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Committee Detail

Hide Section - GENERAL INFORMATION

GENERAL INFORMATION

Committee NameNational Committee on Vital and Health StatisticsAgency NameDepartment of Health and Human Services
Fiscal Year2019Committee Number965
Original Establishment Date7/23/1974Committee StatusChartered
Actual Termination Date Committee URLhttps://ncvhs.hhs.gov/
New Committee This FYNoPresidential Appointments*No
Terminated This FYNoMax Number of Members*18
Current Charter Date1/16/2018Designated Fed Officer Position Title*Health Scientist, NCHS
Date Of Renewal Charter1/16/2020Designated Federal Officer Prefix
Projected Termination Date Designated Federal Officer First Name*Rebecca
Exempt From Renewal*NoDesignated Federal Officer Middle Name
Specific Termination AuthorityDesignated Federal Officer Last Name*Hines
Establishment Authority*Statutory (Congress Created)Designated Federal Officer SuffixMHS
Specific Establishment Authority*42 U.S.C. 242kDesignated Federal Officer Phone*(301) 458-4715
Effective Date Of Authority*7/23/1974Designated Federal Officer Fax*3014584192
Exempt From EO 13875 Discretionary CmteNot ApplicableDesignated Federal Officer Email*vgh4@cdc.gov
Committee Type*Continuing
Presidential*No
Committee Function*Scientific Technical Program Advisory Board
Hide Section - RECOMMENDATION/JUSTIFICATIONS

RECOMMENDATION/JUSTIFICATIONS

Agency Recommendation*Continue
Legislation to Terminate RequiredNot Applicable
Legislation StatusNot Applicable
How does cmte accomplish its purpose?*The Committee accomplishes its purpose by holding hearings, conducting workshops and expert roundtable meetings to obtain input from relevant health and health care data stakeholders, conducting analyses and environmental scans, and issuing recommendations to the HHS Secretary, in addition to mandated reports to Congress. NCVHS accomplishes its work through its Subcommittees on Standards; Population Health; Privacy, Confidentiality and Security; the Review Committee; and the Executive Subcommittee. Subcommittee co-chairs organize public meetings and hearings to obtain industry and stakeholder input, analyze input, draft recommendations and submit findings, guidance, and specific recommendations for the full Committee to approve for submission to the HHS Secretary.
How is membership balanced?*Committee membership is representative of a wide range of perspectives relevant to national health information policy. Members work in a broad range of fields: health policy, health statistics, electronic data interchange (EDI) of health care information, electronic health records (EHRs), privacy, confidentiality, and security of electronic information, population-based public health, purchasing or financing health care services, health care delivery systems, integrated computerized health information systems, health services research, quality measurement, patient safety, consumer interests in health information, health data standards, epidemiology, and the provision of health services.

Sixteen of the 18 members are appointed by the HHS Secretary to terms of 4 years each. Two additional members are selected by Congress.
How frequent & relevant are cmte mtgs?*The Committee convenes the full membership 3 times a year; Subcommittees meet 3-5 times per year, although frequency is dependent upon each fiscal year budget. The Committee is “specifically directed by law,” and covers a broad range of issues that encompass national health information policy.
Why advice can't be obtained elsewhere?*Expertise and advice from non-Federal professional disciplines is necessary to address the complex health information policy and statistical/methodological issues and concerns confronting the Department.
Why close or partially close meetings?N/A
Recommendation RemarksAs noted, the primary charge to the Committee is to advise and make recommendations to the HHS Secretary. Additionally, the Committee is to inform decision-making about data policy by HHS, states, local governments and the private sector. All of the Committee’s efforts align directly with the first objective of the Department’s Strategic Plan, to “Reform, Strengthen and Modernize the Nation’s Healthcare System.”

The Committee convenes diverse public and private stakeholders for the purpose of gathering information to formulate recommendations to the Secretary. For example, this year the Committee convened privacy experts to inform development of recommendations to improve privacy protections for health information not subject to HIPAA regulations. The Subcommittee on Standards convened on two occasions to gain input from industry experts to support formulation of recommendations for improving the processes for updating and adopting standards and operating rules. The Subcommittee on Standards also convened experts late in the year to provide guidance to the Committee as it develops recommendations for HHS to help support preparation for the upcoming transition from ICD-10 to ICD-11.
Hide Section - PERFORMANCE MEASURES

