1. NAPHSIS Making the Impossible a Reality by Garland Land NAPHSIS Executive Director

2. Making the Impossible a Reality “Alice laughed: "There's no use trying," she said; "one can't believe impossible things." "I daresay you haven't had much practice," said the Queen. "When I was younger, I always did it for half an hour a day. Why, sometimes I've believed as many as six impossible things before breakfast." Alice in Wonderland

3. Making the Impossible a Reality The Secret

4. Alaska California Idaho Oregon Washington Montana Wyoming Utah Colorado Arizona New Mexico Texas Oklahoma Kansas Nebraska South Dakota North Dakota Minnesota Wisconsin Iowa Illinois Ohio Indiana Kentucky WV Virginia N. Carolina Georgia Florida Alabama MS Missouri Arkansas LA Nevada Hawaii Michigan Pennsylvania NJ New York CT MA VT NH Maine Tennessee MD DE RI DC S. Carolina New York City

5. AK CA ID OR WA MT WY UT CO AZ NM TX OK KS NE SD ND MN WI IA IL OH IN KY WV VA NC GA FL AL MS MO AR LA NV HI* MI PA NJ NY CT MA VT NH ME TN MD DE RI DC SC NYC Implemented 2003 Revision In ProcessPlanning 2003 Certificate of Birth Use No Current Plans

6. EDR Participation

7. Making the Impossible a Reality

11. The NAPHSIS/NCHS Collaboration Past Successes and Future Challenges

12. Vision of Future Challenges 1. All jurisdictions have re-engineered vital statistics systems 2. All hospitals, physicians and funeral directors are participating in EBRs and EDRs 3. All jurisdictions are using the 2003 certificates 4. All jurisdictions are participating in EVVE

13. 5. All jurisdictions are participating in STEVE 6. All jurisdictions are meeting the Intelligence Reform Security Standards 7. All jurisdictions have clean databases for EVVE and central issuance Vision of Future Challenges

14. 8. All jurisdictions have all death records linked to birth records back to 1935 9. All jurisdictions have a security coordinator 10. All jurisdictions have a WDQS 11. All jurisdictions routinely publish analytical reports using NAPHSIS standards Vision of Future Challenges

15. Making the Impossible a Reality Let’s attract good images this week, learn together, and find solutions to our many challenges.

16. Making the Impossible a Reality