DirectorDirector’’ss UUpdatepdate toto thetheDirectorDirector ss UpdateUpdate toto thetheBoard of Scientific CounselorsBoard of Scientific Counselors

National Center for Health Statistics

Charles RothwellCharles RothwellMay 6, 2013May 6, 2013

Today’s UpdateToday’s Update

•• StaffingStaffing, , budgetbudget aandnd otherother nnewsews•• StaffingStaffing budgetbudget , , andand otherother newsnews

•• Update on NCHS Update on NCHS BSCBSC

•• NCHS program updatesNCHS program updates

Thank You to Ed SondikThank You to Ed Sondik

•• 17 years as 17 years as Director of NCHSDirector of NCHS

•• Best wishes for Best wishes for “re“re--pprioritizinrioritizingg”!”!p gp g

NCHS Staff UpdatesNCHS Staff Updates

•• NewNew NNHANES DDirector:irector:NewNew HANES Dr. Kathryn Dr. Kathryn

NHANESNHANESPorterPorter

Director:Director:

•• ThankThank youyou andand bbestest wwishesishes ttooThankThank youyou andandRosemarie Hirsch!Rosemarie Hirsch!

bestbest wisheswishes toto

•• AActinctingg NCHS Director: Charlie RothwellNCHS Director: Charlie Rothwell

•• Acting DVS Director: Acting DVS Director: Delton AtkinsonDelton Atkinson

NCHS Building NCHS Building UpdateUpdate

•• AnnouncingAnnouncing iinn JJuneune•• AnnouncingAnnouncing inin JuneJune

•• Narrowed to Prince George’s CountyNarrowed to Prince George’s County

FY 2013 Budget UpdateFY 2013 Budget Update

•• Continuing Continuing Resolution for FY 2013Resolution for FY 2013

•• FFununddiin llFF didingg lleveevelll w wiiththithith FYFYl FYFY 2012201220122012 ($138.683 M)($138.683 M)

•• PHS EvalPHS Eval Funds not subFunds not subjject to ect to sequestersequester

•• Prevention and Public Prevention and Public Health Fund Health Fund (PPHF) (PPHF)

•• $28 M proposed for Healthcare $28 M proposed for Healthcare SurveillanceSurveillance//Health Statistics Health Statistics ((/ (/ (NNCHCHS S share to share to be be determineddetermined))

FY 2013 PPHF ActivitiesFY 2013 PPHF Activities•• $28 $28 M M proposed for proposed for Healthcare Healthcare Surveillance/Health Surveillance/Health

Statistics (Statistics (NCHS NCHS share to be determinedshare to be determined))

•• PProposeropose i ld ac acP dP d ttii iitti ii dl dd titivvitiities es iincnclluudde:e:

•• NHISNHIS•• AdditionalAdditionalAdditionalAdditional questionsquestionsquestionsquestions tttotooo mmmonitormonitoronitoronitor ACAACAACAACA•• Continue expanded Continue expanded sample size; more state estimatessample size; more state estimates•• Testing Testing to add biomarkers to add biomarkers (height, weight, BP, dried blood (height, weight, BP, dried blood

ssppppotsots

•• NAMCS/NHAMCSNAMCS/NHAMCS•• Continue expanded Continue expanded sample sample size to size to permit statepermit state--specific specific

estimatesestimates ooff clinicalclinicalclinical carecare providedprovided inin physicianphysician oofficesffices aandndestimatesestimates ofof clinical carecare providedprovided inin physicianphysician officesoffices andand Community Health Community Health Centers, Centers, including primary prevention including primary prevention and and clinical clinical management of risk management of risk factors for heart disease factors for heart disease and and stroke stroke

•• Fund states to implement Fund states to implement electronic electronic birth record systems birth record systems and transition to 2003 and transition to 2003 birth certificate and birth certificate and EDR expansion.EDR expansion.

