Electronic information systems and digitized data have been identified as key strategies to improve accuracy and timeliness of data for vital statistics. The National Center for Health Statistics (NCHS) engaged PHII to conduct assessment activities and make recommendations to achieve and support the next generation electronic death registration system (EDRS). To explore this potential, PHII partnered with the National Association for Public Health Statistics and Information System (NAPHSIS) to conduct a series of informant interviews with representatives from vital registration stakeholder groups, including vital registrars, physicians, and funeral directors. The strategies in this report are intended to support a sustainable process that continuously assesses and improves the quality and timeliness of state death registration systems and the national mortality data system, which is built upon those state systems.