Transcript Using Web-Based Data to Advance Access to Care

TPCA: Up to the Challenge
Using Web-Based
Data to Advance
Access to Care
April 25, 2006
Kiamichi Family Medical Center, Battiest, OK
Using Web-Based Data to
Advance Access to Care
Where do you go to find health
information in Tennessee?
Where do you go to find health
information in Tennessee?
 TPCA: County Health Indicators
- Graphs & Maps
- Pre-selected indicators
 HIT: Data Query and County Profiles
- User-specified selection of variables
 OCS: Office of Cancer Surveillance
- Tennessee Cancer Registry
- Cancer Incidence & Mortality
 Data & Research: Other Sources
TPCA: County Health Indicators
Excellent Tutorial
http://www.tnpca.org/health/material
s/how_website_organized.ppt
ComMetrics, Inc.
[email protected]
How Everything Fits Together
What You Will Find
Graphs & Maps
Definitions
Data
Explanations
Links
Healthy People
2010
County Profiles: Graphs & Maps
 County level
graphs & maps
 Except surveys
 BRFSS
 Substance abuse
 Immunization
 Three ways to
select a county
 Drop down menu
 Hot map
 List
County Profiles: Graphs & Maps

More than 3600 unique graphs

& maps

214 graphs & maps for each
county

24 additional sub-county
maps for 5 counties

Organized by topical areas for
ease of use

Files are “small” to reduce
load time

PowerPoint & HTML

PowerPoint allows users to
save files to a local hard drive
to develop customized
education programs
County Profiles: Graphs & Maps
Data Definitions
 Alphabetical listing
 Links to sources
 Explanatory notes
Data Tables: Numbers
Data Tables: Sources
Link to source
Frequency of update
Date accessed

FAQs: Explanations
Who decided what data to collect?

How recent are the data?

How are data presented?

Some county comparison maps do not
provide data for every county. Why?

I don’t have Microsoft PowerPoint. Can I
still view the PowerPoint presentations?
I need the data, not a graph. Where do I
get the data?

I’m not sure how to interpret the
numbers I’m seeing. Where can I find
data definitions?

Some data are not available at the
county level. Why?

What does it mean when it says BRFSS
data are not weighted for population
characteristics?

Why are BRFSS data not reported for
Hispanics?
Other Resources: Links
Healthy People 2010
 Links to detailed
list of objectives
 Links to
background
document
 Links to Excel files
with objectives
HIT is Advancing Access to
Better Health Information
HIT is pleased to present online
access to official State of Tennessee
data for:
Births Deaths Population
Hospitals Nursing Homes
FEATURING
DATA QUERY
Several examples of using
GIS/Mapping to visualize and
demonstrate relationships toward
advancing access to care:
OCS and slides that follow
Office of Cancer Surveillance
Tennessee Cancer Registry (TCR)
Tennessee Comprehensive Cancer
Control Program (TCCCP)
Jennifer Murray, Epidemiologist
Tennessee Cancer Registry
Established 1983
Funded by CDC since 1996
Reports approx. 24,000 cases/yr
80% complete
Hospitals
Pathology Laboratories (2005)
Ambulatory Surgery Centers (2005)
Urologists (Pilot Project 2006)
TCR Data Usage
Annual Report – 2006
Cancer Factsheets – Overall, specific
ca’s
Guide TCCCP in their activities
Research Projects
 Harvard School of Public Health
 Nashville Breast Health Study
 Southern Community Cohort Study
 7th Day Adventist Study
Tennessee Comprehensive Cancer
Control Coalition
CDC funded 2004
Group of volunteers (~200), w/ 3 staff
Guide the state in cancer related
issues
 Active volunteers
 Educational events
 Increase awareness
 Training
 Regional Coalitions now forming
TCCCP
The Plan – 2005
 Guide to addressing cancer issues in TN
Workgroups with specific objectives,
activities and a work plan
 Living document, updated 06/07
Produce TN Burden of Cancer
Document
Special reports / research projects
with Coalition
Data and Research
 Grant Resources
 Block Grant & Collaborative
Efforts
 Grant & RHIO
 Info – exchange & Linkage
Grantsmanship
Data
Needs
Overview of the State: Tennessee has a
population of 5,900,962 (2004 data). Of those
reporting only one race, 82% were white, 15%
black, 1% Asian, and 1% other. Less than 3% of
the people living in the state in 2000 were
foreign-born, although the state has
experienced a 169% increase from 1990.
Approximately 40% are of Latin American
origin. 2003 data from the American
Community Survey show 135,669 persons
identifying themselves as being of Hispanic
origin.
Grants
 Tennessee is a diverse state geographically, culturally,
and economically. The state covers 41,220 square
miles and is about 500 miles from east to west and
100 miles from north to south. There are mountains in
the east, hills in the middle section, and the western
third is relatively flat. The state is divided into 95
counties, each with a health department located in the
county seat. Slightly more than a quarter of all
Tennesseans live in the four largest cities (Memphis,
Nashville, Chattanooga, and Knoxville). Just over 68%
of the population lives in the state’s seven metropolitan
areas (MSAs), five of which are in the eastern twothirds of the state. The most sparsely populated
counties are primarily in rural middle and west
Tennessee.
Grants
 U.S. Census data show that 14% of
Tennesseans live in poverty compared to
12.5% nationally. According to the 2005 Kids
Count Data Book, in 2003 20% of children in
Tennessee were living in poverty, and 33% of
children were living in single parent
households (as compared to U.S. figures of
18% and 30%). Eight percent of children
were without health insurance, much better
than the national level of 12%. Yet
Tennessee’s children are not faring well.
Grants
 Birth Population: In 2004 there were
79,572 births in Tennessee, an increase
over the past five years, reflecting a
growing overall population. Of the total
births, 78% were white (61,899), 20%
black (15,787), and 2% other races
(1,886). These percentages are reflective of
the racial spread of the population of
reproductive age women (78% white, 19%
black). 2000 census data show that females
aged 10-44 make up 25.4% of the total
population. Of the total 2004 births, 12.9%
were to women aged 10-19 (10,260).
Grants
 In 2004, there were 5,848 Hispanic
births (7.4% of total births), an
increase of 905 births or 18% over
the number for 2003 (4,943) and
indicative of the state’s increasing
Latino population.
Common Types of Grants
 New
 Block
 Continuation
 State
 Federal
Collaborative Interests
Data Capture
Data Utilization
Data Integration
Data Manipulation
Data Applied Use in Care/Treatment
RHIO – Regional Health Information
Exchange
 Electronic Health Records






Tennessee Priorities
 Body Mass Index (BMI) – Both adult
and Child
 Obesity
 Diabetes
 Stroke
 Prevention Strategies
 Disparity Elimination
Grants
 Tennessee Primary Care Association
Challenge
Challenge For TPCA
Sponsor a grant application for a
statewide collaboration research
initiative to address major primary
health care needs and barriers to care.
WEBSITES
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http://hit.state.tn.us
http://www2.state.tn.us/health/CCCP
http://www2.state.tn.us/health/TCR
http://www.tnpca.org
TPCA: Up to the Challenge
Using Web-Based Data to Advance
Access to Care
THANK YOU!
Ronald L. Campbell, MSHA, CHE, Health Planner, Health Information Tennessee, TDH
Ramona Lainhart, PhD, Director, Grants and Funded Projects, PPA, TDH
Fenyuan Xiao, PhD, Epidemiologist, Health Information Tennessee, TDH
Jennifer Murray, PhD, Epidemiologist, Office of Cancer Surveillance, TDH
Fred Croom, MD, Epidemiologist, Surveillance, Epidemiology & Evaluation