FY FY 2014 Budget Request2014 Budget Request•• $181.475 $181.475 M for M for Health StatisticsHealth Statistics

•• ++$$$$22.413 22.413 M above FY 2012 M above FY 2012 enacted enacted ($($($($138.683 M138.683 M)))) •• $20.379 for $20.379 for the the new new Working Working Capital FundCapital Fund**

•• Proposed $22.413 Proposed $22.413 M increase supports:M increase supports:

•• Phase in electronic Phase in electronic death records in remainindeath records in remainingggg jjurisdictionsurisdictions

•• Development Development and and implementation of new implementation of new sample sample desidesiggggns for ns for ppooppp pp pulationulation-based surve-based surveyys followins followingg 2010 Census2010 Census

gg

•• Improvement Improvement and and expansion of data expansion of data collection collection methodsmethods

* = not an actual budget increase

yy

NCHS Budget NCHS Budget ChronologyChronology(adjusted for Working Capital (adjusted for Working Capital Fund Fund starting in 2012)starting in 2012)

2012

20 379180

200PHS Evaluation Working Capital Fund

(181.475)

(160 036)(159 062)

Funding for administrative functions

drawn from CDC/OD

20.379 20.504

20.379

140

160

ons

(160.036)(159.062)

* *

drawn from CDC/OD

159 06280

100

120

rs in

mill

io

124.701138.683 138.683 138.683 139.532

159.062

40

60

80

Dol

lar

**

0

20

FY 2009 FY 2010 FY 2011 FY 2012 FY 2013 FY 2014FY 2009 FY 2010 FY 2011 FY FY 2013 FY 2014* Working capital funds not received in FY 2012 and FY 2013 – adjusted for comparison to FY

2014 only** FY 2013 PHS Evaluation Funds not final

- 10 -

WCF Overview: Services

WCF is a new funding mechanism for CDC business support services; these services enable programs to achieve the Agency’s mission

CDC Mission:CDC Mission:Collaborating to create the expertise, information, and tools that people and 

communities need to protect their health – through health promotion, prevention of disease, injury and disability, and preparedness for new health threats.

WCF Service Categories

IT Services, Support, and Infrastructure

Financial

Management Analysis 

 Management 

Procurement and 

and OversightFinancial Management and Oversight

Support Services

Assistance Services

Travel Services

General Support Services

Facilities, Safety, Security, and Logistics Services

Human Resources

Achieving greater efficiency, transparency, and accountability of business services. 

Update on NCHS BSC StatusUpdate on NCHS BSC Status

•• New Chair: New Chair: Dr. Dr. RaynardRaynard KKininggtonton

•• Welcome to Welcome to New MembersNew Members

• Michael Davern, Ph.D. (University of Chicago)

• Ana Victoria Diez Roux, M.D., M.P.H., Ph.D.Ana Victoria Diez-Roux, M.D., M.P.H., Ph.D. (University of Michigan)

• Genevieve M. Kenney,y, Ph.D. ((The Urban Institute))

• Thomas A. LaVeist, Ph.D. (The Johns Hopkins University)

• F. Javier Nieto, M.D., M.P.H., Ph.D. (University of Wisconsin)

• Linette T. Scott, M.D., M.P.H. (California Department of Health Care Services)

NCHS Program UpdatesNCHS Program Updates

NCHS Data in the NewsNCHS Data in the News

Division of Division of Health Health Interview Interview StatisticsStatisticsStatisticsStatistics

•• NHISNHIS publicpublic useuse ddataata•• NHISNHIS publicpublic--useuse datadata ffilesiles ttoofilesfiles toto bbeebebe released in June released in June •• 4242,000000•• 4242,000000 householdshouseholdshouseholdshouseholds•• 108,000 persons108,000 persons

•• PlanninPlanningg for the NHIS sample for the NHIS sample redesign for redesign for 20162016

Division of Division of Health Health Interview Interview StatisticsStatisticsStatisticsStatistics

