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Finding Local Health Data

Finding Local Health Data. David Bruckman Cleveland Dept. of Public Health Dept. of Epidemiology and Biostatistics CWRU School of Medicine. Credits.

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Finding Local Health Data

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  1. Finding Local Health Data David Bruckman Cleveland Dept. of Public Health Dept. of Epidemiology and Biostatistics CWRU School of Medicine

  2. Credits • Presented to Case Masters of Public Health (Case MPH) Capstone Students on October 15, 2007 at Case Western Reserve University School of Medicine • My thanks to Scott Frank, MD and Laura Santurri, MPH for the invitation, Johnbuck Creamer, MD and Alfred Rimm, PhD

  3. Finding local health data has not been an easy task… • Idea for a local health data portal • Johnbuck Creamer, MD, RN (MetroHealth) • To aid in the search for data • Act as a posting site for community health data • Content management systems readily available on the web • www.ClevelandHealth.info

  4. Support

  5. Keywords • Over 85 keywords listed • Data presented by • General Health Information • Sources on topic • Statistics • Services • Providers in area • Text Search

  6. LocalHealth.info • GreaterCleveland.localhealth.info • Disseminate technology at a fraction of the start-up cost • Local Health Departments • Groups within area that are interested in their own web page

  7. www.ClevelandHealth.info All of the sites listed here can be found here. Let’s go behind the scenes and look at the source sites…

  8. Health and Disease Data • Governmental Health Data Sources • General health information, statistics • Cause specific: cancer, communicable disease, other clearinghouses • State • Local • Universities • Research Agencies • Non-governmental

  9. Types of Data • Vital Statistics • Injuries / deaths (CDC Injury Center) • Disparities • Mandated reporting / Surveillance • Communicable disease (CDC, ODH, LDH) • Cancer (SEER /NCI) • Surveys • Probability-weighted • Inverse of (person-level) weight reflect representation within surveyed area • Non-representative surveys

  10. Types of Data • Vital Statistics • Injuries / deaths (CDC Injury Center) • Disparities • Mandated reporting / Surveillance • Communicable disease (CDC, ODH, LDH) • Cancer (SEER /NCI) • Surveys • Probability-weighted – BRFSS & YRBS only • Inverse of (person-level) weight reflect representation within surveyed area • Non-representative surveys

  11. Vital Statistics • Birth Certificates • Data collected at local/regional • Maintained at state level (ODH) • Data cleaning, coding, reconciling,… • Ohio: 3 year delay… improving • Child and maternal health • Infant mortality • Prematurity • Maternal information • Poor source for birth defects

  12. Vital Statistics • Death Certificates • Data collected at local/regional • Maintained at state level • Data cleaning, coding, (less) reconciling than BC • Manner of death • Primary underlying cause of death • ICD-10 codes grouped into over 100 substantive categories (adult/infant) • Not a good source for comorbidities

  13. Vital statistics • National to census tract information available • ODH – Ohio Department of Health • Interactive Data Warehouse (to county level) • As recent as 2005

  14. http://www.odh.state.oh.us/

  15. Data Warehouse Click “Health Statistics” and then “Health Information Warehouse”

  16. http://dwhouse.odh.ohio.gov/datawarehousev2.htm

  17. Vital Statistics also available at • Case NEOCANDO Interactive Data Warehouse • Various sites with “canned” profile and indicator reports • Cuyahoga County Board of Health Indicator reports • ClevelandHealth.info • Keyword: Child and Maternal Health • Use search field

  18. Case MSASS: NEOCANDO

  19. Municipal Early Childhood Profiles

  20. Municipal Early Childhood Profiles • Home demographics • Child and Family well being indicators • Births, births to teens, LBW, premature, mothers with adequate prenatal care • Infant deaths’ • Lead poisoning • Substantiated neglect • Receiving assistance • Service levels (visits, care centers,…)

  21. Interactive Data Warehouse

  22. Interactive Data Warehouse • Data from • Census • Vital Statistics / ODH • County auditor property and sales • Mortgage lending • Crime (Cleveland Police) • Juvenile delinquency • Child maltreatment • Level of detail depends on source, but municipality and census tract data are possible

  23. http://www.odh.state.oh.us/

  24. CSU- NODIS • Northeastern Ohio Data & Information Service • Designated as Regional Data Center for NE Ohio • Leading agency for analysis of census data • Mark Salling, PhD • Data tables, reports, maps, ArcGIS projections and layers • Internet Mapping Center

