NAPHSIS Annual Meeting 2014Slide 1 NAPHSIS ANNUAL MEETING | Seattle | June 8-11, 2014 VITAL RECORDS: A CULTURE OF QUALITY Changes to Identity Information.

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Presentation transcript:

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

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

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

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

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

NAPHSIS Annual Meeting 2014Slide 6 Methods Cross-sectional Analysis—to assess patterns of changes over time – Using birth certificate change history from 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

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

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

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

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

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

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

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