•• Collecting sexual identity as part of the Collecting sexual identity as part of the NHISNHIS corecore interviewinterview fforor thethe ffirstirst timetimeNHISNHIS corecore interviewinterview forfor thethe firstfirst timetime

•• Launched a Launched a web web followfollow--up survey with up survey with sample of NHIS respondents: sample of NHIS respondents: ACACAA--related questionsrelated questions

•• Continue to test methods for collecting Continue to test methods for collecting biomeasuresbiomeasures ((ht,wt, BP, blood spots) in ht,wt, BP, blood spots) in thth hh tt offththe e hhome as parome as partt off tthh HISthe NNHISthe NHISNHIS

Division of Division of Health Health Interview Interview StatisticsStatisticsStatisticsStatistics

Poor or near poor adults were twice as likely aswere twice as likely as adults who were not poor to not take medication as prescribed.prescribed.

Prevalence of parent-reportedASD among children aged 6-

i 50) i ifi17 was 2% in 201

t i1-2012 (one-

in-50), a significant increasefrom 2007 (1.16%).

Division of Division of Health Health and and NutritionNutritionExaminationExamination SSurveysurveysExaminationExamination SurveysSurveys

• Conducting 24 hour urine collection• Conducting 24-hour urine collection pilot study

• AnalyzA l i NHANES H lth Ming NHANES Health Measures at Home Study

• Preparing for IOM meeting on how todisclose genetic test results from popul tilation surveys

Division of Division of Health Health and and Nutrition Nutrition Examination SurveExamination Surveyyyyss

ion ion Division of Division of Health Health and and NutritNutritExaminationExaminationExaminationExamination SSSurveysSurveysurveysurveys

•• Major data releases coming this fallMajor data releases coming this fall

•• 20112011--2012 NHANES2012 NHANES

•• 20122012 NNaattiionaonall YYououtthh F2012 Fitit2012 NN titi ll YY thth FitFitness ness SurveySurvey

• Acting on a propg p posal to look at seroprevalence of antibody to Avian Influenza A (H7N9) using NHANESsurplus sera samples

Health Care SurveysHealth Care Surveys

•• Another year of increased sample Another year of increased sample ssiize iin NAMCSNAMCS 20122012iize iin NAMCSNAMCS 20122012, , 20132013 andd 2014201420132013 andd 20142014

•• ACAACA--related Questions: related Questions:

•• Other health care providers Other health care providers in in pphhyyp yp ysician sician offices in NAMCS offices in NAMCS

•• Patient Patient Centered Medical HomeCentered Medical Home

•• PPililot studidi iiililot studidies uses usiinn ll ii hh ll hhgg e ellectronectroniic c hheaealltthh recordsrecords

Health Care SurveysHealth Care Surveys

• NSLTCP first Overview Repport exppected late 2013

• Will incorporateWill incorporate primary data collectionof adult day care servi dice centers and residential care facilities withfacilities with administrative data from CMS on nursing homes, home health and hospice agencies

Division of Division of Vital Vital StatisticsStatistics

•• 2011 2011 preliminary reports for births preliminary reports for births andand ddeathseaths ppublishedublished 99 monthsmonths afterafterandand deathsdeaths publishedpublished 99 monthsmonths afterafter the close of the year ... Best in many the close of the year ... Best in many years.years.years.years.

•• 2012 preliminary reports 2012 preliminary reports will come will come outout eevenven ffasteraster llateate tthishis ssummer!ummer!outout eveneven fasterfaster ... ... latelate thisthis summer!summer!