  25. http://nodisnet1.urban.csuohio.edu/nodis/index.shtml

  26. Health Disparities Slide cursor over Health Statistics and then over Health Disparities

  27. ODH – Health Disparities • Minority Health profile reports • County Data • Health Risk Factors - overall • Health Insurance • CSHCN, Men’s Health, Native Americans • Health Disparities/General Reports • Women’s Health, Elderly, Children ins. • Health Insurance • Morbidity, Mortality • Child and Maternal Indicator reports

  28. ODH – Health Disparities • Ohio Family Health Survey • 1998 report at ODH website http://www.odh.ohio.gov/healthStats/survey/ofhs1.aspx • 2004 report at Ohio Dept Job and Family Svcs http://jfs.ohio.gov/OHP/reports/FamHlthSurv.stm

  29. Injuries: WISQARS (CDC)

  30. Injuries: WISQARS (CDC) • http://www.cdc.gov/ncipc/wisqars/ • Acute Injuries • Violence Prevention • Unintentional Injury Prevention • WISQARS: Interactive Data Warehouse (to state level) • Fatal and non-fatal injuries • Top 10 leading causes, by Age, Race/ethnicity, and Sex • Years of Potential Life Lost

  31. Injuries: ODH • Generated from death certificates • http://dwhouse.odh.ohio.gov/ • Report: Selected Injuries, by county • Years are bundled • Most recent: 2003-2005 • Printable reports (.pdf)

  32. Ohio Health Surveys

  33. Ohio Surveys • Behavioral Risk Factors Surveillance System • Ohio Family Health Survey • Ohio Immunization Coverage Level • Pregnancy Risk Assessment Monitoring System (PRAMS) • Youth Tobacco Survey (YTS) • Youth Risk Behavior Surveillance System (YRBS)

  34. BRFSS – Behavioral Risk Surveillance • Go to BRFSS site at CDC • State level with age, race, gender, education, income breakdowns • County/MMSA data (Cleveland-Elyria-Mentor) • SMART site (metro/micro risk areas) http://apps.nccd.cdc.gov/brfss-smart/index.asp • Data presented through ODH Data Warehouse • County data http://dwhouse.odh.ohio.gov/datawarehousev2.htm

  35. BRFSS – local efforts Center for Health Promotion Research (Case), and the Ohio Tobacco Research and Evaluation Center & Steps to a Healthier Cleveland (CDPH) • 2006 Ohio Adult Tobacco Survey • Cuyahoga County Tobacco Data Briefs http://www.case.edu/affil/healthpromotion/

  36. http://www.case.edu/affil/healthpromotion/

  37. BRFSS – local efforts Center for Adolescent Health (Case) • Youth Risk Behavioral Survey • injuries, violence, alcohol, tobacco, and drug use, sexual behaviors, nutrition, and physical activity • Middle and high school students • CMSD • Inner ring schools • County private and charter schools http://www.case.edu/med/adolescenthealth/yrbs.html

  38. http://www.case.edu/med/adolescenthealth/yrbs.html

  39. BRFSS – local efforts • Coordination through Cuyahoga County Board of Health • Child and maternal health indicator reports • Municipalities, county, ring • Pediatric Nutrition & Obesity • MVA –pediatric injuries

  40. http://www.ccbh.net

  41. BRFSS – local efforts • Child Fatality Death Review Report for Cuyahoga County • “Protecting Our Future” • 2000 to 2005 • Accidents, sleep related deaths, SIDS, homicide • Coroner’s office: http://protectingourfuture.cuyahogacounty.us/annualreports.htm

  42. http://protectingourfuture.cuyahogacounty.us/annualreports.htmhttp://protectingourfuture.cuyahogacounty.us/annualreports.htm

  43. Ohio Surveys • Behavioral Risk Factors Surveillance System • Ohio Family Health Survey • Ohio Immunization Coverage Level • Pregnancy Risk Assessment Monitoring System (PRAMS) • Youth Tobacco Survey (YTS) • Youth Risk Behavior Surveillance System (YRBS)

  44. Private Organizations March of Dimes • PeriStats • State level graphs, charts, maps, and summaries of CMH data • Some infant data to city level (Cleveland) http://www.marchofdimes.com/peristats/

  45. Perinatal Overview Births Preterm Birth Birthweight Prenatal Care Infant Mortality Singletons & Multiples Delivery Method Smoking/Alcohol/Drugs Infections Health Insurance Newborn Screening Folic Acid Population MCH Programs Birth Defects Peristats

  46. http://www.marchofdimes.com/peristats/

  47. Private Organizations Center for Community Solutions (Cleveland) • Varied analytical reports on topic of local interest • From left edge menu: • Resources/Online Publications and Resources • Highlights: • Community Profiles • Social and Economic Indicators Reports • Uninsured

  48. http://www.communitysolutions.com/

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