NCHS Update NAPHSIS 2005 Centers for Disease Control and Prevention National Center for Health Statistics

Update New appointments and retirements Budget Trends Current Status New formulations and impact HHS and CDC update Program Evaluation Confidentiality Electronic medical records

New Appointment Linda Bilheimer Associate Director: NCHS Office of Analysis and Epidemiology

Retirements Jack Anderson, Deputy Director Jennifer Madans and Mike Sadagursky acting co-deputy directors 33 NCHS staff retired— many with early-out/buyout offers 25 at Hyattsville 8 at RTP 9 total for DVS

Budget Status

National Center for Health Statistics Funding by Fiscal Year

FY 2005 Budget 2005 total equates to $149.6 million; increase of $22 million $40 million moved to new CDC-wide indirect cost lines $109 million for NCHS’s direct program Prevents further erosion of NCHS statistical capacity Limited resources for new ventures

National Center for Health Statistics Funding by Fiscal Year

Allocation of FY 2005 Budget NCHS Program Total: $109 Million DVS budget: 19 percent of the total NCHS budget States receive 15 percent of the total NCHS budget through VSCP Enables NCHS to fully fund state contracts for 2005 Can continue re-engineering contract with NAPHSIS

Impact of the 2005 Budget Allows little, if any, for re-engineering and new items Intelligence bill and anti-terrorism legislation offers hope for significant Federal contribution for re-engineering

President’s FY 2006 Budget Request Decreases overall CDC budget by $491 million (6.1%) compared to FY 2005 Maintains same funding level for NCHS as FY 2005 Preserves gains achieved in 2005 appropriations cycle Allows for no new initiatives

CDC and HHS

Coordinating Center for Health Information and Services Business Public Health Systems and Communities Health Care Delivery Federal Agencies Education National Center for Health Marketing National Center for Public Health Informatics National Center for Health Statistics Coordinating Center for Infectious Diseases NCID, NCHSTP, NIP Coordinating Center for Health Promotion NCCDPHP, NCBDDD, Genomics Coordinating Center for EIO NCEH/ATSDR NCIPC Office of Global Health Office of Terrorism Preparedness & Emergency Response Office of Strategy and Innovation Office of the Chief of Science Office of the Chief of Public Health Improvement Office of Human Capital and Professional Development Customers People whose health we can improve Executive Leadership Board Management CouncilCIO Directors Partners Alliances Stakeholders Office of the Chief Operating Officer Office of the Chief of Staff CDC Washington Office Director Channels

The New CDC New CDC organizational structure approved Task forces developed organizational structure for new Centers Recruiting nearly complete for 9 CIO Directors (including marketing and informatics) and one Coordinating Center Director Business improvement – consolidation and outsourcing continue Blake Caldwell and Ed Sondik - serving as acting co-directors of CoCHIS

Mike Leavitt – New HHS Secretary

Electronic Health Records

Dr. David Brailer, MD, PhD: National Coordinator for Health Information Technology Four overarching goals Inform clinical practice Interconnect physicians Personalize care Improve population health

Percentage Physician offices Emergency Outpatient SOURCE: CDC/NCHS, National Ambulatory Medical Care Survey, 2003 and National Hospital Ambulatory Medical Care Survey, % Confidence Providers Using Electronic Medical Records Departments

Program Developments and Issues Program Developments and Issues

Evaluation of NCHS Program Assessment Rating Tool (PART) Board of Scientific Counselors National Committee on Vital and Health Statistics

Program Assessment Rating Tool Office of Management and Budget Product quality Relevance Accuracy Timeliness Program performance Cost Dissemination Mission achievement

Board of Scientific Counselors Provides advice and make recommendations on scientific and technical programs, goals and objectives, strategies, and priorities of NCHS Diverse membership from state and local health departments, academia, federal agencies, foundations, and non-profits Dr. Alvin Onaka, Registrar, Hawaii Evaluation of NCHS programs First up: Vital statistics Welcome NAPHSIS input

National Committee on Vital and Health Statistics Advises the Secretary on health data and statistics NCHS served as Executive Secretariat Covers issues from privacy to data quality and standards Coordinates with BSC on program evaluations

ConfidentialityData Access Policy on Micro-Data Dissemination

Confidentiality and Data Release Issues to Consider NCHS protects confidentiality by law State law protects confidentiality Existing data release and disclosure policies carefully developed and implemented New data release policy limits access to national data for most users

Confidentiality and Data Release Issues to Consider NCHS protects confidentiality by law State law protects confidentiality Existing data release and disclosure policies carefully developed and implemented New data release policy limits access to national data for most users Vital statistics is an essential data set for public health One of few systems providing state and local data Changes in data access and release will affect data users and data uses

Data Releases

2002 Infant Mortality Increase Announced – preliminary 2002 data Confirmed – final 2002 data Explained – linked file for 2002

Life Expectancy at Birth Years of life White female Black female White male Black male 2003

Confidentiality and Data Release Issues to Consider NCHS protects confidentiality by law State law protects confidentiality Existing data release and disclosure policies carefully developed and implemented New data release policy limits access to national data for most users Vital statistics is an essential data set for public health One of few systems providing state and local data Changes in data access and release will affect data users and data uses