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NM-IBIS: New Mexico's Public Health Information System

NM-IBIS is a comprehensive public health information system in New Mexico that provides indicator reports, datasets, and resources to assess the health of the population.

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NM-IBIS: New Mexico's Public Health Information System

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  1. New Mexico Department of Health

  2. NM-IBIS: New Mexico’s Indicator-Based Information System for Public Health February 2014

  3. Outline • Overview of NM-IBIS • What is it for? • Website organization • Resources • Indicator Reports • Explore Datasets • Keys to Understanding the Data • Datasets • Measures (count, rate, aarate) • Variability and data stability New Mexico Department of Health

  4. Public Health • The role of government in public health:1 • To develop policy that supports the health of populations, e.g., • Notifiable diseases required by law • Environmental regulation (clean air, water, soil) • Traffic safety (seat belts, DUI) • Labeling food packaging for nutrients, fat and calories • Smoking in public places Institute of Medicine; Committee for the Study of the Future of Public Health; Division of Health Care Services (1988) The Future of Public Health. Washington, D.C.: National Academies Press. * The Institute of Medicine is a national health advisory institute chartered by the National Academy of Sciences. New Mexico Department of Health

  5. Public Health • The role of government in public health:1 • To develop policy that supports the health of populations. • To assure access to health care and the quality of that care, e.g., • Practitioner licensing • Nursing facility inspection • Public health clinics, immunization • Medicaid program Institute of Medicine; Committee for the Study of the Future of Public Health; Division of Health Care Services (1988) The Future of Public Health. Washington, D.C.: National Academies Press. * The Institute of Medicine is a national health advisory institute chartered by the National Academy of Sciences. New Mexico Department of Health

  6. Public Health • The role of government in public health:1 • To develop policy that supports the health of populations, • To assure access to health care and the quality of that care, and • To assess the health status of the population. Institute of Medicine; Committee for the Study of the Future of Public Health; Division of Health Care Services (1988) The Future of Public Health. Washington, D.C.: National Academies Press. * The Institute of Medicine is a national health advisory institute chartered by the National Academy of Sciences. New Mexico Department of Health

  7. Public Health Assessment Assessment is the • regular and systematic • collection, • assembly, • analysis, and • dissemination of information about the health of a community. Institute of Medicine (1988) The Future of Public Health, National Academies Press. New Mexico Department of Health

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  9. http://ibis.health.state.nm.us Getting to NM-IBIS • New Mexico’s Indicator-Based Information System for Public Health (NM-IBIS). New Mexico Department of Health

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  21. * Numerator * Denominator * Definition Data Interpretation Issues * Why Is This Important? Other Objectives How Are We Doing? New Mexico Versus U.S. What Is Being Done? Other Program Information * HealthyPeople Objectives Evidence-based Practices New Mexico Department of Health

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  28. Review: • NM-IBIS facilitates public health assessment in New Mexico. • There are five top tabs on every NM-IBIS web page, Home, Indicator Reports, Explore Datasets, Resources, and Search. • The NM-IBIS Resources and Help pages are indexed under the “Glossary and Index” page. • NM-IBIS Indicator Reports are Web-based reports that provide a graph and contextual information for 100+ public health topics in New Mexico. • You can view NM-IBIS indicator reports by each specific indicator, or by groups of indicators for each county. New Mexico Department of Health

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  34. The Streetlight Effect Late at night, a police officer finds a man crawling around on his hands and knees under a streetlight. The man tells the officer he’s looking for his keys. When the officer asks if he’s sure this is where he dropped the keys, the man replies that he thinks he more likely dropped them across the street. “Then why are you looking over here?” the befuddled officer asks. “Because the light’s better here,” explains the man. New Mexico Department of Health

  35. Measuring Community Health • Health Conditions: Medical, social, and economic • Not all “Health-related Conditions” are medical (e.g., poverty, education, environment) • Population at Risk • Include demographic measures to help identify at-risk populations within the community. (e.g., age, sex, language) New Mexico Department of Health

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  39. Types of Prevention • Primary Prevention • Reducing the incidence of a condition (e.g., vaccine) • Secondary Prevention • Reducing the complications of an illness (e.g., treating high blood pressure) • Tertiary Prevention • Reducing levels of residual disability or other long-term effects, given that an illness has already occurred (e.g., managing diabetes) New Mexico Department of Health

  40. Morbidity versus Mortality • Morbidity is another term for illness. Morbidities are not deaths, and occur among the population of living persons. Examples of morbidities include Alzheimer's disease, diabetes, and traumatic brain injury. • Mortality is another term for death. A mortality rate is the number of deaths due to a disease divided by the number of persons in the population. A mortality rate is typically multiplied by a factor of ten (e.g, 100,000) so that the rate may be expressed as a whole number. New Mexico Department of Health

  41. Incidence Versus Prevalence • Incidence is the number of new cases (of disease) in a given period of time. (e.g., cancer incidence is the number of new cases of cancer during the time period) • Prevalence is the number of existing cases (e.g., of a disease or risk factor) in a given period of time. (e.g., prevalence of high blood pressure, prevalence of obesity) New Mexico Department of Health

  42. Confidence Interval • A confidence interval is a range around a measurement that conveys how precise the measurement is. • the possible range around the estimate • how stable the estimate is • A stable estimate is one that would be close to the same value if the measurement were repeated. • An unstable estimate is one that would vary from one measurement to another. New Mexico Department of Health

  43. Trend Lines for Two Communities New Mexico Department of Health

  44. Trend Lines for Two Communities New Mexico Department of Health

  45. Trend Lines for Two Communities New Mexico Department of Health

  46. Calculating a Death Rate New Mexico Department of Health

  47. The Numerator: Causes of Death New Mexico Department of Health

  48. The Numerator: Causes of Death New Mexico Department of Health

  49. The Numerator: Causes of Death New Mexico Department of Health

  50. International Classification of Disease, Version 10 (ICD-10) New Mexico Department of Health

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