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Data Sources and Support for Data Use Available through The Indiana Prevention Resource Center Report to the IPHA Advisory Board Advisory Board Meeting February 18, 2011. Goal of Accreditation.
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Data Sources and Support for Data Use Available through The Indiana Prevention Resource Center Report to the IPHA Advisory Board Advisory Board Meeting February 18, 2011
Goal of Accreditation • “To improve and protect the health of the public by advancing the quality and performance of all health departments.” (p. 1) Source: Public Health Accreditation: Is Oregon Ready? http://www.oregon.gov/DHS/ph/lhd/docs/Oregon_accreditation.pdf?ga=tAccessed 2/13/2011; PHAB, Draft National Accreditation Standards, 2009, cited in preceding source, p. 1
Ways PHDs Can Fulfill Obligatory Functions • Internal capacity – do all the functions alone • Ask for specific assistance from the State • Coordinate w/ other agencies or near-by LHDs • Subcontract or control other agencies work Source: NACCHO, Operational Definition of a Functional Public Health Department [brochure], Nov. 2005, p. 4.
How IPRC Can Help • Community level data and maps • Comparisons to relevant geographic areas • Help LHDs staff increase skills for • Accessing data • How to use data • TA/consultation for grant-seeking; data use
Total Crime Index Indiana, 93 Source: Nielsen, 2009 Updates, 2010 Indiana Prevention Resource Center
Total Crime Index Indiana, 93; Monroe Co., 66
: 181050001001
: 181050001003
Duties of LHDsNeeding Data Support • Monitor Health Status and Understand Issues • Protect People from Health Problems/Hazards • Provide Information Healthy Choices • Engage Community to Identify/Solve Problems • Develop Public Health Policies and Plans Source: NACCHO, Operational Definition of a Functional Public Health Department [brochure], Nov. 2005, p. 7,
More Duties of LHDsNeeding Data Support • Enforce Public Health Laws and Regulations • Help People Receive Health Services • Maintain Competent Public Health Workforce • Evaluate and Improve Programs/Interventions • Contribute to & Apply the Evidence Base of Public Health Source: NACCHO, Operational Definition of a Functional Public Health Department [brochure], Nov. 2005, p. 6-8,
Duty #1 Monitor Health Status – Understand Issues Facing the Community • Community-Specific Data • Number of Uninsured • Indicators of Health Disparities, like: • High levels of poverty • Lack of affordable housing • Limited or no access to transportation Source: NACCHO, Operational Definition of a Functional Public Health Department [brochure], Nov. 2005, p. 6.
Duty #1 Monitor Health Status – Understand Issues Facing the Community • Integrate data with health assessment and data collection efforts conducted by others in the PH system • Analyze data to find trends, health problems, environmental health hazards, and conditions that adversely affect the public health. Source: NACCHO, Operational Definition of a Functional Public Health Department [brochure], Nov. 2005, p. 6.
Inevitably…. • There will be obstacles along the way. http://entertainment.webshots.com/photo/1040516534015901341MFYhbt
Obstacles • Cost, PH notoriously underfunded • Time, may take decades to see outcomes • Lack of agreed-upon PH outcomes Source: Brenda Joly, et al. “Linking Accreditation and Public Health Outcomes: A Logic Model Approach,” Journal of Public Health Management and Practice 29 (July/Aug 2007):349-356.
Data-specific Obstacles • Difficult to apply statewide data to locality • Inconsistent data release times Source: Public Health Accreditation: Is Oregon Ready? Analysis by Shannon Dames RN, MPH. From Accreditation Self-Assessment Tool – Oregon 01/2010.
Desirable and Reachable Outcomes • Increased capacity to define needs, plan for and carry-out services • Improved informational systems to gather, report, and utilize data • Increased confidence as a team and appreciation of our value and role • Better prepared to respond to situations or disaster that may occur. Source: Mary Davis, “NC Local Health Department Accreditation:What it Does and Doesn’t Do,” Oct. 2010. http://nciph.sph.unc.edu/accred/health_depts/WhatHappensAfterAccreditation.pdf Accessed 2-13-2011.
