A Success Story: CA Birth Data Quality California Department of Health Services Office of Vital Records Presented by: Melissa Reyes, R.N.

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Presentation transcript:

A Success Story: CA Birth Data Quality California Department of Health Services Office of Vital Records Presented by: Melissa Reyes, R.N.

Improving Security, Systems, and Statistics San Diego, CA June 4 th – 8 th, 2006 Overview History Concerns from Researchers Too many unknowns OHIR/AVSS reports confirm high number of unknowns Hospital Visits Observed birth clerks Training requested Annual Conference vs. Regional Workshop

Improving Security, Systems, and Statistics San Diego, CA June 4 th – 8 th, 2006 Overview Phase One October 2004 through March attendees/300 hospitals Phase Two May 2005 through December attendees/300+ hospitals Phase Three March 2006 through September 2006

Improving Security, Systems, and Statistics San Diego, CA June 4 th – 8 th, 2006 Participants Presenters Coordinated effort: CHS, MCAH, DCSS AVSS, OVR, OHIR Regional Perinatal Program of CA Directors Hospital link Crucial role Paternity Opportunity Program staff

Improving Security, Systems, and Statistics San Diego, CA June 4 th – 8 th, 2006 Participants Attendees Birth clerks Supervisors Nurse Managers County vital records staff Midwives

Improving Security, Systems, and Statistics San Diego, CA June 4 th – 8 th, 2006 Topics Use of data Make a difference improving care of moms and babies in CA Facts + “real life” examples given Race/ethnicity Title of articles Reporting of diabetes Pre-pregnancy vs. gestational Obstetric estimate of gestation Accuracy of reporting

Improving Security, Systems, and Statistics San Diego, CA June 4 th – 8 th, 2006 Perinatal Profiles of California Hospitals & Regions, 2002 & 5 Year Cohort. Gould, et.al. California Population Descriptors,

Improving Security, Systems, and Statistics San Diego, CA June 4 th – 8 th, 2006 PluralitySexRaceBirth- weight (grams) Total Births Fetal Mort. Live Births Neonatal Mort. 28-day Survivors Post- neonatal Mort. Total 530, , , SingleTotal 515, , , SingleMaleTotal 263, , , SingleFemaleTotal 251, , , SingleMissingTotal SingleTotalWhiteTotal158, , , SingleMaleWhiteTotal81, , , SingleMaleWhite SingleMaleWhite SingleMaleWhite SingleMaleWhite SingleMaleWhite Perinatal Profiles: Mortality Risk by Category, California 2002 Perinatal Profiles of California Hospitals & Regions, 2002 & 5 Year Cohort. Gould, et.al.

Improving Security, Systems, and Statistics San Diego, CA June 4 th – 8 th, 2006 The period of maximal opportunity Approximate survival (%) Weeks of gestation Source: RL Goldenberg, 2002 Perinatal Survival By Weeks of Gestation

Improving Security, Systems, and Statistics San Diego, CA June 4 th – 8 th, 2006 Topics Upcoming changes e.g., 2007 CA birth certificate Timeliness-birth registration Fetal death vs. birth/death Improving data quality Number of unknowns Race/ethnicity, education

Improving Security, Systems, and Statistics San Diego, CA June 4 th – 8 th, 2006 Areas to Improve Date last menses Mom’s Education Mom’s Race Mom Hispanic Month prenatal care began Number of prenatal visits

Improving Security, Systems, and Statistics San Diego, CA June 4 th – 8 th, 2006 Comparative Table of Unknowns

Improving Security, Systems, and Statistics San Diego, CA June 4 th – 8 th, 2006 AVSS “Report Card”

Improving Security, Systems, and Statistics San Diego, CA June 4 th – 8 th, 2006 Results 2004 CA2005 CA2006 CA Jan thru April 2004 NCHS Standard LMP Month LMP Day LMP Year Mo. Prenatal Care Began No. of Prenatal Visits Mom Hispanic Mom’s Race Mom’s Education

Improving Security, Systems, and Statistics San Diego, CA June 4 th – 8 th, 2006 Facts What do Mom’s Education/Mom Hispanic/Mom’s Race have in common? All are “optional” fields Not optional for birth clerks Optional for mom to answer-can withhold information If withheld-will show as “unknown”

Improving Security, Systems, and Statistics San Diego, CA June 4 th – 8 th, 2006

Improving Security, Systems, and Statistics San Diego, CA June 4 th – 8 th, 2006

Improving Security, Systems, and Statistics San Diego, CA June 4 th – 8 th, 2006 Awards/Recognition Most improved data collection 2004 vs Hospital specific Least number of unknowns Hospital specific Timeliness of birth registration County/hospital specific

Improving Security, Systems, and Statistics San Diego, CA June 4 th – 8 th, 2006 Summary Education of staff Importance of work they do What information is used for NAPHSIS survey Provide assistance/guidance Flyers Worksheets