NCHS Update NAPHSIS, June 6, 2006 NCHS Update NAPHSIS, June 6, 2006 U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention National Center for Health Statistics

Updates Terrorism Bill: Intelligence Reform and Terrorism Prevention Act HIT and the President and HHS Secretary National Coordinator for Health Information Technology --David Brailer American Health Information Community (AHIC) CDC Reorganization NCHS Program Reviews Budget

Update: American Health Information Community (AHIC) Chaired by Secretary Leavitt Personal health records BioSurveillance –BioSense Consumer empowerment Chronic Disease

Updates Terrorism Bill: Intelligence Reform and Terrorism Prevention Act HIT and the President and HHS Secretary National Coordinator for Health Information Technology --David Brailer American Health Information Community (AHIC) CDC Reorganization NCHS Program Reviews Budget

Update: CDC Reorganization Coordinating Center for Health Information and Service (CoCHIS) –National Center for Health Statistics –National Center for Public Health Informatics –National Center for Health Marketing Goals and emphasis on implementing Health IT

CDC Goals Healthy People in Every Stage of Life Healthy People in Healthy Places Global Health: Healthy People in a Healthy World Preparedness: Protection from infectious, occupational, environmental, and terrorist threats

Update: NCHS Program Reviews Under NCHS Board of Scientific Counselors Mortality Chaired by Randy Hanzlick Recommendations are under review Natality Chaired by Barbara Luke, University of Miami Review to take place this summer

Update: NCHS Budget Restructuring of the CDC budget Holding the line on budget increases

Budget: FY 2005 Appropriation increased $19 million to $109 million FY 2006 $109 million appropriated; $104 received after CDC-wide cuts Increasing pressure on NCHS program operations Vital Statistics -- funding to States reduced $1.5 million (one month) – concerns about funding for new regs and system improvements

Budget Status -- FY 2007 Budget Status -- FY 2007 President’s budget same level as FY 2006 for NCHS Impact from CDC-wide appropriations is unclear Continued cost increases will have to be absorbed Further survey reductions will be needed to address the impact of permanent funding at this level

NCHS Personnel Development Retiring: Sandy Smith, Associate Director for Communication Science

OMB-Approved Performance Measures for NCHS increase timeliness for release of data measure satisfaction of key data users and policy makers improve scope and detail of information, as measured by that provided in HUS improve user tools and technologies on NCHS website

Where We Can Improve Score will increase as new PART measures are tracked Customer Satisfaction Web tools and technologies Scope and detail Need to have more comprehensive independent evaluations

CDC/CoCHIS Priorities eCDC: Building a robust, world-class, highly useful, customer-friendly CDC web and digital presence Partnerships: Strengthening and integrating our outreach to, and involvement with, all our partners Integrated Disease Surveillance: Improving disease surveillance processes, including specifically situation awareness Goals Integration Business Service Effectiveness Scientific Communications: Strengthening the quality, coordination, and usefulness of heath sciences research in use, practice and publications Informatics Infrastructure: Designing and building a robust, secure, reliable pubic health information infrastructure Service Culture and Leadership

NCHS Mission National leadership in health statistics and epidemiology National health statistics: Collection, analysis, and dissemination of information on: Vital events, Health status, health care and health hazards Basic and applied data and statistical research Coordinates HHS statistical and epidemiological activities International statistical research and programs Member of Federal Statistical System Advises Secretary, HHS on statistical matters

NCHS Priorities Timeliness in data collection Timeliness in data release Meeting Data/Information needs of Government and private sectors Policy Makers Researchers Public Wider, more effective dissemination Improved user tools and technologies on NCHS website Re-engineered collection, processing and dissemination Partnerships/collaborations, expanding deepening

CoCHIS/NCHS ---- Priorities ---- eCDC: Building a web/digital presence Partnerships: Strengthening outreach and involvement Integrated Disease Surveillance: Improving Goals Integration Business Service Effectiveness Scientific Communications: Strengthening science and communication Informatics Infrastructure: Robust, secure, reliable Service Culture and Leadership ---- Mission ---- National leadership in health statistics and epidemiology National health statistics: Collects, analyzes, and disseminates information on: Vital events, Health status, health care and health hazards Basic and applied data and statistical research Coordinates HHS statistical and epidemiological activities International statistical research and programs Member of Federal Statistical System Advises Secretary, HHS

NCHS and SSA Clearly we in NCHS have also been a proponent, and I give great credit to the SSA for their active and very important financial support.

CoCHIS/NCHS ---- Priorities ---- eCDC: Building a web/digital presence Partnerships: Strengthening outreach and involvement Integrated Disease Surveillance: Improving Goals Integration Business Service Effectiveness Scientific Communications: Strengthening science and communication Informatics Infrastructure: Robust, secure, reliable Service Culture and Leadership ---- Priorities ---- Timeliness in data collection Timeliness in data release Meeting Data/Information needs of Government and private sectors Policy Makers Researchers Public Wider, more effective dissemination Improved user tools and technologies on NCHS website Re-engineered collection, processing and dissemination Partnerships/collaborations, expanding deepening

Constraints/Barriers/Issues Reengineering Vital Statistics Challenge of building the next generation of leadership Administrative support of Program Planning and policy staff Limited research resources Need for an extramural research program Linkage with the Department – HHS priorities Linkage with States, cities

OMB Rating Scale Effective: 85% - 100% Moderately effective: 70% - 84% Adequate: 50% - 69% Ineffective: 0% - 49% NCHS Overall Score 82% - Moderately effective

At HHS David Brailer resigns as National Coordinator for Health Information Technology First national coordinator Charged with achieving widespread deployment of information technology in 10 years Returned to California No replacement named yet

Good Morning Pleased to be here for this Partner Update The Vitality of NAPHSIS is tremendous and I congratulate all of you and your leadership.  Shows in the extensive and highly substantive agenda. It’s an important time for you and for NCHS, particularly because of the emergence of health information technology as a priority for this Secretary as well as the president. This morning I’d like to bring you up to date on a number of topics that either directly or indirectly affect the Nations’ vital statistics system. Relates to several other activities of the Department, NCHS and CDC:

New Directions for NCHS and CDC: Policies, Programs, and Practices Goals Prioritize programs Allocate resources Measure program effectiveness Re-organization Coordinating centers Administrative changes

CDC Implementation Goals teams established Consolidation of selected activities and business services continues Reorganization – create coordinating centers

Impact on NCHS Role in setting and monitoring goals Must make case for importance of statistical infrastructure New organizational structure Administrative challenges Budget

New Directions for NCHS and CDC: Policies, Programs, and Practices Goals Prioritize programs Allocate resources Measure program effectiveness Re-organization Coordinating centers Administrative changes

Performance Assessment Rating Tool Systematic method of assessing the performance of program activities across the Federal government. First used by the Office of Management and Budget in FY 2004 Continues to be an important initiative across the Federal government

Process for Completing PART Review Standard OMB questionnaire format Exhaustive documentation/”evidence” Formal review session OMB assigns scores Review and appeals process