Its a Wonderful Life

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Its a Wonderful Life

• What the world would have been like without
  NAPHSIS
• Steven Schwartz
• New York City and NAPHSIS past president

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• The World in 1933
• Vital Statistics in 1933
• NAPHSIS contributions
• Its a Wonderful Life
• The Future

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The World in 1933
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The economy

• FDR declares bank holiday
• First minimum wage law- .33/hour
• Gallon of gas- .10
• Loaf of bread- .07
• Average annual income- 1,550
• Unemployment- 25

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New inventions and firsts

• Stereo records
• FM radio
• IBM enters typewriter business
• New foods- Ritz crackers, Sunsweet prune juice,
  V8 juice
• Windex
• First drive-in movie theater

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Sports

• World Series- NY Giants beat Washington Senators
  4-1
• First NFL championship- Chicago Bears beat NY
  Giants 23-21
• NY Rangers beat Toronto Maple Leafs 3-1 in
  Stanley Cup
• Baer KOs Schmelling

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Medicine and health

• Average life expectancy- 59.7 years
• Warfarin discovered as anti-clotting agent
• First isolation and analysis of cancer virus

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Vital Statistics

• All states were registering live births and
  deaths
• Sending data to the U.S. Bureau of the Census

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American Association of Registration Execs- 1933

• The members of the Association are keenly aware
  of the part played by the States in the National
  Vital Statistics Program Occasionally, however,
  situations arise where healthy differences of
  opinion may exist, and on such occasions the
  States would like to feel that they are being
  consulted rather than dictated to.

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Vital Statistics Cooperative Program (VSCP)

• lt1981- VSCP contracts individually negotiated
  with each state
• 1981- NCHS-AVRHS workgroup
• Define state/local activities in producing vital
  stats for all levels of government
• Figure costs of these activities
• Calculate federal share of costs
• Develop standardized funding formula

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NAPHSIS Contributions
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Communication

• Learning from each other
• Sharing information
• Best practices
• Resolving problems
• Annual and regional meetings

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Contract negotiations

• VSCP
• National Death Index (NDI)
• SSA Enumeration at birth
• SSA Death Record contracts with pricing based on
  EDR records and filing speed

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Standards

• Model Law and Regulations
• U.S. Standard Certificates and Reports
• EDR and EBR national models
• Interjurisdictional exchange
• EVVE
• STEVE
• Data release policy

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Leadership

• Intel Reform
• Funding
• National models
• Conceptual and technological solutions Direct
  access v. Electronic verification
• Partners and vendors

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NAPHSIS Mission

• National leadership and advocacy
• On behalf of its members
• To ensure quality, security, confidentiality,
  utility of vital records and health statistics
• For monitoring and improving public health

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NAPHSIS Goals

• Develop and promote national standards
• Support jurisdictions in implementing electronic
  systems
• Strive to secure funding for the national vital
  statistics system
• Inform members and influence federal laws and
  regulations

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Goals...

• Promote best practices
• Strengthen partnerships and collaboration with
  stakeholders
• Strengthen capacity of NAPHSIS organizationally
• Foster communication

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Our future
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• Our future will be built on what we do today
• And what our predecessors did
• The successes and the failures

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• Data quality
• Imaging and microfilm quality
• Data systems that were eliminated
• Data items that were eliminated
• Contracts negotiated
• Standards that were set
• Technical notes that were written

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• Systems that were built and negotiated EDRS,
  EBRS, EVVE, STEVE, EAB, NDI, SSA death records
• Records that were made public
• Strengths and weaknesses of leadership

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Strengths

• Our members state, local and corporate
• Our partners federal, vendor, organizational
  (ASTHO, Friends of NCHS, NAHDO, AAMVA)

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