NATIONAL COMMITTEE ON VITAL AND HEALTH STATISTICS
Committee’s Official Designation
National Committee on Vital and Health Statistics
The National Committee on Vital and Health Statistics is authorized under Section 306(k) of the Public Health Service Act, as amended, and codified at 42 U.S. Code § 242k(k). The Committee is governed by provisions of Public Law 92-463, as amended, (5 U.S.C. App. 2), which sets forth standards for the formation and use of advisory committees.
Objective and Scope of Activities
The Committee shall assist and advise the Secretary on health data, statistics, privacy, national health information policy, and the Department’s strategy to best address those issues. The Committee also shall assist and advise the Department in the implementation of the Administrative Simplification provisions of the Health Insurance Portability and Accountability Act, and shall inform decision making about data policy by HHS, states, local governments and the private sector.
Description of Duties
As the Department’s statutory public advisory body on health data, statistics and national health information policy, the Committee shall assist and advise the Secretary on health data, statistics, privacy, national health information policy, and the Department’s strategy to best address those issues.
A. Specifically, the Committee shall assist and advise the Secretary:
- To delineate statistical problems bearing on health and health services which are of national or international interest;
- To stimulate studies of such problems by other organizations and agencies whenever possible or to make investigations of such problems through subcommittees;
- To review and comment on findings and proposals developed by other organizations and agencies and to make recommendations for their adoption or implementation by local, State, national, or international agencies;
- To cooperate with national committees of other countries and with the World Health Organization and other national agencies in the studies of problems of mutual interest;
- In complying with the requirements imposed on the Secretary under part C of title XI of the Social Security Act;
B. Shall study the issues related to the adoption of uniform data standards for patient medical record information and the electronic exchange of such information;
C. Shall report to the Secretary not later than 4 years after the date of the enactment of the Health Insurance Portability and Accountability Act of 1996 recommendations and legislative proposals for such standards and electronic exchange; and
D. Shall be responsible generally for advising the Secretary and the Congress on the status of the implementation of part C of title XI of the Social Security Act.; and
E. Assist and advise the Secretary in complying with the requirements imposed under Part C of Title XI of the Social Security Act;
F. Study the issues related to the adoption of uniform data standards for patient medical record information and the electronic interchange of such information, and report to the Secretary recommendations and legislative proposals for such standards and electronic exchange;
G. Advise the Secretary and the Congress on the status of the implementation of Part C of Title XI of the Social Security Act;
H. Submit to the Congress and make public not later than one year after the enactment of the Health Insurance Portability and Accountability Act, and annually thereafter, a report regarding the implementation of Part C of Title XI of the Social Security Act. Such report shall address the following subjects, to the extent that the Committee determines appropriate:
- The extent to which persons required to comply with Part C of the Act are cooperating in implementing the standards adopted under such part;
- The extent to which such entities are meeting the security standards adopted under such part and the types of penalties assessed for noncompliance with such standards;
- Whether the federal and State Governments are receiving information of sufficient quality to meet their responsibilities under such part;
- Any problems that exist with respect to implementation of such part;
- The extent to which timetables under such part are being met.
I. Assist and advise the Secretary in the development of such reports as the Secretary or Congress may require.
J. Monitor the nation’s health data needs and current approaches to meeting those needs; identify emerging health data issues, including methodologies and technologies of information systems, databases, and networking that could improve the ability to meet those needs.
K. Identify strategies and opportunities to achieve long-term consensus on common health data standards that will promote (i) the availability of valid, credible, and timely health information and (ii) multiple uses of data collected once; recommend actions the federal government can take to promote such a consensus.
L. Study and identify privacy, security, and access measures to protect individually identifiable health information in an environment of electronic networking and multiple uses of data.
M. Identify strategies and opportunities for evolution from single-purpose, narrowly focused, categorical health data collection strategies to more multi-purpose, integrated, shared data collection strategies.
N. Identify statistical, information system and network design issues bearing on health and health services data which are of national or international interest; identify strategies and opportunities to facilitate interoperability and networking.
O. Advise the Department on health data collection needs and strategies; review and monitor the Department’s data and information systems to identify needs, opportunities, and problems; consider the likely effects of emerging health information technologies on the Department’s data and systems, and impact of the Department’ s information policies and systems on the development of emerging technologies.
P. Stimulate the study of health data and information systems issues by other organizations and agencies, whenever possible.
Q. Review and comment on findings and proposals developed by other organizations and agencies with respect to health data and information systems and make recommendations for their adoption or implementation.