PERFORMANCE MEASURES

Outcome Improvement To Health Or Safety*NoAction Reorganize Priorities*No
Outcome Trust In GovernmentYesAction Reallocate ResourcesYes
Outcome Major Policy ChangesYesAction Issued New RegulationsYes
Outcome Advance In Scientific ResearchNoAction Proposed LegislationNo
Outcome Effective Grant MakingNoAction Approved Grants Or Other PaymentsNo
Outcome Improved Service DeliveryNoAction OtherYes
Outcome Increased Customer SatisfactionNoAction CommentCommittee recommendations have been used to inform HHS policy, rulemaking and programs. In FY2019-20, some policy and program updates are underway and new guidance is anticipated.
Outcome Implement Laws/Reg RequirementsYesGrants Review*No
Outcome OtherYesNumber Of Grants Reviewed0
Outcome CommentThe Committee is charged with assisting and advising the HHS Secretary on health data, statistics, privacy, and national health information policy, and providing guidance to the Department to develop strategies to address these issues. Trust in government by facilitating communication with the public – this is accomplished through hearings to receive testimony from expert representatives, stakeholders, health care industry, and the public. NCVHS works closely with the healthcare industry as it formulates recommendations on implementation of HIPAA administrative simplification. NCVHS staff regularly update the website to make information clear and accessible to the public. NCVHS meetings, reports and recommendations are also widely and effectively distributed to interested audiences through electronic media such as GovDelivery to provide updates about Committee activity and meeting announcements. All of the Subcommittees recognize the importance of empowering consumers and patients to both manage their health information and work in partnership with their healthcare providers. Implementation of laws, initiatives or regulatory requirements— NCVHS is statutorily charged with responsibility for providing advice on implementing the Health Insurance Portability and Accountability Act administrative simplification provisions. It also was named in the Patient Protection and Affordable Care Act (ACA) to provide input to the rulemaking process for additional standards and operating rules. Carrying out its congressionally-mandated roles related to HIPAA and ACA, NCVHS provides advice and guidance to the Department on an ongoing basis. NCVHS has been instrumental in providing input to the Department at both the proposed and final rule-making stages for every regulation associated with HIPAA, including standards for electronic transactions and code sets, privacy and security. NCVHS advises the Department on process and substance in the development and implementation of health data standards. The Committee works with HHS and the health care industry to identify and evaluate existing industry standards for adoption, develop workable rules, and encourage the participation of all segments of the health industry with implementation of HIPAA standards. NCVHS has contributed to the development of a number of guidance and standards documents issued by the Department. As a result of passage of the 21st Century Cures Act, the Committee significantly increased coordination with ONC and the Health Information Technology Advisory Committee (HITAC) on new data standards policies to ensure that any new policies issued by HHS take into account NCVHS recommendations.Number Of Grants Recommended0
Cost Savings*Unable to DetermineDollar Value Of Grants Recommended$0.00
Cost Savings CommentNot applicableGrants Review CommentNot applicable
Number Of Recommendations*247Access Contact Designated Fed. Officer*Yes
Number Of Recommendations CommentThis fiscal year the Committee produced two reports and five letters of recommendation. The life time sets of recommendations from the Committee, including FY2019 products, is 242 +5 = 247.Access Agency WebsiteYes
% of Recs Fully Implemented*30.00%Access Committee WebsiteYes
% of Recs Fully Implemented CommentOver its 70 year history and the restructuring of the committee to respond to HIPAA, NCVHS reports and recommendations have received serious attention and consideration from the Department.Access GSA FACA WebsiteYes
% of Recs Partially Implemented*50.00%Access PublicationsYes
% of Recs Partially Implemented CommentFour sets of recommendations were developed for the Secretary this fiscal year through letters submitted to the Secretary from February 2019–July 2019. The Committee issued a fifth letter in response to a request for comment on the Federal Data Strategy 2019-2020 Action Plan. In addition, the Committee issued two reports of national interest, both of which informed its recommendations: “13th Report to Congress: On the Implementation of the Administrative Simplification Provisions of the Health Insurance Portability and Accountability Act (HIPAA) of 1996,” and “Health Information Privacy Beyond HIPAA: A Framework for Use and Protection—A Report for Policy Makers.” The Committee has been a steady influence in providing guidance and support for the administrative simplification process, including the standards development process and interoperability. Many of the recommendations pertain to aspects of health information policy over a long period of time, i.e., decades. Implementation of these recommendations usually requires consensus and collective activity from multiple agencies and components of the Department. As stipulated in its Charter, the Committee regularly interfaces with stakeholders in the field and takes their input into account in development of reports and recommendations.Access OtherYes
Agency Feedback*YesAccess Comment1) DFO is Rebecca Hines and HHS Executive Staff Director is Sharon Arnold. Contact information for both is readily available online. 2) The HHS and CDC websites provide information on Committee activities on an ongoing basis. 3) The NCVHS homepage ncvhs.hhs.gov is actively maintained and regularly updated. Links to live internet broadcasts of meetings are easily accessible. The site includes access to transcripts, minutes, agendas, reports, as well as background information, such as the Charter and Committee membership. NCVHS broadcasts meetings online and provides access to PowerPoint presentations. 4) See GSA FACA Website. 5) The public can subscribe to NCVHS electronic mail distribution to receive announcements about upcoming meetings and notification of new recommendations and reports posted to the NCVHS website. Committee members present at professional meetings and associations to engage with relevant stakeholders within the health care data standards and public health data industries. 6) NCVHS Reports, Letters and Recommendations, issued in FY 2019:

• February 13, 2019 – Letter to the Secretary: Criteria and Guidelines for Health Terminology and Vocabulary Standards

• February 13, 2019 – Letter to the Secretary: New Approaches to Improve the Adoption of National Standards for the Health Care Industry

