SUMMARY OF DISCUSSION

Automated Vital Statistics System

Technical Advisory Group

2004 Annual Meeting

Sacramento, California

January 5, 2005

 

1.       Introduction By Attendees and Opening Statements.

Ron Williams (UCSB) briefly reviewed the history of TAG meetings.  Meeting participants reviewed the summary of the December 3, 2003, TAG meeting.  Note: TAG summaries are available on the Web at: http://www.avss.ucsb.edu/tag.htm

 

Ron asked meeting participants (about 50 individuals) to update contact information on the member roster, which was distributed in the meeting packet.

 

2.       Version 4.14 Update.

Version 4.14 Release Notes were distributed at the meeting and are available at www.avss.ucsb.edu.  4.14 is the name for the 2004 version.  It was Alpha-tested and Beta-testing prior to release.  This Version was deployed during the months of November and December 2004 and became effective January 1, 2005. 

 

Meeting participants reviewed the changes.  Most changes implemented revisions to the Medical Data Supplemental Worksheet, VS-10A.  These changes effective 1/1/2005 included Item 25D Principal Source of Payment for Prenatal Care, Item 28A Method of Delivery and Item 28B Expected Source of Payment for Delivery.  Additionally, changes effective 1/1/2006 will include Item 29 Complications and Procedures of Pregnancy and Concurrent Illnesses, Item 30 Complications and Procedures of Labor and Delivery and Item 31 Abnormal Conditions and Clinical Procedures Relating to the Newborn. 

 

Melissa Reyes (OVR) reported that OVR conducted 10 of 12 regional workshops that included discussion of the changes implemented with Version 4.14, reviewed a table of unknown values compiled by OHIR (2003 vs. 2004 data) and the fields with high number of unknowns (date of last menses, mom’s education, mom’s race, prenatal care began, number of prenatal visits).  About 400 birth clerks and local registrar staff have attended, as of this TAG meeting date. 

 

Ron reported on these items:

 

1.  A problem arose regarding printing outside the box for item 28A.  This problem was quickly resolved. 

 

2.  Site of Care has not yet implemented changes to conform to Version 4.14 specifications, but will do so by the middle of January 2005.  Work continues with Kaiser Southern California to convert them to AVSS.

 

Alan Oppenheim (OVR) distributed a CBC File 1400 Byte record code sheet for Field 28A, Method of Delivery. 

 

Alan reported that Version 4.14 does not contain changes to implement AB 205, the CA Domestic Partner Rights and Responsibilities Act of 2003.  He urged meeting participants to review All-County Letter No. 04-14, which explains how to register a birth certificate for the child of State-registered domestic partners.  Until AVSS is modified to accommodate the domestic partner act, birth clerks should enter “YES” in response to the question on whether the mother was married at any time during the pregnancy.  This response will allow the partner’s name to be entered in Fields 6A-6C.

 

3.       AVSS Modification Requests (AMRs):  Review and Discussion.

 

01-090:  Ron Williams presented this issue, which relates to printing problems.  Ron suggested that the AVSS project develop capability for “plain paper” printing of four vital records forms – VS 10D, VS 24(S), VS 24(L), and VS 24A.  Michael Rodrian (OVR) suggested this issue be further researched to examine issues related to paper stock and fraud prevention, as well as county costs for Postscript printers.

 

03-073:  The group discussed AVSS/NET hospital requests for capability to view birth certificates after the certificate has been transmitted and registered at the LRD.  Michael indicated that it is appropriate for hospitals to view records they submitted, and AVSS has been revised (Version 4.14) to add the DISPLAY CERTIFICATE function for LCAs for all AVSS/NET users.

 

04-126:  Alan Oppenheim noted that 16 percent of California birth records lack a complete date for LMP.  Alan noted that, at regional workshops, OVR staff is stressing the need for complete dates in this field.  A possible solution involves an AVSS warning, advising the birth clerk to provide an estimated date or, when no information is available, to enter “unknown” but not to leave the field blank.  The group agreed that this topic needs further discussion.

 

04-130:  John Marinko (UCSB) advised the group that the AVSS help desk can now provide assistance to help counties create a tab-delimited file from the CBC file.

 

04-141:  The group discussed appropriate entry routines for field 40 Place of Final Distribution on the death certificate when field 41 Type of Disposition(s) is a CR/RES.  Currently, if the entry in field 41 is CR/RES, AVSS automatically enters the decedent’s residence address in field 40.  This is not always the correct information.  So to avoid having to correct this, Liz Austin requested to have field 40 “open” so that you can enter the information or skip through the field.  As a result of the discussion, it was decided to add field 40 to the prompting sequence to allow the user to override if necessary.

 

4.       New Birth Certificate in 2006.

Alan reported that Karen Flanigan of CHS/OHIR has been holding meetings with interested parties on development of modifications to the birth certificate.  Proposed changes will meet NCHS reporting requirements, will align with US Standard Certificate and data will compare nationally.  Legislation will be needed to implement any modifications.  Special proposed topics of interest are labeling for the parents (changing “mother/father” to “parent”) and questions obstetric estimate of gestation, hearing screen result, date of first prenatal care visit, date of last prenatal care visit.  Additionally, it is proposed that information will be collected in AVSS but not transcribed on the hard copy certificate.  The collection of the following information is proposed:  mother’s mailing address, mother’s marital status; received WIC food, collect APGAR scores at 5 and 10 minutes, mother’s pre-pregnancy weight, weight at delivery and height, and on mother’s smoking during pregnancy.  If the legislation passes, Alan estimated that the likelihood of implementation would be 2007, rather than 2006.

 

5.       AVSS Excellence Award.

Ron presented Peter Chen (UCSB) with a 25 years of service plaque and discussed some of Peter’s contributions to the AVSS project, including developing of the report generator.

 

6.       AVSS/NET.

Ron distributed information on deployment status and the deployment plan for AVSS/NET, and he discussed the plan.  He also discussed system benefits, costs, components, security, connections, and firewalls (for added security).  This information, including a typical AVSS/NET deployment plan, is also available on the AVSS website.  Currently, 44 counties use AVSS/NET.

 

7.       CMR.

Stan Bissell (DCDC) reported on CMR activities.

 

8.       EDRS.

Mike Rodrian described the background to EDRS and reported on the status of electronic death registration.  2003 legislation requires DHS to develop an EDRS that is operational in at least one county by January 2005.  DHS has been contracting with UC Davis for development of the prototype EDRS.  DHS staff are working with UC Davis on this project.  UC Davis has developed a web site to keep counties apprised of the status of the project – http://edrs.ucdavis.edu. 

 

Two counties, Yolo and Riverside, are operating pilot project versions of the EDRS. 

 

9.       Census Tracting.

Ron gave a progress report, discussed implementation on AVSS/NET, and indicated that match rates are now above 90 percent.

 

10.    AVSS Technical Assistance.

Ron Williams discussed funding for AVSS technical assistance activities and distributed a letter describing the AVSS technical assistance funding for FY 2005-06.  Included in the letter was an explanation of the fee formula for FY 2004-05.  He reminded the group that the AVSS project relies on financial support from the State and LRDs. 

 

11.    Next Meeting

The next TAG meeting will be scheduled for October 25, 2005, to be held in the Sacramento East End Complex. 

 

12.    Adjournment

The meeting was adjourned at 3:00 p.m.

 

Acknowledgement: This summary was written by Jessica McCarroll.

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