NCHS Update NAPHSIS 2005

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

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

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

4. 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

5. Budget Status

6. National Center for Health StatisticsFunding by Fiscal Year

7. 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

8. National Center for Health StatisticsFunding by Fiscal Year

9. Allocation of FY 2005 BudgetNCHS 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

10. 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

11. 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

12. CDC and HHS

13. CustomersPeople whose health we can improve Alliances Channels Partners Stakeholders Public Health Systems and Communities Business Education Health Care Delivery FederalAgencies Coordinating Center for Health Information and Services 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 Executive Leadership Board Management Council CIO Directors 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 Office of the Chief of Staff Director Office of the Chief Operating Officer CDC Washington Office

14. 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

15. Mike Leavitt – New HHS Secretary

16. Electronic Health Records

17. 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

18. Providers Using Electronic Medical Records Percentage 95% Confidence Outpatient Emergency Physician offices Departments SOURCE: CDC/NCHS, National Ambulatory Medical Care Survey, 2003 and National Hospital Ambulatory Medical Care Survey, 2001-2002

19. Program Developments and Issues

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

21. Program Assessment Rating ToolOffice of Management and Budget • Product quality • Relevance • Accuracy • Timeliness • Program performance • Cost • Dissemination • Mission achievement

22. 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

23. 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

24. Policy on Micro-Data Dissemination Confidentiality Data Access

25. 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

26. 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 Confidentiality and Data Release Issues to Consider

27. Data Releases

29. 2002 Infant Mortality Increase • Announced – preliminary 2002 data • Confirmed – final 2002 data • Explained – linked file for 2002

31. 0 Years of life Life Expectancy at Birth White female Black female White male Black male 1970 1980 1990 2003 2000

36. 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 Confidentiality and Data Release Issues to Consider