U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention
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Accessing Aggregated Population Health Data from
Select Tools of the NCHSA presentation at the Knowledge 4 Equity Conference
James M. CraverNovember 6, 2012
U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and PreventionNational Center for Health Statistics
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NCHS Mission
• Monitor the Nation’s health by collecting, analyzing and disseminating health data
• To inform actions and policies to improve the health of the American people• Identify health problems, risk factors, and disease
patterns• Compare across time, populations, providers and
geographic areas
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Types of NCHS data sourceswww.cdc.gov/nchs/data/factsheets/factsheet_summary.htm
• National Vital Statistics System• Births and deaths
• Surveys of people• National Health Interview Survey• National Health and Nutrition Examination Survey• National Survey of Family Growth
• National Health Care Surveys• Component surveys
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Reasons for using multiple sources
• Monitor health and health care broadly
• Assess a specific public health issue from multiple perspectives
• Conduct methods studies
• Enhance the usefulness of a survey through linkage with additional data
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Tools for finding statistics from multiple data sources
• Health Indicators Warehousewww.healthindicators.gov
• Health Data Interactivewww.cdc.gov/nchs/hdi.htm
• Health, United Statewww.cdc.gov/nchs/hdi.htm
• Healthy People 2010 / 2020www.cdc.gov/nchs/healthy_people.htm
• FastStatswww.cdc.gov/nchs/fastats
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1. Health Indicators Warehouse (HIW)www.healthindicators.com
• National, state, and local level indicators• Graph and map indicators (if data permit)• Link from indicators to evidence-based
interventions• Includes most indicators from
• Healthy People 2020• County Health Rankings• Community Health Status Indicators • New community level Medicare utilization and quality indicators
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HIW: Current Version
• Approximately 1,100 unique indicators• More than 160 data sources
• Federal: Census data, HHS, ED, Agriculture and other federal Surveys, Surveillance Data, Medicare Administrative Data, EPA modeled data
• State: BRFSS, Surveillance System Data• Trade Associations: AMA, AHA, other health professions data• NGOs: ASTHO, NACCHO, other member surveys
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HIW: Methods for stroke death rates
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HIW: Stroke death rates map
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Health Data Interactive online tables Ex.: Asthma prevalence, health care use, and mortality by age, race, and sex
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Asthma emergency department visits (per 10,000), by age, race/ ethnicity: annual average 2006-2008
Source: National Hospital Ambulatory Medical Care Survey
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Asthma deaths among adults (per 100,000), by age and race: annual average 2005-2007
Source: National Vital Statistics System
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3. Health United Stateswww.cdc.gov/nchs/hus.htm
• Annual report (since 1975) on national trends in statistics• Health status and determinants• Use of health care• Health resources• Health care costs and financing
• Includes data from 55 sources
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Ex.: How might you start to describe selected trends in health care use?
• Preventive services – NHIS
• Prescription drugs – NHANES
• Inpatient surgery – NHDS
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Interactive In Briefhttp://archive.nlm.nih.gov/proj/IP/hus11/InBrief.html
• Collaborative project between the National Library of Medicine and NCHS
• Allows deeper, interactive dive into select publications
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4. Healthy People (HP) 2010 / 2020www.cdc.gov/nchs/healthy_people.htm
• A nationwide health promotion & disease prevention agenda
• Tracks progress towards targets for health objectives
• HP 2010: >900 objectives in 28 focus areas, using 150 data sources
• HP 2020: 1200 objectives on 42 topics
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HP tracking data
• HP 2010• Final Review: summarizes progress over the decade• Data2010: online database with tracking data
• HP 2020• Baseline data available through HP webpage & Health Indictors
Warehouse
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Healthy People (HP)Ex.: Heart disease and stroke
• HP 2010• 17 objectives tracked • Using 5 data sources including NVSS, NHIS, NHDS, NHANES
• HP 2020• 18 objectives • Baseline data from 5 data sources including NVSS, NHIS,
NHANES• 31 additional developmental objectives
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HP 2010 Final Reviewwww.cdc.gov/nchs/data/hpdata2010/hp2010_final_review.pdf
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5. FastStats: Statistics by topicwww.cdc.gov/nchs/faststats/default.htm
• Provides quick web access to statistics on topics of public health importance using multiple data sources and publications
• Organized alphabetically • Links to:
• Source publications • Publications with more data• Related web pages
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FastStats topics
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Contact for more information
James Craver
Co-Acting Associate Director, Office of Analysis and EpidemiologyNational Center for Health Statistics
Centers for Disease Control and PreventionDepartment of Health and Human Services