A Lot with A Little (or Bark for our Buck)

1. A Lot with A Little(or Bark for our Buck) Experiences Reporting on RRFSS at the Brant County Health Unit RRFSS Workshop June 20, 2006

2. Overview • History of RRFSS and PPEA in BCHU • Developing Release Schedule of Reports • Report Production (and Learning RRFSS) • Selected Findings • Accessing Final Reports • Evaluation

3. HISTORY • Perinatal Funding: June 2003 – May 2004 • Base Budget: January 2005 (starting again) • Additional 0.25 FTE for DAC/PPEA – Nov. 2005 • PPEA Unleashed – Jan. 2006 • Developed Schedule of Reports into 2007 • To date - 5 Reports plus 2 Analyses

4. Program Planning and Evaluation Analyst • Proposed 0.25-0.5 FTE assistance in 2004 and 2005 to meet increased analytical demands • DAC started Jan. 2005 at 0.75 FTE • Accepted topping up to 1 FTE - 0.25 as PPEA • Focused on RRFSS: production of monthly reports and taking advantage of the ‘Rapid’ quality

5. Scheduling Reports • Examined all data collected over time • Grouped into Themes • Identified when we had enough data • Assessed annual timing of PH events • Proposed Report release schedule • Revised with feedback from Management

8. Managing Limited Time For Each Report • PPEA time – 5 days total (1.25 days/week) • Explore variables – Propose plan • Meet with Epidemiologist • Meet with other relevant Managers and Staff • Analyze Data (Recoding, Weighting, Auto CI) • Write Draft Report • Revisions, revisions, revisions

9. Learning RRFSS • Extra time for PPEA Jan-March 2006: • Reading MOO • Learning about Syntax • Meetings and Networking • Reviewing Existing RRFSS Reports • Developing Report Template with Epidemiologist

10. Report Template • Target Audience - Internal (and External) • Concise: 4 pages – 11”x17” folded: • Cover – introduction, promote RRFSS • Inside – explore by socio-demographics, etc. • Back – trends(?), interpretation and contact

11. MORE INTERPRETATION • The sample was weighed to reflect household size of the respondents, not the population from which the sample was drawn. • The age distribution of the sample was representative of the population, and there was less than a 5% difference in the gender distribution, with the sample having a slightly larger proportion of females and smaller proportion of males. Therefore, please note that estimates may differ from other sources. • A 95% Confidence Interval indicates that if 100 samples were drawn randomly, estimates from 95 of those samples would fall within this ± range, which implies that this estimate is accurate to within this ± range 19 times out of 20. • Unstable estimates released with caution had a coefficient of variation between 16.6 and 33.3 and may not be reliable. • Unreleasable estimates had a coefficient of variation greater than 33.3 or a cell count that was too small to be reliable.

12. Final Reports • Announced to MT by Epidemiologist • Printed in Hard Copy – available to staff • Posted on Internet as .pdf for anyone(www.bchu.org – Stats and Reports)

14. Selected Findings

17. **** **** Estimate unreleasable (see More Interpretation).

18. Do you have all, most, some, few, or none of your natural teeth?

19. Reason for last Mammogram by Age

20. Tobacco Use in the Home by Smoker Status

21. Evaluation • Still within timeframe of schedule, although some reports took a little longer • Average report length is still 4 pages, although one was 8 pages and one was 2 • MT Glad to see products from money invested

22. Our Bark has Bite! Chief Dental Officer at Health Canada indicated that he found our Oral Health report interesting and that he would use our findings as a sub-sample for comparing local to national statistics.

23. Thank You ! • Adam Stevens 519-753-4937 Ext. 219astevens@bchu.org • Jennifer Munro 519-753-4937 Ext. 319jmunro@bchu.org