Over the past nine months, teams have gained some valuable insight and recommendations on how to standardize on-boarding of new hires and ensure annual competencies exist for current birth registrars. Though improvements are still in progress, several barriers were uncovered during this pilot. Specifically, a lack of understanding by leadership as to the breadth of the birth registrar role, lack of awareness of existing resources that exist to support this role, as well as, limited expectations of continued training by their staff. Additionally, the mere lack of chart access to successfully carry out their job was a tremendous barrier at some sites and a successful method for data verification remains elusive.
