Quality of Birth Certificate Data. Daniela Nitcheva, PhD Division of Biostatistics PHSIS

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1 Quality of Birth Certificate Data Daniela Nitcheva, PhD Division of Biostatistics PHSIS

2 Data Quality SC State Law requires that you file the birth certificate within 5 days of a child s birth. Data needs to be complete accurate

3 Timeliness Report Hospital Code Total births # Late % Late # Pat/Ack % Pat/Ack out of not married Rank % % % % % % 3 10A % % % % % % % % % % % % % % % % % % % % % % 44 SOUTH CAROLINA % %

4 Please verify! Child's DoB Gestation Birth Weight Date of First Prenatal Care Visit Date of Last Prenatal Care Visit Month Day Year Month Day Year Total Visits 11/30/ /19/ /7/ /20/ /14/ /27/

5 Example 1

6 Example 2

7 Mother s weight State File Number Mother's Medical Record number Child's Medical Record Number Child's Name Mother's Name Child's Date of Birth Mother's Prepregnancy Weight Mother's Weight Prior to Delivery

8 Date of last live birth Pregnancy History high % unknowns; month often missing Number of other pregnancy outcomes did not result in a live birth: Spontaneous abortion Induced abortion Ectopic pregnancy Date of last other pregnancy outcomes very bad quality

9 Risk Factors Related to Pregnancy History Previous preterm birth check if this mother has a history of pregnancy(ies) resulting in a live birth of less than 37 completed weeks gestation a number should be listed in the Now Living/Now Dead the Date of Last Live Birth should also be listed.

10 Risk Factors Related to Pregnancy History Other previous poor pregnancy outcomes check if this mother has a history of pregnancy(cies) continuing into the 20th week of gestation and resulting in any of the listed outcomes: perinatal death (including fetal and neonatal deaths) small for gestational age or intrauterine-growth-restricted birth. this birth(s) should be included in the Now Living/Now Dead or Other Pregnancy Outcomes (if fetal death). the Date of Last Live Birth or/and Date of last Other Outcome should be listed

11 Risk Factors Related to Pregnancy History Previous cesarean delivery the box should be checked and the number of previous cesarean deliveries indicated. this delivery(ries) should be included in the Now Living/Now Dead or Other Pregnancy Outcomes (if fetal death). the Date of Last Live Birth or/and Date of last Other Outcome should be listed

12 New Query Listings Is about possibly incorrect data related to the pregnancy history. For 2013 we will ask you to look at all records that indicate previous preterm birth, poor outcome pregnancy, or previous cesarean but do not indicate any pregnancies. Beginning with 2014 we will send records back if the date of last live birth/other outcome is missing.

13 Example Date of Birth ' Previous preterm Previous Poor Pregnancy Outcome Number of Previous Cesarean ' Previous live birth now living Previous live birth now dead Date of Last Live Birth (month) Date of Last Live Birth (year) ' # other pregnancy Outcomes Date of last outcome (month) Date of last Outcome (Year) 02/26/ /17/ /25/ /11/ /03/ /03/ /15/ /15/ /09/

14 New Reports Two new reports: Percent Unknown/ Missing Values Compared With SC Statewide Percent Of Births With Risk Factors/Characteristics of Labor and Delivery/Abnormal Conditions Of The Newborn

15 Birth Character Indicators Hospital SC state Mother's Education Mother's Hispanic Origin Mother's Race Date of First Prenatal Care Mother's Height in Feet Mother's Prepregnancy Weight Mother's Weight at Delivery Number of Previous Live Birth Date of Last Live Birth Number of Other Pregnancy Outcomes Date of Last Other Pregnancy Outcomes Smoking in 1st Trimester Total Births ,139

16 Birth Character Indicators Hospital SC state Mother's Education Mother's Hispanic Origin Mother's Race Date of First Prenatal Care Mother's Height in Feet Mother's Prepregnancy Weight Mother's Weight at Delivery Number of Previous Live Birth Date of Last Live Birth Number of Other Pregnancy Outcomes Date of Last Other Pregnancy Outcomes Smoking in 1st Trimester Total Births ,139

