current changes in birth registration nothing endures but change. --heraclitus
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Current Changes in Birth RegistrationNothing endures but change. --Heraclitus
Change
Improvements
Changes
Tips for better birth registration
A glimpse into the future
The only way to make sense out of change is to plunge into it, move with it, and join the dance. --Alan Watts
In 2012 we…
Sent 4,963 birth records back to hospitals for validation and verification
Corrected the dropped data problem
Deployed 5 new builds in MR&C
The only sense that is common in the long run, is the sense of change—and we all instinctively avoid it. --E.B. White
Incomplete data isn’t a disease
It’s a symptom
Do you have the access you need?
Do you have the support/resources you need?
How can you raise awareness at your facility?
How can MDH help?
If we don’t change, we don’t grow. If we don’t grow, we aren’t really living. --Gail Sheehy
Inaccurate data is useless
Don’t guess
Record what you know
Ask for help
Use “unknown” when you don’t have the information* Use the NOTES field at the end of the birth record to indicate
unexpected or unavailable data items.
Always remember the future comes one day at a time. --Dean Acheson
Resources
Birth registration manual
Birth & Fetal Death Registrar’s website http://www.health.state.mn.us/divs/chs/osr/birthreg
MR&C support line 651-201-5993
Birth & Death Registration support 651-201-5961
Any change, even a change for the better, is always accompanied by drawbacks and discomforts. --Arnold Bennett
More resources – New field reps!
The three of us will be cross-trained to work with Birth Registration, Death Registration and Issuance
Kirsti Taipale 651-201-4832
Krista Bauer 651-201-5937
Sally Almond 651-201-5973
A year from now you will wish you had started today. --Karen Lamb
Recent changes to MR&C Parent verification – added address & SSN verification
Commemoration of birth
Reports
72-hr Report
birth transcripts
ROP “completed at”
Miscellaneous data entry helps
Location of birth prepopulates “birth recorded by” data field
Parents’ place of birth defaults
“Cancel” button renamed to “Return”
Partial address corrections don’t erase other data
Previous pregnancy data / Mom’s date of birth message
To improve is to change; to be perfect is to change often. --Winston Churchill
Some things never seem to change… “Mom is married but not to the dad”
“Dad wasn’t on the parent notice and I can’t find the birth record any more”
“Fetus was stillborn at 19 weeks and mom is naming it. Should I enter the record?”
“I entered the date of birth incorrectly and now I can’t fix it”
“We have unwanted, incomplete records in our work queue”
“Parent’s place of birth city misspelling/other”
Address verification failed
Reason for correcting a birth record
The more things change, the more they remain…insane. --Michael Fry
Some things never seem to change… “Mom is married…”
Use a ROP & HNPS
“I can’t find the birth record any more”
The record is replaced
“Stillborn at 19 wks with a name.”
Enter a fetal death report
“Goofed the date of birth”
Go to MMII (last page) near time of birth
“Incomplete records in work queue”
“Parent’s place of birth”
Use Google for alternate name
“Address verification failed”
Please ignore this message
Reason for correcting a birth record
Hospitals use “Data entry error correction” Change is inevitable – except from vending machines. – Robert C. Gallagher
Legislative changes
Effective 7/1/13
Birth records will be correctable for 1 year or until issuance
After issuance – amendments cost $40
After 1 year – amendments cost $40
We’re changing our name: Office of the State Registrar becomes Office of Vital Records
You must be the change you wish to see in the world. --Mahatma Gandhi
New Criteria for Excellence Awards
Birth records
98% timeliness (within 5 days)
Data must match MDH partner usage reports Coordinate with your facility’s statistician
Use MR&C Maternity & Newborn Activity report
Corrections (after 1 month) less than 10% of total records
If there is no struggle, there is no progress. --Frederick Douglass
“Change is good”
In the last 5 years, Minnesota birth records have improved dramatically.
65% filed on time in 2007
85% filed on time in 2012
19 data items out of compliance with NCHS standards in 2007
0 out of compliance in 2012!
Thank you!
If you don’t like something, change it. IF you can’t change it, change your attitude. --Maya Angelou
The future
e-Vital Records Initiative - Secure electronic transfer of data from the Electronic Health Record to the vital record
Standards
Incentives
Human engagement
1. Phase one – evaluate the current state Hospital
State
2. Phase two – prepare for change
3. Phase three – Pilot test
Never believe that a few caring people can’t change the world. For, indeed, that’s all who ever have. --Margaret Mead
This never changes….
Our appreciation for you and the work you do For the families
For your facility - compliance
For your community
For public health
You’re braver than you believe, and stronger than you seem, and smarter than you think. --A.A. Milne
Change
If nothing ever changed, there’d be no butterflies. --Unknown