1. TPCA: Up to the Challenge Using Web-Based Data to Advance Access to Care April 25, 2006

2. Kiamichi Family Medical Center, Battiest, OK

3. Using Web-Based Data to Advance Access to Care Where do you go to find health information in Tennessee?

4. TPCA: County Health Indicators TPCA -Graphs & Maps -Pre-selected indicators HIT: Data Query and County Profiles HIT - User-specified selection of variables OCS: Office of Cancer Surveillance - Tennessee Cancer RegistryTennessee Cancer Registry - Cancer Incidence & Mortality Data & Research: Other Sources

5. TPCA: County Health Indicators Excellent Tutorial http://www.tnpca.org/health/material s/how_website_organized.ppt ComMetrics, Inc. Sandra.miller@conwaycorp.net Sandra.miller@conwaycorp.net

6. How Everything Fits Together

7. What You Will Find Definitions Data Explanations Links Healthy People 2010 Graphs & Maps

8. County level graphs & maps Except surveys BRFSS Substance abuse Immunization Three ways to select a county Drop down menu Hot map List County Profiles: Graphs & Maps

9. More than 3600 unique graphs & maps 214 graphs & maps for each county 24 additional sub-county maps for 5 counties Organized by topical areas for ease of use Files are small to reduce load time PowerPoint & HTML PowerPoint allows users to save files to a local hard drive to develop customized education programs

10. County Profiles: Graphs & Maps

11. Data Definitions Alphabetical listing Links to sources Explanatory notes

12. Data Tables: Numbers

13. Data Tables: Sources Link to source Frequency of update Date accessed

14. FAQs: Explanations Who decided what data to collect? How recent are the data? How are data presented? Some county comparison maps do not provide data for every county. Why? I dont have Microsoft PowerPoint. Can I still view the PowerPoint presentations? I need the data, not a graph. Where do I get the data? Im not sure how to interpret the numbers Im seeing. Where can I find data definitions? Some data are not available at the county level. Why? What does it mean when it says BRFSS data are not weighted for population characteristics? Why are BRFSS data not reported for Hispanics?

15. Other Resources: Links

16. Healthy People 2010 Links to detailed list of objectives Links to background document Links to Excel files with objectives

17. HIT is Advancing Access toHIT Better Health Information

18. HIT is pleased to present online access to official State of Tennessee data for: Births Deaths Population Hospitals Nursing Homes FEATURING DATA QUERY DATA QUERY

19. Several examples of using GIS/Mapping to visualize and demonstrate relationships toward advancing access to care:

21. OCS and slides that follow

27. Office of Cancer Surveillance Tennessee Cancer Registry (TCR) Tennessee Comprehensive Cancer Control Program (TCCCP) Jennifer Murray, Epidemiologist

28. Tennessee Cancer Registry Established 1983 Funded by CDC since 1996 Reports approx. 24,000 cases/yr 80% complete Hospitals Pathology Laboratories (2005) Ambulatory Surgery Centers (2005) Urologists (Pilot Project 2006)

29. TCR Data Usage Annual Report – 2006 Cancer Factsheets – Overall, specific cas Guide TCCCP in their activities Research Projects Harvard School of Public Health Nashville Breast Health Study Southern Community Cohort Study 7 th Day Adventist Study

44. Tennessee Comprehensive Cancer Control Coalition CDC funded 2004 Group of volunteers (~200), w/ 3 staff Guide the state in cancer related issues Active volunteers Educational events Increase awareness Training Regional Coalitions now forming

45. TCCCP The Plan – 2005 Guide to addressing cancer issues in TN Workgroups with specific objectives, activities and a work plan Living document, updated 06/07 Produce TN Burden of Cancer Document Special reports / research projects with Coalition

47. Data and Research Grant Resources Block Grant & Collaborative Efforts Grant & RHIO Info – exchange & Linkage

48. Grantsmanship Data Needs Overview of the State: Tennessee has a population of 5,900,962 (2004 data). Of those reporting only one race, 82% were white, 15% black, 1% Asian, and 1% other. Less than 3% of the people living in the state in 2000 were foreign-born, although the state has experienced a 169% increase from 1990. Approximately 40% are of Latin American origin. 2003 data from the American Community Survey show 135,669 persons identifying themselves as being of Hispanic origin.

49. Grants Tennessee is a diverse state geographically, culturally, and economically. The state covers 41,220 square miles and is about 500 miles from east to west and 100 miles from north to south. There are mountains in the east, hills in the middle section, and the western third is relatively flat. The state is divided into 95 counties, each with a health department located in the county seat. Slightly more than a quarter of all Tennesseans live in the four largest cities (Memphis, Nashville, Chattanooga, and Knoxville). Just over 68% of the population lives in the states seven metropolitan areas (MSAs), five of which are in the eastern two-thirds of the state. The most sparsely populated counties are primarily in rural middle and west Tennessee.

50. Grants U.S. Census data show that 14% of Tennesseans live in poverty compared to 12.5% nationally. According to the 2005 Kids Count Data Book, in 2003 20% of children in Tennessee were living in poverty, and 33% of children were living in single parent households (as compared to U.S. figures of 18% and 30%). Eight percent of children were without health insurance, much better than the national level of 12%. Yet Tennessees children are not faring well.

51. Grants Birth Population: In 2004 there were 79,572 births in Tennessee, an increase over the past five years, reflecting a growing overall population. Of the total births, 78% were white (61,899), 20% black (15,787), and 2% other races (1,886). These percentages are reflective of the racial spread of the population of reproductive age women (78% white, 19% black). 2000 census data show that females aged 10-44 make up 25.4% of the total population. Of the total 2004 births, 12.9% were to women aged 10-19 (10,260).

52. Grants In 2004, there were 5,848 Hispanic births (7.4% of total births), an increase of 905 births or 18% over the number for 2003 (4,943) and indicative of the states increasing Latino population.

53. Common Types of Grants New Block Continuation State Federal

54. Collaborative Interests Data Capture Data Utilization Data Integration Data Manipulation Data Applied Use in Care/Treatment RHIO – Regional Health Information Exchange Electronic Health Records

55. Tennessee Priorities Body Mass Index (BMI) – Both adult and Child Obesity Diabetes Stroke Prevention Strategies Disparity Elimination

56. Grants Tennessee Primary Care Association Challenge

57. Challenge For TPCA Sponsor a grant application for a statewide collaboration research initiative to address major primary health care needs and barriers to care.

58. WEBSITES http://hit.state.tn.us http://www2.state.tn.us/health/CCCP http://www2.state.tn.us/health/TCR http://www.tnpca.org

59. TPCA: Up to the Challenge Using Web-Based Data to Advance Access to Care THANK YOU! Ronald L. Campbell, MSHA, CHE, Health Planner, Health Information Tennessee, TDH Ramona Lainhart, PhD, Director, Grants and Funded Projects, PPA, TDH Fenyuan Xiao, PhD, Epidemiologist, Health Information Tennessee, TDH Jennifer Murray, PhD, Epidemiologist, Office of Cancer Surveillance, TDH Fred Croom, MD, Epidemiologist, Surveillance, Epidemiology & Evaluation