The National Vital Statistics System

The vital statistics system in the United States has always recognized the importance of collecting information about public health. Today, the national vital statistics system in the US is a major cooperative effort between the states and federal agencie

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The National Vital Statistics System Charles J. Rothwell, Mary Anne Freedman, and James A. Weed

Abstract The vital statistics system in the United States has always recognized the importance of collecting information about public health. Today, the national vital statistics system in the US is a major cooperative effort between the states and federal agencies. The Vital Statistics Cooperative Program provides for collection of records of births, deaths, marriages, and other events on a national level. Moreover, increasing adoption of modern technology for record keeping and data exchange has resulted in faster and more accurate vital statistics reports. State data, supplemented by surveys administered by the National Center for Health Statistics within the Centers for Disease Control and Prevention, provide fundamental information for use in the arena of public policy and public health practice. In this chapter, we will describe the history of vital statistics in the United States, and examine what data is collected and how collection methods have changed over time. In addition, we will examine the complex relationship between the collection of data at the local and state levels and the aggregation and analysis of the data by the National Center for Health Statistics. This will set the stage for a discussion of the components and uses of the present National Vital Statistics System, including an assessment of the challenges and solutions that the twenty first century presents.

C.J. Rothwell, MS, MBA (*) National Center for Health Statistics, CDC, HHS, 3311 Toledo Road, Hyattsville, MD 20782, USA e-mail: [email protected] M.A. Freedman, MA Poinciana Consulting, LLC, 4870 Via San Tomaso, Venice, FL 34293, USA e-mail: [email protected] J.A. Weed, PhD National Center for Health Statistics, CDC, HHS (Retired), 3311 Toledo Road, Hyattsville, MD 20782, USA e-mail: [email protected] J.A. Magnuson, P.C. Fu, Jr. (eds.), Public Health Informatics and Information Systems, Health Informatics, DOI 10.1007/978-1-4471-4237-9_17, © Springer-Verlag London 2014

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Keywords Vital statistics • National Vital Statistics System • Model State Vital Statistics Act • International Classification of Disease • Vital Statistics Cooperative Program • National Center for Health Statistics • National Association for Public Health Statistics and Information Systems • US Standard Certificates • US Standard Reports • Interstate record exchange • Electronic birth registration • Electronic death registration • Mortality surveillance • State and Territorial Exchange of Vital Events • Electronic Verification of Vital Events

Learning Objectives 1. Describe the origins of the vital statistics system in the United States and explain the areas of responsibility of the states and federal agencies in maintaining the system. 2. Explain the operation of the national vital statistics system with respect to the collection of data regarding births and deaths. 3. Define the nature and the purpose of the Model State Vit