1. Kim Angelon-Gaetz and Edna Hensey, Trainers NC-CATCH Training

2. Kim Angelon-Gaetz and Edna Hensey, Trainers What is NC-CATCH?  Data Warehouse Collection of Datasets  Tool Compiles and analyzes county, regional, state data  Requirements High Speed Internet Internet Explorer Adobe Acrobat Player Sheps Center SCHS BRFSS CLARITAS DA D D NCHS DA D D D North Carolina Comprehensive Assessment for Tracking Community Health

3. Kim Angelon-Gaetz and Edna Hensey, Trainers What are its benefits & limitations? Benefits Data available from many sources Data easy to organize, manipulate, and present Tailored information quick and easy Convenient visual aids (graphs and charts)  Limitations May need data from other sources Not all health indicators available in design phase Dynamic program – expect changes/upgrades

4. Kim Angelon-Gaetz and Edna Hensey, Trainers you How can you use it?  Program Planning and Monitoring  Community Health Assessment  State-of-the-County’s Health Report  Grant Development  Reports to Policy Makers  Website “facts and figures”  Presentations, Articles, News Releases  Response to Public Inquiries Put a link on your desk top for quick access!

5. Kim Angelon-Gaetz and Edna Hensey, Trainers What types of data does it have? (Quantitative only, ex: Rates, Number of cases of disease, Percents)  Demographics  Per Capita Income  Unemployment  Free/Reduced Lunch  Medicaid  Uninsured  High School Dropout Rate  Mental Health  Morbidity and Mortality  Hospital Discharge  Emergency Room Visits  Behavioral Risk Factors  Health Professionals  Maternal, Infant and Child Health  Dental Services Data Sources: NC State Center for Health Statistics – BRFSS - Claritas – Cecil B. Sheps Center for Health Services Research, UNC – National Center for Health Statistics- NC DETECT Kim Angelon-Gaetz and Edna Hensey, Trainers

6. How does NC-CATCH differ from SCHS ? NC-CATCH also has …  Years Potential Life Lost (YPLL)  Medicaid/WIC  Socioeconomic data  Emergency/hospital data  Mental health  Patient/healthcare professional ratio SCHS website also has …  High risk births  Childhood obesity  Child Health Assessment and Monitoring Program (CHAMP)  Pregnancy Risk Assessment Monitoring System (PRAMS)  Health Atlas You may have to go to other sources for additional information.

7. Kim Angelon-Gaetz and Edna Hensey, Trainers NC-CATCH Tools  County Health Profile = “Snapshot of county” New County Health Profile - 10 major categories of important health statistics for the county organized by population, risk factor, and disease. (Available to the Public) Old County Health Profile - 10 major categories organized by data source. (Login Required)  Drilldown Query (Login required) Enter through Design Menu Allows deeper analysis Datasets organized into Cubes

8. Kim Angelon-Gaetz and Edna Hensey, Trainers County Health Profile

9. Kim Angelon-Gaetz and Edna Hensey, Trainers County Health Profile Click on the county to get the county’s health profile Green = Better than the state’s rate by more than 15% Yellow = Within +/- 15% of the state’s rate Red = Worse than the state’s rate by more than 15%

10. Kim Angelon-Gaetz and Edna Hensey, Trainers  Click on the blue link to see all of the indicators listed under category  Click on the blue title of each health indicator to bring up the interactive Indicator Fact Sheet County Health Profile

11. Kim Angelon-Gaetz and Edna Hensey, Trainers Indicator Fact Sheet  County Name  Indicator Category and Title  Numerator and Denominator source  Description of Health Indicator  Peer List  Charts and Graphs  Link to Selected Cubes (Login) Cancer Registry Maternal, Infant Check out raw data for small numbers <20 events – grey shading.

12. Kim Angelon-Gaetz and Edna Hensey, Trainers Peer Counties  3-4 Counties similar to yours (based on data from past 5 years) % population < 18 years % population > 64 years % non-white population % families with children below poverty level Total population  Peer indicator rate = weighted average of the rates from all peer counties

13. Kim Angelon-Gaetz and Edna Hensey, Trainers Export Fact Sheets  Export to Excel  Copy graphs and charts from Excel into Word or PowerPoint Check Quick Reference for details.

