1. NAPHSIS Annual Meeting 2014Slide 1 NAPHSIS ANNUAL MEETING | Seattle | June 8-11, 2014 VITAL RECORDS: A CULTURE OF QUALITY Changes to Identity Information On Birth Certificates Jeff Duncan Utah Department of Health

2. NAPHSIS Annual Meeting 2014Slide 2 Birth in Hospital Health Dept. Birth Certificate Immunization Metabolic Screening Hearing Screening

3. NAPHSIS Annual Meeting 2014Slide 3 Birth Certificate as Identity Source Birth certificates Immunizations Hearing Screening Metabolic Screening Birth defects registry Other DOH systems External systems such as HIE

4. NAPHSIS Annual Meeting 2014Slide 4 Birth Certificate and Identity Birth certificate is used to link records in child health systems Birth certificate is increasingly requested for identity management in healthcare, HIE Challenges include changes to identity, particularly adoptions

5. NAPHSIS Annual Meeting 2014Slide 5 AIMS To describe— 1.the frequency and cause of changes to birth certificate identifiers as children age 2.the frequency of events (i.e. adoptions, paternities and amendments) that may trigger changes and their impact on names

6. NAPHSIS Annual Meeting 2014Slide 6 Methods Cross-sectional Analysis—to assess patterns of changes over time – Using birth certificate change history from 2000-2012 Cohort Analysis—to assess cumulative changes over time to a birth cohort – Using births in 1987, 2000, and change history – Simple survival model using SAS PROC LIFETEST

7. NAPHSIS Annual Meeting 2014Slide 7 Cross-sectional Results-Adoptions

8. NAPHSIS Annual Meeting 2014Slide 8 Cross-sectional Results--Amendments

9. NAPHSIS Annual Meeting 2014Slide 9 Cross-sectional Results--Paternities

10. NAPHSIS Annual Meeting 2014Slide 10 Changes to name by event type, 2010 births

11. NAPHSIS Annual Meeting 2014Slide 11 2000 birth Cohort Analysis -Using birth changes 2000-2013 -Survival analysis of time to first change with death as censoring event

12. NAPHSIS Annual Meeting 2014Slide 12 Conclusions Identity fields on birth certificates change, particularly in the first 2 years of life Patterns of events that cause changes (i.e. adoptions, paternities) also change over time Understanding patterns of changes to birth certificates can help improve record linking strategies

13. NAPHSIS Annual Meeting 2014Slide 13 NAPHSIS ANNUAL MEETING| Seattle | June 8-11, 2014 VITAL RECORDS: A CULTURE OF QUALITY Thank You Jeff Duncan jduncan@utah.gov