improve the Paternity Establishment Percentage Jennifer A. Woodward Oregon Public Health Division Center for Health Statistics

2. Gateway to the Future: Improving the National Vital Statistics System St. Louis, MO June 6 th – June 10 th, 2010 Paternity “Paternity is the process of determining who is the legal father of the child.” Oregon Division of Child Support

3. Gateway to the Future: Improving the National Vital Statistics System St. Louis, MO June 6 th – June 10 th, 2010 Vital records’ resources 2.5 FTE in Amendments unit for processing. IT staff to produce and analyze data files. Managers to track work and data.

4. Gateway to the Future: Improving the National Vital Statistics System St. Louis, MO June 6 th – June 10 th, 2010 How is paternity established? Marriage “When parents are married to each other paternity is established by the marriage.” Oregon Division of Child Support

5. Gateway to the Future: Improving the National Vital Statistics System St. Louis, MO June 6 th – June 10 th, 2010 How is paternity established? Voluntary acknowledgment Hospital (Health Care Facility) Witnessed by hospital staff Mother must be a patient Within 5 days of birth No fee Out-of-facility births Notarized Fee

6. Gateway to the Future: Improving the National Vital Statistics System St. Louis, MO June 6 th – June 10 th, 2010 Other ways to establish paternity Filiations Court or administrative process Legitimation Adoption

7. Gateway to the Future: Improving the National Vital Statistics System St. Louis, MO June 6 th – June 10 th, 2010 Year Percent unmarried 200331.6% 200432.3% 200533.1% 200634.2% 200735.0% 200836.0% 200935.2% Percent of births to unmarried mothers

8. Gateway to the Future: Improving the National Vital Statistics System St. Louis, MO June 6 th – June 10 th, 2010 Paternities established YearTotal 200514,482 200614,610 200715,252 200815,772 200915,037

9. Gateway to the Future: Improving the National Vital Statistics System St. Louis, MO June 6 th – June 10 th, 2010 2009% Filiations1,98513.2 Legitimations210.1 Voluntary Ack. Paternities (fee and no fees)13,03186.7 Total15,037 Paternity Statistics

10. Gateway to the Future: Improving the National Vital Statistics System St. Louis, MO June 6 th – June 10 th, 2010 Paternity Establishment Percentage (PEP) # of paternities established in current federal fiscal year ___________________________ # of unwed births in the previous federal fiscal year

11. Gateway to the Future: Improving the National Vital Statistics System St. Louis, MO June 6 th – June 10 th, 2010 PEP – Why do we care? Federal performance measure related to funding. Required to get 90%. If we fail to get 90%: Enter a corrective action year Lose 1-2% of TANF block grant not improve by 2% points

12. Gateway to the Future: Improving the National Vital Statistics System St. Louis, MO June 6 th – June 10 th, 2010 YearPEP 200484.4% 200591.7% 200692.0% 200791.3% 200894.0% 200984.0% Oregon’s PEP

13. Gateway to the Future: Improving the National Vital Statistics System St. Louis, MO June 6 th – June 10 th, 2010 Meeting Challenge #1 Processing the backlog of paternities forms. Understanding what is being measured. Providing data. Reviewing the data. Tracking the work. Developing a partnership with DCS.

14. Gateway to the Future: Improving the National Vital Statistics System St. Louis, MO June 6 th – June 10 th, 2010 YearPEP 200484.4% 200591.7% 200692.0% 200791.3% 200894.0% 200984.0% Oregon’s PEP

15. Gateway to the Future: Improving the National Vital Statistics System St. Louis, MO June 6 th – June 10 th, 2010 Meeting Challenge #2 Oregon’s PEP campaign moved into full swing……

16. Gateway to the Future: Improving the National Vital Statistics System St. Louis, MO June 6 th – June 10 th, 2010 Meeting Challenge #2 Hospital outreach DCS and CHS in partnership. Unwed moms & paternity data files provided twice a month. Free paternity establishment services. Survey of birth clerks.

17. Gateway to the Future: Improving the National Vital Statistics System St. Louis, MO June 6 th – June 10 th, 2010 Meeting Challenge #2 Marketing. Special data requests. Births with no dad 2005-current Births 1992-current Demographics of paternity establishment Detailed hospital reports Marital status amendments

18. Gateway to the Future: Improving the National Vital Statistics System St. Louis, MO June 6 th – June 10 th, 2010 Meeting Challenge #2 Including adoptions. Reviewing TANF cases where paternity not established. Spanish forms. Allowing minor alterations to paternity form. AG calling hospital CEOs.

19. Gateway to the Future: Improving the National Vital Statistics System St. Louis, MO June 6 th – June 10 th, 2010 Meeting Challenge #2 Webcast for hospital staff sponsored by the hospital association Paternity day June 26 – all DCS branches open

20. Gateway to the Future: Improving the National Vital Statistics System St. Louis, MO June 6 th – June 10 th, 2010 Is the campaign a success? PEP (as of April) 91.6% Next steps Need survey of moms who are not establishing paternity.

21. Gateway to the Future: Improving the National Vital Statistics System St. Louis, MO June 6 th – June 10 th, 2010 Questions?