14. Kim Angelon-Gaetz and Edna Hensey, Trainers County Health Profile ( Old - Login Required)  Click on County to get the county health profile  Click on “Print” to get the health indicator fact sheet Check Quick Reference for details.

15. Kim Angelon-Gaetz and Edna Hensey, Trainers Statistics Used in NC-CATCH  Average  Count  Rate Incidence Prevalence Age-adjusted vs. age-specific  YPLL

16. Kim Angelon-Gaetz and Edna Hensey, Trainers Population at Risk The total number of people in your population able to get a disease or have a health outcome.  A person is not at risk if he or she: Dies Has the outcome Moves out of the population Does not have the necessary organ or body part to get the health outcome (Ex: Males can not get cervical cancer) Large populations are in “steady-state,” assuming the same number of people entering and leaving Image from www.jsaircurtains.comwww.jsaircurtains.com

17. Kim Angelon-Gaetz and Edna Hensey, Trainers Type of Rates: Incidence Incidence Rates in the County Health Profile  Cancer morbidity rates  Infectious disease morbidity rates Incidence Rate =

18. Kim Angelon-Gaetz and Edna Hensey, Trainers Types of Rates: Prevalence Prevalence is a “snapshot” of the disease or health outcome in a population  Usually reported as a percent  A percent uses 100 as the standard unit Prevalence Rate = Example: If 10,000 residents out of 50,000 have Type 2 diabetes in my county: (10,000/50,000) *100% = 20% have Type 2 diabetes.

19. Kim Angelon-Gaetz and Edna Hensey, Trainers Types of Rates: Standardized vs. Specific  Crude rates set a standard population size  Age-adjusted rates set standard age distributions AND population sizes  Age-specific rates are rates stratified by age group Compare rates:  Use standardized rates relevant to your health outcome  Use rates for the same time period only Note: Percents are usually not age-adjusted

20. Kim Angelon-Gaetz and Edna Hensey, Trainers Reporting Rates from NC-CATCH Check out the standard unit in the “Description”  If 100: report the rate as a percent  If 1,000, 10,000 or 100,000: report it as a rate

21. Kim Angelon-Gaetz and Edna Hensey, Trainers Small Numbers Work with Small Numbers  Combine data into 5-year periods instead of looking at 1 year  Combine data for multiple counties or look at one region CATCH helps you easily compile data! Rates or percents based on less than 20 events are considered statistically unstable. Always check the number of events for a rate or percent!

22. Kim Angelon-Gaetz and Edna Hensey, Trainers Years Potential Life Lost (YPLL)  A measure of impact of premature death by disease  YPLL75=  NC-CATCH has both YPLL 65 and YPLL 75 (new standard)

23. Kim Angelon-Gaetz and Edna Hensey, Trainers HELP = Users Manual

24. Kim Angelon-Gaetz and Edna Hensey, Trainers Community Health Assessment FAQs (Frequently Asked Questions)

25. Kim Angelon-Gaetz and Edna Hensey, Trainers Example questions that can be answered in NC-CATCH  Are we meeting our county’s mental health needs?  What percent of adults (18-64) in our county are uninsured?  How does our county compare to the state in terms of our premature death rate? What are some questions you would like to explore?

26. Kim Angelon-Gaetz and Edna Hensey, Trainers Trainer’s Contact Information  Kim Angelon-Gaetz - (919) 218-0499 Kim.Angelon@dhhs.nc.gov  Edna Hensey – (919) 832-2739 Edna.Hensey@gmail.com Edna.Hensey@gmail.com

27. Kim Angelon-Gaetz and Edna Hensey, Trainers Assistance  NC-CATCH Technical Assistance Software Solutions Lab at UNC Charlotte Email: ceichelb@uncc.educeichelb@uncc.edu Phone: (704) 687-8642  NC-CATCH Data Questions or Comments Kathleen Jones-Vessey, State Center for Health Statistics Email: kathleen.jones-vessey@dhhs.nc.govkathleen.jones-vessey@dhhs.nc.gov Phone: (919) 715-9692