• February 21, 2019 – Letter to the Secretary: Regulatory Simplification of ICD

• March 14, 2019 – Report: Thirteenth Report to Congress On the Implementation of the Administrative Simplification Provisions of the Health Insurance Portability and Accountability Act (HIPAA) of 1996

• June 18, 2019 – Letter to the Secretary: Improving Privacy Protection for Health Information not Subject to HIPAA Regulations

• June 18, 2019 – Report: Framework for Health Information Privacy

• July 8, 2019 – NCVHS Comment Letter on Federal Data Strategy Draft Action Plan
Agency Feedback CommentThe Department responds as appropriate to the Committee, most frequently with a letter that outlines plans to address the issues raised. In addition, the HHS Executive Staff Director and other HHS leadership regularly attend Committee meetings to provide updates for the Committee and to guide its focus. During these meetings, HHS leadership outline the Department’s strategic objectives and areas of special consideration in light of the Committee's guidance and recommendations and inform the Committee’s next steps as appropriate. The Committee periodically presents recommendations at HHS Data Council meetings.Narrative Description*The National Committee on Vital and Health Statistics (NCVHS) advises the Department of Health and Human Services (HHS) on health data, statistics, privacy, national health information policy, and the Department's strategy to best address these issues. A key aspect of this work involves advising the Secretary on HHS’s implementation of provisions established in health care-related legislation. For the Health Insurance Portability and Accountability Act (HIPAA), the Committee specifically advises HHS regarding adoption of standards, identifiers, and code sets for administrative transactions; privacy and security; a periodic Report to Congress; and assists and advises HHS in the implementation of the Administrative Simplification provisions of HIPAA, informing decision-making on HHS data policy, states, local governments and the private sector. As stipulated in the Patient Protection and Affordable Care Act (ACA), the Committee provides advice and guidance regarding operating rules and is designated as the official Review Committee for health care transactions – consisting of standards and operating rules – and advises HHS on opportunities to improve standardization and uniformity in a number of areas. With passage of the 21st Century Cures Act, the Committee coordinates with ONC and the HITAC on national policy for electronic health records (EHRs) standards and administrative data standards; the Committee has worked with the previous Health IT Policy Committee on privacy and security of information entered and stored in EHRs. The Committee has advised the Secretary on standards for ePrescribing under the Medicare Modernization Act (MMA).
Hide Section - COSTS

COSTS

Payments to Non-Federal Members* Est Payments to Non-Fed Members Next FY* 
Payments to Federal Members* Est. Payments to Fed Members Next FY* 
Payments to Federal Staff* Estimated Payments to Federal Staff* 
Payments to Consultants* Est. Payments to Consultants Next FY* 
Travel Reimb. For Non-Federal Members* Est Travel Reimb Non-Fed Members nextFY* 
Travel Reimb. For Federal Members* Est Travel Reimb For Fed Members* 
Travel Reimb. For Federal Staff* Est. Travel Reimb to Fed Staff Next FY* 
Travel Reimb. For Consultants* Est Travel Reimb to Consultants Next FY* 
Other Costs Est. Other Costs Next FY* 
Total Costs$0.00Est. Total Next FY*$0.00
Federal Staff Support (FTE)* Est. Fed Staff Support Next FY* 
Hide Section - Custom Links

Custom Links

     Committee Level Reports               
Hide Section - MEMBERS,MEETINGS AND ADVISORY REPORTS

MEMBERS,MEETINGS AND ADVISORY REPORTS

To View all the members, meetings and advisory reports for this committee please click here
Hide Section - CHARTERS AND RELATED DOCS

CHARTERS AND RELATED DOCS

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Hide Section - DATA FROM PREVIOUS YEARS

DATA FROM PREVIOUS YEARS

Committee

Data from Previous Years

 
ActionCommittee System IDCommittee NameFiscal Year
 COM-001717National Committee on Vital and Health Statistics2017
 COM-002569National Committee on Vital and Health Statistics2016
 COM-004105National Committee on Vital and Health Statistics2015
 COM-004450National Committee on Vital and Health Statistics2014
 COM-005950National Committee on Vital and Health Statistics2013
 COM-006943National Committee on Vital and Health Statistics2012
 COM-007956National Committee on Vital and Health Statistics2011
 COM-009114National Committee on Vital and Health Statistics2010
 COM-010341National Committee on Vital and Health Statistics2009
 COM-011041National Committee on Vital and Health Statistics2008
 COM-011919National Committee on Vital and Health Statistics2007
 COM-012539National Committee on Vital and Health Statistics2006
 COM-014122National Committee on Vital and Health Statistics2005
 COM-014774National Committee on Vital and Health Statistics2004
 COM-015958National Committee on Vital and Health Statistics2003
 COM-016494National Committee on Vital and Health Statistics2002
 COM-017920National Committee on Vital and Health Statistics2001
 COM-018765National Committee on Vital and Health Statistics2000
 COM-019731National Committee on Vital and Health Statistics1999
 COM-020369National Committee on Vital and Health Statistics1998
 COM-021634National Committee on Vital and Health Statistics1997
 COM-034774National Committee on Vital and Health Statistics2018