17 Categories Indicators Hospital SC State Induction of Labor Augmentation of Labor Characteristics of Labor and Delivery Non-Vertex Presentation Steroids For Fetal Lung Maturation Received By The Mother Prior To Delivery Antibiotics Received By The Mother During Labor Clinical Chorioamnionitis Diagnosed During Labor Or Maternal Temperature >=36 Degree Moderate/ Heavy Meconium Staining of The Amniotic Fluid Fetal Intolerance Of Labor Epidural Or Spinal Anesthesia During Labor Assisted Ventilation Required Immediately Following Delivery Assisted Ventilation Required For More Than Six Hours NICU Admission Abnormal Conditions of The Newborn Given Surfactant Replacement Therapy Newborn. 0.7 Antibiotics Received By the Newborn For Suspected Neonatal Sepsis Seizure or Serious Neurologic Dysfunction Significant Birth Injury Statewide Total Births ,121

18 Categories Indicators Hospital SC State Prepregnancy Diabetes Gestational Diabetes Prepregnancy Hypertension Gestational Hypertension Risk Factors Previous Preterm Birth Characteristics of Labor and Delivery Other Previous Poor Pregnancy Outcome Vaginal Bleeding During This Pregnancy Prior to The Onset Of Labor Pregnancy Resulted From Infertility Treatment Previous Cesarean Delivery Induction of Labor Augmentation of Labor Non-Vertex Presentation Steroids For Fetal Lung Maturation Received By The Mother Prior To Delivery Antibiotics Received By The Mother During Labor Clinical Chorioamnionitis Diagnosed During Labor Or Maternal Temperature >=36 Degree Moderate/ Heavy Meconium Staining of The Amniotic Fluid Fetal Intolerance Of Labor Epidural Or Spinal Anesthesia During Labor

19 Categories Indicators Hospital SC State Prepregnancy Diabetes Gestational Diabetes Prepregnancy Hypertension Gestational Hypertension Risk Factors Previous Preterm Birth Other Previous Poor Pregnancy Outcome Vaginal Bleeding During This Pregnancy Prior to The Onset Of Labor Pregnancy Resulted From Infertility Treatment Previous Cesarean Delivery Induction of Labor Augmentation of Labor Characteristics of Labor and Delivery Non-Vertex Presentation Steroids For Fetal Lung Maturation Received By The Mother Prior To Delivery Antibiotics Received By The Mother During Labor Clinical Chorioamnionitis Diagnosed During Labor Or Maternal Temperature >=36 Degree Moderate/ Heavy Meconium Staining of The Amniotic Fluid Fetal Intolerance Of Labor Epidural Or Spinal Anesthesia During Labor

20 Payment Types Pay close attention to drop down menu. If Medicaid is pending or the mother has an HMO with Medicaid, the payment type should be MEDICAID. Tricare is listed as Champus/Tricare in drop down menu. Any insurance company, such as Blue Cross and Blue Shield, should be entered as PRIVATE INSURANCE.

22 Home Births Have the same requirements as facility births Must be filed within 5 days When a newborn infant, born at home, is brought to the emergency room or admitted to the hospital

23 Birth Certificate for Home Births Enter as Record Type: Home Birth Under Facility Information and Place of Birth select (Add New) at the bottom of the list Add the address of where the child was born When a birth occurs on a moving conveyance or enroute, the place where the baby is first removed is considered the place of birth

25 Mother s Mailing Address When it is different from residence address and it is a PO Box, use the option PO Box. Under Street Name enter PO Box and the number. PO Box should not be entered as residence address.

27 Other issues PNC records for transferred women What is a prenatal visit? Attendant Other (Specify) Residents should be keyed as MD Other Midwife? Fetal death reports Disposition Mother transferred only if transferred from another delivering hopsital

Oregon Birth Outcomes, by Planned Birth Place and Attendant Pursuant to: HB 2380 (2011)

Oregon Birth Outcomes, by Planned Birth Place and Attendant Pursuant to: HB 2380 (2011) Oregon Birth Outcomes, by Birth Place and Attendant Pursuant to: HB 2380 (2011) In 2011, the Oregon Legislature passed House Bill 2380, which required the Oregon Public Health Division to add two questions