Agency or Official to Whom the Committee Reports
The Committee shall provide advice and recommendations regarding health data and statistics, privacy, Administrative Simplification, data standards and health information policy to the Secretary of Health and Human Services.
The National Center for Health Statistics, CDC shall provide executive secretariat and logistical support services to the Committee. The Assistant Secretary for Planning and Evaluation shall oversee and coordinate the overall management and staffing of the Committee.
Estimated Annual Operating Costs and Staff Years
Estimated annual cost for operating the Committee, including compensation and travel expenses for members but excluding staff support, is $373,008. Estimated annual person-years of staff support required is 3.5, at an estimated annual cost of $513,958.
Designated Federal Officer
ASPE and CDC will select a fulltime or permanent part-time Federal employee to serve as the Designated Federal Officer (DFO) to attend each Committee meeting and ensure that all procedures are within applicable statutory, regulatory, and HHS General Administration Manual directives. The DFO will approve and prepare all meeting agendas, call the Committee and subcommittee meetings, adjourn any meeting when the DFO determines adjournment to be in the public interest, and chair meetings when directed to do so by the official to whom the Committee reports. The DFO or his/her designee shall be present at all Committee and subcommittee meetings.
Estimated Number and Frequency of Meetings
Meetings shall be held not less than annually at the call of the Designated Federal Officer, who shall also approve the agenda. The Designated Federal Officer shall be present at all meetings.
Meetings shall be open to the public except as determined otherwise by the Secretary, HHS or designee in accordance with the Government in the Sunshine Act (5 U.S.C. 552b(c)) and Section 10(d) of the Federal Advisory Committee Act. Notice of all meetings shall be given to the public. Meetings shall be conducted, and records of the proceedings kept, as required by the applicable laws and departmental regulations. In the event a portion of a meeting is closed to the public as determined by the Secretary, HHS, in accordance with the Government in the Sunshine Act (5 U.S.C. 552b(c)) and Section 10(d) of the Federal Advisory Committee Act, a report shall be prepared which shall contain, as a minimum, a list of members and their business addresses, the Committee’s functions, dates and places of meetings, and a summary of Committee activities and recommendations made during the fiscal year. A copy of the report shall be provided to the Department Committee Management Officer.
Unless renewed by appropriate action prior to its expiration, the charter for the National Committee on Vital and Health Statistics will expire two years from the date this charter is filed.
Membership and Designation
The Committee shall consist of 18 members, including the Chair. The members of the Committee shall be appointed from among persons who have distinguished themselves in the fields of health statistics, electronic interchange of health care information, privacy and security of electronic information, population-based public health, purchasing or financing health care services, integrated computerized health information systems, health services research, consumer interests in health information, health data standards, epidemiology, and the provision of health services. Members of the Committee shall be appointed for terms of up to four years. The Secretary shall appoint one of the members to serve a two year, renewable term as the Chair. Members shall be deemed Special Government Employees (SGEs).
Of the members of the Committee, one shall be appointed by the Speaker of the House of Representatives after consultation with the minority leader of the House of Representatives; one shall be appointed by the President pro tempore of the Senate after consultation with the minority leader of the Senate, and 16 shall be appointed by the Secretary.
Members will be appointed for four year terms by the Secretary. Any member appointed to fill a vacancy occurring prior to the expiration of the term for which his or her predecessor was appointed shall be appointed only for the remainder of such term. A member may serve 180 days after the expiration of that member’s term if a successor has not taken office.
Members who are not full-time Federal employees shall be paid at a rate not to exceed the daily equivalent of the rate in effect for an Executive Level IV of the Executive Schedule for each day they are engaged in the performance of their duties as members of the Committee. All members, while so serving away from their homes or regular places of business, may be allowed travel expenses, including per diem in lieu of subsistence, in the same manner as such expenses are authorized by Section 5703, Title 5, U.S. Code, for employees serving intermittently.
Standing and ad hoc subcommittees and working groups consisting of members may be established with the approval of the Secretary, HHS or designee to address specific issues and to provide the Committee with background study and proposals for consideration and action. The Chair shall appoint members to the subcommittees and designate a Chair for each subcommittee from the full Committee. The subcommittees shall make their recommendations to the parent Committee for deliberation. Timely notification of the subcommittees, including charges and membership, shall be made in writing to the Department Committee Management Officer by the Executive Secretary.
The records of the Committee, established subcommittees, or other subgroups of the Committee, shall be managed in accordance with General Records Schedule 6.2, Federal Advisory Committee Records or other approved agency records disposition schedule. These records shall be available for public inspection and copying, subject to the Freedom of Infom1ation Act, 5 U.S.C. 552.
January 16, 2020
Alex M. Azar II /s/