SUPPORTING STATEMENT FOR
OMB INFORMATION COLLECTION REQUEST
CDC ID# 0920-0607
Part B
30 June, 2014
The National Violent Death Reporting System
Supported by:
Department of Health and Human Services
Centers for Disease Control and Prevention
National Center for Injury Prevention and Control
Division of Violence Prevention
Project Officer: Faye Floyd
Center for Disease Control and Prevention
4770 Buford Highway
Atlanta, GA 30341
MS F-64
Phone: 770-488-3828
Fax: 770-488-4349
Email: [email protected]
B. Collection of Information Employing Statistical Methods
1. Respondent Universe and Sampling Methods
A complete census of violent deaths within each given state is sought, so no sampling methods will be employed. Approximately 50,000 violent deaths occur annually in the United States, which comprises 58 public health agencies, which include the 50 U.S. states, the District of Columbia, and territories to be included in the state-based surveillance system.
2. Procedures for the Collection of Information
The system will be coordinated and funded at the federal level but is dependent on separate data collection efforts in each state managed by the state health departments or their bona fide agents. In accordance with the system’s design principles, the data is incident-based (violent deaths that are related and occur within 24 hours of each other such as multiple homicides) rather than victim-based. The record for an incident includes information about all the victims and suspects in each incident and their relationships.
To fully characterize the incidents, states collect information about each incident from three primary data sources: death certificates, coroner/medical examiner records (CME), and law enforcement records.. Most states find it easiest to begin data collection with death certificates because the state health department itself collects death certificates. Over 250 data elements are collected on each incident from these four principal sources. See attached list of data elements (attachment 4).
Data collection can be done either by manual abstraction from the primary data sources or by electronic transfer or importation, whichever proves to be the more timely way to acquire the necessary detail. Data collection is staged so that basic demographic information can be published early and more detailed information about potential causal factors can be published later. Death certificate information is available to most health department and entered into the system within 6 months. Law enforcement and Coroner/Medical Examiner data is most often available within 18 months of the occurrence of the death.
Estimation Procedures
No estimation procedures will be employed.
Degree of Accuracy
This issue does not apply to this methodology.
Unusual Problems
Violent death surveillance faces challenges that are in some ways unique among public health surveillance systems. First, there is a fundamental difficulty with the use of different case definitions: the same death may be called unintentional on a police record, homicide by a medical examiner, and undetermined on the death certificate. Different case definitions may be used even within one professional community, such as that of medical examiners. [i] To address this problem, NVDRS abstractors will be trained to use standard conceptual definitions for different types of violent death.
There are also more legal issues associated with violent deaths than with deaths from natural causes. The integrity of a death investigation is important, and access to law enforcement and medical examiner/coroner files may be restricted or delayed while investigations are still under way.
In addition, the sources of information on violent deaths are not traditional ones for public health surveillance systems. The sources of information for maternal mortality surveillance, for example, are almost exclusively health care institutions, organizations with which health departments typically have well-established relationships. In contrast, although the situation is improving gradually, health departments typically have little experience working with police departments or medical examiners/coroners. The lack of such relationships may make data access more difficult or less timely.
An additional barrier is that many of the sources of information on violent deaths are non-centralized. Only 19 states have statewide medical examiner systems with centralized records; the remainder have county medical examiners and/or coroners.[ii] A given state may have dozens to hundreds of local police departments with which to set up data-sharing agreements. Moreover, CME and law enforcement information is not standardized and may not be computerized. Time consuming abstraction from primary sources by trained abstractors will probably therefore be required. Eventually efforts to develop an electronic death certificate and efforts by the Department of Justice to develop the National Incident Based Reporting System for police information may dramatically reduce the need for data abstraction.
3. Methods to Maximize Response Rates and Deal with Non-response
This issue is not relevant with this methodology.
4. Tests of Procedures or Methods to be Undertaken
States began collecting data for NVDRS in 2003. Funded states are currently finalizing data collection for 2011 and continuing to input data for 2012 and 2013. The system has recently transitioned from a distributed software system with data entry housed in each state health department to a web-based data entry system (see Attachment 5) with streamlined coding system to facilitate data abstraction efficiency.
5. Individuals Consulted on Statistical Aspects and Individuals Collecting and/or Analyzing Data
There are no statistical aspects related to this surveillance system.
The data will be collected by state health department staff. Data will be transmitted via the web to CDC-based server.
i. Goodin J, Hanzlick R. Mind your manners: part II: general results from the National Association of Medical Examiners Manner of Death Questionnaire, 1995. Am J Foren Med Path 1997;18:224-227.
| File Type | application/msword |
| Author | fmc7 |
| Last Modified By | CDC User |
| File Modified | 2014-06-30 |
| File Created | 2014-06-30 |