Mental, Emotional and Behavioral Disorders • Health of Individual • Mortality • Health-related quality of life • Health of Others • Family • Victims of Crime • Peers Economic Resources Informal Care Juvenile Justice Services Productivity Education Health Care Child Welfare Source: National Academy of Sciences, Preventing Mental, Emotional, and Behavioral Disorders Among Young People: Progress and Possibilities (2009). www.nap.edu/catalog/12480.html
IPRC Data Sources • County Profiles (data tables/maps for 92 Cos.) • Youth Risk Factor Data from IN Youth Survey • IN College Alcohol Survey • Health Condition Indicators • Assessment Tools, including Data Sources Source: See www.drugs.indiana.edu
IPRC Data Sources Source: www.drugs.indiana.edu/spf/page.php?category=Assessment Source: See www.drugs.indiana.edu
IPRC Data Sources Source: See www.drugs.indiana.edu
IPRC Data Sources Source: See www.drugs.indiana.edu
IPRC Data Sources Source: See www.drugs.indiana.edu
IPRC Data Sources Source: See www.drugs.indiana.edu
Indiana Youth Survey Source: http://www.drugs.indiana.edu/data-survey_monograph.html
Custom Report Variables Source: www.latino.prev.info Source
Statistical Reports Source: www.drugs.indiana.edu/data-survey_icsus.html
Vets Search Engine Source: www.vetresources.org
County Profiles http://www.drugs.indiana.edu/data-prevstat-county07.html Source
County Profiles Source: IPRC, GIS in Prevention, County Profiles, www.drugs.indiana.edu/search/prevstat_s07.php?page_group=51&tablenum=Intro5.0
IPRC Custom Reports • You select the geography/geographies • You select the variables/indicators • You select the year(s) • You select the formats (tables, maps) • You may get rates, ranks, to prevalence
Population Characteristics • Totals, Age, Gender, Race, Ethnicity • Citizenship • Educational Attainment • Marital Status • Employment Status, Industry, Occupation • Income and Poverty Status • Consumer Behavior, Leisure Activities • Etc.
Household Characteristics • Number • Types of Households • Household Size • Median Age of Householder • Household Income • Non-family households, group quarters • Seniors • Per Household Spending
Risk and Protective Factor Data:Community, Family, Neighborhood • Low Educational Attainment • Poverty (Child Poverty, TANF, Food Stamps) • Low bonding to Neighborhood • Family Management Problems/Conflict • Crime (FBI UCR and Crime Indices) • Transitions and Mobility • Lack of Health Insurance
Environmental Characteristics • Population Density • Risk and Protective Factors • Norms, Bonding, Values and Beliefs • Density of Alcohol / Tobacco Licenses • Means of Transportation & Travel Time to Work • Poverty • Community and School Risk Factors • Urbanicity • Units in Housing Structure (houses vs. high rise, 1-50 units, Mobile Home) and age of bldg
Trend Data • Changes in Population, count and percents • Past Censuses, Current Census, 2015 projection • Demographics • Population subgroups, seniors, youth, etc. • Households (#, persons/HH, age of HHer) • Housing (owner/renter occupied vs. vacant)
Consumer Spending per HH • Health care • Personal Insurance • Tobacco • Alcoholic Beverages • Fresh fruits, vegetables, sugar/sweets, fats/oils • Cereals, Bakery, Meat, and Dairy
Consumer Behaviors • Civic Activities • Smoking • Gambling • Have insurance • Crime (FBI UCR and Crime Indices)
Geographies • Smaller to Larger Context: County, State, U.S. • Neighborhood or City • Block Group, Census Tract, Zip code • Radius around an address • Custom defined neighborhood
At times . . . • Too much data can seem overwhelming. http://entertainment.webshots.com/photo/1041702010015901341YseGEP
Analysis Simplifies • Comparisons: • Town to county, state, nation • City to city, neighborhood to neighborhood • Trends over time • 2000 to 2010 • 2010 to 2015 projections • Rates (per 1,000 or 100,000) • Rankings (within Indiana, in the U.S.) • Use of Maps to convey information at a glance
Bottom Line … • Without data you won’t get very far. http://entertainment.webshots.com/photo/1040516516015901341VzRwAP
Contact us: 812-855-6776 812-855-1237 800-346-3077 seitzb@indiana.edu Thanks so much ! Indiana Prevention Resource Center 501 N. Morton St., Ste. 110 Bloomington, IN 47404