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MAKING VITAL STATISTICS MORE VITAL SUPPLEMENT: THE NEW DEATH CERTIFICATE

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MAKING VITAL STATISTICS MORE VITAL SUPPLEMENT: THE NEW DEATH CERTIFICATE. The ... State vital registration and statistics executives - Patricia W. Potrzebowski ... – PowerPoint PPT presentation

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Title: MAKING VITAL STATISTICS MORE VITAL SUPPLEMENT: THE NEW DEATH CERTIFICATE


1
MAKING VITAL STATISTICS MORE VITAL SUPPLEMENT
THE NEW DEATH CERTIFICATE
  • The Last Word

Centers for Disease Control and
Prevention National Center for Health
Statistics Division of Vital Statistics Mortality
Statistics Branch
2
Development of the Revised Death Certificate 11th
Revision
  • The U.S. Standard Certificate of Death had 10
    revisions during the 20th century. The last
    revision, still in use, was in 1989.
  • The revision process began with a consensus from
    the States that a revision was needed.
  • In 1998, the National Center for Health
    Statistics (NCHS), Centers for Disease Control
    and Prevention (CDC) assembled an expert panel to
    evaluate the current certificate and recommend
    changes.

3
Development of the Revised Death Certificate
  • The Panel to Evaluate the U.S. Standard
    Certificates and Report Parent Group was composed
    of
  • State vital registration and statistics
    executives - Patricia W. Potrzebowski (Chair),
    PA Donald Berry, DE Carol V. Getts, MI Karen
    Grady, NH Dorothy S. Harshbarger, AL Michael R.
    Lavoie, GA A.Torrey McLean, NC Barry Nangle,
    UT Alvin T. Onaka, HI Lorne A. Phillips, KS
    Steven Schwartz, NYC.
  • Researchers and representatives of data providers
    and user organizations - (e.g., CAP, NAME, NFDA,
    AHA, and AMA).

4
Development of the Revised Death Certificate --
cont.
  • In a series of meetings over 16 months, the
    Panel reviewed literature, suggestions, and
    recommendations and heard outside testimony from
    other experts and private citizens.
  • The revision was viewed as a opportunity to
    improve the data collection process.
  • Recommendations were made as to
  • Content
  • Format
  • Instructions
  • The Panel made its final recommendations in 1999.
  • NCHS was mandated to test the new documents.

5
Guides to Completing Death Certificate
  • To assist the funeral director completing
    demographic and legal items, the funeral
    directors handbook has been revised.
  • To assist physicians, medical examiners, and
    coroners completing cause of death, the
    physicians and medical examiners and coroners
    handbooks have been revised.

6
Detailed Specification for Electronic Systems
  • Because an increasing number of deaths are
    expected to be registered electronically, for the
    first time, detailed specifications for each data
    item on the electronic death certificate have
    been developed. The specifications include
  • Suggested electronic screens
  • Response categories
  • Drop-down menus
  • Edits
  • Help screens
  • Ability to edit and query at data entry
    resolution of data issues at the source

7
Proposed New Death CertificateModified Items
  • Decedents race, captures multiple race
    identification
  • Decedents education, captures highest degree
    attained
  • Decedents marital status distinguishes Married
    from Married, but separated
  • Place of death includes hospice facility

8
Proposed New Death CertificateImportant New
Items
  • If female, pregnancy status at time of death that
    will help identify maternal and pregnancy-related
    deaths
  • If transportation injury, decedents role with
    respect to vehicles
  • Did tobacco use contribute to death?
  • Separate instructions for funeral director and
    person completing medical portion

9
Summary
  • The quality of death certificate data will be
    improved as a result of
  • Expanded instructions in the death certificate
    packet
  • Revised handbooks
  • Detailed specifications for the electronic system
    and the ability to edit and query as data are
    entered

10
Public Health Implications
  • More accurate and comprehensive reporting on the
    death certificate will enhance our ability to
    analyze and track crucial indicators of health,
    including demographic characteristics and causes
    of death.
  • Cause-of-death trends
  • Leading causes of death
  • Life expectancy
  • Socio-economic differentials
  • Demographic differentials

Number of deaths
Age-adjusted death rate
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