•• Final files released earlierFinal files released earlier

•• National Death Index more National Death Index more current current and flexibleand flexible

Division of Division of Vital Vital StatisticsStatistics

•• CatchinCatchingg u uppg pg p on fetal on fetal death redeath repppports orts and data and data

•• 2007200720072007,,,, 2008,2008,2008,2008, andandandand 2009200920092009 filesfilesfilesfiles wwwillwillillill bebebebe released by the end of 2013 released by the end of 2013

•• 20102010 andand 20112011 filesfiles wwillill bebe20102010 andand 20112011 filesfiles willwill bebe released by February 2014released by February 2014

•• EachEach filefile willwillEachEach filefile willwill bebe releasedreleasedbe separatelyseparatelybe as soon as it is as soon as it is finalfinal

releasedreleased separatelyseparately

Division of Division of Vital Vital StatisticsStatisticsNational SurveNational Surveyy of Famil of Familyy Growth Growthy yy y

orF t i ht t fF ty-eight percent of women cohabited with a partner as a first union

Roughly one in ninewomen had ever used

emergencyg y contracepption

NCHS Record Linkage ProgramNCHS Record Linkage Program

•• NCHS Linked Mortality FilesNCHS Linked Mortality Files

•• aaN tN tiionaona ll DDeaeatt hh IInnddex ex ffoollllowow--up up ffNN titi ll DD thth II dd ff llll ffor or NCHS survey participantsNCHS survey participants

•• Next anticipated release June 2013Next anticipated release June 2013•• NDI followNDI follow-up through -up through Dec 31, Dec 31, 20112011

•• Linked NCHSLinked NCHS--CMSCMS--SSA Data FilesSSA Data Files

•• NextNext linkagelinkage toto bebe initiatedinitiated FFallall 20132013•• NextNext linkagelinkage toto bebe initiatedinitiated FallFall 20132013

•• Initial data release Spring 2014Initial data release Spring 2014

Coming in May!Coming in May!

Healthy People 2020Healthy People 2020

• OAE staff developing data overviews for DHHS-hosted progress review webinars everyreview webinars every 2 months

• enomC dCancer and G icsG i

• Violence Across the LifLifespan

• Next webinar in June immunizationNext webinar onin June on and infectious diseases/ global health

immunization

Research & MethodologyResearch & Methodology

•• DetailedDetailed OORMRM discussiondiscussion toto come!come!•• DetailedDetailed ORMORM discussiondiscussion toto come!come!

Classifications & StandardsClassifications & Standards

•• CDCCDC IICDCD-1010 TransitionTransition Workgroup•• CDCCDC WorkgroupICDICD-1010 TransitionTransition WorkgroupWorkgroup activitiesactivities

•• ew ew nnN iN i tternaerna ll ““ DCIICD 1010 II CC ii !!””NN ii tt ll “ICD“ICD--1010 IIs s CComomiinng!”g!” awareness campaign awareness campaign for CDC for CDC leadershipleadership andand pprogramsrogramsleadershipleadership andand programsprograms

•• Developing a transition Developing a transition website for website for users ousers o a af lf lrearea yddy--coco ee d dd d IICC DD ddaattff ll dd dd dd ICDICD dd ttaa

National Committee on Vital and National Committee on Vital and HealthHealthHealthHealth StatisticsStatisticsStatisticsStatistics

•• New Committee Chair –New Committee Chair – DDr. Larrr. Larryyyy Green Green

•• Four Four new members, new members, two two former BSC chairs –former BSC chairs –LLyyyynn nn BlewettBlewett && Lee Cornelius Lee Cornelius

•• 16 16 letters to the Secretary letters to the Secretary in FY 12in FY 12

•• PPopuopullaatition on HHeaeallthth && PPPriivacy subb•• PP ll titi HH lthlth && Priivacy subb--commcommittittittittees ees held hearing last week on community data held hearing last week on community data access,access,access,access, use,use,use,use, andandandand ppprivacyprivacyrivacyrivacy

•• Standards Standards held held hearing hearing on the evolving aspectson the evolving aspectsofof claimsclaims attachments,attachments, especiallyespecially withwith thetheofof claimsclaims attachments,attachments, especially the increasing

especially withwith the increasing use use of electronic of electronic health information health information