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Anne K. Stratton National Center for Health Statistics Centers for Disease Control and Prevention National Center for Health Statistics Re-engineering the National Health Interview Survey (NHIS)

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Page 1: Anne K. Stratton National Center for Health Statistics Centers for Disease Control and Prevention National Center for Health Statistics Re-engineering

Anne K. Stratton

National Center for Health Statistics

Centers for Disease Control and PreventionNational Center for Health Statistics

Re-engineering the National Health Interview

Survey (NHIS)

Page 2: Anne K. Stratton National Center for Health Statistics Centers for Disease Control and Prevention National Center for Health Statistics Re-engineering

Topics

• Decade of NHIS technology change

• NHIS Re-engineering Project

• Impact of NHIS Re-engineering on user

• 2004 NHIS Draft Release Plan

• 2004 NHIS technology plans for NHIS

Page 3: Anne K. Stratton National Center for Health Statistics Centers for Disease Control and Prevention National Center for Health Statistics Re-engineering

Decade of NHIS Technology Change

• 1997 Redesign

Questionnaire redesign – content & structure

Conversion from paper questionnaire to CAPI (computer assisted personal interview)

New post production systems

New data dissemination products – Internet and CD-ROM

Page 4: Anne K. Stratton National Center for Health Statistics Centers for Disease Control and Prevention National Center for Health Statistics Re-engineering

Decade of NHIS Technology Change

• Consequences of adopting new technology for 1st time Timeliness issues – 2 year backlog of

production work

Efficiency issues – manual, redundant systems

Quality Issues – extensive clean-up/reformatting of data

• Ernst & Young - Evaluation of NHIS Redesign - 2000

Page 5: Anne K. Stratton National Center for Health Statistics Centers for Disease Control and Prevention National Center for Health Statistics Re-engineering

NHIS Re-engineering Project

• Partnership with Census Bureau

• Components of Re-engineering CAPI Software conversion – DOS to

Windows• University of Michigan partnered on screen

design issues

Databases for specifications and analysis

New post production systems

Page 6: Anne K. Stratton National Center for Health Statistics Centers for Disease Control and Prevention National Center for Health Statistics Re-engineering

NHIS Re-engineering Project

• Schedule 2001 – Work began 2003 – Pretest 2004 – January: data collection began 2005 – July release expected

• 1999-2003 NHIS production concurrent with Re-engineering

Page 7: Anne K. Stratton National Center for Health Statistics Centers for Disease Control and Prevention National Center for Health Statistics Re-engineering

Impact of NHIS Re-engineering on the User

• Improve timeliness of micro data release: 6 months after data collection ends for most files

• Better documentation

• Reduce editing and recodes

• Reduce redundancy between files

Page 8: Anne K. Stratton National Center for Health Statistics Centers for Disease Control and Prevention National Center for Health Statistics Re-engineering

2004 NHIS Draft Release Plan

• July 2005 – partial release

• October 2005 – complete release

Health Insurance – coded component

Maybe other files ???

Internet only

Page 9: Anne K. Stratton National Center for Health Statistics Centers for Disease Control and Prevention National Center for Health Statistics Re-engineering

Future Technology Plans for NHIS

• Continuous Improvement Re-engineering provides foundation we will build

upon

• Analytic tools for the user SQL Server relational database technology

Data warehouses and data marts for specific analytic needs

• Historical NHIS Files on the Internet – prior to 1997

Page 10: Anne K. Stratton National Center for Health Statistics Centers for Disease Control and Prevention National Center for Health Statistics Re-engineering

Provide feedback on National Health Interview Survey data product to the NHIS Listserve

http://www.cdc.gov/nchs/nhis.htm