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

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Presentation on theme: "Finding Local Health Data David Bruckman Cleveland Dept. of Public Health Dept. of Epidemiology and Biostatistics CWRU School of Medicine."— Presentation transcript:

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

2 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 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 ►

4 4

5 5

6 6 Support

7 7 Keywords ► Over 85 keywords listed ► Data presented by  General Health Information ► Sources on topic  Statistics  Services ► Providers in area ► Text Search

8 8 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

9 9 All of the sites listed here can be found here. Let’s go behind the scenes and look at the source sites…

10 10 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

11 11 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

12 12 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

13 13 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

14 14 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

15 15 Vital statistics ► National to census tract information available  ODH – Ohio Department of Health ► Interactive Data Warehouse (to county level) ► As recent as 2005

16 16

17 17 Data Warehouse Click “Health Statistics” and then “Health Information Warehouse”

18 18

19 19 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

20 20 Case MSASS: NEOCANDO

21 21 Municipal Early Childhood Profiles

22 22 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,…)

23 23 Interactive Data Warehouse

24 24 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

25 25

26 26 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

27 27

28 28 Health Disparities Slide cursor over Health Statistics and then over Health Disparities

29 29 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

30 30 ODH – Health Disparities ► Ohio Family Health Survey  1998 report at ODH website  2004 report at Ohio Dept Job and Family Svcs

31 31 Injuries: WISQARS (CDC)

32 32 Injuries: WISQARS (CDC) ► ► 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

33 33 Injuries: ODH ► Generated from death certificates ► ► Report: Selected Injuries, by county  Years are bundled  Most recent:  Printable reports (.pdf)

34 34 Ohio Health Surveys

35 35 Ohio Surveys 1. Behavioral Risk Factors Surveillance System 2. Ohio Family Health Survey 3. Ohio Immunization Coverage Level 4. Pregnancy Risk Assessment Monitoring System (PRAMS) 5. Youth Tobacco Survey (YTS) 6. Youth Risk Behavior Surveillance System (YRBS)

36 36 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) ► Data presented through ODH Data Warehouse  County data

37 37 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

38 38

39 39 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

40 40

41 41 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

42 42

43 43 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:

44 44

45 45 Ohio Surveys 1. Behavioral Risk Factors Surveillance System 2. Ohio Family Health Survey 3. Ohio Immunization Coverage Level 4. Pregnancy Risk Assessment Monitoring System (PRAMS) 5. Youth Tobacco Survey (YTS) 6. Youth Risk Behavior Surveillance System (YRBS)

46 46 Private Organizations March of Dimes  PeriStats  State level graphs, charts, maps, and summaries of CMH data  Some infant data to city level (Cleveland)

47 47 Peristats ► 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

48 48

49 49 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

50 50

51 51 Private Organizations Henry J. Kaiser Family Foundation: ► National and State focus  Medicaid/SCHIP  Medicare  Costs/Insurance  Uninsured/Coverage  State Policy  Prescription Drugs  HIV/AIDS  Minority Health  Women's Health Policy  Entertainment Media Studies

52 52 Cancer Incidence and Mortality ► National Cancer Institute/SEER interactive site for causes, cases, age-adjusted rates (State-level) ► ODH Data Warehouse  OCISS (Ohio Cancer Incidence Surveillance System) ► ClevelandHealth.info  Joint effort of CDPH and CCBH

53 53www.seer.cancer.gov

54 54 (Easier to type OCISS in search field)

55 55

56 56 Mandated disease reporting

57 57 Mandated disease reporting

58 58 HIV/AIDS reporting ► ► HIV and incident AIDS diagnoses   perinatal exposure to HIV,   CD4 T-lymphocytes counts <200 or 14% must be reported on forms and in a manner prescribed by the Director.   Reporting formats vary   Report to LHD as designated by ODH   LHD-> ODH -> CDC (limited PHI)

59 59 Infectious Diseases ► CDC ► ODH  ODRS (Ohio Disease Reporting System) ► ClevelandHealth.info

60 60 ► Annual and Quarterly Summaries  County level data included ► HIV/AIDS ► Immunization Coverage Rates ► STDs ► Tuberculosis ► Zoonotic Disease

61 61 Questions using ClevelandHealth.info? ► Contact me at ► Or click “contact” in the top right of the ClevelandHealth.info screen Thank you !


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